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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.OWNET BUILDER DEITCARATION I ha.ty rlIm unds Fdry or Fjlry rhn I 6 dm9l tum rh. Conr.crod Li. r L& for lh. follovi.3 r.&D (Se 70] I 5 Bui!6 ad PtofBion Cod.) Ary Cny or Coudy *l'ah r.qun6 . Fnn b .o'rrMt. .Io. img.ovc ddblirh or nF, D, lrrudEc Fh. ro iB iaueq !k r.@iâ‚¬ $. {!?lE.,n tor D.h FDn ro 6L. riSdd rd6Mt lnr b. o lE a I'cqa.d Fr$rr ro tlE FrlbB oa{r (\.re! LieN.d trv {(luFc 9. Contffiins wnh Serion 7000 oa Di!i.io. I of lh. BuiB Dd Prcf<rioN codc) th.l lE or t'. i. ad!,116600 ri lh. b6i! for rlE.llgod aa$ir tuylirLi,nofsalDn?011.tb,uy q?li@r 6r. Fhn sbr6$ rh. .ppli.r,{ lo r civil pdhy olEr mc ih6 lilc hu&.d &1116 (1500) l. s ow olrh. Ftrrdy. d Ey cnsloyG *irh w.g6 ! lh.ir ik onFErhE riu & lL \qt tn dE !drd@ i ti iddn d or of,E d Id 5L (Sd'7014. B6iB &d Fro6.ioB Co<t TIE cdndd'! tiE3 r* &6d +pty to aolE or rlE F"1a_.. $ h. hoili or lrFoE dEEtr rn wh .kE rdr sd hirel, o. lE-l f or rlloo3i hir m lE oqn 6rpby6. For;rrl ih.i rch inF.EEr! G Dr dciLd d olEot tr .& lt rblrtc. uE hrildi.8 M iry!ffi i' nld rili. w )d of or4ldir! rlE o'*E &rlds wil lrE ,!. hd6 of Foflts dt lE q ilE di, dr hiE 6 iigoE ,E FoFy tJr tlE F,F.. ol -1. s o*E of rlE FoFr,, m d.l6n.! corrrd!'s *th licsd cotrrroE ro otsu(l rlr F.j<t (s< 704,r, A!6 in Protsir. co& TlE Corlrrdd ! t.E.q t^ &6 mr .ripl, 'o e o*.d orFoFry who hikLr or inprcvd lhs@a ed *ho odrrl] fM lurt FojG:l! wnh. Codnonr) lkdE dptlllldbrlrcodndn r tioe t *) _l 6 .IdF ulrld Serb. . B & P.C. tu thL r6on D.r.: orG: rvoruirrls' ( uivPl'Nsa fl oNlrl:gitarra! I hrcby ailim undq r.,ahyolpgjoryon.olrh.fdk)qins ddl trrionr -l hsv. ed will milioin ! C6lificst. of Congr to Sclf- lEUt. for worl.B conD..enoo, a Folid.d for b, Sd ion 1700 of rh. t bor Cod., forlhâ‚¬ p<folruc.of th. m forwhichth. p6nil ir i$u.d -l h.!c and will mrinrri. work.r' comp.Bdrion iNure.a s r.qun.n by Salion I700 oflhâ‚¬ Lsbor Cod., tor rh. tELnM.. of rt work for which thi, pdnir ir is6j My wortdt ion iNUrMc. cai6 e policy nunb< e. I cdi8 lha in rh. Ffotuc oltlE srt fc shrh rhir Fdn i! ie.d. l3h!ll tul dnptoy ay F$n n m) ftM $ aro bc4Elutiillo tlE *oda @op6rio! LBolc.l''om'r,n *G th, if I slbuld beom sb.cl lo tlE @rt6' onpoqrb. FovirbB of sdsn l7@ ofrh. L.bor Cod.. I CulI lodnqjrh onplt wi'h rhoe FovirioB $ARxlNC F.ihr. ro sc *.rt6 onFdDn o16.8. 6 unhltuL !d iEll et*!l e .,rploys lo (mnd FrrE ri .n fo6 up !o oE nun&.d tho6ln rhln (ll ,, !. .dlhbn ro dE cor ot conpccd'on. dlusd a For{i.d lor rlE s<ri,n 1076 dl rlr tlbor ( llr(Lt&ula] I hddy .trm un& Frny ol FiEy rl'i I h tia.d utr& FDviilI of Cll.9r6 9 (oltlllBiis *'ith Serb. 70m) ol Divnor ! of th. 6Ei6 !i Pmfai,B Code rn E, lt.u i! h tull 6rc {d.lIEl 7a,/rly / I ha.by dtlm und.r Fuhyoapdjuyrhd tlE i. @nnrudior Lodin* lsdcy for rh. Ffotuc. of rhc @rt &r *hich 'hn p6nn i isu.d (Sa. 1097, Civ. a ) AIIUCATLD!(:I,ABAIq! I ba6, rn'm ui.ld F.lr, of Fjh r. oc oa llE blln{ ins &.1&rl iod: [rnehion PmneA$drot N.fili.nhn r'.dc.l RqtuLrirtu l'1 1.40, Fer6l R.qrt d Ldld of t{di6.ibn -l rdify 'h, tlE fdLr.! l.3lLhB r.X.din8 atdo! rdfr\ .l &. d pli.lbL ro thir FoF. I cdrry lhn I hrv. Gd rh! .+?la.tbn .rd srr. rhi rh. .hr. 'nroin&. a .der I rgc to .onpb q hh .[ Cny .!rl ( od, ordi'lm6.rd Std. La. r.lrtr*illi.e .oiitucrnl! .d E<r* lurbE! r+.erin6 o f th[ Chy rd ( our] 16 6ra uF)n r .borc tEl[El F)Fr) ff ,\pplic.nl or A16l sho.l w ?/+/r Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bondin g/Grounding/UFER Transformers Torqueing Sub-Panels Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) lqeilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough 3-11- 11 kJ/ll0) Service Meler U x FINAL Lf-16*t'1 )tWh Notes, Remarks, Etc v\f COMMENTS Air Conditioners