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ELECTRICAL-INSPECTOR RECOHD <br />OWNEN BUILDET DELCARAITON <br />I lEr.l'y rffi,m u cr ItMh, or ltrJ!]ry rh,i I o.rcny, ahn rh. co.rdn trc.r tiw for rrE lolk'shr E.sn is<.-roll t <br />Bu$n.ss nn Pmcrsrn Codc) Any C y or Coudy which rcqurcs ! i'.mit lo conrtur. alrd. in*ove, &mlilh ur Ersn by <br />$MrE. Fft ro its ir3uNc. .lo rcqln.r rlI lllnliul for rsh trni, r, fih r \isftd <d.tr.r ihd tr or rtE k lk.n.d ,rlll\lM <br />ro rlI F.v,!nnr .r Llt Conktr'i Larn.d bs lClEFcr 9. CollmNinS B h S€rbn 7m0 of Diyilion I or rh BuriE$ ud <br />Pmrariions Codr)orlh,rtE orshc N.xcnF rhscnonr an<l lhc burn for llE allcE d.rcq'(ion Antvt,l,rio.urscdirnT0.lltbran, <br />{Tlaunlfor!tEmitsutJ..t\lh..ppliccnllorcivilFBhroltnm,rcih.rliv.huBlr.rtdollss(t5(D) <br />L us owmr of r h. th,Irn y- or nry cri,loF.r silh !ugc\ !\ rhcr $lc .oml.n\d i . *iI &, rtE wtrt lrl th. nulE N n <br />inrcnlcd or oil.6d for sL (Ss 7Ol.{, Busirc< i.d th,r.s*)nr Cdc Th. Codk_-ttr\ l.tcne ljw d.f,\ nor lllrly r. an owmr nf <br />ihc F,Id, f, b t{iLk or dFolB llEsc an *h. dB sn s* hm(lf or lErcll or rhn,uah hn or lEr o*n .nploF.r, <br />providcd rh.r lkh iiF rinr c [ll inr.ddl n onird fm sb la tn**E {h. hrlxns ur uqmEmd n y,! qihin om Fa <br />ofcorplcrion- rh. O*ncr Brildcr will han rlr hhr.n .l pn$ns rtd rr or !h. dn frn tuild or iq'mw thc I'nlE1y for llE puryM of <br />L dr owncr .l rhc I,nrr(ny. am d.lu\ivclyconlrlcrins *irh li.chscd .ontero^ k, consM' rh. tmr.ct (S(. r0r4. Bunrc$ <br />n Pi i\rinCod.: Thc Cunh!(,! Lk.n{ t2* ttf,s mr lprlyro ovmr otprcFny,h, build\ o, inlpnkr O.rcon, <br />.rd who N ds for \Eh FrFdr qirh l Co rrlo(3) liB<n Durutr ro rhc CoittEror'r Liin* Le) <br />_l rcrcmtr undcr S(tmn <br />D.l. Orn.r. <br />worKFrsicoMPENs^iaoit <br />DESJAAIqN <br />I tcrchy lllrn un&r p.Bliy or Frrr, ot ot rhc folk,* in8 d(hrd bnr <br />I hlr &, *ill minlrin r C.nirE.t ol Coo$ n, s.lalo\nE foi kd6! mmlEnerion, a PrlviL.l for by Salbn lrm .f rlr <br />brr c(nc tu rlE Fflm ol rlE wrt for shth rlE Fmil i. isrn <br />I h!\r lnd will mmr.in wort..l .otr\xnsork)n ine1rcc. r\ E,tuircd hy S(r I'n lTIn of rh. t x*(i.,nnrh.P..ro lwcof <br />rlr w\ lr rhthAnFlnr rt lrrn My *'x\6' rcqndi,n 'nulft ffi r,n pok <br />,*",5.L1- z-.-- z <br />ar..a . ),,- <br />P nt.,r Nnnttl _a_J2/22,12: <br />_l ccn,ry rhsr <br />'n <br />rt lErra.mB! ol rrE *o.k fm whrh fin Frmn n t!u.al. I .h.ll rcr .r"k y a.y Fro. i. !n, nuEr <br />s .r !,lEom rubFl lo ll[ qrl.^'mnFn\rbn hsr orc.litumi4.rd lgft rhd if I dbuld b6om subFr rorlE <br />wo.r.n' ohFnslion Flvnions ol SNtiotr :lrm of rlE Labor Oric. I sh.ll. tonh*iih .onpl, wnh I hrs tn,visi,ins <br />lvrl itrtr\ u0 h'.nc hun,]..(lrhutr\trtrl .]|.tr\ lSllxrl io lddidn b rhc co{ of.omlrnsarion. doro8cr or pr$vricd for llE <br />sdr{ 1076 or zibd cod€. iikE{ un <br />o^,, /rfl 2/ <br />^ <br />I tcrcby rlftu u'*l.r Fnrlrt o{ F-rrury rh l ,D l'.rnql und.t Fnrnio. tl (omrh-'in! w h s.clbn 7un) of l)[ i\an .] <br />ol rh. uusircsin lt lisin}(lxh. rnl.rylkcn* i\ in tullr,mr nl(l1c.r <br />2g//7' <br />1 <br />I lEEny ofrm udc Fflrry of Frr!ry ih"' r,xr i r d,nntu i,. Lrdirg rt.Ny fo <br />Nsu.d lscc 109?. Civ C.). <br />,rumc ol rh( corl (tr shrh rhtr lx.nnr r <br />IIIIICANLDECIJ8AI]IA <br />I hodry dlm undcr pcirlry or Frjury oe or rh. rolk,sinE ddhru' ioos <br />Dcm'l r,n P.rnirs A\h.itx ttoorr{bn F.rLnl R.8uLt nnr l_fnk 40. P!n6l <br />_R4uircd t ndof NnirEarbn <br />I .cnify rh, r,E ,.n r.l EsirLriotr\ r8rrdrng $r.ndr Emlll f nn q'dt.t t h lhn prcFr <br />( <br />_ I (n,rr rhnr I harr ra'Il rh( trlnLsrhn un {Jr. rh,r rh. rt{rr r bnui({r i\.drNr IrEG b on,rly * h,ll( nyafrl('()unry <br />qdmN$ rrxl srci.lr*! ELrhg ro t Jdin8 odtuli)tr .rn t.urlrru. EF.ddnrro(rh' Cii <br />lhor nEtrrhmd Imll.dy lin in. <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underoround <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lite Satety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bondinq / 916[ndinq\i UFER Z-lr-2(/r-=t 7Transform# <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilinos (T-Bar Rouqh) <br />Ivleter Release 2 -18-7)7/Zr-'2. <br />Rouqh <br />Service Meter <br />FINAL z.t9-a ,4.L/,ateA-s "ZV <br />Notes, Remarks, Etc <br />Rpv 08'o7.2015 <br />')ru: <br />WARIiING fsnurc to s_c s .n oqrtrdi$.r,t r!. r n.hrrul aJn .hrtl bFr $ mr'hFt lo tmml FBli! nn <br />L.ndri' AddE* <br />- <br />,,.:-