|
APPROVALS DATE COMMENTS OWNFX BTIILD[N DEI('ARATION
<br />I h.rl, arttrn utoLr Fn ty I Frrur, rhr I s.kqr lbm rh. Codr*t'n LKn{ bP rhr rhc fdlowo! R.$n (S(.r0ll 5
<br />BonnGs r'rl Prr.*xr Crl.) Any C[y or County Ph.h Ellur$ . ld t, d!n{nN. .116. !nYn,v.. &m Fh or EEr rv
<br />iru.ruc, Frrh 'rr N!xn.. rlar k{ue rE qrt.&l ntr {Bi Fm ri, fih. !3r,t {!kmr rhr' h.ot {E r l(s*l arm.nl
<br />n, rh. ln,vr'onr nr dE Conrrentr \ l-rcn{d llw (ch.ti.r 9. (,nmrt! wtrh Sarxn ?lID or D,vtrr,n ! nl r,E Burms rnl
<br />Pn'l.<rnr (ii.) (tr lh.i lr u rlt Lr.kiti tlErcfom rn rlE t'.r6 ft, llr rlL3.J.\.n{ri,n A.y vlhrxrn ol Sdr,n To:t l.5 by .nv
<br />anplr.trr |,tr s Fdnr ruhr&k rhc smlBad n' ! civil p.Mlr y or nn rmE (s livc hunJRrl dnrl{s l!J00)
<br />l, 6 oEMr oi rtE llr)rrny. or ny.mptoltti w h w.!cs.r rh.r i,h rtrmP.ns.tr,tr. *il.L rh. w,ri {rl rhc {BrG I n
<br />u cBrdl oroiiBl i, {,. ase.?0.|t. Bulimq.nJ PNt s$B Orlcr Th. (ilnra(tr'' trdc |rr tlx r, {td, r.6 owr or
<br />ilr ln{Eiy *ho hrtrt! r 'n+(,E. rlEN'n. tl *'1n &s th sld hmrcll or ,rrsll or lthu3h hr or hcr o*n .mr*'Fct.
<br />In,vklcd rhrt such mlnErd! 4 n L .nLd orol.rd li'r qL ll, lr,*M. rlE tlltrul3 i{ n\nEmd ! $! *.hx m F{
<br />ol d)q'Lrm rli ()*mr Bu Lr sil lr\t 0E hitrl.n ol Frv!! tls h. d tlr drr ni tldl dr lttn't dx tiqdy fs rlE FtF,: of
<br />-,, 'sowrof th. Flrny. o.khnvcly(ddriruf wrh l!ccn{.!.ndrdoF ro on(ru.r ii. lir,l.d (Sc.. 7044, Borin'k
<br />rnl lh,h(DnC.xl.: Th. Conk&l{tr'r l.Enr. tr, &E! n, rpply !' uo*tu,.1riJE.lv Ph) 6u'!t or inlt.v.l rh...)n.
<br />rnJ wh !r'dr-r! lq 1uh ljnrFt u h.C.d r(r) li.n<l ll{nud tr llE Co,ihd'! I-i.n€ U*,
<br />_l rn.t.n ud.r Sdlr]n
<br />IIIEKEES:COIUEIiTAIIAN
<br />DICI.AEAI&!
<br />I rrrchy.lItrmunlcr rEult ot Frj{ry.r or rlr folrr*o! &!h,rrrmr:
<br />-l
<br />hrw s,n wnl durro r c.nitu.r. ol Conenl li, S.lt-ln t ld wt.n'$qrtrdr,. r\ F)v{.d lot I'v S(r.. 17{n'rtrr
<br />blr* Cak. ld trE IEf()t1rl.M ol rlt u,* Id *h.h lh. Fmr ( Nrtktl
<br />-Ih:E.Llw
<br />l m!l.!n *otl.F' ..mFtr{r rr t.ronE.. .t r.{unr{ hy Seri'..!',ul ofuh. t:bd (lih, nn th. Ii'f'rut' nr
<br />rh. *orr lt* whrchlhKncm rt $rni, My *ort.6' drfrI'.nqrion 'n{rd..mr an rni.y iunh.rtc:
<br />l Gniry rhi m rk Frrormn dirlE *orl tor *nrh rhF tEmn r !.lui- I rlull nn mnr'v rnv Fren 'n
<br />rnv md6
<br />o rr!!tnom subFl l.rlr k 16 LrnFn{ro. h*tolCnrtumn, rLtr3Elh.lill \h' ld h.com tuhi..r iorri
<br />*ork6 comrEnql&n pDvirion! or SerFn l?(r0 ol l lE Lrht Cnj.. l rrdl n'nhrrh .ultll, *.h rh* lt rlr'nt
<br />WAnNIN(; faluE lo qm qnk
<br />^ rtrt{xrqr.r..Ea8. i. unlr*l!|. rnd \t ll $bF m.mlllF t' sn n lhl.r !n
<br />Ur,l 1,ft5 up ro oE huniEJ rhD\:il doll.s rll(l
<br />S.crhn 1076dllh.lilmr(irL, nr.r.{ lnd 3llomy r
<br />).fi$). m rJJntr,n h rh. c'N I r n'Fn! !,
<br />!2t0 8!!a!
<br />I h.Ehyafirmd cr n mlry ot F.jlry l h4 I m lienEJ u&1.! FUvErr or Oqr.r 9 (.ri
<br />or rtr Burtrr.,nl knld\bn\ (ixL. a Bvlr..c!utulll r!d.lldt
<br />hnls w*h S.drn r(fr),.f D'!ftm 1
<br />,,t**" rt*, ( /0 ,fr,b7q
<br />,ou br.4 /4, ZD/? "*,*^.FAeDtTzck C S*ura*FC
<br />Sq!lIBUqUqNI}:!Dl!l;-&AE!l}
<br />I hcRhy ullrm undcr lruxyol F4ury lh, rlEE n t o.nddt. k,rh!.3*y ror rlI,xrrdmNc or rlr knr fi [,Eh rhr Fnr !
<br />tr\ucJ,Sr! rllJ7.(r\ ( )
<br />APPI II]ANT T}F(:I ARATI(IN
<br />I hlrr'! .nim uds lf,nlx y "r Fr|lry otr or rh. i'uo*88 J.( l,rdrrr
<br />l).mrl rn l.rm(!A\hdo\ Not'f'rdlon !.dcrrl R.3!l,ronrl t ld 4l,, P.n6)
<br />R..lurc(l lr(.ro, f*i',r!rIi
<br />l..nni rhr rlr fal.nl EpLloB E!6loa B!.'tn lff,v.l m mr {rnl.rbk !' ihr FtrFl.
<br />I en'ly rhr I h.w E,.I lhn {'?l..rn. sn nr. lhj rtE rbw infotld.n ! $mt I +ral.L$titlr*rhrUCdv.dG'udv
<br />oilhrB.! .,r1 S[r. lrwr ELrry ro triUilr .oNocrioi! .,rl tftb, NlhtrE Elic*nhoEr ollhtr Cirv ud C.utvlo.or.r olbi rl!
<br />rhr!. n*nr!)n.J lnrFnY tur
<br />,lDl'li..ol nr '\renlStn r
<br />Site-Work
<br />Underground
<br />Liaht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />Meter Release
<br />Rough t\
<br />Service Meter l
<br />FINAL 51r'n /2ezl 7l
<br />Notes, Remarks, Etc.
<br />ELECTRICAL-INSPECTOR RECOBD
<br />ID/SIG.
<br />,^*.hcr-J4 zo,9
<br />Pole Bases
|