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APPROVALS DATE ID/SIG.COMMENTS O\T Nf, R AUIT,DER DEITCARATION
<br />I h(b! arrm !nd.r palty or FJury rhd I m .rmp &.m lh. Cor{rtton- l.E.e t s frtr fi. follo*in* r.&. (sd 7)ll 5
<br />Irurio6s and Pi('f*ion Codc): Any Cily or ( ounry whi.h iGrui6 t Fmil lo consruct, thn. improve d.nFlLh or r.rBn iny
<br />srruduc rin 10 ilr i*ue., ,&. r.+n6 !h. q,I'lic&l for $ch Fni b nl. . ris..d nddcnl lhd h. or !i. it li..s.d p6u'ln
<br />ro rh. F.rBioE of llE ( onlri.rtr'r Lan!.d lr$ ((14id c. (-onlldina *nh sd6. 1(n0 oa Divilirn ! or rlr BEilIs 'dlrelsr.r (i'&l d rhd lE M dE ir.lofl ld.fion and ih. t6. foi th. tlLS<{.r6.Fon Any villdi}n ofs.tli.n ?01I ttx.n}
<br />.rpli.ad ror i Fmir lubj6l' rfi. qDli.ur ro . c,vil p.f,lhy or mr mo.. the lir. t!.<tr.d dolb. ( !500)
<br />l,6otrnqofrhcFotEty,ormrmptotGwnhsardNlhrir$L.o,np.nsion.will(t)lh.lrort&d(llrErEEml
<br />'dni.d Lr orYd.i ft'r sL (56 ro.l l. ButlB &d Pr$f6$6 ( od. Itc Colrtslo Li..c Ir* &E nol {!9ly lo d o$n of
<br />rh. FrFir $ L trill o -qnrE lhdm id $ h. &6 sh qr,i hmslf ot hd*llor rhm!3h hn d lE osn dtbl6.
<br />provid<l rhd i!.h ihF.rqd! r. d nqi.d o,H n. tL li lr$tr, E hrildir* or inFsq&r i! sB $nhin w )t
<br />ofcompldhn. rlE OwE Buildd *ill lE!. fi. hrdar of Fovnq rni lE..3lE dt d tlild or llFov. rh. FdFr, f rrE Frp.*of
<br />\aA.r=lll. i! .uE o r rh. FFt r. m.r.16r clr c.dr<ns *'nh lEoldr .odido6 !o 6t6rucl lri FF lsd 7o4!. ttlllB
<br />!4d hslsir cd!. ft. ( o.lrrloi! Lr6.l.,$ drE mr q,pr!'ro e orF.f F.Fr! $ hr bliltr or imF!\d rh66a
<br />.nd {ho codEr3 aor &.h pmits {nh ! (tdtuo(n ltqed p!6d ro rh. ( o rsloit l.i!E t!$)
<br />l.r. c\.nrln und6 sdtn,n
<br />X',""0(-or-74U,*OS cr [o.[""s L
<br />Irr;SJf,AIIA!
<br />I hd.by rfiirmtrndd p6!k) ofpgjuryon.olrh. n,lh*ins d(ladio.s
<br />I hr\. nd u ill minrlin . ( dili.dc of( .,6l ro s.lf-lNur. for $ork6 NmlEsdio.. d rfrlil.d fo,l,y Srlio(.rr0o offi.
<br />l.tq Cqi.. tu rh. Ffr"l!e. oldE rqt a( trnich th. Ff,n i ist d .
<br />Ih.\.indtrnIm.inr.rntro,l6comFB.rioniBuratr.,{ir.qon.dhts<rx'nr7mofrh.l,ntrCo{t.forrh.FfotrM.ol
<br />rh. work nn whkh rhis ponil i isu.d M, $ortd' .omtENri.. iNuranc. .di< ,,rl !.lic, nlnhq &
<br />Polk! Numbq lilpir6:
<br />.!V*'r,n",.,n -o,m!n.c oath. worl r *hich rhit Fdmir ir isiucd, I .h!ll not ml,hrt lnr lEson 'n !n) mmn6
<br />$ s !o bdo,rc 3uqet to rhc *.rtd' .ompf,3dhn lsq s ol ( rlilomi!. dd .88 th.l if I should b(odc uhjd' lo lh.
<br />e{*6'ohrEltlhrrr.vii{rmofsdi.nlTooofrhcllhr(odc.l.tull,tonhsnhNmdv$ h lh.r F.1irhB
<br />IIARNIN(: r.itu( ro R6. snrt6 olnFunhr cow.*. . u.riqtul, .nd nu! suhrd d oPh!6 ro miul FEhE..d
<br />ciril tind up ro .n. hun&.tl lhouted rhllrB (tl0o.Gm), r iddiion lo thc con ol comr.Mrion. dlrus6 6 IroYid.rl for rh.
<br />;1{_"irl;4TJ*,*ffiL4se e
<br />DT'(I ARATION
<br />I hcr.ty.flirm unds Fuhy.f Fjory lhtl I sm lrMs.d undd I'lrtion of( hirld 9 (coomd.iig $nh S.dion 7000)6rDi\in'n r
<br />ol rh. Buiindr ud Prolsion! C.d.. a lry li.m is in tullt(r.tdd.lTRl
<br />CqIEIBULIIANTEBDIIO.AIiEM;I
<br />I hd.U.ftunund.r F hl of Fi!r, thi rlE. b. otdtuclFn lddi.8 l3ft} t r,E Ftolillec of rh. rmt nlr rnih rhir Fmr a
<br />is!.d {s< 1097, Cir C.)
<br />aSSLI(3trfDl(lJSAlIA!
<br />I hd$, lfrm und6 p.nlly ol Fjury oc ol rtu aolloe irs d.(lo!l io"s
<br />D.mlirion Psnir3.Asb6l$ Norrfi.arirn l'ql6!l R.$llaiioN ( I irl. 40. Ptn6)
<br />Rq!t.d l!16otttirrrb.
<br />I (d'fyrhsi rh. a.{d.l..guhlioN cssdhs &etEr6. rdfrr d {. not sllplic.bk ld rhi! In,F
<br />.-ili lhd I hat.r..drhi!lnplicaln.n&tls .rhar rh.nhn. i.fonnili,'r 'r.o(d ltgKrocomply trnh tll ( nYd.dCour\
<br />di sr.r. t r! Elains ro t[ildi.s Lodtud ion. .rd hd.b iuth.,n. qr<Mn6 or rhit Cnt nid (tonr! r. cils ulrrn ilE
<br />atnr. trorkr.d Ixopd) n! ttr.f<1Fn ruryrq
<br />rpp,h'n,orarm,shn,u; L. lHo.I-"o T.
<br />Pmr,(n.m.rprrnr: Jtxe \r*,,.. h{q1=,
<br />,)r,. d{a$-2PB
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage x
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor A
<br />Bonding / Grounding / UFER 6-r-11 Y'VJ.:t1)
<br />Transformers
<br />Torqueino
<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)A
<br />Meler Release r-r-,'l
<br />Rouqh ,A
<br />Service Meter K-Y-/'Y.V]-jl I
<br />FINAL I
<br />Noles, Remarks, Etc
<br />ELECTRICAL.INSPECTOR RECORD
<br />f J7'lt)\"wl
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