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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround 419-18 JJclat zfrg)
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bondinq / Groundino / UFEB
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Ivleler Release
<br />Rough 5-L1-tr.f,/ch*{rt>
<br />Service Meter
<br />FINAL r-?- t9 -t/cl ,lo 'tr)Notes, Remarks, Elc.
<br />OWNET AULDEA DELCATATION
<br />I lrdrry rfrm udd Frlry ol Fiury rh.r I m Gr.rri nDm rlE Colrr-i6 Lire b* lor llE follosiB llen (Sd TOll 5
<br />Busirs !n Pn,r6riin Ccl.)r tuy Cir, n Cd'!y *hih rqliB . Fmi t. onrd.l, .is, itr9rDt. d.mlnh d EFn o,
<br />irEtw. Fir ro iri i(!.d. .&. Eq!i6 rlr.ppli.sr rd lkh Fmn ro fiL. r'rEn n.ifrfl $d h. or OE k li!,Bd F,u,l
<br />roilE I'ovtbor ol E Conrdd 3 Liu*d t,lci.t o 9. (.t'nllmin! wnh Ssrb. ?01x, of Oiviiion I ol E au.ims.
<br />ProfcssnN Cod.) d rh.r li d rlr ii.r.n?r lh.rfton dr rE hars ft, rh. rlLsld d.n$tt Any,iohra,. ol S!.rbn 7o-l I t br&t
<br />.ptli.a't ro. i FmI tubirk rlE rpplt nl lo r .ivil FMll y of ml mE ihrn llv. hudt d dollrt ( 3i{D)
<br />-1.
<br />as oqmr or rhc pmFny. or my cmpki}tci wirh wdB.r r\ rh.L {)k .onvEnsllnrn, sill d, rlt $,il rir rtr smlB i nol
<br />inrc'rd.n or o,tcEd n, ek ( S( 7u4. BuiiEs. md PmL(ri.nr adc Th. Conrrei(tr \ l-i.n( llw &{r mt .rPly lo !n o*i.r ot
<br />rlE FrFny ub hoildr r intis6 thsqr and wh, dn u-h krl hin*lfor h.sclfot rlm!3h hn ot lrr own.trplorNi
<br />Frvid.d rh!! sEh irr{n,llmdr e d id.n kn $ 006.rl tu qL lt tnk\E. rlr hoiUi.E ot Dtmtld ir 5B *irhin,n Fr
<br />ofor+trin rtr(xrt EuiLLr *illhE dr hm,enofF vi,{ rh. rr (r slE dil hr bo,I{l iqn,E tlE Inlsr, tG rlE F,rrEof
<br />_t. .r owd.r.h FtHy, .n.rhl3iEly mdrxii.s airh lEsrn omd6 b 6dd rrE Fliti (Sc 7IX,r. BsiIK
<br />.,n PFasbCo& Tn Co.rEroii Li.cnc L,r <kB hr r,'oly ro r osE otFoFnt rho tuilrl. o. inpbE EEr
<br />rd *tb o,xst n, rEh Fri{r willl. Coddoio lirsrd purrutn l. 0Ecddd r Liw trr).
<br />I 3mcrrn,pr u'rtr SRriri
<br />n,. rkt hrr.hr aurh{17c rc|rrc\'niJru\ ol rh^ (iry
<br />I hrE !n rillEid.hr C.nirrd. of C.ncn h sdiINE rd $rt6 srFEdb ! Ftrvi!.d for b, Seli.r l7(Doflll
<br />trkr C.d.. rd rh Fnrm ol llE Et tu rnih llE Fni i i*u.d
<br />I h!v. rnd urll mfl.r eort6 otrtENibn iNrtu.. r! r.itrirri by S..lbn.l?u, or rlE lru C.dc. for tlE Ff()l]rlr. of
<br />rlE s t ror *hi.h rhi< Fmir ir i\r,.d My $dldi oriibdi{,. iN,re .dir rd ptiy nlrlE er
<br />l,rle O*n.r
<br />U!}BI :TN]A:QIIII'NIAIIANlrrlr'r&ull]!
<br />I h.rcht rl,nn' utrdrr Jrrklrlol lirlur! om otrhc n)l!,Nn,t n .hrrttrtrtr
<br />-l..nfy
<br />rh4 in rh. F,rrr.Erc of rlE vo* nn whichrtirrcrdi n !rkd.l shrllm! c,rllll'y.ny lcR]n i, any lMEr
<br />$ s ro tE$m surFl r.' rlE srt6 on{End irn h}r or (rrli(mi., !n .sr lh.r i, I trhlB ttroft $tl,(< to
<br />'lEmrt6' mryEnsri,n |nri3in\ o, Sdbn lTGl rt rrE trlrtr CuL, I {uI. rdhs'nl m'r$ly snh rh,. In ti.hN
<br />ry f 19-73L
<br />APp TCAIYT N}1-I AR TI(TN
<br />I Hry rtrm oid.r Fnllr y or lt.iry oE ol rlE folloritrt &rhnlihr
<br />Dcmlnnn P.rmi[.A.tBrd Norifrni,n tuf,r R.lahr mr (Tnk 4{r. P.n6)
<br />R.quir.d l.nd o, t*iirrdi,
<br />rcSthtions Egldins 6lt(or r.m,v!l arc mr +pl.abk b rhi Imx{l
<br />r !ppli.!r ion dri sr.rc rhsr th. ah,vc inr(fldn). ir coGl. I u8rc x! d,n!)ly
<br />rnd (l)unr, t. cnlc! u,rr rh.
<br />w^f,ltft(;: Filor ro r@ wldr'oqEnd,n ovrrc ! unL$tu1 rd rh.ll $hFd .. mThF lo ditind Fnrix In
<br />fimr rp k' .E hodBl rh)lqnd doll.^con or.oqx.qrrr. d.nr!$ !r Fsvncrl lor rrE
<br />N'n ll)76olrrk lf,h, (iiL
<br />'nr.r.
<br />I]IU"TB.IITUN
<br />I hrruhyrftnuido tr.slryol tkrJuryrhd I ur l'(pn)rai, ul Chl,lr( 9l connruun8 *irh Srrr i'n 7(X[) ol Dirr! n ]
<br />ol rll Bu.i',c$ un l'rol.\.i,)n\( ( c. rn ml. lrc {'trtrrldln{(ealnclfu.t
<br />I lErby iflirm und( FMlty ol pc.Jury rhar rtft n . i .dddbn Lnti.8 eg.rcy for rhc F,fdBBt or rh *fi lor th rhi{ F i!
<br />tcu.drs.r. tl)97. ('iv c r
<br />bndcrs Na!rc:
<br />LYI h)"rb4
<br />8l)rlB
<br />ELECTRICAL-INSPECTOR RECORD
<br />Under Slab / Floor
<br />Cair:
<br />L.d.r's AddEs:
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