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ELECTRIGAL.INSPECTOR RECORD APPROVALS DATE rD/slG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communrcations Cable Building Under Slab / Floor Bondinq / Groundino / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Roush) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rouqh Service Meter // FINAL ,VZ2h-?///'htl Notes Remarks Etc. / OWN ER BUILDER DELCAIAIIOII I natty lrm unds Frlly olFjury rl'n I m qdpl ioD llE Co'n -106 rldg be for lh< lolbwirS lq$n (5<.7011.1 BBi.6! Eri Prof6ioi Cod.)i ,y Cny or County *'tich t quiG t Fni lo (,utu.r .lq, iDprovc, tldiolith or l9in sy ,rucruq Fbr ro ir! isu&.c r!. r.qun6 $. .pplird aor ec[ Fnit lo 6L . li8'Ed 3Irffil thd lt o. JE b li.asd pr8an ro $G F!vi.i'N of lh. CorEroir Liqr.d t w (CtuF6 9. Cln1ll1dns *nh Sclbtr 7000 ot Divnbn I of lh. &!i!B rd PofsioB Codc) or rhll lE or !h. ir dop rb6.fio6 ed th. b.eis for lh. dhcd qdplion. Any viohlio. oa S.dion 701 I 5 b, dy Frlt..r for . p6rir iubj6t! th. rr'Cli@r ro . oril po.ny ot Dor mr. lha fivr hutrd,rd dolla (t500). l, e oMd olth. ptuFly. or hy cnplotB wnh w6g6 s rh.t $1. comFlrlion, will &, rh. worl et $. snudN i ml i,{od.d G otrd.d fd * (sd.7044, BsttB &d 'rlf4ioB Cod. T1E co,nr.crolr Ltoe Lrw &6 not etly lo a ou@ ol rlE F.?ciy *ho boilds or itrsDE d.ur !n wh dc adr srl hi@llor h@lf or fimu3n hit tr hG tsr ol'plort r provii.d rhll luch irFnBqfi @ @l inrqd.d orolIa.d tur sk.l( lb*Bs. tlE hiildiir or imprwaen it sld wilhir onc Fr ofo'rgkrbL d. OsE IbiEE *ill IEE $. hrdd, olp.orinB th, lEo. dE dd ml hild @ iE r.v. d. FtFly 6r tli FlF*ot I. s olrc of rh. FoFry, m cr(luiv.l, conrrxlirs wirh licas.d .omra.lo6 ro .o.sMr rl'. Foj.n (5(. ?041, Bui.6 .nd h$fsno Codc: Thc Co.r rois Li.o* Lls do6 ml +ply lo e osrs olFop.iy vho b{ild. or imph!6 thdon. md *ho contdr ftr luch pmjds snh ! Cofldcro(r) licdE <l pu6od ro rhc Co r*lm s Lic@ L!w) I m crmpr udq Scl5n-_, B. & PC lor rhis lt&n. n&aK!$:cqutEa$rjar[lcLaSarlat I h6cby ralirm und6 ,..!h, otp6jur, oi. oaihc lollowing d(lenioN: I hrvc lxl will minrri. . Cdifr.t. of CoMr ro S.lr-lBur. for *{16 @EFad ion. a Fo\ilcd ror by Sd'ion l70o ofrh. Ubor Co&, for th. pdaonMa ot th. volt for strich lhc pdftil a i$uql I hN. !d *ill hrint.in worl6 conp.E rior iM!m., d r.qoir.d by Selion 1700 ot E r.hor Co&. lor lh. Fftuc of th. srl ao. which thn p@n is is.d Ml wortd $nF!.tion isumc. ffi6 ad !.li.y nlmba e _Icdiryrh.r in $. Ffolmn.. of th.sorl for efiEh rhis pdnn i! htu ( I3hall @t @plo, ry F$f, if, ry m&E $ s ro b4ohc albj6l lo llE sod.6 omp..!.tioi LE otcdiforni.. rrd +B rh, if I rhould b.con€ ruu61 to lh. *ortd' @npa!.rnrn ,rD\tioB ols<r'on l7m oltn t bor Cod.. I tulL forrhvn[ ondy wnh lbs FouilbN.. $ARNINGT l.ilur. lo su. *ork6' compqEali'n coro4. is u.Lwanl. md 3hrl sobld d 6ploF l. aimid FBnb ud , civir riE up !o oE htnt d rh@d d4ll!! (1100.000). io .dd io.A ion. d!us6 s Fovid.d tor th. o A LLo DICIJIA:I,IO! I hacby .fim o..la Fnrny.f Fjury rh.l I h li6s.d ufl& FDrilbn of Cn fl6 9 (otlllrfti.g *nh selion ?000) ol Divnbn l of llE Bci.a Md PefNioN Co&. !d ny tic.e i! h ful for. eid cffcl. C a /l AL ;,LL CONSTRIICTI(}N LENDINC AGf, NCY I tdrby llrm sldE Funy of Frury $n th@ t. @Ilndbn I6drU .s*, for ttE Ffo.llre of Ewt 6r x'ith lhir Foi ir isu.d (s6 1097, civ c,), L.da.t Nm. APPLICAITT DFTT AqAflON I hdlby atrm ui&r Ff,llty of pdjury on. ol lhc followitrs d(Lr.liod Dcmhion Pdrir3 Arb6ror Norifi.dion l..d6.l R.CuLtioa (Ih|.40. hn6) R.quir.d tdt6 of Nltificrion I rdit rtu $. r.dqtl rcsuLlioG t.l&dra 6b6los rm!.| a. mr 8!pli.!hL to tht Foid I .dit thnr I h.v. Rd tta dpplic.rion un $at. rhar rlr shn c i.lordior i! (of,d I sgrc lo (omply with dl Cny 3.d Cou y odimn.6 r.d s . l,{s Eldinr ro b{iEin8 codrudi( ad tnp! r!.en!$ 6 oldis Cny dld Comr, 'o ot6 upotr llE V+L Llctti^r rokL/C.o 7E-r4 Rev.0B-07-20'15 I I I I I