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APPROVALS DATE 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 />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor /A
<br />Bonding / Grounding / UFER s-l-11 hwd
<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 Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />11
<br />Rough JrL,'9la S-l'17 WlrDl
<br />Service Meter
<br />IFINALs-t-t1 nwlul
<br />Notes, Remarks, Etc
<br />OWNSi SUILDER DEITT'ARATION
<br />I h6.t,.lTrn ur& rElny of Fjury rhlt I m.rdfl tod E ConlrrcloE Li.dE bw for tlr folhwins td]n {S<7031.5
<br />Bur'rs !d PmisFn Co<h): Ary Cil, or Coudy whth r.quir6 . Fnil lo onnru.r. ahq. inpova drrcli* or EFn -,
<br />{ruduq Fi,r ro it3 iwe lko raiu!6llE fpltsr for Mh Fhn lo 6E ! tisi.d rd.ffi rn lE or 3lE it li6s.d pu$ar
<br />ro rh. Fovi.b6 ot rE C.nnrdd! t.6Ed tt* (1+G s. Colmtri4 f,nh S..lirn 7000 of Oiritb. I ol E BGiB rd
<br />FmfdioN Cod.) d th! h. d ilE i ddpl rhddon Ed rlE h..i tu llE .lle.d ddlplFi Ao, !i,lr6n ofSEIbn 70ll tb&y
<br />rpplicDr tor . Fmir sbjal! tlE r0?lic6r ro . civil Fdhy olmr mr. rho ,iv. hu.drcd dolla (1100)
<br />-1.
<br />s otr€ of lh. pNIEiy, or my mpk'r6 snh u.g6 G th.t erl (omFsdion. sill (h dE *dt od rlE nndE a d
<br />idcrd.d or ofid.d ld eL (Sa.7044. BuiE sd Ptof6ri'E Cod.: Tt ( drdd-. Lice t^ do6 mt +pt to o olfr of
<br />rh.FFry *lE buJd irryorBtlE6G nd rh. &E rdr N h'relf or lErltor llwusn tn r hd of,t.EPblq
<br />Forii.d fid $ch intrllEn! E rx irar.Ld or olH ttr 5t lt hoM, tlE hdd,ts m imF!\EEl i' sld {rni. i* }a
<br />oa.ohplahtr lh o*E Brilda wil hlw tlr hrkl of Pr!\iis rht lr or ihc dit Di hild or llqDv. $. FoFly aor dr pr!ro.. ol
<br />l. 6 o*E oatlE ForEry. e .rchliwly @nrxllts *nh licqad, .odrd6 ro .odM rlr FDj.tl lsc 70.14. &816
<br />lri Plntld Co<,.: I h. Co.rftld r Lk.G trw dr6 mr !ppl/ ro D o*E of FoFry *ho build! or inp.orB lhcarr
<br />ud sho cotr.!.lr aor ruch Fojeltsnh. Conr..ro(r) la@t puBd
<br />'orlE
<br />aorlr.cld't Lto* lr$)
<br />_l @.r.nlpr uidd Sa1
<br />Ihr. Or!c:
<br />\roRxExs coniiENsrrmN
<br />DECIAf,AIIA!
<br />Ihachyammundd poBhyofpdluryon ofrh. follo$in8 d.clE tuN
<br />_ln v. rr u ill minrE. cariar.r oacoEn b s.lf-llre t wldr' @hrd{ri,! a pmvid.d aor b, Sdin !700 of tlE
<br />L.hq co<|. for dE Ffl)lll,E. ollbc F fd s,tlih rlE Fnn ir isi.d
<br />_l hrlc od will m.inlrin port.r' .omFNdioD iBurmc. s Fqut d by S*lion 1700 ol rlE t bot Co&. for th. Ffotucc or
<br />(h. *orl for wfuch rnii Fmit ir iMl. My workgt omFB.lion iNurDcc crra dld Flicy n@bd !.:
<br />c,,,i- Ar,cr,;<-o,o 7tfi*1
<br />-flc.niryth.t inlh. F lo@. o[rrE worL tu whi.h rhir F{n ir i.!ru.J. I shlllnol6ploy sy pds. i, ey lnlM
<br />$ B io h<om $bd ro lh. mrtd' mmldEihn lts of Cnifomi( .r<t +E rh. if I dhulC b..om tubidt lo lL
<br />m 6 onp.dhnFDviri,Eof Sdrbn t70Oof rlr l.bd Codi l.ldl. fonhsnh orply trnhllcFnrbnE
<br />wARnlNc: Fbl@ k, R@ *ort6 NmFstnrn cov@sc i u.hsrul tn! slBllluhjdr m mplols to oimiEl FlrE t d
<br />.i!il 6n6 !p ro on. huE:lrcd {hoMd dolld (1100,000), in oddnior k, th. co3l of $mtEMrion. d&Es.t 6 povid.d r,, th.
<br />Sdion 1076 ofrh. t.trr ('od< i 6d &d fiqry ! fd
<br />t /z/t^1T
<br />I hor6, dlm unda rE{lly of Fiury lhr I irn,n oachrpld 9 (enntrins with Se1i.( 7000) of Divition l
<br />ot rh. acilB..J tt f*hN Co{k. rn
<br />'ny
<br />li(.M i h tull for. rn dlcd
<br />'/*"
<br />I hdlt,y rrm und6 tElhy of Fjury lh hsc it ! ol0niclio!
<br />i$ucdlsd 1097, Civ ( ).
<br />!s cy for th. IEfolrlre. of th. w hr*hi.hlhirFhn !
<br />AI?IICAILDECIAAAIION
<br />I horty .fm lndcr Fn.lty of psju.y oe of 0E folowiis d..ledio!3
<br />Dablnio. P@i&Arbdd t{orilic.rion t.dd.l R.8uldrB (InL 40. Far6,
<br />Rqurdl t!'solndiadi.n
<br />-,
<br />cEr iry rn l rh. f.J6sl r.suLr ioB rsadins &b6ro! rdn rl uc nor .rpli.abL b thi! poJ.rl
<br />-l
<br />cd'ry thr I hsr rqd lha $9licri.i a, nr.lhi tlE .tot i,foMio. t csrEl IrsEloordy*nh.[Cny&d(oul]
<br />o ia6 .nd Srd. t!$r Elrils ro ltr'ld'q .odru.l
<br />.bo!c motion d p6Fny nn iBpelion poqls.
<br />6 ot rhit Ci y !n (ndi, ro d6 l+on tlE
<br />Appll..trl or AE6l Slt..lu.e
<br />c^t * ".-, rp;"n i sc. 6,t rh\'/'1,"
<br />ELECTRICAL.INSPECTOR RECORD
<br />pnn"N"^t*, L,JC5a boI>
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