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APPROVALS DATE rD/srG. l COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dam pers
<br />Communrcations Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER f-b-t\[Lc z)
<br />Transformers
<br />!orqueing
<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 />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough l.lt 9 Lcu't
<br />Service Meter ,?o-19 eoz)
<br />FINAL 1lilLrt 7V nwse-tl z))
<br />Notes Remarks, Etc 'rt T i
<br />--+
<br />Ot{NEf, BUILDET DEI.CARATION
<br />I ha.b, .l[m un{o p6.t, of lajuy 0u I m darpl fmm $r CotulcloR' Li.dc Lr* for tlE follo*i.8 r6oi (S<.70] | .5
<br />ttNirc .rd PrcfBion Co&): Ary Cily or Coud, *n.h rcquE . poni ro 6dr!d. .n6. inFDG damlili or l9.t ay
<br />lrMuc FiJr ro irr is!ryq rt r.qlric rlE +dtar forshFhiro frbrtbn d {i6Er rllrlEmtELlicd.d F&!r
<br />'o E Foruio6 of ttt CoitEd.t Li..trqd Lw (Ch.fl6 9. Coddils sirh selion 7000 of Drilio! I of lh. BBilB ud
<br />IslsioB Co&) M thr h. or nE i. qaIpl rlE.iom ad th. h.!t lor th..llcB.d d6F ir,. Ary viohion of S6lbr r0lI t by ey
<br />.pplic&( for a Frnn &bjdr! llE lpllicur ro ! cilit pdhy orrcr mrc llu liv. hu'xH &ll5t (t500).
<br />tir- g o"r ofrhc gopary. o. ny otrplor< vnh v.s6 6 rh.n ok cooF6nrn. uru do thc *s* nit tlE in r@ L mt
<br />i orj.d oro,I6ci6rslc(SE.7044.BuilBDdPrlfisioaCod.Th.(o..<ldrLi@t *d6ml+plylo-otrol
<br />rrEFrdry who h,ild d lqotB d'Ea! .d *tb dG,Et rcn iielf or hd*lf or rlfous) hir or ha os alplotc
<br />Forij.d th, s.h imFt€d! G D! -rai.d n onsld ft', st.. l[ lo*tq. rlE h]ildilB or dEr$rEr! i! $ld $ilE tr d
<br />ofa.plsio( lrE O*G Build.r wi! h.E ll'. h,rlar ot Fo\!B tlr ,E G CE .Id d h!l] - irylE rh. p.lFiy 6r rlE F!F. ot
<br />-1.
<br />s orG of
<br />'h. FtrFry, M d.lundy conkd'n8 Enh lEasd .otudm to odrud
<br />'lE Foj.\1 (Sa. 704{. &eB
<br />&d hDldnn Cod. II contrdor'r Li.@ L,w dE ml rpplt ro b o*!s otFoFty *ho h{ili!, or @provd rho6,.
<br />lnd uho ontrl]lr tor $ch lrljEls wirh. Cor 6cro(r)licoB.d puEM brh.Conr,!.r '3LxGL.w).
<br />u*16 S(l[n .lr &l'C forthBrd,or,"-l-27-l, (,""".)A
<br />IIECIASAIIO!
<br />I hc.by lftum undq pouly ol Frur* oE ol tlE lolbrms &.lr.lioE'
<br />_l havc &d vill tui lin a Carifr.r. of Co,et ro S.lllEuE ld lqld @mDatoxor B proriLd 6. br Sdrb. 1700 oaor
<br />Lrbn Code fd llr FfffiE olllE wt lc rtth llE Fmir ir isrd
<br />I h.v. ind *ill roinhin M*(r comFEdio. iBule.. 6 r.quircd b, sdion 17m of rh.l.bor Cor!.. tor E Fftu of
<br />rlE ".* fd whih rhi Frh it ilrd My *(lo 6mFErio. iqr*. ffir ad pol4 Dunba e
<br />PolicyNumha:_
<br />:11 .d'ry rhn 6 rlE Ffolrllr. of ilE wort ld $'hth th6 pdnn ! &.4 Lrlr mr olPby lry F$n 6 ey mund
<br />$ d lo bd{rc ebj€r to lh. Mrla' comFBnio. ha of C.lifodr.. ed ,gG rhd if I ilruld h<om $bid lo tlE
<br />wolt6 6mF!.r(n pr.vta'd of SdkJr ]T0o oat,r l,bd Cod.. I dEll. adhsnh 6nplt wnh tlIE Flrirb6
<br />Sdon 1076ofrh. t br (_ot!.. ini6d !i rtorEy t f6
<br />rrpprimnr:[
<br />llclJaArro!
<br />I hslby .IIm u..16 Fulry ol pdjory rhd , D li..tr!.d !.d{ F.viihi ol Ch!F6 9 koffiing $ ifi Sdir 7000) or Divniof, l
<br />of lhc Bqi6 rnd P'llerioB Cod., rn Dt h.e 6 i tull for id.ffcr
<br />l-ic6. Cle
<br />-Li..e
<br />Nlntd
<br />D.t. C. dcrorl
<br />qallBlcllo!-IEllllq-Ac[lcr
<br />I hdrb,.IEn uda po y ot Frury $!r llE. t . o'rrrudbn ladlts lsacy lor lhl Fforfucc of rhc sot for whi.h rhA ,E6n a
<br />isu.d (Sd. 1097. Civ C ).
<br />AISII(AILTECIJSAITA!
<br />I lEdy .tr 8 und6 palhy of Fjury oE of lrE folL$in8 tL.l.I.hN
<br />D.rbhion Pmnr-A.bdor Norifiorion r.ddrl R.ruhriod ( l irl. 40. Prn6)
<br />-R.quiEd
<br />ldls of Ndifkdir
<br />-11 .dif, rhd $. t dcral Esuhiio6 cgrdlre 6tBr$ rtur.l a. tut 4plktbk h lnir p6j.{
<br />,!Zl.dtify rhi I hlrcodrhir !9pli. ion !*t rrrc rhd rhc !fov. infonndion d coEd I asr ro
<br />Mdi.e.6 r.d Surc lls Elii,E ro htildin3 conrnrrn., lrl ha.6y xnhrtu rq*rlird of r
<br />.boE nE bEd Fopaty ior iE Clbo DurD6q
<br />^!pnoi,or^.d'sk-.!rc)!- rE --Lt:-
<br />Nndy wnh .U Cny ial Counry
<br />hn Cn, dd Cooiy ro anc tpo. 0r
<br />o,,,, - \- Z'1 't /
<br />ELECTRICAL.INSPECTOR RECORD
<br />C,rc.-
<br />WARNING Fdw ro sG trvtd @trrFEdion qlrs.B. i! ubeful, .nd rhlu .ubj.{l u dployBlo oinoal Fuht ed
<br />civil finB ur lo oE hun&.d lhoulad doll6 ttl0o.000), h r,:ldnion lo th. coi ofmmtEMlnrn. <t trrs6 a pro\i,.d for En-,-
<br />Ladd i Adda _
<br />I
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