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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS tD/stG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards \ <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Frre Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Tqlqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment x <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release a '/ <br />Rough <br />Service Meter 4 <br />FINAL r'63./et116 tl{l/r^+qd ) <br />Notes Remarks, Elc 'f <br />x <br />OWNER B!ILDER DEITARATION <br />I My rrun ond6 Fulry of p6iur,! rh,l , m.imF inn rh. Coorddoa Li..e llw for rh. follovhs llen 15<?011.5 <br />ttlhs .,n Pr.asion (-od.): Anr ( ny or Coufl, $hth r.qu;6 r Fm. r. @dtu( .td, inpro\e ddmllh or lr?.r D) <br />n,ucl@. Fn lo tu i'5le.. rto Equi6 lh. +dtd for uh Fm' !o nk . dei.d ffit rh. lE or dE i licds.d F!,d <br />ro rh. Foviio.r of rlE (i'.rftrs! Lk6sd Lrw (Chrpro 9, Comtrins wih S<rhn 7000 of Divirio. I .r$. BBil6 md <br />Pmf6ioB ('od.r or lhd h. or rlE a .rmpl <br />'hdc6om <br />Md lh.lrn for ih..ll.!.d amll(ion Ary eiohlionofsalhnr0ll.t b!.n, <br />.*FmrfdrFni stidrrlr .r?lkdrror$'lFElr).rmr m'.'h.nn\.hundd(|.1116(lrm, <br />:ry,^Y-. r*. *.*.). orny mFb'6 $irh wu6d th.r hrc comr.@n' \nr& th. $qt d th. shd@ ir mr <br />inr6rr.d o ofncd hr s.l. (Sc 7044, Bui,B ud Prcf6ioB ( ort : Tlf Cor rlcroi! l,ic.e L,r d6 rcr &rly b d osd of <br />lh. F!Fl! qtb buil& d ms$E llE6.. nd slF dE Mh srr hilMlr.r hdrlao. rhFust hn d h6 o*i drph}< <br />Fovi.Ld rhd r@h intor€d!ftdnddolHft,-l. l( b6E. rlE tlild'q n lqD\qEr i$ld sthmoE )tnl.onphi^ Or o*G &rild( $ill hr( ttr hdn or Foring rhd lE m lrr dn ful hilil 6r lrpror dr FFiy 6r ilE F4r& or <br />I. B osffi ofthc FFrv, m a.lBndy con.tliE unh hcd&d slrr*l6 ro onrntl rh. Frr(1 lsc 70.1-l,Il&6 <br />id hlt ir (-od.: 'rh. Co.lreloi! Li.d. Lts dod nor !t pl, ro & osn6 of proFny f,ho hlil4r or iBFov6 't6or.nd *h. ..ntmft aor !u.h pr.jds w h a c.nrmdo(s) licdi.d puBud ro rhc Co.t.(lor's Li.e <br />! <br />DES.A8AIIO! <br />I hdv. drl witl roifl.in . Cdlificlr. ot CoEdr ro Sdf-lGu,. for w6.l6 co.rpoldion, a rmlid.d for by Sdio. I700 oa lh. <br />L.bo Cod.. for rh. Ft(lr1m. of th. sst for *hth rh. pdni! ir is.d <br />I h$..nd *ill mi.rri. f,nrtd' omFBrbn i@@. a Gqui,cd hy S.d.n 1700 otrh. t t r co&, tor ilE FfolM. of <br />rh. mrt fo. whth lhi! Fnn ii iqxd M, mrla ..n asnio. iera. @i6 fd Flk, nunbq rcl <br />Hr(\,.u- F!n6 <br />!{dii,h, . rr,. p.r.rm. of rh. $orr f.* qh(h rhi. FEn i! isu.<|. I drll mr dnploy 'ny Fsn i. m, m.llF <br />- B ro hq.r $t*rt k' rh. rutd' otrporrbn Lwr ofc.lilomn. 3'd rr 'hr if I dEuld baor ruuFr to rlt <br />*nrl6' oaIEE rion Foriliod of S<.rFn l?@ or rh. t b.. Co<le I idl aonhynh omlly u nh rho- FDyilhd <br />&i rh,ll tuhjd d dntld!6 <br />cn'il fin6 ur lo orc hu.d.d rhoE nt rlou6llrm,ooo). '. .ddn !h. .or or comD.Mhn, <br />yofpdilryrhar I m li.drd <br />DECIAS6IIO! <br />undd Fbvirionof (-h.pla 9 (onmfting Rilh <br />6d Pmfdio cod., at 6yli.@ n <br />(llirauflI0tLENDlxti-acf!(] <br />, h@by smrm undd F..l'y of pdjury rhd rh@ n . $.!odirn hnairS .Ba.y fo. lh. Fnmmcc or rh. rorl tur whkh lnL tEnil b <br />6.u.d tsa 1m7. Cn C, <br />AITLIIANLDE(IJAAIIIIN <br />I h.*y atrm uidd p6.ltr of Frury on. or rlE folh*i.8 rh.b.' io.3 <br />llnolirio! PdditlAibdor Nod,i.d io, F.da.l R.suLr ioB (l nl. 40, Prn6) <br />R.qu.d l.iraotN.rifr.ibd <br />lsr ro c.f,dr udh rll (-ir.nd cou.i! <br />ahr\r molnrn.d pFt.ny ntr iNp.cl <br />Appllo or rdlSkrluE <br />r$'nh* nrr. tprinr): t.,t a,/) <br />^r <br />DATE <br />-ffi <br />l!2ry Mt $. t&tnr.sturioB Esririn8 dndt$ r@or.r &. nor 'pprkabr. b rhn nmjc.r.