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ELECTRICAL.INSPECTOR HECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lite Safety /Low Volta <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFEB <br />Transformers <br />Torqueinq <br />Sub-Panels <br />Rool Top Equipment <br />Factory Wired Unit I <br />Walls (Conduit)2 /tr/ tt I <br />Walls (Rough)1- <br />Ceilings (Hard & Soflit Rouoh <br />Ceilings (T-Bar Rouoh) <br />Meter Release <br />Rouqh <br />Service Meter .r.I <br />FINAL K /zo/n il <br />Notes, Remarks. Etc-L-r' r TJ <br />OWNER BUILDIiR DELCARATION 4, h.r.by !,lirn u Lr p. lryof F,iury rhrl I M.r.n!, fDn rlE Conrr(loF Licn< lj* ror rlE rollowing Eron (Sd7.til ! <br />AuriHs xd Prcr*.i,. C.&): Any any or Cd y rhah Ei!n6 . Frd ro 6NM. .X6. iqmE. d.mlnt or EFn uy <br />n&r@. rin ro its i!M.. !l$ r.quft3llE +Fl-r for st Fmn fi, nL r (Uftn {d.rnr lhrl lE tr rlf it Iised pr,ru,r <br />tu rh. rovnn'.\ of lh. cuntr.cloa. l-iNnsd r,w (Ctuprfi 9, GlimkinS wilh Se'ir. 7ffI] ol Divnion I oflh. Burin.r. d <br />Pmr.rrhn! C.de) or lhlt lrr.lE t.r.rDl rlEEfn'mun E &rir for ltE lllq.n.r.rprion Any rnhlni of s.db. 701I J by riy <br />c,ldror d r Fmn sbFt rlx {Dlar.r ro r.i!,1p.dlr, or hr ne ih.r nr. hI,nEn do 16 {ltm) <br />-1. <br />rr owF of th. FlFny, or my cnplot!.s wiin wl36.r llEt sk omFnslion. *ill(h llE *mi.rrj |tl nnrlr n ml <br />inr.d.d or oficEd {or Ej. (S( 704,r, BlriEs and Pmfsliont Cod.: TIE CorrErm r Ltctr€ t , dF NI appl, t, oeEr ol <br />rll Ftr?.dy *ls hiLh iqma rlltEn !n rll' dE rt qrt hinrl, or l:Elf.r ltFwt hn d lE .m.iibFi <br />fori,.d.hd qh i.tEoHlfu e mr id.in d dorH f.r !t. lt ,brt6. OE hl lit d tr4.mld ir $E *lhh m )rorollpllion. rlE Orftr auihs *ill h.w d. tud6 orFovi! rhr lE d tE dn d hild tr itrImE rli F!Fr, tu rlt F FE of <br />1..(o$Forrhc Fl{dr. d.kbnrcly.odr&rb8 *dh hr.d ark&lo^ k, $n(rud rlE F)Fr rS€. 7(Xa.lturE( <br />! fDf.srh(i,!.: Th. (i'nturoi! Lr..tr* L!* dEl mt.U)ly ro !no*ncr.lprolEn, *ln I'uildr or impnrc\ lhcrbn. <br />rtul who (unr-h l,n \kh pmFrr *irh d CoitNt'n I liTot.rl pu^ulni ri, rh. Cnnkrcttr\ Ln{n{ I1* ) <br />I ndctc ,|n u lrr S.(rr[ <br />l).r. (lRmr: <br />IruntrEEl:(uutEdstIlorDIrLA&IIllIl <br />I ru$) !llirtr, trll(l., Dculr\ of lt(rjur\ 'r rlrh. r,,lk,r tr,8 d.( Ilrrrrr <br />-l <br />havc un will minl0in ! Ccnifi(lrc of Cons.nr ro S.lr.ln\urc ntr *nkcr{ cotr'rEnqri,n. as rmviLd lbr hy Sc.rt,n ]700 D, rtr <br />lrtr, Cdi.. fd rh. Frforffi r .f rh. *dk fttr *h.h rht lt.nir 6 ksu.d <br />lltrr. !.rl rrlr inr.r sort6- i,n{Ensrrn 'nro,m., r\ r.1ur.n by s<' hn -ulxr nf rlr Lrhor A}i.. ror llE Ff(mBr ol <br />q hrh rhF f.nnir i{ rsuGl My w. rlrh' c(rr,n rn.uEn...rnir drl F,Ly nunftr uc <br />/ <br />..ni.r NMt*,, -L6tALgrLtfu3L4L,.*^. t/ety'L <br />-l <br />$nifr lhi in llE FlnmN ol llE !o* fd rhth rhis F.mn is irnEd. I rh.ll ml.nsrloy rny rEM, ir.ry @6i r ro trlrtu otrc' r0 rL rsl$'oq.n{hn L$ of Cnitodi !d {F thd it I rlsuld lr<-r d*r' b 'trhrldi onsEnqrion l,mrilpN of Ssrnn lr00 o, rlr tillr An . I {rll, ,odh*hh 6npl, wirh rh,s Imvisir.r <br />WARNIN(; I'iluE lo €urc $!rl.n' d'qEn{lir oEm3. s unh*tu1. drd rhrll ruhFl u or{,loF ro crifrul Fnlir rnd <br />cn'l 6E< un h oB hrlnEn rbuq'n dnbB (l!(r).1tf,,). in orunbn ro I .od ol co,r'trtrerio.. d,nl36 Fovd.d ft, rrE <br />S(ri,n :1076 oa rtE Latrtr (ixL. inrcrc( rnd ano,Ey <br />2/ro/, g <br />DEIIISAIIA! <br />I h.Rbydflirn uM.r F.slry.f l.r,trry rhtrr I rm lNnwl und.r phrvi\k,.or(.rq,ta 9 (..nnrcncin8 r hSe-'ti,n?(xxrlolDirni,'n.! <br />.f '& Au\iE.\!d Pn,li!\tnsC{nc. url myli..nE ir in iulllnEc arncllNl <br />X:E *7//6//( <br />c0!$a!crroNrE!u!l;-Ac[!ct <br />I tFRby .ffrm u i.r Fox, oi F iury rhd <br />'h6. <br />i! r oNdir hdinS r!ft, ror tlr FrfolllEre or rlE Erk fnr *hih rhn Fnr i! <br />nr*nts6 1097. civ c, <br />AT!U$NI.!ECI.AIA!!8 <br />I h.rc$y affim undcr Fnrll y of <br />'ErJU,y <br />om of rhc followinS d(k il iorr <br />D.mlilion P.rmir.Arb.rkx Ndiadh. k nl R.3uldbnr{Tirk 40. Pd6, <br />Rcqun.rl lr(d of l|iifdaJn <br />I arrily rh.r rlE icn rul rcEuhtionr qardin8 orrf,(oi rcmri @ rer .prli3blc x, rhn pr,jrrr <br />_l diry rhd I hrE rcrd rhr rp!li.r! rt. ad n.lc rh! rh. .tnE rft,idxm ir .ffi I r8N r. o,rily sth rll Cny .d Counl, <br />onnnrNc\ rftlSrrr.l.J*rtii'nF h huil,l'ng.on(D.rtrn,.3rxl h.r.h) rurhtrtr r.tftvtrr $ orrhir C ylnd Counry ro cnta uFrn rrr <br />rhr. nrnrr \l t)r,pc y l! !\Jtc <br />,\pplirnr or ,tlmr SiEDlur <br />rt^4 a-4 <br />zlte/tr <br />a <br />:L- <br />Air Condilioners