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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE rD/stG.COMMENTS <br />Site-Work <br />Underoround <br />Pole Bases <br />Liqht 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 / Groundino / UFER <br />Transformers <br />Torqueing <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) <br />Meter Release <br />Rough 8-n@ LLZ ) <br />Service Meter <br />FINAL lo -6 -?)2 z,s .J E. /za> q? <br />Notes, Remarks, Etc <br />OWNSR BUII,DER DELCARATION <br />I haby lrm uddd FrXy of Frury fir I m uapl EoE lh. Codr.roE Lta& L,w fo, dE louowilre la$a (Se.?oll , <br />Buind !n Prctulbn Cod.) ary Cny or Co'dy whth ,.qui6 . p6,ri ro @rEtu<1 .la, iAmvc, domlll o E n -y <br />,E!.lsc. FDr ro ll' btu!,E , .lo eqlir6 {E !pdk&! tu N,r pdDn lo frL r ri$Ed nlffil 6r lE ot lE i. licqlr.d Felr <br />b rh. F!vi,!i.N oftE Contr.cloa! l,t.nsd Lr* (Chlpld 9, Co@fti.8 win Setion 7000 of Divniotr I ofrh. lrui6 ed <br />Ptuf6bd cod.) d tlu ,E d rh. b qaDF $€droh Dd $c bGL tu dE rlh.d q6Bir- Ary vbldion or s.dbn 701L5 !toy <br />qlKd for r Fn tubr6l! rlr .t?|xe lo . ovrl Fdr, of Dr ec rn& fB. huldli &llsr (t5001 <br />- - l, s oMd olth. FDrqty, or my .llplorc wirh f,.g6 s lhcn $h snF!.lior will &' llE slt ad tlE !d!de i mr <br />i 6rt d 6 olta.d fq d.lsa 7o{,r. B{ilB dd PrDa6i,N cod. T1' aoErlq r lic* L.*.b6fui r,?t io d o*Eoa <br />tlE FoFiy *rD hillld lFoEo.Ei\ nd who.kEqr.,l mt hinelror lErlfot NU3h hn n lE o*n 69t 16. <br />FoviLd rld &ch ihFlvaE ! E d)l i,nd'd.d orolEtd 6r sL. I( to@. rh buildi,B d itrp.*lrd i sE vfth oE )r <br />oforphrio,! lrE (r@ Bdl& will h.v. tE hrdo olFoviis lhsl h. or !h. dil ml brild or inFo!. UE F!Fl, 6. th. Flrdc of <br />t. s oM6 oflh. Drcrsry, n cr(luivcly conll*r[u vnh li.du.d codGr6 ro odo.l llt Fljdl (SE 7044, 86rn6 <br />!d Profsid Cod. Tl. Co ,r.loi 3 t-i.ce I-.w do6 nor rrply lo a ownd o aFop.ny who buikt! or inpo!4 lh6ai. <br />Dd f,ho .odr-lr for tuch FlFr wnh ! Co.rra:rG(!) liEE d FiEudr b th. Conr.roat Ltov t*) <br />I m .rmpr unda liar bn <br />D.t. <br />I h6.by amrm undr p6! <br />\llBLt&t:gJilfa!.ulo! <br />I2IOiXAUAI <br />oncof rhc ldk,s'n! d(l&arionl <br />iMi .i.. ('diftd. of Coier ro S.lf-l'U. tor Nrl6 conFBiD'! 6 Folit d lor b, sdi,n r7m ofrE <br />rh. Ffolrl1m. of rhc f,orl fd $nEh rh. Fnil ! isucd <br />h.v.and*illm.i .hso d comrENalion i6um.. a rcqun.d by Slclion l70O ofdc ttlor Co& far tlE Ffollr:lR of <br />c.rE .d pot , nunba ErlB hrt f.r vh(h tbi! D6Dr . isEL M' wql6 @mpq{D. ueBC <br />.. - Cefc Fund <br />,.,-,^"* 1713\6gl _,,*-,_bl-aM <br />_ I csliS rh.l o <br />'hc <br />psh,j1e. ofrh. *orl lor which rhir FDn i! isu.d. I shlll d dploy dy pc&n 6 oy noE <br />e 3 to b..om. lobjdl ro rh< m d'comp@sio. hwrof Cdraomia.nd isc $!r if I rtould beom rubFl lo llE <br />s$rl6' mnFB'rion FoBbs of S6ri6n 1700 oarlE trhr Code I ddl. fonhwnn oEpt wnh llc FDTUDB <br />WARNINC l..il!rc lo suc worl6' comFBdnro cov@{c i! unlastul, dd sh,ll subjar e <br />h.m fitr n.d rh.trunJ dolbE ltl n, d.,tr.36 a provijd tor llE <br />Sdion !076 o, tlE L.bor Cqi.. i dd <br />,.,. )-1S-aoac) <br />I h@by .l[m undd F!x, of Flury thc I m licq!.d FovirDn orCl!.F6 9 (olllljft,.8 xirh sdir. ?000) of Dvsioo l <br />ol rh.Bcin*ed Pol*ioNCod., and myliccM is in tull lorcc dd.(lrl <br />.n*.**81 -- <br />-,. l- l5-)o)n ntu59sq{WW1 <br />I h6b, rIIm odd Flhy of Fjlry rld thE. ir I oNlructbn LdidS {tuy for $. pdtotllr.G of ln srt 6r vli.n $i! Fril i <br />Lr.d (se. 3097. Ci!. C.) <br />la&r's Ad&6 <br />AEUCAELDESIAAI,PB <br />I hoqrtrmlntld poohyofpdjuryonc ofrhc followins ddld iou: <br />D.@lnion Ponr-Alb.r.r NorifEdi.n F.danl R.8!hioE (Ink 40. Prn6) <br />R.q!n.d ld16offdrlfrn <br />f.dadl r.suknJN cg&di.s abdG r@ul -. mr i.,pliclbk lo ttir Fojel <br />I lu!. qd tnn rlpltrion md {d. rhn lh. rtov. infodniu B cor61 t .sE lo omply wnh t Chy !d Coutt} <br />Stirc ljss r.hrinr lo burldinB ^ff r.prffir.livB of rhn C(y dd ('ou.ryro drd urbu thc <br />L - -.1t9-)oxID<L SN <br />Rev. 08-07-2015 <br />Sub-Panels