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APPROVALS DATE tD/stG.COMMENTS OWNEf, BUILDET DET-( R TION
<br />I h6.t y rmd undd ts!h, of Frllry thrl Ln .rcm9r iiorn $. Codra.lou l-ic@ l,E tor rh. hlh*ins tla$. (Sd 701 l 5
<br />rldin6r rn Protdm ( od.) Ary C'r) o, Coury *hth r.qor6 . Fni lo odrrud. .td. imF.ve d.ml6h or t!{t t&y
<br />nru.lue Ftu ro ir3 isllm., rk r.qoi6 rh. {'Plkt!n nn Mh Fhn lo fr! . rei.d rdod ltd lE or i& a li6t d Ft,ld
<br />ro rh. FortioN oa th. Contr&lor'r Lt.n*d L!* (('tup{d 9. Commtrins s'iln S<rirn 7000 of Divitbr I ol lh. 86!8 ,nd
<br />PmadioB Co&) d rha h d rtr ir 6opt rhdlnon rnd th. lBn for lhc .lkr.d .rdFioi. Any rDbtnrn ofscclio. 701 I 5 b, lny
<br />+rltd f6r r Fsh 3ubjd3llE r!?lkr kr ! civil p.Bhr. ot mi mE rha fi\. tund.d 6ll!r (l!00)
<br />L G o$E of rh. FoFry. o. 6t opl6,6 $nh s.s6 s lh.ir $L comFtsdo,r. *ill do rlE mrl a'd $c nnrl@ ! @r
<br />i, orLd orofta.d fnr d. (Sa 7041. B6iB 6d PiDTBhB (.<|. Trt codr-d r lioe Le {rG 6{ +Plv b E o*E ot
<br />th. prDFIy who hil& or idF!6 rhdon, dld who d'6 sh w& fiid3.lf or hd*lf or lhmuafi iit or hq o*n mpb)6.
<br />ForiLd rhi wh inFDvsEr. c d rrnn d dofird (r rI. l( hoe6s. tlE hildne o. illtbqd ii mld *irhir oG )a
<br />ofodpldion. tlE O*@ Buirid $iI h!v. ltE hiddr ofFovins tL lE or Ji dd Dl hdd e in!.or. lh. FoFq 6r dE FrIF ol
<br />l. s.trcotrh.F.Fry. ecrclBiv.lycoirdcli,s qrh lic.ru.{ .oilr..1o u io onrru(1 llE Foid (sd 70'1,1. BErd
<br />.,n hDEsi. Cod.: Tn Co' rxroi. Li.@ Lr* dG mr ,rply to m ons otFor6rt sho blild! ot imProvd thqdn.
<br />ud uh6 oi6di lor s.h Fojd! *nh . CodElo(r lEoE d poBlr ro rlE (-otnr-Id r Li(l* lrs)
<br />-l
<br />@.ropr !.ds srr..B &P( n rhirrd)n.
<br />}a8aE8!:CqUlIdSATOX
<br />DECljtrAITO!
<br />I lE.t, rrm un& FElty of Fiury oG ofrh. follo$iB ddbnioB:
<br />I h!r. ,n * ill mintlin . Cd ifrd. olconsr ro s.lfiNuc lor sorl6 comrdd'oo. s Folid.d for ht Sdlion 170l) oflhc
<br />lrtFr Code for 0E Fftnrttr. of rh. rrt fd "nah rt* Fan . is!.d
<br />Ih.r.rdsillmiidrin$0116-..mFMioriM6ftcsrcqutunbySdn'n1700ot!h.ltborCod..rotlh.p.tfom.!oI
<br />llE so'l lu whrh rh! Fnn i! brEd M, \-ta mtrFquioD iElllEN drE -d Flkr .uhbd R.*'tT,tiLf,2A6 l ,,
<br />Po,rc'Nlmbd < 4115657 ,**' Al ,, ld[
<br />l.drl, thd in rh.Fformnc.orlh. work aor *hth lhd p.rsn ir bu.d. I sltlllnot dploy r.y F$n h ry nuE
<br />$ 6 ro t<or $b6r to rh. *!n6 onFdion L*: of Crnfomir ri .sd rh.! il I should bdom subiBl lo th.
<br />wo 6 conFNlion FDliioc olsdbn lTmof rh. Llhx (-dl4l JDll. aonhu ih @niply *th r|rx FolthB
<br />WARNINC: lnitur.lo su. rnrt6'amF6dirn co\6.*€ i! u.l.$
<br />cril lin6 up ro oE hu..i.d rlru.,'d &lla (t100.0m), in !d!n$
<br />I sohr(r M flployE ro cinmdl paakiG tnd
<br />ot conFrnoq d6!gd a Fo .d lor lh.
<br />(r)dc. imd6t ed aln)rrE) ! fc
<br />q.
<br />I hcby afim unds psuly of Fjury lh.l I m licdl!.d unds Fovitioi of Cn4td c Goffiins wilh Salion 7000) ot Di!i3io. ]
<br />of rh. Buin* Md Pror66N Cod.. dl mr li.dr. ir in full foEc ed cll<t.
<br />,'f+t 6$nL
<br />c-,*a*,!l t
<br />I hs.by lllm un& pcn.lty of prj!ry lh, rh6c i] r otnruclior L'dng .g4y tu thc Ff.l]rEI. of lh. $rl br $li:t lhit Fbl i
<br />i$.d (S<. 109?. Ci!. C.)
<br />lrndd'. N&.
<br />aPPllcaltr D[clllta1toN
<br />I haq .trm uid6 p6!hy of rrjury orc of rfi. lollowi4 d.(hEt iod
<br />D.mlhio. P6mhs-Alben6 Norili..r$. F.d6.l R.guht ionr (TnL 40, Pal6)
<br />Rcqutr.d lnl6of |r)li6dh.
<br />fi^ify rllal rh. Ld6.l EsuldioN r.srdin{ 6lBlor rmn tl,<, +rli(.hL to
<br />| !*rE ro @,Db $ ih .ll ci,
<br />rsdor'h!ciy idcY'
<br />." - r,ll
<br />rh, I h$. r..d rhn !pr'l( i,n,n rhd rh. rtrr. 'nf.tum ir c.trd
<br />(;dnan.6 nnd sr.r. l-dss r.hins ro hu'ldrns ru.In 1 &i h<.$ r,!lrri2...Ii.gl
<br />ih\. Nrnn d Fip.{) for iBIxllM
<br />apprtrnr or,r*ol Shnrrurt: l!
<br />vfit I rr,rl v!^t I
<br />"'I',z'*
<br />alt t
<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 />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough 2aD l-2- 2o E v( lo.,
<br />Service lvleter
<br />FINAL /-a - 1,.bto,,
<br />Notes, Remarks, Etc.
<br />-+
<br />ELECTRICAL.INSPECTOR RECORD
<br />;".,ry
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