APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under SIab / 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 />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 6 t\ )L uc[\
<br />Notes, Remarks, Elc
<br />->
<br />OWNrI AUILDEf, DEITC R TION
<br />I ha*,.fiim u.d6 Fd', of Fjury 'hd
<br />I o qanF 6!n rh. Codd6 ti@ L.* for llE 6lhwi4 tu (Sa70!l J
<br />Burin6r rd Profdion C.d.): Any Cny or Couny whkh r.quic r rEnn ro onnrud, ild. iirrovc. ddnolilh or q!, My
<br />sttuctB., Fior ro il' i!ruu.., !b. .csiiB lh. {,plicol for such For ro fiI. r li8n.d idG'Mr thd lE 6r ltE i licdtr d plmr
<br />lo llE FovbioN of rh. Conrrloar Lkd!.d L.w (cl!F6 s. Conmtrin8 wirh Sdrio. 7000 of Dtilioi I of th. Bsin4 ad ,
<br />Pmf6ird ao&) d tllr l' d JE L <oqr rhadon !n rlr tEn for rlt .lLscd sdFion An! violdbnof Sdb.701I J by my
<br />.rplic&r 16, r Fnir lbrert ilE @ltor ro. citil Fonyorht mr. fir lir. hui&lrt d.llrt (15m,
<br />l, ! ouc orrh. pmFry. or oy dployB n'rh n'.s6 a rh.n 5L oftp.rtsdion, will.h lh. qul dd Ernrl@iEl
<br />inla'dql or ofi@d for slc (Sc 7044. Bui.d md PrcfdioN ('orL:1lE Coitrlclc r |icffi l,u do6 nol.pply lo d orG nf
<br />rlr ForEry who hrill! or iiFv6 thd@a ad lhb .!06 kh s* him.llor h*lf or rhbl8h hk or h6 om mploy€.
<br />provi.Ld lhlt $ch imp.!\ddt E ml i,rdrd.d orolE d frtr sh l( tn*ss. tlt hildi,E or iilroEE i! $ld *ithh oE
<br />'aof@nphioi! tl' o*c tu&r *i[ llE tlE hrdd! ot Fo\itle rM E r 3lE did d hr]d m !tg!t! dE FoFry 6r ll! F poa of
<br />l, a ou,n6 ofllE !r.Frr, m .r.lEn.l, conranins *nh licdB.d codkoB ro odru.l rlE pl!j6 (S( ?044, BGi,B
<br />5rd lbtosion Codc Tfi. ConlEclois Lic.nr. l-.w do6 nol ipply lo e os'n6 o f prop.ny uh. huiliL or inphvd thae..
<br />ed *ho .onfus for iuch F.jds wirh a (bnlr..lo(:) licarn prBu.il ro th. ConlE lort LtcM ljw)
<br />I M.!d'n unds sarnn B & P( Id rh6 r.en
<br />Dr(. o*nf,
<br />\roRxFLs a oMPirrs^TloN
<br />DECr.AtAllo!
<br />I hfthr 6mrm und6 rdlty of Fiury on. ol llE followin8 d..le.tirtrl
<br />I h.!. -d siu Mim.in ! ( difE c of (tlgr to S.lf-lBU. l$ q.rtc .omFBd ion. E Flvild for b, !arn. I7m o f rh.
<br />bbo Co&. ld rh. Ff(xlj@. of rlE ssl tu $nih tn. Fnn 6 is{.d
<br />I h,\r{nl q
<br />'ll Mid.in rort6' (omF6d ion rNr.ma s r.qut.d hy S.crior l?G) of rh. Ltbor Co<k, f th. Ffollrlft. ol
<br />lhc sik for Bh'ch rhb p6hil ir i&Gd. M) worl6 .onpndrnn r6u,uc.cd. edr$lr) numbd m
<br />cm - Aog^ rn^_Arbb
<br />"^*;n"^n -wL<e\6Dl),,, 'ty't/m
<br />I ccnilylhd inlh.Frforoc.of th.vo for *nEt thG p.r'r i! i!ud.I shrlltul orloyayF$n in..rns6
<br />$ i! ro h<os. sbj6'
<br />'o
<br />rh. soltd comFrd io. hE oaclliaomn. M3 lgE lhd if I Jsuld bccom€ iubjd to lhc
<br />wort6 comp.Nltio.pNvilioB ofSdli.n !700 otrh. t bo.(od..I !h.ll. fonh*ilh comply wilh llDF FovaioB
<br />\rAnNlNC: fntuE ro su. usl6'cof,EdEdon cor6!s. t unb*nrt !d 3ndlNt al 6 onpLiF ro dnind Fll6.d
<br />c^il Ii6 up ro oE hundrd rlFur.d &tllu (tl0i).000). iI rldnion ro lhc .or .t (oip<6tioi. droB6 a Fo\irLd ,or rlE
<br />S.dn'n 1076 orth. L.bor (,o<k. DtE n !.d rlorEy 3 f6.;:",,.;;/E; :;,,fu
<br />/,fLI44Lfu\,,. A
<br />I hd.t'}.f'm uda Fsnr il Fru^ rhd I m lkqllrrufrlCfD\ &riTCh.F6 a r(,mffiltls u(h Sdnn 700or or Dn,rnn !
<br />or rE BurtrB &d Prcfdod ( o&. id my lto& a n rull forc. d.firt
<br />,,.,,.,,'t *'/ ll', /(L!b
<br />_,., lT lglly
<br />I l@by .ltm und6 F!!hy ot Fjlry thd rhs. i! , @nntucion ladin8 lgocy fr'r lh. p6fol1@c. of lh. mrt 6r *tltfi lhi! Fhn L
<br />is{.d (Sft. 1097. Civ. C.)
<br />tEdd'i Nrm.
<br />art!(AxfDEct aSauq!
<br />I had, dim undE p6.hy ot psjury oDc oI th. followi.s d(kr ions:
<br />D.mftn,n Pmits.Alhator Norificdion Faj.rl R.luliion! (l irl.4l), P.n6)
<br />R.q!,.d L.rl6 of Nor'ftri,
<br />I cdity rhn rh. f.ddlasuhrioB esedms Bhdros @ovdl E. ..r q,plicibk ro rh6 Ploi(
<br />l.dify rhr l ha!. Md rhir.rpli(ation,rl3hr.rnd rh..bov. inn,mlion is con.d I !{ia kr comply wirh rll ( iryandColiry
<br />ordi.aftd md Sr.r. ks. eldif,8 r. bllildin3 .odn{thtr dld h6.bt .!!triz r.F.dltiv6 o f lhir Cny ..d Counly k' al6 uFi ih.
<br />ah\. dh.trr{ rop.n) ntr 'nrtnrri lJ F,c
<br />^ppli.rnr
<br />or
<br />^.6r
<br />shnrrur )A
<br />tcrnilr n tr(l|rinl):r'-
<br />rc.frc/ll
<br />I
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<br />ELECTRICAL.INSPECTOR RECORO
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