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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
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<br />6.,.-nr,nl
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<br />OWNEN AUILDET DEII'AR TION
<br />undn Fnaht of p.rlury rhd I m .rmt, tum rh. Codrrrm Licru l.w for lh. iolhwins la)n {Sd 701 L5
<br />Profdhn Cod.): Any City or Cou{r whth Equn6 o psnil lo coortu 1, tlo. improvq (brclBh or EFt y
<br />ro ir. isu4., 5h. r.qrE6 0E +pltar for ut Frtu ro 6lc.3i8r.d nrtut rh! lr or CE ir l,.aa.d pu$a,
<br />ol dE ConE-rr'r Lt68.d L!* ((1rpts 9. Coffii.s virh Sd1io. 7OO of DNti,. I of E eliE. Ef
<br />or rh.l tr or 3h. s ddF $n.{ioh d rtE b<a for ilE rlL8.d.raFi'n Any violdirn ofS.dio. r0ll!.t br !y
<br />pctnn luhjers lh. lprlic.nr ro ! civ il r.nilly o I mr oorc rhe nv. h!.dr.d doll6 (l50ij)
<br />oflh. FlrEny, or my dployc *nh sos6 a lh.n 5k .obrFMio.. "nl do tlE udt drl tlr rrudft b ml
<br />tm sL (Sd.7O4r- BBiG. od lrol<ioB Co& TIE Cotudd,t lIru tr* &6 mr 49ly h & ouE of
<br />hlilal or inp.oE tiEuc .!d *lD &E itdr rDlt lt'@la or hdelr or rk u8h nb d lE.{ dtrplo}6,
<br />mFn\€rEt ft mr ddrlcl or orEEl 6r $L l[ lEEs, E trild,a or trrFolqEn s $ld snhin ot ]6
<br />I)*ns Lukk uill haE thc trdd o, Frvis rht h. or d!. dA ml 6xld or inFrv. th. FtrFty for th. plr,[r of
<br />oarh. F)tdy. m.r.hrn ly coffilB snh [cqE d coeaG b ordrucr rll F].r (se 70,14, &BrB
<br />co&: Tt. conrr*oir Lk@ L!u, d,6 mr .pply ro n o\G of FoFry who brit! or iDFor6 thaEtr
<br />lor ru.h F.).n. *irh . coflelo(r) licaE d ,,tnd 'o
<br />llE conrEroir ucoE lrw)
<br />,B.ePC forlhira$r.
<br />IAAri};BffOU[llSAnO!
<br />DECI,AAAIO!
<br />u.dd Frllyolp6j(yon. of rhc foll8in3'l(lrorioN
<br />I dinr.il. Cdiar.r. oacoen b S.la-l.3@ fd Krt6'6mFdion. a Fori,Gl ao. by SElbn l?@ oltlE
<br />l[. pslorlle. oI llE *!d. fd *liah rtE FDn i! isu.d
<br />ill rnai lin *ork6 coml$dion irouranlc. a ,.qur.d 6y serion r70o o I rh. kbor ( od., tor lhc lqfomuc. of
<br />h rhir riciir is ie.d. My work6 conpatsdion inru.mcc cMi6 di policy nuhbs rc:
<br />t i.l (ah,.tqJ 1..!- +E
<br />itl"r'r'
<br />L:.fLll'5 A A 9GnL - t /tc/Nao
<br />in rh. Ffornlffi. otth. wort aor which $n pqnil ir isucd, I slll no' @phy, F$. in ey nsE
<br />$t'j.< ro rh. wrld oeFBdio! hs of Glif6mn, ."d .sr thr if I tsuld baotu Nbjct to llt
<br />n FovEbB of Sarbn uoo ol rL l.b.. Co& I ttulL aonivnh ompry wirh dbr Flririd
<br />ro RE. mrt6' rcnpo.orion c.vs.sc k unbvful. d shsll rubjd d @ploF to ainiMl tEDhi6 md
<br />on. h!*nd thou{rl doll6 (1100.0001, in.ddilion lo lh. cor ol.omF$rion. dr gd a Fovitlol aor llE
<br />ilE ttbrCoda i 6d .rd dtoriEy ! ac
<br />nrrr-,, * Ye,rin l/e ar I
<br />t t(Ids.EDIoxrf,Arfaa I I
<br />DECLdEAua!
<br />,dulry of FJury lhr I m liclaj undd Fbvirion oach!8a 9 Glhnffiirs wnh S6lbo 7000) of Divnioo l
<br />a.d PmrBtEB Co&, ,jd 6t l..@ E r tull lorc rn .fid
<br />c-to -gtSg|q
<br />t)/^oro . "",...,".K F.''aliq! Eleck.L-
<br />COIiIAuCIIANI};IIDIIGICIdCI
<br />Fnllry of pajury rh,r (h4 is r .oNrud io. knding lJocy for rhc p6fo.1@.. of rhc wort t r whi.h fii! pamn i
<br />r C.)
<br />AIII,ICANLDICL$4Uq!
<br />Islhy of Fju) orc of lh. follo$r4 d.(le.iFnl
<br />n'A!b6r6 llorilic $n Fqr6rl R.sulnroN (IhL 40. Pd6)
<br />rh. fcd(al ,.sulrr tr,6 RUd.Lng ab6ror rdmv, a. mr 4plk.bL lo thi! p.oj.d
<br />hn. ral rhs lrglidpn !n id. th, lh. .i.tt 'nfo,db. it cffi I *re ro ond, rnh Jl Cny ud Coury
<br />t *s EbtrrB ro bnding cordxcr io( ,'d lEcb, turL'r r.Fe{riv6 Df rti. cn, &d Couly
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<br />ELECTRICAL.INSPECTOR
<br />Rev.08-07-2015
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