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ELECTRICAL-INSPECTOR BECOBD
<br />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 Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<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 & Soff it Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />,,\
<br />Rouoh 3*le-lK Y
<br />^L1C)Service ltrleter /,-)
<br />FINAL 7-Zo-lt6
<br />Notes, Remarks, Etc.\JU
<br />OWNEN BUILDEI' DELCARATION
<br />I lrrch, dirm udl.l F lty of Fqury rhol I m cxcq'l fmn llE Al'll r-lrF LirnE lI* ror llr tollo*o3 Era,n (s& 70.11 5
<br />Blsim$ :nd Pr.rc$hn Cclc): Ary Car, or (tudy *hih EquiFi . Frnir !o @.{rud. a[s, nr{hr. rkmlth or qu r.,
<br />slru.rur.. t.brr(' ns hrum.. d*, Equn.r(h. amlarnr tur ikh Frmt h nh r si8ftd rr0l.trnt rhar h.or <h. i\ lk.nsd nu uini
<br />lo rh. tfrftb.! or x C,nndtrr Lk.nrd lr* rch3txd 9. (il1mrint rirh S.dbn 7ffi) nf Divnirn I ol rlE Burimi. ..d
<br />Pm,csnN Cod(, or rhal lt r slE n crcnpl
<br />'lE..fiom.,n 'lr h.sir for tlr rllcs.n crcq,lin Any liobl bn .a scdion 70.115 hy.n,
<br />trpIU.,nr rora pc,nirruhr.crrrhc 'upli.d.i ro!civilF.n.hrotnot m,Nthd ilvc hundEd dolld ($500)
<br />-1.
<br />!! o$E of rlr rmrEny. n ny .ip'oFs sirt qF .. rlEn sl. oqEMi,tr *i! & dE qrl lit rli <.arG i E
<br />inr.ftld, d oft Ed fd rk (Se.7044, A!.im$ rnd Abf.lridrr C.xl. nE Crdmror'r Lim h* &Es nd q'nl, lo .n owmr ol
<br />rh€ pr'riny wlF hildr m iqmB tltca &d who &r *t qrt hielf o. h.relror rlmu8h hh or h.r ow..rpbr!.r.
<br />FoviLi lhd *h i,r{mwrrs E ml it flLd dofErd tu sh Il nMw.
<br />'lE
<br />h]ildi.rr d inFEtd n {! *nnin d Fr
<br />orcflrirbr@ rlr owG Brilhr *aU hrE tlE hnlcn orrFvrB r,u lid rlEdi, Dr tlild irv.oF t FfrF!, fn dr F,ID:ol
<br />l. .s o*E or !,t Fr{Eny. am.rclurikl, comrdiry *nh liansn !-nrxl6 ro on{e1 rlE Frd (s$ 7{s.r. 881Es
<br />lnd Pn'lFsih (idc: Th. Cu.trmroa\ Lk.nsc I-!q d6 B, rapl, h rn u*n.r ofrroFny ah. hurklr tr imFn.s rhcrsn.
<br />und *ho conrc.r\ for luch 0oj.d r lnh ! Conln.bn I lirncd p!r$.]n l,' rh. Conrr.cttr s Liccnq lj* I
<br />l!Q8li}:Bs:11)lttAis,llloru[(ln&ula!
<br />I hc'.hy illirnr trrl.r n r'lrv,,1 p!qry.n..l rh. nnLNtr't ,lc!lnrrrrn,!
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<br />lI.E .,n *ill minrrh . C.nifr.r. ol Consn'
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<br />S.lr.ltr{rc fu qrt6i omFn<.rion. a Foli,.d ,or b, Sdrbn ]?m of rL
<br />Llt'or Cnc. lor llE pcformrc ofrn. mrt f whi.h rh. Frmil i. tsEd.
<br />_l hrB.it * l nrtnrrin rorl6 corFdir. 'NnR., E ErtuGn b! S4ran l7m oldr lrrb. C.d., for E FrillrtIm or
<br />rhc s|rl fd *hi.h rhii |Em ,r ii{.d. My }ort6 oqEnr.thn iBurat.dir dn Flry nunh€ c:
<br />I r.nn!rhf,r r rh F-norNm.olnr eor\ ktr $hi.h rhn pffmi n ,ski. l \hill ftn .ntpk,t trnr Frv,. i.!.Inm'tr
<br />v, r\[,trstrEiuhr-rt,rlrs. cB (r f'.n$rxr h$\o! (-rl'f,n'!. md ll8rrctlut ',I\hruu ttrrnE\uh|tr!)lhc
<br />s.*o( .unr8r! i()n fn)vinons .l sd n,. lTl r) of rhc ljhr Gxlc, l \hill. nfl hs irh d nfly Nirh r h'{ pr)vi\ tr,n\
<br />wARNING: F.ilu,c l. $-e *dloi omrr.r,ri.n o*rrsc i\ unh*tuI. r,<j stall lut'Fr .n 6ihlt, ro miml Feh6 rnd
<br />civil lincs uI) l(' om hu rcd lhousnd dolloE (Sloo.o(xrl. in addiln'tr l. tlE.rrt ofdnnl'ctrr!'n,i. datuscr rr !r.vu.d tn rhc
<br />S(li,n 10'76 ol llE t ta (rL. inlfttl .rd rlxrByt lal
<br />D.l.: Aptllonl:
<br />I ICFAI!iEI]I,CONTEAC'TOR
<br />IIlgIAIAItrDi
<br />I h.rclty,mrn uolr If,Nlry of F!n'l rhi I sm lrrhcl un]trf liolnioi o{( hrfld 9 rconnEftih8 rnh SRtrrn 71XID ol l)ivisirn l
<br />of lh. Businc* bnd PraL$io.s Grlc. rnr n'y li.cn\c i in tullnRrudcfitcr
<br />II.IAIf,I]CIIIJNIJNIIIXG.AGEUCI,
<br />LBlr,y rlfm !'icr FBliy o, Frrnry rh, rhs. n r en{odbn Ldarg .!fty ror rrE F f(m or ih. wld 6r $t.h lhis Fm. i!
<br />,r{u.d (s( l(J97, civ c ).
<br />AITIIIANLIIEII.ABAIIAN
<br />I h6it'y lnim lndd Fnrlr, ol lErrury uE of rh. tulk roB &{h.rt il.r
<br />Dcnrnili'n Pcrnih AstE(o\ Norifi(crion Fcdcrul Rcsuhri.,,\ (Tnb 4),Iun6)
<br />-k\ur.d
<br />l.(.r ol f*i ',iairh
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<br />(cnifyrh{r llE fc!.rul qulari'nr Erldnr8.slE(or rcnnlzlrc rer q'rlicath b 'ht
<br />pn,Fi
<br />I .cn 'ly rh, I h.v. cd rha sppla.r n. .,n {d. rhsr rh. ltlw rnrr,m,sn ir .(lld. I .8N t' mq'ly wnh .I Cny lni Counry
<br />odinlnc.s and Srarc liws El,rio! rD huildi.s coi\rru.ri.n. ad hcrh, &irhrirc EFE*ndnls ofhn Cny !.d c(runrylo.nls ug,n llt
<br />rlov. mmioEd l,mFny lM inrFdion Frpori
<br />\Drlictrnr or A{(nr siLnarun
<br />)til/5!l
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<br />m .rc6rr und.r Sdnn-, B rt P.C. for rhk rarn
<br />D.l.: (,'Ex
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