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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE tD/stG.COMMENTS OWNER BUIT-DER DEICARATION I lE.t'_v .ffm un& FEX} of Fjury lhr I o dmF noh dE C6ffio6 Liw t * for dE lolh*ila l!e. (Sd 7Ol L5 B@ind tid P.otdiin Co<l): Any Cny or Coury $hth r.qut6 . pani lo mldru.l, .t6. iDFo\q &ml!h or EFE dy ioclu( Fi,r ro its i!r@., .lo r.qun6 lh. rppli.or lor ruch ponir ro fik ! rign.d 3rdodl rh.l h. or $. b licd.<l pl!!@! ro rh. FovilirN ol th. Coflrlc-t Lr.r!.d Ir* (Clup(s 9. Coffihs s'nt SElioD 70OO of Diritbn I .f rh. B6ind dd P.ot6ioN Co&) or rhr lE or nE L dmE dE.nom id 'h. bGi! for rhc .lLg.d .roqion A.y \ioh..of Sdion 7O1l tbto) rpplic! lor r Ddnn subJ(ls rhc .pplicer ro r civ il p.nahy of nor morc lhe fivc hun&.d dolle! (t500) l. a o$nn of rh. FrFrr. or m, mplorG $nh s.s6 a rh.n {h ool!Bdi,.- uiu & rrE rqt !n dE cME i m' ulq'd.d or oll6.d for sl. (S< 7044, Burhs md ftofdioN (-o&] TIE ( ontsloir Lic.e kw 66 mr apply l. e osF oa lh.Ftrpdly whoh lds or nlFor€ fiaon...d who rLE $.h trld him.lror ha*lf .r rhmuBh hn or ha om.mrloy6, F6\d.d lhd ui iryrc\sEr. Gtrl ddiLddolH fr, xl. lt lbr6r. E hlildilB or lrssffi i -ld *ihhor )s ofmnphn4 'lE O*n6 Boilda *ill hw rh. hda ofF.\irB fir lE d JE dn d hrih d inqmE dE FbFry 6r E F,p.*oa l. s oun6 of rh. F.Fr'. m d.lGn l, cotudine cnh li(6e<l codrrld ro 6tu rrE F.j.d {s6 ,o{. BGiB a.d [,litsh. Co&: 1 rc Codreroi3 Li.ok Llw do6 rcr iprly ro e owr- oalrop<ry *ho build! .i inpord rhs6n,od uto contdraorruchprrFsunht(o eon3) lkd.d pnd ro llE ( otudo.t Licae hs ). l0.r.mpl unds S<ti.r D.r. Oitrtr \r o nx F.R\. ('dirPr Nsairor DI0TIBAIIQI I hd.lt.rin'n unds 11( ah! ot n( iuD- on. oalhc tolb$ inr ddl.r iois Ih.vcrnrillEi.in!C6liL.l.olcolaarlos.ltucwtu$..td6mpaMio.,aFoliLd6.b,S<rionlTqJoflh. lrhor Cod., for ih. pslolruc. o f lh. "o* for whicfi lh. Fmit i! iso.d. I h.rc rnd r ill tu,nr.in *o,ld ohp.Bdhn ieEmc. 6 rq{ir.d b S.nn. r?@ of rh. L.t(r Co&. tu rlr Ffrfu. of rh. $ ork aor s hth lha Fnn a is.d. My *ortd mmpolrion iNurnc. cei6 ri policy numb6 r.: I cdifyrhd in rh. Ffornffi. of tlE ro.t for qhkh rhn Fnn n &d I rhrll nn npr,l ot Fs. i...t mffi b N lo b.$m. ruqd lo lh. mlt6'mmDcMion hu of Clliaomit Md.gE rhd if I should tEom. luqd to lh. sorl6' comF$lio. FovisioE ol Salion 1700 olilE t$or ( ode I ttrll, fonhqth 6mply f,nn dE p..vilioN WARNINCT t'dilor. lo s6c world' comFns'ion .o!dg. ! u.h$tu|. od 3hrll .u6jd an opl.F ro sinin.l FEhi! Md cNil fif,d up ro oE hun&.d rlhlMd &rlla (llm.oo0). i. .ddnion !o rh. .o, of.onFu'ion, &$lc6 a Foril.d aor llE S..rm 1076 ofdE t t r (-oda inrs.r d (orE rf6 tlttls I h6.U am,n und6 Fn.hy of Fjury th l m licot d undd Fortion of (lup{E I (mnnffiing rnh S.rlio.?000)ofDivilionl oa lh. B6iEs ad PmfsioB Co&. rn my kae t i. tull loE rn.fi*i ."^.",*, 419 ^", L\!!l+ U >- I @ .rlm un<Lr Fuhy of Fjury rhn rha. i' . @rdrucrbi lodiir .sfty for rh. paf(,l1ec of rh. eit tu *tth rhir Fni a isucd (56. 1097. Civ. C.) ATII.I(AILIIECIJAAIIO! I hdlt y afm undd F.slly of pBjury on. orlhc lollowing d(lJ.l ions D.rxni ior P6mils- Alb6tos NolifEdion r'.dd!l Reoh ioB {l n k 40, Prn6 ) R.qun d lnt6or Mti6cdion I cdif} rhd th. f.d. l rclulrirB qrrdina atkor rom\ trl I fln q',larbk ro rha prol..t I (diry rhll I hav. Bd lhie .pplicltion dd rt.t. lhd th. rt v. infomd nrn t coErt I rgra to .onplt snh rll Cnt .nd Counly ordME6 ud Srdc trtri Elri,f, ro hildin8 cotrrrudlr rn nd<,i.dbrn. rcFsdnd of rhi3Cntr Codtro6ra$on E rb.r. @iion d rJoFnt aor illGirn F,Fq ^ppliotrr or ,\rG'r SiEurun tfrtL, t.t V lltr kt Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER zilciz lry',rlv)/b2- Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouqh Ceilings (T-Bar Rough)t Meter Release +/ a///Fra, Drr4)/d'> Rough 4//r//?ryb7fr -/a_-- Service Meter FINAL Uts//4 F-? aD,/A--.." Notes, Remarks, Etc ll & l,(- f.rrht r.re.