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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE OWNER BUII,DER Df, T,('ARATION I i@b.v arEn unds pq'dly of Fjq- lh, I n .rsnpl fmm rhc Corr..loE Lt.e Lly aor lh. folLs bB lt&r (\.701 I J hlrn< drd Prot6i,n (in ): A.i. ( ny or Coutr) shth (qun6 . Fni ro o'drucr. rig, nnFo\i drmlah or Ep.n m) dtu(@ Fd 'd "! iriuu... rb r{un6 rhc applk@l for !u.h p.tin h f k . lEEd 3!do6r rhn lE or sIE i! li.qE n F6r,n . k'rhcFovirioNofttEContEcloi!l-iccns.dL!\(Chlprds.CommninswilhSdiorT000ofDivirionlrofrh.Buiir*dd. Eofsiont Co&lorrh.r h. o. ilt a.!@F rhd.iio6rnd th.lEii fo, rh..lks.d q F6n Ary r i6ldinn of Sdio. T0l r 5btet q!,licmt for . Fmh 3ubi..i3 rlE rp?lkd lo . dt il Fuhy ol mr mr. fir. fir. h!n!.d .l'lla ( ttm) I.aownsolth.lrDFny.or6ycdrlor!6tr'nh*as6arnirsLcon6glion.willd.rh.ed(eidll!nnll@i!er inrdi.d d.ltd.d ftn $L (sa 704{, &!iIB m! Rof*ioc ( od.: Th ( odr*toit li.@ Ir*.t 6 m' irly b { ow of rlE ImFrr- wlE hril! 6 itrFDE rfid@ id *ln d6 rrr! *ut hielf or hd*lror rlnouah h6 d lE o$n . phlq rorir.d !h. ruch inForlFG e d q'd.d or oIIEd n{ sL l( ho{6q, rtt hildins or ttqlrEcr n $! *rhs orc ,- ofcompldio[ rh. O*ra Buildr wiu hlw lh. hrd6 oaF.ving rhd h. or $. dn d hrild or ihFrv. llr. FoF y for fi. purr[E of l.6oqE ot$. propsry. d (cluidy cod,lc1itts $irh licsEd cornr&rots ro c.rEtuc1rlf lrojcr (Sd 70.14. &8i6 d Plrtsnn Cod.: Thc ( o.krcror'3 t-ictuc lrw dc not lpply lo o own6 ofrroDdiy rho buil& or impr6v6 th.on, lnd wh6 Ntu3 fd .u.h FoFr *hh r co donr) lt.ru.d Fmd ro rh. G'drxlc 3 ti..M L&) I m ct.mpt uo.l6 a€!r. It- tz-'q lho.by.ninnund6 Dd.ltt ofr,6iuh- onr ofr lE n,ltrwinx dcl.rariohs I htr. rn will Ei .h r CdirEa. oacoMr r. S.ll-lM. f.. f,utd onFErio!. - Flvid.d lor bt sdion r7m olrlr L.bor Code ft, 'lE Ffrrtffi. of th. h* for riih EFnn i isucl I hav. and n,ill msinlsh sorl@ .omrENllion iNuctr.. B r.quncd hy S..lion 1700 ollh. t lh.r Cod.. to, rh. Ffotlje. of lhc *!rL fr $tah lhB Fnn i is.d My sorl4 mBFshr iBurd. c!rc nd Flay nunb< & l.dilyrhd 'n rhc pqlolrjle. orrh. wo* fo whkn rhn Fn'r i! i$u.n, l3hall.or dphy.ny pdhn in.ny meB sr ato b.co,rc Ud to th. $ort6 .ompmlirn L"!ofc.lilomid, lnds8Elhl| ilI rhould lt(orcsubjd IorlE N*6'comFMrio.F!\ithBoIS..lionl70oofrh.L.t ( ode I iEll, fonhwht onply *nh thor pret inJd WARNING: tlilur. ro sur. $ortds .omFr.iion .o\orc ts unl.stul. Md .h.ll iubjer d dnPlors !o miMl Fuhis ad .ivil nn6 up to onc hun&cd lhou$d dolls (ll00.o0o), in ,:ldili.n ro rfi. coi of c{np.ro!ri... d.ru*6 a Fo{d.d tor lh. SarFo 1076 ofrh. L.t ( od.. inta.i.d moflE! i tc It- rz-tl DECIdf,AIIQ! I hd!6, rrrrn on<!d FDhy or Fjury rh, I o ncoEi und.r Fosb. of (]uFd 9 (omffiin! s nh Sd5. 7000) of Dnisio. l ot rh. BuriB od PFfdioB Co&. &l(t sy licE& is h tull for. .,Icl. collrau(IlotLErDl&clqll1:r I hftby ofim un.Lr Fn.lty o f pdJu.y lhd lh6. i! . .odru.l ion Lndin* aSmr for rhc psfome. of th. f,o* for *ticn lh! pdnn i! Eru.n (s( 1097, Civ C) I dr:rn r \!m. a8ltlcaxlDEclltauo! I h.ttry tffm utd6 pat.hy of Fjury om of lh. follos i.s &.lelion3 D.molilion P6mn!-Arb6ror Notilicrlion F.dcll R.8ula ionr (Till. 40. Prn6) R.qun.n Ldr( of lLrrfrinn l.srify rhal rhc liidrl rqularionr c[6dinr eshcst.s,6mi al {c nor i{,plicahlc t' rhB I're](r I cdrb rhd I hn. ral rh! 6ppli.r!h. -d dd. rhd rh. rtr^. i.foldrn ir .ord I .gra ro $nplr" sifi .ll Cht .i<l ( ou.rr ordm.n.6 md s',r. ll$ s Eldi.8 'o hoildh* codtudion rd h6 .t'y rdk rt. r.F6ddi!6 oartu cn, ad (-oun'yro a'6 llrn 'tErh\. trimr(nr(l D'oIBn\ ln, i"st\..r .rpplicNnr or \str lisnrrur.-" ,Ll-t>-!1 f S g4s-qSA, Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rough) Meter Release Rough Service [\ileter FINAL tz--i' -toA Mrl.f r d\ Noles, Remarks, Etc. ID/SIG.COMMENTS