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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWI\ ER BUII-DER DEI'ATATION I hftby r,Im uid6 FuXy of ridjury rhd I i e\dpr frlh lhr Codric'dt l-ic.N. k$ for rhc folbwins r.en (sd 70115 tlaiE3 ,n Prof{b. cri.l: A.t Cny o. Cou'ly *hth rqun6 . Fm. ro odo( .nd, inF.o\.. &mlbh o. l4.s &y nruct@ prtu lo its isum.. 3ls. rcquic fi. {'!lica' tur 3u.h Fn n b fi|. i lrgmd 3rdmauhn lE or d!. it licaed FN.ln t. th. Foviri.E ol rlE Conr,..rdi Li@nt d tr* (Ch.pr6 9. Co@tri4 $ hh scrion 70m .f Di$io. I of rlE Buil6 !d ADadoB Co{b) m rhd h. or nr a Bmpi rh6.Gom ild rlE tG6 for rlE .lkB.d qdFnr Any vnhrion ots<rb. 70} I 5 l,y dy .pplkan' for . FnI sbj<r LIE .pplicur ro . .iv il ptulry of br tu,. th{ fiv. hundr.d dolla t1500) _1. d o@d olrhc FoFrx orny dployG wirh v.sd s rfict sl. smFddion. will & rh. woit et rra !tr*t@ i 6r iddla.n nofidql t( d.Isc.7o,l4. B6i6 d Priiso6 CdL: Tn Cd..d rl]..eIa&6d+p!loo.*Eor rh. FoIEry $ ln bil6 or hFD6 0E@ rd vlF d6 ut ulrl hidcll or h*lro. rhmu3h hi! .r lE oM.nlPloys. Fovij.d th.l luch imsoEEr! e d irsxLd d otu 6. rl. l[ ho*6a. ltE bildsB ( ,qorslEr !' tld witho oG )aofs,pkir tlE o.M Boil& wi! h-r rlE h,(6 of FowE dr lE d !h dn d hdll 6 drqDi! tlE F.Fry 6. rh F,por of _1. BorFof th. Flpdy, mqclEidyco d.lil* wnh lic6a.d c. 6ctoB lo.oNtuc! rh. F))c1(56. 70.l. &a!B !n PDksb. cod. r'h. Conhclor'! Li(.E ri* .b6 mr rgrl, lo s o$nd oaFopdrt *ho hil& or inFoE lhc@n. ud \ir oddr lm $ch Foirtr *nh. Codr*lo(r) ltaE d pgltM ro ilE Codrctd r U.!* Le). -! h .!dF ulrls S-rion-. B. D". ,/Z - 6'/3 DECIdEAIIAI I ffit .rm un& Frnr ol FJury om of th. aollos its daLrnim: I h.!. al q ill ruintlh ! Cerifrl. of ( oisr lo Srlf.lNur. fo. hrldr co.rF. ion, a Fnrit d for by SElioD l7O0 of th. llbq C.<tc fo, rh. Fftu. orrhc *dr fd *t h rh. pahi a is*d I l$..d *ill rd.h *sl(t conFeirn iMM., a r.quiral b sali..:t7m of r,r tthtr Co&. 6r lh. Fft'lffi. oa llE mrk loi whth lh! Fmn i isr.d. M, *qtm onirdMio. iN!ru.. ctro rn polky numb.r a.: Poliq Nudhs _ I (alit !h.l h 'h. Faornm ol llE s ort ld whkh rhis Fnn i! is.d I 3trll ml dplo, uy Fen d &y tu6 $ a lo li.!tu iub6l ro th. {qtd'omFaiFn hB orcn"omq ud 4r rh, .f I ilFuld b<oc rutidr 'o rlI wotd codpda.lioi povilioaofs.dbr 1700oflh Lrbor C.dq l ddl fodwirh oorly l irh rtss provkioB. wARNINC: Failu. ro su. wt6 onp.rE lFn cov6.{. 6 u.l.!fuL rd snrll subjct M anplo}u lo 6idii.l IEIUE dd (*il nn6 up lo oE hurdEd lh@d {bllc ttl{D.uD). in .ddiion ro lh. c.s of co,s.rEdio.. d,usd ! Fo*lal for rrE \!{ri.n 1076.f rh.rrhn(lilc inrcrdrnlirknm\'sirfr,-Z r pl( I \R\I()\ I hccby .ftrm undd pqulry of pcrjury rh.r I M lic6a.d @&r Folisi.n olcnlptd 9 (&nm.ins with Salbn ?000) of Divirioo l of rn tl]ailB d PmfabG ao&, rn m, ft@ ii 6 tull lore ln.fiGr Li(t4ClB:-ts@.N6bs lrrl.: Co.l'xtc ca!lla!Y.:Io!Jt!!llic-6cE!(} I hfth, lmm un&r F l'y or Frlury thd 'lE i! ! corrddio. Lndint i8fty for th. p6aomdc. of lhc $!* fr'r *nich lha psnn ! isu.d (s{r 1097,civ ( ) AISIJCASLDEqJAAII9X I hoq .l[m u..kr Fial'y of pcju.y od. of lh. louowing ddl,r.r ioN tlmlirbn Pdrhe^sbdd ttdilidb. fd6rl R.guld ioN (Ti!. .10. Pd6) -R.quir.d ldla of Ndia(rir -l c61iry lnd th. fcddal r.8uLt ioE E3ediry .rb6los roro\ {l e mt +pli..tk lo rhG p^r..i I carify that I harc Gld rhn appl i.ixo n ,rl 3lal. thri rhc !tFv. ioaomdion is corcn llsrrro comtly*nh r0 Cny&d coui,dtlle6 &d slrr. lrrr ElrlB ro b(ildiis .onrndiotr !n tE.by rntr@ rqrEdlnn6 olrhn cny di aou,ny ro ds rqr 'lEah\.'mtnnd prcpd) for nrperxn \t,pliunl or .\srrr Sisnrltrr( Pmirc Dn.(pnnr,: alr ,"/]4-4 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 Rouoh) Meter Release Rough /A FINAL 5"7"7)qJfl,1\ Notes Remarks, Etc Service Meter