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APPROVALS OATE tD/stG.COMMENTS OWNEI' BI'II.Df-N DELCARATION
<br />I h6.b, .mm uidc Fdr, of Fj!ry thd I r .rdpt tDm dE Codr..loR-Li.6E re for rh. nnh*in8 r@! (S€.?0]1.,
<br />BBin6 dn ftofdhn Co<l.): Any Cnt or Coury *tah EquiB ! Fmi ro 6dd. .na, inFlve &mlirl or tp.r m,
<br />lrrucrue Fior ro irt iste., lho rG+G ihc +9li.n for sh Fnn to 6k. tiF.{ iraMt llld lE or tE b ltq!.i, FEd
<br />ro rh. FDririos ol tlE ConrBtd! Lrc.n .{ Llv ICta{6 o. Comftils wih Sarioo 7000 ol Divnbn ! ol th. Balg -d
<br />PrcadioB Cod.) n $r li d dE i ddF rhacnon.dd rh. bci lor tlE.!L!.1 a6qb. Any vioLliotr ol Sdion 7011t t,ey
<br />.rpliod lor . pani ruttelillE 9pli.d lo ..iv il p hyof mr mErhe 6v. hu<i.rl &'lLn (lt@)
<br />-1.
<br />6 ow of rL FlFir, d ht ciplorc $nh r.86 s tlEt sL oECadbn. tr'ill &' dE *ut rd d. itudc ir d
<br />ddrd.d oiIa.d ld rL (Sc 70r,1, ltuiE .rd Pmk6 Codc Th. cdndd ! Lie l* &6 d +t{y lo D osG ol
<br />rh. FDFty srb hrld d nqDra dEn rn $ho &!€ sh "ut hiNlf or lEElror lllpuah hir or rE om.iphrs,
<br />Fovit d rhr *t iEFeEdr E bl aad.d a otu 6r d. ll lbrcs, dE hil!,g or ioF$sEr ir -ld rdt; c !d
<br />olslPkrioir tlr (,sc &d& sil lrE tlE hda ot ForiS lnr lE q tr dij El h,'ld s !4rDE dE FoFr, 6. ttE F,FE of
<br />L a ouE oarlr FoFiy. e q.b.,!.ly collretnB snh [.dE i.offic to mdtu.lllE FoJ.a (sd 7(x]l. &!nE
<br />.,rd hrtsinco&: Tt Conr.dor'! l-i(GE liw dE mr lp9ly ro a ow 6f FoF
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<br />wh. boild!.. inFlrd thc66.
<br />ed $rF onr&$ for $.h Fo)dr whh . coddoil3) li.c.d p{rsudr b th. co tud r Lt.e tfr)
<br />lmcrcmDlnnd! Sqltr n Il &Pr'forrh6tNn
<br />,,.,, Z-/tt//.t o,n.r $lLrt+ LC-(' l "ffiffi"I ho.by aninn undd td.lry ol ldjur) on. ofrh. fdllosin! ddlararioE
<br />I hiv. lrd f,ill mlinl.in ! ( .niticrl. ofcoMl lo sclilNuc lor mrk63 conrp.ndion. B p.!vid.d for hy sel ion l?m of rh.
<br />kbor Cod( for rn. p6fomrM. olln wo,L lor ehich rh. ,Ern'l is i$udi
<br />I nlvc lnd uill drinltii {o,l.rr comrEn*rio. iNr6c.. 6 r.{un.d by S6lior l?00 ot lh. tlbor Co&, tur rh. pafo.lrle€ of
<br />th. *orl tu shi.h rhi Fnn ir iErd. M, wdt6t omFdi.n iEutwc cuir ad FIty nunhd e
<br />A*tQrt-
<br />c:3
<br />_l.dit rh{ i. rlE FL.ru'G ofrlE {ork lor snth rh! Fnn n sEO I ddr mi dqloy uy ps$r ineyME
<br />$ 6 to brotu shcl to rlE rortd compadi,n Ls: of crlifomia rd +r lhi if I shouu b.cor $bcr b tl'.
<br />10,16 6np.iB.r io. FovitbB ot S'dlioo :l?(x) of rh. t t r Codc I JdL tonhnh onply sirh rtb* FnvirbB
<br />ITARNING rilhtr. l. cu. s(rt6 mnFErion or6t*. 6 unh*tuI. .nd rlbll $qd o dtpkrq lo od-ul FdIB lxl
<br />riil iB !p ro oE htl}qi rhousd dolls l!too.(no). tr ddnDn $ rlE.o! of .onp.Mion. d!Es6 B F$Nic, lor rh.
<br />S.nrn 1076 olrh.lrbor (ddd udrrdrl,'t lG
<br />DT(I]BIIIQ:
<br />I hal5y rtlm un& Fdy of p6ru.] tha I m lta!.d lnds Fo6b. of Chlpta 9 {onlffiilB vnh SGrb. ,000) ot Dn nior I
<br />of rlE BBiE irl PFldiE Co&. rd hy ltd& i! h tull foc tld.,kr
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<br />rI)NSr rtt( rl()\ r r:rr)r\(: a(i|\( \
<br />I hcby 6ffrm undd Fnrlry o r pqjury th!
<br />'h6. b . .odDdio. Lndjns asacy lor lh. Fforr@cc .l lh. ".rl tu which thit Fnil ir
<br />isu.d(sr 10e7. (il c ).
<br />APIIIIAII.DECIJ8AII9!
<br />I ho6' lfm un& rE t! of p.rjury oG of rh. lollo*m! &.Lr.t bN
<br />DneldD. Pmd*Alb.ror Norilicdio. F.d.nl R.8uLrbE ('rnk.r0. Pdr6)
<br />Rqund IdG ol NdiaE&n
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<br />I .6irat rhi rh. fql.ril GslLr b6 cBrduU ahdror r.m\ ,l r. d .Flx.bL ro rhir FoF
<br />I.dil,thrIh.\.ralrhit.rrltrhn!dirrcthnrh.ltEEinfoddn,6.or.(1IlaEroonpl'rrt.ll(i:_td(nunrt
<br />odilm6 ai Sid. l.$r Elriry lo hildus connndn4 !d h6.t, a4Eriz ..?.dn 6 oarnn (-ty rn Codry ro ara l4on rrE
<br />rbor! aEtri..d Fnp.n, lor inqdrnx Ihr.Appli..nr or Aadr stn.rur.
<br />rtmt,- n'..,ran,t,P(-J?6dN NarvcJ 4,41 rf
<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 / Dampers
<br />Communicatrons Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<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
<br />Service Meter I
<br />4/7/ta 1kl/1 )
<br />Notes, Remarks, Etc
<br />+
<br />ELECTRICAL-INSPECTOR RECORD
<br />FINAL
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