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APPROVALS DATE ID/SIG.COMMENTS OwNER BUlt"DrR DEI,(ARrtTlON <br />I h6.by !firm lndd t6.lr, of pdjury thd I @ .ilnri tod thc Contndor' Lt6r lrw lo. rh. aollo*ing ra$n (Sd 701 I 5 <br />I}[i.6s {&l Piolsion Qdc) Any Cny or Colnlt which r.qui6 . Finil to co6ldcl, .116. imprcvq ddrclLh or lFan ey <br />rttudr.. Fior lo ir! isuoce !b. r.qut6 rhc dppl'cdr ror ruch psmir ro frlc r ito.d itddd rhn l* Dr lnc b licoB.d pl!!@r <br />lo lh. Fovilio otlh. (i,nu!cld',l.ic.ned L.w ((lEpld 9, ('onm6cinB sith Sdion 7000 ofDirkio.I ofthc Buixs Md <br />P(, f*nlB Co&) or lhll h. or !h. a dqn n $6.froh sd lh. b.!ir tu lh. dk*oj .rmplion. Any vioLt ion of Scl nn 703 I .5 by .ny <br />.ptli(rnr Lr . pdnir rubjcl! rh. rpplicer to . c'vil p@hy o r nor 6orc tlE lir. hun&.d doud (15@) <br />-1, <br />B o*nq otth. FlFry, or m, @plolq wilh w.{6 a lh.ir $1. conFtrrion, will &i llE wort Erd ltE lrnIl@ i Dr <br />intdrldl .rofra.d f6. sk (s6 ?044, B6i!s ed PNldioG ( od.r I1l co.r.ddtLiccelrs<to6ol.ppl,rodolrGof <br />rh. FbFry who tlild or inFov6 rfidE( trdvho &Esh h hinelf or h6slfor lhmush hi or hs own cmploy6. <br />Fovid.d th.l ruch inpr.rdEn! e mt idd'.Ld orofiftd fo. s].. l( lE**E, dE h{iuiie or imForff ii sE wnhh m }r <br />oacoqrtriorl rtE Oqs &!En * l h.w rrt hEtb' of p.ovins rhi lE or dE dil mr tDiU or rqlE lh. FnFry br rlE Fqo.. of <br />l. d osnd oarh. FoFry, m dcldiv.ry .oflrklin3 $nh !cd!.d .onlrrdoB ro coinrucr rlr FsJd (Sd 7{X4. &B,nd <br />,d ProtuDn ( od.:'l1E Cdnll.crd r l,ic@ lrw &6 mr.pply ro d own6 of proFry who build!or imprcvd rhso( <br />ud who odd! for kh F$idr wiLn. Codraro(!, ltqB.d pr6ud rorh. Conlrldd'r Li6u trw) <br />tdqaf,Eal:cqMlE$ara! <br />IECLASAuO! <br />I rE tr .lIm und6 F,ih, or FJU,y oE orth. folhs Ds &.Lr.!ioNl <br />-l <br />h!r. rn *ill mindr r Cglifrll. of CoEd to S.ll.lau. f.r rut6r' onrFdio., a F!\it d aor bt S.rlion 1700 of lh. <br />l.&E ('ode fn rh. Ffoll1ec o f rhc sql fo, *tth rIE p6nn a ie.d <br />,l hrE lrd rillmi.r.i. a.rl6. onFMion iM <br />th. wrxt tu $hi.h thi! p.mn it ie.d. M, uolld m <br />6 Equ,.n b, scrion 700 orth. trbor Cod.. aor rh. Ffoffi.ofrNUr4. .Mir rn Fl.' n0mb.r e <br />-ErpG <br />_lcd,0rt r inrlEFaorlwcof rh. *orl $hthrhiiFnn n isodl. r 3h.ll Fr dplor.ny F$n in uymeEs a ro tEorc ruqe o <br />'h. <br />esto'soFB:bn l&i ol(.lifoBi! &d rcE rhi ill 3lould b.(or $br.n lo rlEmrt6 mmrqqrion F.viio6 ol sarhr lT00 of lh. kbor Co<k l aElL tonh*{h conply *nh rbe pnvbioc <br />(.r3. 6 lnl!trtu|. ad ndl subFr & d9h)s to mir.l FEIi6 nd <br />cnil fn6 up ro or hud.d rhodd &lL! (tloo ,, h .ddnnn lo rh. cor ol d{ru*6 6 Fov'd.d tor llE <br />sr!6n 10?6.f ilE l-hor caL ddul5/srlrz- <br />DICIASAII{I! <br />I hqlty .ttm uo& p6.lty of Fruy rhi I & li.!E d uila FDvibo of Cbpr. 9 t@ffiuB wih Saib. 7000) ot Dn i!b! l <br />of rlr Buir !!d PrDl-bB Co&. rn Ey lt@ i. in fuu &@ rn .ll.d t <br />IqIIIAICIIO!.LSIDIICIqE!.CI <br />I haliy iltm uda Fdy of Flr.y lhr ltar it r olEMb. lddrB.8*y fo. tlE FfM. of llE $.t 6r $tit llir Fmi isld (S€. r(,7, Ci! ( ) <br />AfllJ(Alf!!(lJaAllo! <br />I hdt' ,fm uidd F!lr) of Fjury oE of rh. 6lb*in8 ilcllliod: <br />D.mhbn Pqhit*Arbdor Ndifrcdio. F.da.l Reulla (Tnt llll, P$61 <br />R.qur.d ldrqorMirrnhn <br />-l <br />cd i6 rh. llE foLrd r.rulrioB Eg.djns dEro! rcm\ n r. rct {rlr.hL lo thB Fq.r1 <br />-l <br />cdrf, rhd I l$. 'al rhl! {lPlrd Lsc ro @rq{y snh Cny..n Comr} <br />od,trm6 ..d srd.l^! <br />Appllc.nl o. Ardl Shn.l <br />d! .n ft<.6) xnrn@ ,.Feir,6 or rh4 ci) &qrrurr ro dq qD' rL <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Founlains <br />Signs (monument) <br />Life Sa fety /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 Rouqh <br />Ceillngs (T-Bar Rough) <br />Meter Release <br />/,....\ <br />8q!sh 7-71-11 Y\|bL)) <br />Service Meter x <br />FINAL 1-17 - l?y.v$a <br />Notes, Remarks, Etc.v <br />ELECTRICAL.INSPECTOR RECORD <br />-l <br />e .rdp 6& serbn--. A & P.C. tu lnb ra&r <br />Drt.: OrrE: