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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE rD/srq.OWNEN 6UILDER DELCAR TION I lE l'y lftm unds F@Xy of Fjuy rhn I n crdd nDn rh. Coir&lda l-icce tr* for e tollowins rd&n (Sr 701t 5 A6ird ."d Prlf*rbr Cod.) Any Ch, .r Cody rh.h Equ6 . Fnr ro @trrtu i .nq. inFo\.. dq'bt o. rF., ,y nructue Fnrto B isueq *o Eqln6lE pplid litr s.h Fnn 'o 6k. rb..d r.mr $rlIortEaI'cond IrEEr ro lh. FrviiioB of ih. Conlllcrd! Li@rEd l,* ((1rpt6 9, ('.nmm.ing *nh Sdrio. 7m0 Df Dililion I ofrh. BBiK bd Prcf*ioN Cod.) or rhd lE n JE i qdF rlE.ftom !d rh. bdit fM rhâ‚¬ dkg.n ddEioi. Any vFLrion ofsdib. 703 I 5 by Dy .!pli.d lLtr r pdnn tuqel! rh. t ?ln! ro . ciril p.dty of mr tur. rh& lirc hund.d &'116 (ltm) .r4l-l.somqoirlcpopcn)..riy.mploy6qrlhq.*6srhor$lccompoerntr.sll.hlh(*drddrh.rM@!nor iddd.d d olb.n f( sb (S( 7044, B{ilB &d Eol*i,6 Cdi. Th. Codrdoi r Lid L,* do6 ml ?ply lo u ow of llE F,F y ulF tlil<h d !q.ot!dEE(.n s,h dE sn trul hruclror hg*lf or tllDu3h ht n hd om anok')q Fo\ id.d 'hd *ch mF!\Eltc c d n'dxLd G o6rql fo. sl I( hoF!. rlE lD,tjlB tr EsoEEr t $H q'nhin w rC of odrpl.lion tlE Ostrd Builb will har $c hda of pnltB du h. o, !h. dn m' hdld or inqDE lh. FotEry for tlt FrFe ol l. Bo$nd of rh. Fspdry, m a(lEn.t cotuei,{r Mh li.d.d co rdoR ro otu rh. Imjd (S( 70{.1, Ui66 lri P$fisrn Codc 'rh. cont.do.s Li..h.. L.w d6 tut rpply ro m os6 of Fopd, *h. buildr or inprcvB tts<'n. ed {ho conlrlr1r tor such I'oj.d! wirh a (bnf!cro(!) licosd purr@l lo rhc conr.do. r l-ac@ lr*). _I h .roF unb Sâ‚¬rion_ (D* l-a5-lq D&SJAAIIO! I h6ltr irm unds poull] ol rEiury orc or lh. tollor'Fr &.lrnion: -lhlvc,td*illrui lnr . Cdrific.r. of Coter lo S.lf-lM lor hrl6 @mt nElion. B Fovid.d for by setir ]rm o t lh. Libm Codc fq lh. FfUlMG o f th. e ql for *tth tlE Fnn it isu.d _I h!!c lid s ill mrinrli. wo*.B conpctualiJn iGurlnc.. a rcqutrdl b, Scr hn l7m of rh. lr6or (-oJ., tor ln lElom cco, 'nc *.rl fd whth rh!' Fnt ii iscl My wo 6f, Nnrasaion iBu@.. .und Ed polky .umbd r. aer<l^"'_El cdrli lhd 'n tlr Flolrrr{^_.-,. of rh. tro'\ ,or *hrh rhB FDi !$ N l! b<oe sbr6r to tlE *0116 6dpnMio.lrssof Crr'tomn. "o.td .omp.Nttu.pblnioEof Sdthn l70ooarhc Lhorcod., I e.{ I lbll Fl dtrr'lo} ey Fe. n 0, nW &d *r rhd if I sh.uLl bcom. !!tid lo rh. J!ll. fonhwnh comply wnn lhos prorilio6 \+ARNINC: F iluc r. c@ $. 6 omF@hn c.!drs. B u.Lr tuL lxl 3lrll ebFl x dphF ro mltl FdE ud * up ro om hu.&.d rh.llsd do llB llloo.'IJot. rn a(llrFn !o rhc c.i or ccmFM on. ddusB 6 Fo'd.d ltr 'h<lnorB ! ld \*6, 0"* lrlz-^^7 uc[dsEorofllxaclaa\ llcuSAlrox I hdny .mft un& p.Dny of F]try rna I d lilet uidd Fovirb. olchrpla 0 (o,lllffii.S *ilh Sdlbn ?000) of [tvnir I ot rlE &!iE! ud Pmr6bB ( o<l., -d ny laog it h tull fora .d carEr calsrauqllo!..Llllllc-acE!(r I ha*l.r[mu laFrnyofFrur--_ lhn0E n ! @dru.lih ldrdi'B 4try l ilE Ffollrt.e orrlEmrt 6r *lltt lhi Fnt i isr.d (Se.:1097, Civ C.). L.r .r . Name t rdd tA{td6 - AIIIICAtrLIECIJSAIIO! I hady.fm un& Fn hy of Frury oE ofllE follosing ddbdioN Danolni.. Pmir!-A3b6b. Ndiicdio. Faldrl R.eullnB (Tnk {0. Pd6) -R..lun.n tdd of NoliaMlbn -l c.!,ry lhr 0F fojsd quLr.6 ns.dids .r!dd lfuvd sc &r epla.t L b di! FF ffi,0 ,h!l , *. -o *b.ppl{dDn en !rd. rhli $..hov. intorr.rion i. c.r.{ I 6!rc ro 6mply wirfi.ll ciry lnd cou.ry GIIEE id sr.rc l,rr (!r!t ro hl tus..dMrn .n nd!l') .dbna (FwdriB olthn Cny.d Coudy lo qxd i4on lrE .ho* Mrrftd Fnpdry fd lpplir{trr or \p(nr si!nnruro c.-u-.u.- Wht tLo t^L3 -|c 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 2 2b-11 D-z- ?ft Transformers To rquerng Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Rough Service Meter 1 o - artt O l)/ tt t t.:-t1-., Q2FINALc -2- Notes, Remarks, Etc COMMENTS Meter Release \ CeiE: /4-4..*-. I I I I I