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APPHOVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Satety /Low Volta <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Bondinq / Groundino / 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 />Ceilinqs (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />lVleter Release <br />Rough <br />Service Meter <br />FINAL l7/Zol'tc 4l\hb <br />Notes, Remarks, Etc. <br />-+ <br />O\YNER BUII,T}Ef, DET,CARATION <br />I h.nhy 8fiirm rid$ p.nnlly r'f F.Jury rhd I rn cr.mpr ltum lhc (,nrtui.r' l-tcnsc l,w for lhc n b*in3 Eaqrn (5<.7011 5 <br />Burims rni Pnrr.$ri,n Cnt l Any Cny or (]rudy whi(h Equncs r F:ni lo c.n(ruc|, rlrs. improE. dc#nh ar ,4.n uy <br />neru.. Fn r, r sMc, rh. F iEi rrr roplier rr, ruh Fnir ro 6lc . riSFd sl8r.mnr rh,r h. or {& n lftnrn ptud <br />!o rtE F)iiri,ar ol rlt Conndhir Lftnrn lj* rcn fld 9. CollftMmr sirh ssrk{ 7(xl, ol Diynrn ] of llr Bulimis.d <br />Pn,rc*bns Co<L ) or rhr' lE or rlE n .x.mpl rlEEftom &d rlE tErk lor rh. lll.3ct .rcryri'n. Any virhii'n of strbn 70.1 I 5 b, .ny <br />lttliconlfor 0 pc,mil suhr.cri rhc rppli.anr lo acirilp.nrnynrnot m,crh8n fivc hutol,.d doueh (S5(x)). <br />-1. <br />ar owE ol rrr FsFny. (r ny .q'hJr<< wdh $.8d .r rlrn oL orFnrllhr *all (h 0. *nt !n E {dE 6 B, <br />Drcfli.n d of,.Ed lm sl tS6 7x4- B6i6 !n Prcf6thB C.dc: IE (nnlrld r tr.nr L{ dB d rp?ly lo u oaE of <br />rh. Inrtdy *lht ild!dirIn,ffitlE€[udplr'dGuhm hinr.lf sr h.rclf or lhmuah hn m h.r own cmphF.r, <br />!,oridcn rhi rhn ir{'m@dt E mi id.nd.n oroE r.d ,o. {l l[ lEkkr, r hildinS or inpr*rd ir $ld sirhin nft yr <br />or$',rFbbn. rlE ow*r Builtr,ill IEE 0! hrn n of tmviE rhr lE s {r dii ri hiil! d irq&E DE Ftdy ror E F,ln.of <br />L r\ osncr I rh. pmlrnr, r'n crcturncly (hrrrring * h n.cn*d .uitr.t,6 () .un{ru(r rh. F()F1 lS.{ 7l!,1. Bu\ik\ <br />rnl lh,fsrinr('d. ThcConrrr(l,r'\ l-i.cns. l-{w doc\ B (nDlyto 0n.rnur ol pn,pcny who hoild\ur i'nlovrs rh..co.. <br />M{l $h'.onkk1\fnrqkhFo}rr(Bnhr((8rfroflnlktr*dpu^unrr'rh.c.ntiftn\Lf,.nclrsr <br />l,m.rrnTr unl.r ^Lrxn, <br />Ir.l. ()rt.. <br />s:llBf,D8sl9llfl8tAllNafg.axallor <br />I lxkh\ llftr unlir r n ull) ollElir$oN ofih. n)lkt$m! (lNLtrarln\ <br />I h T nnd *ill minrrin sorl(! srltrNrr,n insurft(, !r ftluftd ht Sdhn l?tx) of llE t loi (ixt. fo. rlE Fl,f,nft of <br />rh. rork fd rhkh rhn Fnir ,r trrErl. My urrtda frnlEnuxn iBur.m..atrs orn Fniynumhcr u.: <br />r{cg4u-4v-,4>'k)a:LloztA+'44'/? <br />-l <br />.cnify rhrr in lh. pcrfornrncc ol rhc $ork nn *hth rhn Fn.i h nsocd. I rh.ll fln.nrl(,y rny !'.rqnr in rny mumr <br />v, rr n' tr$m ruhFr tu rh. *0*6{ .on,xnid i(,n bwi or ( arin,.n4 md .8N r hd il I \hruld tEom uhjc.r t' rlE <br />Iod.^ on{f,ns'i,n tmri\i)ft orSdhn lrmrrrlE bh, cdL.I slEll. r,fhrnh snwly $irh rb. nm!trbtr\ <br />W,{nNlNC l' lurc b suR *orlcu'.rnnn tr{tion d*rn n unb*til. rtrJ \lull \uhF-r ,n c'hpl,,!Ir n) mminil Brul!as rfrl <br />.iril fitr.s u! h onc hlndr.l lhou\und do116 lll00.ux)).l(liri,r r,' rlr co{ ol (trl|r1,ur( , thntr'lc\ 11 prortrlcd ntr rh. <br />,,,,'123a{ ^,**x ( <br />I h.'.6rr,lt utr,l., Ii{.rlrr,'l t{rluryrhrt l,r l'.ri{\l lm,rn6n ol ('hqru q (.'ntrrk,tr8 qilh S(ti)n 7(xxn ol l)ni\ir:l <br />or r,E BuiE( .d P,of6\i,ni CGi.. ,d my ltc.r i1 in rull loc rltl .lIR] <br />,.,..^..,*, ' C-lAltl r.,.,,'.'j.q-20 r"**".* <br />I hrNhy,lrtrm unhr rrnahyofn rjury thor llE. i( s con{rud Ltrdiryrt.r'y l,n rhcrrturakr olitu trork id*hnh rhn tf, nrtr <br />llltlt;Aur.ltEgJaAr]tt! <br />I h6dr'rrm o.&r Ftuty ofFr,lry.E of.h. ftnbri.8 drlll.rhn. <br />!>nx'lirhn Pcrmir!AriEnot Norifr.rio. Frd..ol Rqulariiff (l'irk,fi ). Pnn6r <br />_RcquiE{ l.rrcr olNoail.rllir <br />I cdltyrhd rlI fcLral rSuldiri hnt r.t[{rsrc rnJle mr afflr$Ltn rh^ l,FFl <br />l(d11y rhrr I hr\. 'dx(lrl,N r )l', rii,tr,ntrL. rh,r rhc fi trr nnonn rtrn"\ rDnc.r l uti(a r,.om0lv wirh rll Ciry r (nunry <br />rn!tuli,'.. rlh.rchvxurhtr/.'.Fr{ndnc\of rhtrC[vrrlCounlyl{,rtrr.r uF)nrlronnMrNsan'l SrarL.l r$s muiing n, tuild <br />rhr. nrninftn Dnf.ny lor inlrq.'.rirt <br />lpplit,,l or Ar.nl skmluF X <br />U"-,r* *.",rn*,, X.rE(,^,"123-d <br />I <br />ELECTRICAL-INSPECTOR RECORD <br />Under Slab / Floor <br />-Ihorc <br />od will'nnnrain a(tniri{rc o,(iu{nr l.' scll lnlurc fitr *ork8' $mr.nsir i(,n. ln)vxld ntr hy Ssrn'. .r7(x} ol rhc <br />litrtr Con . ntr rlE Fin{mk-.. ol rlE uork ntr which ilE Fmril n irucd <br />i.r!.d (sd 1097, civ c ) <br />trndc. ! Nrm