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APPROVALS DATE ID/SIG.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />.9pas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />To rqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Ivleter Release
<br />Rough
<br />Service lvleler ,^
<br />FINAL ah /n -tw1
<br />Noles Remarks, Etc
<br />.7 \ 7-l\
<br />ELECTRICAL-INSPECTOR RECORD
<br />OIVNER BUII,DER DEI-(.ARATII)N
<br />I tkr.hy .r'lnr u.,l.r Fnahy ol I'.rjury th.t I m.rcnfl lnrm rh. C.nrtuctor' I-i..n\c Law ntr tlE Ll!,*mr r.a$n (Scu 7(,-rl 5
<br />Busincs I Pr.Ic$nrn c{ c): Any Cily or Counry phrh r!um\ r Ilcm L] con(!'.r. alrc( ml]n)rc. .knnrh ,tr r!,tr rnv
<br />{nr(trtr.,t tru \ n\urM. ,l\o rqum\ rhe spplianr tnr su.h ,cmir b lil. i {gtud nrr.mnr rh{r h. or \hc s lrctrkd flnu1nr
<br />n' ihc |n,ris(m ol rlf, Cotrrlr.rtr s l,r.nsc,l ,r* (Ch.Drcr 9. ailntrFn.n,3 wirh S.rr()n Tllxr ol l),vrtr,n :l o, rh. Btrn*s anJ
<br />Pnncs$n( ci'J.) .r rhrr tt orshc $.x.npr rhrycliom r rhc hJ\i\ krrhcalkp.d.rcn\rtr,n Anyvrrdrk{ofSccr$n7lr.ll 5hy.ny
<br />r!p[.rnrl;!! ncmir suhje..k rhc applicinllo auivil!.nrllyolnoi nuc lhan rivc huBllcd d.lhr (s5(])l
<br />_1.rr wn(ofrh. pn,Fdy. ,tr rty .ntl,)y.r\ wirn ergc\iirh.t vn. comf.n$ion. $illJ,) rh. sork Jrhc(tururrBn
<br />iNcnn{ or"llc('l fur qlc rSe 7(,44. Busr.$ rhd Proli$i.n\ CDJ.]'rlf, Ci)nrxcttr'r Lrcn\c Li' d,rs n.r.pply n),n owrcr.t
<br />rhc pn,t^-ny *ho hu ill]\ or in{n,v.\ rlIrsn. &r] wtu 'lNr n'.h vnk him\.ll or heFc l, or rnR 3h hs or h.r o*n cmd.y.c(.
<br />prrklcLl rhrr surh iml'fl)wmnkm rtn ini.ndc'l or.ltiEaln)! sL li ho*cq rhr huillin3 or tryrn cmnr is q'U wirhmonc rd
<br />ol (-mthl rn, thc Owmr Burltr *,ll h.vc rtE huilcn ol ptuvn! rtut h. or rhe dri ml h{ d or rqn)E rhc pmFny tnr r nu$){oI
<br />l. r\ .sncr l lhc p$pcn y, rm .\clurirly conrracrin3 w(h liccna,l .onrr(nr n, rondn'(r rh Ir,*cr ( s.r 7{N.,r. Bu{n.$
<br />.Jri Pi$L(!. Cdd.r Th. Contrtr'r Lr.cns. t-rw docs R rptlyrortrown.rofllr()p. y wh. builJs drrmpnvcs lhcrcoo.
<br />u! wh{ (on|nt|s I suuh ri)jcds *ith a ContBlo(o lacnsd Nnulnl lo lhc Grnr!.urtr s Liuenr Lrw)
<br />_l anckmpt u.d.rScdion_- B. & P.C.fo'rhnEan,n
<br />IAaX!&LCOTIEENIAIIA!
<br />DES.AAAIIA!
<br />I hcrh! rtlrN undcr acnrlryol p.rjory om olrh. n,lb$ing Jcrhtuik,n\
<br />I hrvc irxl w,ll m'n(.in , Cin rr*dc f cl,n*nr b S.lt In\urc tur kxk.ii' onf.nsnr nn. xs t'nrvlll..t ttr hy Sei Dn l?U, ol llx
<br />tlh* C(,1., fin !h. p. utunc. of th. srk turwh(h rh.I)mir i\ n{kJ
<br />I h.!. itrl wrll nriflrr work.6 conrFn\arnn xsrrakc. a\ rcqurcdhyScLlrr!?(l(Jolrh.lniorC.ic.inrrhcp.dnnn.n.c.l
<br />lhc sork inr whEh lhis tFrmn is ssucd lvly workctr .lrnD.nsribn nl(ur*..dricr ! Fni.ynumt ! {c:?
<br />2-o
<br />_l..n,lyrhr'nrh.p.rrormsn(.olrhc*orkl,trrhkhrhrpcrm F tr\,'.J. I \tu ll nor .ntkry rn! FFon in.ny Mnncr
<br />\) ,\ tu hcom {hj.ct kr th. m*cn ..np.ns.rmn l]ws ol Crnn)mr. M'] rprcc lhll it I rh,uld h.a.m suhr.l to rlE
<br />wol*cn.omFnsahDnln)vsbnsolScctronlT0Oolrh.l-atr)rC'od..lshlll,f.nhwnhcomdyw(hrlr,spovtri,n\..
<br />(r'l lnr\ uf n) otu htrtrJr.'l rhotrutrJ J,'ll[ (lllX).(XrlD. m r']Jik)n n) rh. .oi or .o 'n. dlmrpcs !i rmvklcl ntr lhc
<br />htrc{ xnJ {ornct'\ I..s
<br />I}ECLAAAIIA!
<br />I h. h! riltn und.r p.tulry of p.rjory (hd I an lir.{d under rovisn,n ol Cha/6 9 (cohmRing wirh S.dirn 7000) ol OivsDn l
<br />ol rhc Btrrirc$lnd PmrassonsCodc, {xl mylacns n h tull Lrc anjclrc.r.
<br />)
<br />CONSTRUCTION LENDINC AGENC1
<br />I h.nby dllrm u.d.r p.n lryof8rjury!h{ rh.F i! a con{o.rion lendin! rEcncy Lr rh. pcdnrunc. ofrhc work ntr whrh rhr lmir Lr
<br />tsueJ (Sc. .1097. Ci! C.).
<br />ATTUCANLDECLASAIION
<br />I lrNbyallimundrr p.nrlry orFrrury dn ofrhrin (,wDE de-'lzrar'onr:
<br />Dcnniri,,n Pcrmih-Asbcsro\ M,rificirion redenl Rc3ukn)ns I lnlc 44, P.n6)
<br />-R.qurcJ
<br />Lcrrcr ol Mriiuiion
<br />I (cdlfyrh.r rhc r.d.rdrclrlxrk,n\ regddng a\h.nos rrm,vrl rr. nor {t (.iJk t, rhs F,j..r
<br />U -^nr in IL* -,,1th\\ applicarion a srardh,rrhc ah,vc mr.mirkn, r.o'r!r l+rrrr.omply*irhrllc ranJCounry
<br />o,dnxnr.\ rRl srrr.l.r*\,.Li,ng ro hLi[nn3 !.f(nrrk,r. $l rrr.hy.,ru. R.nr.\.nrrrrv.\ nl rhr Cit rn,l Connry k, cirrr trIl
<br />ah,vc mnrtr,ncJ pn)pcny nu iistcrlonl'ur
<br />Appli..nr dr/\EcnlSiAmlu 7
<br />COMMENTS
<br />Translormers
<br />Dat.r_
<br />J,L
<br />!!ARNIN(;: Frlurc io e.trrr {o'krr .onrp.n\rrn'.orcrrgc ,\ unl,$tu|. rn'l shrll {r$lc.r rn. ,tloy.r h .nnMrll(nrlrr\ nhl
<br />I.nJq" J.t,cs
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