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APPROyATS DATE rp/srG.COMMENTS Site-WorN-'/.T Un{erfround P6le Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER lltht -4-(.r4/t, Torqueing Sub-Panels Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouoh) Meter Release 9lte l(o) ,)/"t/?gr_ Rouqh 711[ t1 -t t4qnr-^, Service Meter FINAL ro/rc It?/{//K2 ) Notes, Remarks, Etc. O\t,{f,f, BUTLDER DEI-(-ARATION I hd.hy rmm uidd pqEhy of Frjury thd I h .r.mpt from ll'. Cohr.cro6 Li..nr tiw lor rh. follo*i4 r@n (Sc 703 I IBuilB rd Prot6irn Co&): Ary Cn) or Cdd) sntn tqur6 . Fni ro odru( .hs. iryrove d@lil' or ltp.n 6y slr!cr@. Fio, ro il3 isl@q .bo rcquic rh. i@licsl for tu.h Fmn b nk ! 3isr.d rdffil lhn lE o. !h. b licd.d puM ro rlE FDri rE of tlE Coit&tr'r LtGn!.{ l.p tclrprq 9. Co@ing wnn S<rion 7@O of Divirb! I olllE &t.rlB -d PDrGio Codc)frln,llEorrh!LoanFrlEctlmodrhctdnforth.dk8.d<dF(ion.Anyrnlllo.ofsEIior,01!,ht&y .rtlkul for . pcnil $bj6l! llE +plt! lo . ciril Frly ol ml ec lhr fi!. hutdt d &'llG (uool _1. d o\l@ of rlE Fopqrr. or my mplotG wirh w!96 E fi.t $L comFaciJn. willd. i]. "orl,'d tlE lltElw it ml iidrd d ofidal fd sl. tsc ?0,{,1, BBiB ed arofdnE Co&: TtE ('onr.<ld 3 Lte l,w &t6 ml rpply lo - ora of rhc FlFiy who hl & or inrF!€ thaEtr dd *lD di6 ecl! mn hiF*lfor h6t lro, rhrcuBh hi. or hd oB 6ployd, FoliLd $i sh inFsqEr! c d nqid.d ororH ttr el If.lbM. fi. bildiry ot itqorqcr a $ld *inb m )a olonplabtr dE (xG Buil& wiu h.E tlE hnb' ot Fowr8 l,r, lE or slE di @l hrld or trrVsE dE FlFry tm dE F Ftof L e own6 ofr hc !mD6ry. m dcldiv.ly co.ra.rin! wirh li.aed .onr(lo6 to con lcl tlE roj.rl (Sd 7014, Bdi6 !d FrottuCo& Th. (-onktu1d r Lk@ f.s dE mr .!ply ro m 0*16 of FoFy * ho ti{ildt or inFor6 thaoc Md wh. .odtur for ru.h F!j..l3 wnh . (.o rslo(, li@.d p6urr ro th. ('onlrrdd r Lkdc !rw) -l 6 adF unds Sarbn-. B & P C 6r riir lron D . Or.r \'voRxE[q' colllPf, NsarloN lEgdaarq! I hdq{ .mm un.d Frlry of p{jur} orc of tlE rolh* n* &(b[ni\B -l h.E -d uill tuid.i . Cdif.dc 6ac6e 16 s.lt-lBE fd wtsr' 6p6tr6'\ B plotit d 6r b Salion l?00 orir L.bor Cod4 for lh. pqtonft. of th. stt for whtt rh. Ddfltr i! sq.d. -l hrv..nd *ill nii.rnn N*.r' .onpcMhn iBuft., 6 r.qon.d ty Scrirn l?m of rh. llbor (_o&, tol llE Ffrnrlec of rlE srl lor which rhi! panh ir ir$.d My *trldr' lnmpdulion iroum. cei6 .rd poli.y numba dcl FolKrNurtE:-ExpiE:- WARNIN(; Flilur. to Em rvl6' colpdEdiri $\6rr. b unl,rtul. !i rhdl $bF! e diqr d l. aiIi pa{ii! !i rk)ugd dlrla ($1fi),qxr). in DICIAAAIIO! I hdlby lflm uidd Fdy or Fjlrt thr I m ti.a!.d Er& F!fii'! of (luplc a (snlllEirB B of rlE BuN lrd Pmfrsiotu Co&. d oy l{d* n n! tuI loG !d clTal. 5 .",,..",..11 coluaucl]a!.IldDjlicJclllJ I Hry .lfrn m&. Frhr of pqury tbn $s. ir ! onnrudnr bdiis .snt fo. EFf(m.orrlE*ork lor {nkh rhi! Fni ir ed(S<.1097,Cir ('). arIl tlAtLo[(ldlAllo! I hdrt y rfin r.& F.h) of FjuD'oE of th. follou hs rhlf lioG: Dcmohio. Pmn$Albdros Nolilicalion F.ddrl R.guhtionr ( rib 40. Per6) -R.qurid tdrd of Nd,6dim , cd ifr rhd dE f€d...| r.s!htr6 Esrdrs sb6!o3 rd\ rl rG er 'pplilbL b rhi! F!r.( -l cdri rlli I ha\. rsd rh6 rtpliaion di sd. rhr rh. .h,\. in ro oipl) rnh.ll Ch!Ud ('ounl} ordiEnc6 d Sral. l,B! ELrr"B rt' boildosco6r rbo\. nhrbi.d pn tdy fn lap<dbr prrrE ""^:,'_"Y1;ftr- tDIli(rnr 0r,\,$ r \is rh'rt -L'A/dt u.d ELECTRICAL-INSPECTOR RECORD Transformers Air Conditioners I (diryrhI in rlE Ffolll:u. of rh. soit ft' *h.n fiir Fnn a do.n. l ihdl mr dplol.n! Fst in mt nffi s s ro bdom. rubid ro lhc elta' omFE lion Lw! ofc.lifohi!, ud asE rtd il I .bould tEom 3ublat lo llE uorl6'onsqEdionFrtio6ofscrio.lTmofrh.r,!trCodelrldl.fo.lhsnhoipl)*ihrt F FDlifiB.. Lod.ar Adds -