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APPROVALS DATE IDiSIG.COMMENTS
<br />Underground
<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 (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release
<br />Rough
<br />Service Meter
<br />FINAL 1\1A\$,.AIffN\
<br />Notes, Remarks, Etc
<br />--5
<br />OWNER BUILDER DELCARATION
<br />I ls.t!, sflim u.& Frtry of Fturt rh. I o aaF 6.m dE Codocrda Led. Iir fo, ln. hllo*os r.en (S< 70! I 5
<br />Ituin* &d Pnf*ion Codc): Any City oi Counry which t.qut6 . Fni to .otrndcl, .nd. inFoE &rno6h or lF.n &y
<br />lrructu. Fir. ro tu islec, .bo ,.$ri6 t,r +plarll for sh pdni ro liL . 3i8n d sraEr thr lI or tE a lkoE d plmlr
<br />lo rh. FDvtioE of rh. (on[icroar Licn .n Ltw (Ch+r6 9. Conm.nciis v[h S.nio! 7000 of Divirio. I of lh. Buind dd
<br />ErcfdnN Cor,.) d rh.r lE n dE n <dt9l thd.ioi &d rlE hGa tor th..lks.d 6@Fb. Ai, li,l,rirn ofSGIbn 701I J brry
<br />.rplkrd for . pd,nl $bjal! rlE +9li.ol lo r civil p@hy o f not mor. rhr livr hundr.d dolldr (1500)
<br />l. s o*E olrh. FrFry, or dy fiployd pirh wlsd & th.n 5E cohroBnion. *iU dr $. "ul d rlE nndr ir ml
<br />rm6id.d ot ofiqd rq rl. (Sa 7O+1. A6i6 od Phlish6 Cod. -rt Conrdd r ti.e t* dE.bl Fply lo b 0116 of
<br />lh. FnFry *h toil&or trrqov6 E6n,..dwhdcau.hw niB.lIor hdlf or rnhush hs d ha os.6ploy6,
<br />Foyid.d lhn sh mFD\slEte d iiEn dqotu ftr rl. l( rB*eE rlE hrildlB r+sqd i.hld{ihiroft }r
<br />of on9lii6tr da O*n6 tluilr6 wil h.v. th. hda oI Fov$s rhi lE or dE dit nn hriH o. inFo* th. prrFty lt'. dE FIFE oa
<br />rl.)
<br />l. 6 o$ffi ot rrE FnFrr. m a(lun.ly ..tudns *ith li.aBd codr*ror ro mniruci rtE rnrjdl (Sd. ?04,l. t!(M6
<br />ed E!ki{ Codc Thc C6nl[.r6r r l-i.osc Lls do6 mr !!oly ro e 0}'.6 ofpNlEny s ho t rild! or mFn}6 rh.@n.
<br />.nd f,lF od,* f$ sh Foj.(r $nh . Coffi.nr) li.dE d puls@ ro fic cohrdrd ! tjc@ lr$)
<br />_l h ddpr ulxls Sdion ,B &PC lorthb@.
<br />D.r.r 0r.6:
<br />iloRxErS' colllPENsa'noN
<br />D!I:I.AEAIq!
<br />I hd.t'y arrm u.dd p.t ) olpqur' ototlh.Iolrts!{ d..lurlnrd
<br />-l
<br />h.r. erl will mi.trh ! ( d,f(dc ot Congr ro s.ltrBu. fm *dl6i comp6{rion, a F\ iLd lor br Sation ]700 ol rL
<br />ljbor Cod.. ld th. Ftolruc€ of lhc wd for which lhc Fmil i isu.d
<br />I h.v. and will mainlar wn*sr'.onFMrion icuffi., s r.quir.d b' S.noo l7O0orl,r L.bor ('o&, for fi. Ffffi. of
<br />lh. rul l *hth lhir FEn i! iu.d My wk6' .lmFurhn iNure. cMis ad polty nomba u.
<br />,*,'tr/q/tD
<br />-l
<br />csrily rh.r in llE FforrM.. ol th. worl tu * hih lhh pdni is bu.n I lhall nor mplo, lny Flon in lny oe6
<br />$ a to b.!$m $brd b th. $uld otrpdEdion L*! oa(.lifomir !t'd {r tha rII srl,ull ttcom.ut+r' to 'Lwo c' comp.aqlion Fovisn'B ofsErion 3700ofrhc L.htr Code t !h!ll. fonh*th.omply wrth rrbs FDvirsB.
<br />WARNINC tnhr. r,, sE. *0116 ompcMion .0\6+. L unbrtul. ud shnll subjd u 6t[Dr i(' dirn.l pdrn6 xi
<br />.ivil n.d up 16 o( hunnral rnolr.d &'lld (tl0o.lxr). h rlddbn b rlE cor of coFFrE lior dnn s6 6 F.ril.{ for rh.
<br />( od.. inrdd !d !tronEy\ t6
<br />DEgdSAUq!
<br />I hdrby.rm u dFElr,of FJUrylhd I d ticn!.d undd Foriion of Ctupld 9 {omn@i,s {ilh Sdhn 7000) ot DivLirn !
<br />of rh. BlilB lrd PrcfaioE cod.,. fty liccM i! in tullloicddcrct
<br />0
<br />W/t<,^^"*f (o,.,+y,rtn0l
<br />cIllllButfto!.LENDaclcElI]
<br />I hq*ry rrm und6 poax, ol p.rlury lhn tha. ir , .odtu.rio" LdinS l{d.y for lh. Frotu.. otlhc erl lbr *hth rhi! Frn ir
<br />su.d (sc 1097. cr c)
<br />AIIIICABLIECI,A8AITA!
<br />I h.t!r.trm undd FDht of Flury oE of
<br />'h.
<br />folhwin* dEhrx io8.
<br />DRhlnbn PoTire^rh6rd Mlifrc.ri6n F.darl R.suLiioB (Tn|.40, Pd6)
<br />Rotund Idro olNdiradion
<br />-l
<br />cd iry rhd th. acds.l r.sul,rirru Erddins dtBlor rdoval e .oi rppli.rbL to rnn pmj..l
<br />tn
<br />rEl&difr rhd lha.udrhir.lplrrh n.d qar.rhd Lh. rbov. intomdion Ecotr.d.I erd ro onplt sih .ll Cr, ud Counly
<br />oldnjftG nd srd. t^! ELIB h hrldurs.oM.tr md h6.b .d,rri4 r.Fs aln6 otrhis Cir, lrd Counly lo 6lc lpon 0E
<br />ah.\. mdttr n.J rrnnd! I'r Nn lttr,nO[rrB
<br />^orr, ^,,., *-r tt-,,. lL/&p) ),U'{
<br />p.-,rcn..,rp.rnrr,F /* 4l' {t wl
<br />-,,r r|ro-L1
<br />I
<br />ELECTRICAL.INSPECTOR RECORD
<br />.--. Bts
<br />..,'.,^,.* ' ,9tr-rc lld64J&
<br />Site-Work
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