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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DETCAiATION I hadt rfrm u.dd pa.n, of pcju, tbt I m aoF Eoo rlE Cdrnclfi Uc.B t& for llE lolbsi8 rd'n (Sc 7031 5 Bsirs an Pro66Fn Cod.): Aly Cny or Coulry whah EquE . FEr ro @'Erud, .nd. anp.ovc, 4,Eli[ or lF.t ay !trud!r.. Fior ro i!3 i$ueq allo r.+riB th. lqplicor for !6h Fmn ro 61. . ri8..d nnd.r lhlt lE or ilE ir lica!.i luedn to tlE FrvkhB or rlE conllr.iEi Lrupd l,* (Cn+rd 9. Coomtrins wnh Sâ‚¬dion 7000 ol Divili]n I of $. a6i,6 -d Prolbr.B C6<t) s lhd h. d s!. ir 6o4l OactoE Ed rlE b6ir for rhc df8.d a6Fb. A.t rbtrbn of Sarbtr 70:l I t by &y .pplicd tor r Fnn lubjet] rn +rlicDr lo r ciril p. hyof rct morcrlE lifc hund.d &tlB (15(x)). l. B ow otrlE Ftrpdry. or my qiprryE $nh s!s6 6 tLi, -k oEFlnDi. *i! & tlE $qld ti. rirlE i mr ind'd.d u otrod lor rl. (S{ 7O,L. Edi6 lrl PiDtBnB Co<r. TIE CdLdd s l-i(!e br rlE d +ply lo d o*'F ot rh. Frl6, wh. l,]il& or inprDv6llE6( ,i who d.â‚¬ sh mll hiro.ll or h*lf or rlmlsh hi or h6 ow dploy.a, pmvid.d thd ru(h mFeEEii E hr nnd.J ofrqol ror sb lr- Esrd. rr hriuir o' rrysscr s $ll wihh m !tofonplri@ dE ()re &nLE tril h.rt rlE hrrbr otFqnS d,lEr tr di, N hr C d in+.o!r r FrFty to. dE Flpo*oa _1. B o{c of rh. FFry, m drluic.ly codraii.e rnh lirE d codmoE io ol!rul1 rh. Fnj.rr (Sc. ?0{.1. &ad6 !,'d PNkion Cod. Tt ( onir.dd'. l-i.N l:s dG mr .ppl' ro e orE orFoFlv *ho b{ildr o. inFo\6 'h6ocmd $h. .od6(3 rn ru.h Frjd. enh ! (nnMo(, kaEd r{Rd ro rh. (o.r'..ror't Li@ ti*). _l m .rnF uda s<1i)n ,B &PC for rhir r6n Drt.: Ornd: woffi sILi,coirPENsa]'roN lEqa8allgts I hd.6t.mrm undr FEht olFlol oE otrh. aolliNq rk<bdnE: -l hrv. &i will uim.b . Cdifr.|. of ColGr !o s.la- I@r. f{ wsl6r congdruon, 6 FDr iid hr by S<lioo l7o(l .f llE L:Dd co<lc tq rlE Fforltec of rhc wt fut rnrh ln. panir a i$.d I h.r. sd will nai.l.in wodsr (onp.Mlhn iNuronc., s r.q!n.d by S{tion 1700 of lhc I rhrr ('od.. fo, th. FfomE . of tlE {rt fo. qhich 'his p6nn ir (r.d My wld orp.MioD iM. cMir !d polq nmlt E: Pol'cr Nu6b.i l.difyth m $. paformmc. of rh. wo for shich rhis Fnn ir bu.d. I shnll mt dploy &y p6sn in dy n,JG e rn'b6or3ubiallorh.w d'smFErior l&! ofcdifomi!, !d agE thd if l lllould b<6rc sbr.r to rh. w*6' omFE rion FDvtiB orsa]rioo 1700 oatlr L.hn Code I dEll. forrhsnh sigl) {irh rt r Fottio6 WARNINC: Fntu lo su. worl6' coorqrdion ovdrs. ir uihn tuL .nd .hdl sbjd e 6phrr lo simird Frnil .d cnll rE up to om huni.d lhoulrld &ll!r (t100.0$). itr .ddnF6 lo llE ((,t of 6np.Gdion. dD,eB E ForiLd aor llE Sclhn 1016 of lh. L.!or Code s.n ,'d.nrq- ! a(6. ucEdl![.9l)!Ilalf(raDICIJIAIIIIIi I heby rm.n !.d6 p@lly o I Fjurt thrl I m liraB.n lndd Ftrvnion of(1ut{6 9 (comrE cins wilh Sdlion 70sl) ofDivnion l of rh. BBilB d I,r.a6b6 cnL.,n mv l(aE ir in tull for. nd.fid codtlrucuQlLEuDtrcacM} I Eqa .mm u.&r Funy o f FJury rhi rhd. s . odtudnn l.tdos rstry tor ihc Ffrnrm of 'h. *sl 6r rnih rhir Fhi ! isru.n (Sd.1097, (iv C ) ATIuCA]iLDECIJAAfII]! I lEi,y ltrrn u.dd Frty of psjury orc of lhc follosiq &.lralFN D.molirion Pdmir! Asbdo. Nori6..l io. F.dz.lR.guhiod (Iill.40. Pd6) R.quicd t..rrc of Nd,ftrir - I rdiry thll lh. fcddi rcsubrrB ,.s-dirs sbGlot Gmr.l u. nol 4rtla.hk lo rh! I,oj.d I .dity rhi I h6r dd rhir .IpltdF. .rd ndc rh, 0E .bo\r bao.Daioo a .otu I .Cc ro omdy wnt rll Cn' lrd Couty orduo.6 dd Sulc Lr*r cldue ro boildi.g conntuclio[ ad h@by.dhoriz. r.F@n6iit6 ofthi! Cn, lrd Cou ylo dlc uronllE .bor. ffiliorEd FFry lor irEpction Fs!.c .\ppli..nl or Ap6l Sign.lur. Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) L-ife Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough 5"t1 .[.V^t('l Service Meter FINAL 'r- lC h"vltll Notes, Remarks, Etc Sub-Panels