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APPROVALS DATE ID/SIG.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 />f[ Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFER <br />Transformers <br />To rquerng <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 />Meter Release <br />Rou gh <br />Service Meter <br />FINAL B-?*.tI-(o <br />Notes, Remarks, Etc <br />OWNER BUILDER DAIT''ARATION <br />I lE t, .rm ur& Fun, ol Fjo rhr I m q6!p tos r& corir&ldt' Uc@ L.* fo. llE 6llo*!!t lgn {Sa 701 I 5 <br />Burin6r !,n Prcldhr Cod.): Any Cny or Coudr ehkh Equn6 . Fni io N'ENcl, ils, inprovc. .litulah or qd 6y <br />$ucru.i. Fi, ro ir. &u!K, .&o r.qri6 rh. +Flt n for rut Fnit ro 6k. iisi.d nrqnd lhr lE d 3h. a licar.d Fru; <br />ro rh. FrvilioB ot rlE Conn.dd! Lrci!.d L.w (Cll4id 9. Coffiing wirh Sdlion 70OO of Divilion .l of th. 8B,6 Dd <br />Pro[ibN Co&] d th.r lE { ,E ir q6!gr rha.6qr rn dE b..ir tor lh. rllcg.d doidion Any yiohb.of Sclb.701M,6y <br />ip?lic.d for . Finir $bJat rh. applice{ lo . cilil p..ihy of ior Eoi. lhd 6vc hon&d d.ll6 (!100}. <br />-1. <br />s o$o of rhc FotEry. or ny dplo)6 wirh s.s6 B rhcn $E enFN.rion, sll do rlE ;.d. Erd E rM@ ir ml <br />i ar&l GoltEtd ftrrtts<.70,1,t. &!ir &d ftofdioE cod. Tt Codn td! li!& Lryd!6mr+9llto6o*Goa <br />rh. FiFty *tb bild. or irprDE dEw\ in who d,6 ch ed hid*laor hd*lf or lhmosh hir or lE on dplolc. <br />Fovit d rh, sh EFJvqEr. E d ncn d fioffqd 6r Ele l( lD$w.llE hildiry s nsssEi i! $ld *ihi. m <br />'cofodpi.b( rL o'ffi t\d(b wiu lB\cllr hlrld ofFoviry tlE lE or llE dn ft hnld d inFow dE FDFry ir. tlE F,Fs or <br />_1, a oqrq of rh. Fopd), m ct luri*ly co.rr-rils *ilh licqs.d cod8lon ro @trrto.| rlE Fnid (sd 704,{. lll!,n6 <br />!d Proki. Co& ft. Co r..ls ! Lic* tr* .1,6 mt.rtlr ro e o$c orFordy *h) bui!& or inpu6lhs@'!rd $ho co rrde fd ruch Fuj{r1! wi$ . Codra.ro(r) li.B.d |i6@r ro $. Co.ir.cld'. Lic@ bw). <br />_I m cr@pt u!d6 Sdio! .B.&P.C h.rhi r.en <br />Drt: o*rd: <br />*oRxrqs' coMPENs^TloN <br />DICIAIAIIa! <br />I lE tir .rm uDda Fllty orFjury oE of lh. tollo*ilts &(Lr.ln6: <br />-l <br />hI. an will uilrh r Carifrl. of CoMlr ro S.lf-lM. for wrldr @mr.urioq s ElviLd for by S<lio, :1700 oloE <br />lltor Code fn lh. Ffoffi. of th. f,sl for whkh llE Fmn ! is.d <br />rh. Mrk <br />rcqu!.di s<r.n liuoof rh.t t r Co&. ror rlEFtmor <br />h. Nltk. 6i.r nrl blk r nudbd d.\_a,.I <br />7d) <br />-l <br />ccn rry thir i. rh. pqfotucc or th. *o,k tor $hin rhn D.rnn B i$ucd. I rt ll nor dploy .ny pcMn in rny mdE <br />:' B ro b@c lti.rl to tlr k rd ooFBib. he. oac.l'lomi., drt .ere lhl if I rhould bc.m $tid lo llE <br />mrtd' omFMtio. provnioN oasdlion 1700 .arh. 1.b.. Cod.. I !h.ll, fodh*nh ompl, *nh <br />'hoE <br />pNubioN.. <br />WAII,UNO tnilur. kr su€ workm' coErdNlron (ovmac is unhstul. od lhall lubjd u o <br />$'l fuB up ro oE hui{nd I <br />s(rion 1076 olrh.libr ( o&, <br />{-L -r^- <br />I hq.t',.rm und.r Fdtr.arsjurythd I n li.c al undd For iri" of( lEpls 9 (c{nnffiios $nh S.rlbn ruoo) of DivilFn l <br />oa Ihc susrns .ntl Prol*'-H .y ri.* r . n rr r.'". J.-$n?'6/ 38o'',ifiY-&tT, <br />I hdtny amrrn unJs p.nahy ofp.rjury rhd rh(. Bn co.nruc1rn k doa qrocf for rh. tELmu.. ofrh. $otk ntr shrh rht IEhd i3 <br />ir&.d (sd 109?. civ. c.) <br />L.rd6'r N.e <br />- <br />AfIIIIAILTECIdEAIIO! <br />I 'ry\+ .trra u'ds Flrlt y ol FJu,.. oE of rh. follo\us &.Lnriou <br />Domlibn P@iry^rb€tor Norilicdhn Fal@l R.euLriDd (Titl.40, Pd6) <br />-Rcquncd <br />LdG of Nolift.hr <br />I cdift rhd rlE fal6.lr.gulatoN n8d'ns afBror rdovll&c .ot rflr <br />I cdrry rhll I har c rBd rha rcplrll'dn dn narc rhlr rh. ablc <br />ord,le6 and Shl.l.tr$ Elii,{ I rq(@"nB rrhs('d <br />ahr!. mdrEr.n p.oFny f.r <br />^ppliotrl <br />or rEol skn.lu <br />'i):;tr;"* <br />I <br />IIJDd?',.i\ <br />ELECTRICAL.INSPECTOR RECORD <br />a ,*^@'x! :!fl <br />lJrndi Ad:t*. _ <br />I lAra r. comrly $ hall(\ry.ndC. nr) <br />I