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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ildinq
<br />Under Slab / Floor I _l
<br />Bonding / Groundinq / UFER 9lal('),u4qa
<br />Transformers
<br />Torquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />KlEltl /,Ld4rr,lvleter Release
<br />I
<br />Rouqh
<br />9l(lr1 ,,Ll,otl(ryService Meter
<br />LUaVIFINALa[ {[n -
<br />Notes, Remarks, Etc.
<br />OWl,lER AUtI,DEN DELCARATloN
<br />I t6.b .mnn undq D.n{lry oi pdlory thar I m .r.mpr ft'm lh. Conrra.ron l.i..M t6w lor ln. fi)llo*ins rffin (S..7011 5
<br />BBi.dr .!tj hol<t'n C.d.) Any City or aounlv uhich ,.{utr6 . Itrnn kr on{ruci. !h6. irllrov.. dlnolirh ot lF.n lny
<br />rod@. Fnr b t i$ft.. !k rq!n6 th. q,plrd ht w.h Fflnn ro 6L. t'sn d 3li.r6r lhi lr or CE it li(EB.<l F &rn
<br />ro rll F rBnE.f rlE Cofldo'. l.t6!.d kr ((lEptq o. ( onn@rs lnh khn ,otxr of Dirnr. r of
<br />'h.
<br />BBI.d ud
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<br />apFli(dnl lor !Fmil lubJtlsrh. !p!lic! to scivilp...hyofnol nFr.lha liv.hu.dt {dolllrs(J500)
<br />L d otrn ofrh. I'np.n). r mj @pklra *nh $.s6 B rlw sL mnDsur. ion- *ifl .tr rlE $r,t d llE .nrrE . n{
<br />ilno!:Ld $otlind i,eL{sd 1x4, Bcir ed ftofdiod Cod. IrE(o.ren'3 Ltc l^ &,6 d +?ly'ouosEof
<br />th. Drsrx.r, s'ts h & G i,l!.ov6 itEFn. dn $ h. dE sh f,ut hint.lf or hd*laor rlhu3h hit tr ls o*n snrhtG
<br />provid.ri rh{ sulh inlmvmE E ml ilod qnfiEqi i,r sl. ll ho*6q. rh€ tailding or EForffi n sld wnhin onc )w
<br />of.oq'kri1.. th.(xnd BuiEo $ill h!\.ltE Urd,.rFtine rhd,Eot!h. dil nt ld or iiFlv. fi. FnIEl, for lh.IrtrFEot
<br />L s.$E of rlE tnIEry, d.r.lsir.l) co.rr(i.r shh li..B.n codrrl.d i. Fdtud rlE F.JGI (Sr ?0.'t, adiK
<br />a.d hDBsnn Co<t 'l hG Conrr.ror ! tic.ns. L.s do6 ml lptly lo e 0*.6 of rror<ly {h. blild! or imPruvd rh6arn
<br />rnd trho colnEdr tm suct Fojcl! w h a co 6.1o(,licai.n IrREd lo lh.Colnrdort l.icG Lr*)
<br />I M crmF ufrr. s.crFn
<br />D.r. otrrd:
<br />rrr rrlr(r:ii' a ()uia\iSarroN
<br />DECIAAAII(,T
<br />I hd.t') imm unJd Fmh!o{Ftu^ orc olrnc foll$r 'n! ,Lrlrd k nr
<br />I hrrc dt *ill minr.in . (dia(dc .rconst lo Scltlnsu( fnr sort6 mmFllnion. & tio' id.i for lry Sdhn 1'7n) o f lhc
<br />likr ( od., for rh. tafomN. ol lh. $ ork lor snicn |fi. Fni ( isu.n
<br />I l*. lnd r ill dhr.in $orld @n{Edio. ier.fte 6 rcqur.d lD s..r.n !7m of rh. l,bor Co& for llE Ff.lffi of
<br />rlE $s* fr \trt lhit t6nn ir is.{ My $dl6 FDFEin. iEuffic.nit rn Polty nlmtE rc
<br />l..nrf!rhar r rh.Fn'lrunc.of rhcrorl itr sh'chlhn Fmn n irsucd,l sh:ll nor oplo! tn) l.sn rn tnr nan6
<br />sr sn,lEom. $rhjd lo lhc sorts .onpd$i.i l/r{s of(.lin)mia. and a{rE rhd ill lbuld tE .6c slhjd lt' th.
<br />mpl! ((hlt{)sItrNi.k,nr
<br />& mph!( b m'n:l Ftrli6 dn
<br />.nil 6n6 up lo on. nundEd rhouud doud llltu.oo0). m n,n. dousd a provid.d tu rh.
<br />( 1\]r tr c'.{ rtrd rnnn(\'! 1.6
<br />I n.Eby .miin und.r rEalryottdlr(t thit I am li(trRlnnd6 t) (c.mn.Ntr'! \[h sdhn 7t{ro) oll)'\ ak{ I
<br />of rh. tlusiK Md P.o,6ird c.d.. Ed ny li.dk L in tu
<br />',)*'"')'f zsf ,a
<br />rheFf.mrn.. orrh.$lnl n, \h'chrhh Fnrr ir
<br />issu.d (s( 1047,('n ( l
<br />ATIII(AXLD,IIS.ABAIjII!
<br />I hr*r- rrm undd Fdtl. of Ffu r- or 6f lh. lolh* in8 .L.ll'.l ions
<br />Dcmhion P@nlatt6rG N.riar.lhn F.ilol R.suhlion! t lnl.,l0. Pd6l
<br />Rcqui..d ltlld oaNotifi ca'ion
<br />I cd 'fr !h.r rh. tu16.1 rcsolll nrB Gstrline td6io! rffrn ,. Nl 4?lt!blc h thb FoF
<br />I cdlilrlhal ItuLc,sd rhir t df, Nn irl
<br />ordin0ncd and Stal. l-iws r.hins h ln'ildinBc,
<br />h. t ..r.d I alrr r{\ snply wirn dll ( nr !d ( ounrv
<br />ab.!. nmr 6..d pr.n nr ntr
<br />,rplI.rnr or ,\s6l sh. u..,/",/'o
<br />ELECTRICAL-INSPECTOR RECORD
<br />$or(d. cfnr,.sli,r nro\tsxrni orsalk'.l7qi ol rll. titll (nd(.1+al!.
<br />lhs.hy flmm und6 Fnslry .l pdjrry rh{ lh( ! !.onnruc1xrn
<br />lurhonTt r.1ih6r.lil6.lrhtr ( rrt and (innr! to.nrs ltln rhc
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