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APPROVALS DATE tD/stG.COMMENTS Site-Work Underground Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rough) Meter Release Rough Service Meter o,[l,o) FINAL 't'-1t*l I v t'-l)'7tz) Notes, Remarks Etc. OW ER AUILDI:X DELCARAIION , hnctt' .Itm u'xlq FlDl'y ot FruD- thd I m qmpl no6 lh. Co Ed6 l.t@ I js for lh. folt s'ns r@n 156 ?01I ! Ituind .!d P,ofdirn ('o&) An} Cnr or Cddt $hEh r.q!n6 . Finir ro mdrud, .11., inFove ddmlilh or rqu oy srtudue Ffl b n! i$ueq ilgi ctutrB th. +plicer lor rEh rEnn ro fiL.3Bnqj nnffir thli lr or lbc i n.d!.d geai lo lh. Fovirions of lh. Contrrctois Lic6!.d L{w (( h.t d c, Comm..cir8 $nh Sclion 7l](D of Dvi.ion r of lh. Blsird ed Ptuf*ionr Codc)orltor h. or th. n.r.opl rhg.from d th. hBi! for rhc ollcs.d .rmption Anyviolationolselion?011.5byd) dppli.rd for r p6nil 3ubjcd! rh. lt)pli.er lo r .ivil p.Elry of ml m.r. rh!, fiE nundr.d dollm ttt00) l.EosEotrlEFoFlr,orm,.mphrEs'hhr.g6-rlEn$L6npada..sill&,dErslrnftridE.d inci.d d olrqtd foi $L lsa r$.1, BdtrB dd Pilr6i)B ( od. Tt Coiirrro ! Li(!e l^ &J6 r'r +r,ly ro D ou6 of rlE FrrEry llD hiik! or insoE rt.Ea -d s'lF dE *t wt hiElf or hdElf or rlmrrh hi m lE om .iploy6. pror iral rld uh i,a.o\ddr E E iddr.t d dolt rd for si. lf.lb$a6, ilE toildi,B or itrp.D\d i! sld $inii om '-of.onp|llnl! rlE (xG RriHd *ill hr!. tu hdbr olF!\iis hlr lt or sh. did br hild or u!.o\t rh. FoFq tc, fi. F rd ol L a osd oflh. Fopdrt, @ .r(lBiEly conrradins tr ilh li.o!.d ..rir..ro6 ro cointud trE prlj<r {S( 7o+r, &!i6 {rl hoki{Co&r Ttc ConrErorJ Lice L.r &6 mr.p9ly16 o*nd ofF.Fnr sh6 buildr or inpror6 ttE6r..d q h6 sdEr! fd sh F.Jet! *itn r Co'rr*rqlr) l.ssrj p{EUsr lo rlE ( ondroi3 Lig& L.w) I hs.by {mm' unda Faltr of Fju.y on€ of I h,t. rd $ ill Eidrh . c6rifrr. olcoNd b s.lf-lE4 ld wt6- onFdit r ! ForiLd 6r by S.tlhn lrm of {E tler Cod., lu i,E Ff!.llre of t!. mrt ld $li<h rlE Fbh i s.d I h.r. ud $ll mlinrlin f,ortd comFMlnn iElrkc. a r.qui'tn b, Sd! hn lrm of lh. L.bor Code for lh. pgfonrrm. ol lh. ert ror shicfi lhts p6Dil n isal My wort6 omFBdhn ituurft. cMi6 ald policy n!mb6 e: I catil rh.r in rh.Frolrle.ollrE ro* tur \ntt rtB Fnn s as.d I Jdlnn drploy ey p6e. i. e, orE $ a 'o h.<om tutid h rh. rrrl6 mnp@.io. l,u of Crlif.mie .d rsc rhd il I .lFuB bcoc ebi.rr to 'lE\o 6 onFdhnFoviri.B of Sdion l70ool E llbor Code I ilEll ftnhwnh (mdy *nh $or p,sltbB. W,{RNlli(; Iidlur. k s(ur. \o'l.s .omp.nsar(,n c.\618. tr unlarl'ul. and shflll cul)t{r an mpl(Dr lo onnmrl r<ulris ud civil lin6 ur r. o.. hund.d rh.@d dolls (ll in .dd tud ro rh< con ofcomr.@rbn, doasd ( p.o\id.n f.r rh. rh. lit$ {tL rrdd mn m.l1E 7 z-411 I heby .fl],n und6 pqElly o I Frury 'hc ,lic. .d u.d6 FlltioD of Ch.pt6 I {comltffi4 q nfi Sdion 7Ux)) ot Dn isior 1 of lh. Iruind md Pmf*i)B ( oti., rnd m, lk6* r i. n'll fdc. at.rler A?III(AILDECIJAAIII]! I k r .rm ui&r Frlr, of prJ(ry on. of rlE aolh*68 dch@rir.r D.molirion Pmir!-Asb6ror Norin. bn Fcdall R.sulir ionr tTnL 40. t6l6) Ra|urcd I.udofNoriakdhn r.auLlnN Eard'n3 ab.r8 t.mr.l rc mr .Frlk.bk ro rh6 prcF . rsd lh6 qplrrlirn -d snc lhd rlE.tn\. 'nroturn 6cond I l8ralomndysnh lll( ily.,rl Cou r irn.. ndcb !u'tFri* !.F.<d tr 6 of lhis Cil) &d ( ouID lo 616 ulon rlE ELECTRICAL.INSPECTOR RECORD All,rr^.\" ft.-,-t Pole Bases ,,.:;y'irr;l coNsTntc'ft(rn LEtDINc acfN( r I hsrbr omrm und6 Fflall, of pgjury lhd lhsc is. codtudio. kndi.g aBdcy ny rh. Ffonrmc. ofrh. sort [n *hich rhis pdnh n ku.d(sd r0q7.civ c) I