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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / 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 (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lvleter
<br />FINAL Y-a\-1t ' \,v-111,
<br />Notes, Remarks, Etc vrv
<br />OWNER BUILDER DETI'ARATION
<br />I lEdt .frm !.dd Fn l, of Fiuy rhl I m adr?l 6oE rlE Conrdd Liu& l& for tlr 6llo*i!s @)n (sq70.iIt
<br />Burind ]d Profdioi Cod.): Any C
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<br />or Couny wttn rcqun6 i Fmi lo o.aru<r. .t6. iqroG &blth or rqr -y
<br />tEuciqc Fu ro ir. isl,tE..r.FqlcrlE+pli.dforshFnilt.61.tErEd dMllllrh.ornE![csEdPur!@t'
<br />lo rh. FovirioE ol dE Conrr.roir Li..B.d Ltw (Cl'!Fs 9. ConMi.e *ih S.6ion 70@ of Diriio. I of llE &!ltl6 .!d-
<br />Prcfdn6 cod.) or lhd lE d ir ir ddFr rhd.&o6 &d dr b6ir aor [E r]Lg.d aorFbn Any violdb. ofsdion 701 I t by dy
<br />,ppli.ot fo, . Frt libjcr! th. +plidr ro ! .i!il p@hy ol dor moE rh& fiv. t!n&d &,lls (tJ@l
<br />L c otrd ofrh. prrpdly. or ny mplo'6 *nh *'36 B oEr $k omFBnion, will do llE *ct rn llE rndE . tul
<br />irctd.d 6 offacd 6r sk (Sc 704t. B6iB rd ProftnioE Cod.: TIE ( ornrllor't Ltle Lro {bd d tpply r d oMa of
<br />th. Fop-ly eho hoild or irF.DE lhdoc !d rtD dE rrl sott nielr or lE*llor d,D!8h hit d hd o*n dlphlc,
<br />Fo$ii.d rh.r *h i,qorEEr! r d nqd.d do,bld lbr * l[ lF*ff, E tlildin8 or irq..l€Hl !! $ld wihi..n. ]6
<br />olcoipkia rlE OwE &rit 6 *ill h.it ttr h,rdd' olForrr rh.r lE or .t dn d tlild d iilht! dE FsF! 6r tlr F,Frof
<br />l, 6 osffi.lrh. F Fiy, D .r.luiv.lt.onlrding wirn lico!.d conrr&roB ro d,'rlrrtr.l r& Fnj6t (sc 7044. Bdrl6
<br />di Pn)tsr(i{. Ih!(tnt kn'sL'(dnl.,r d(6N
<br />an'l rho t.nImd! for su.hFqdswtrh a contk_.r,(s) I'c
<br />h to o{k ofFoFD trho b{ild!or inF.rBlh66n.
<br />puB!.ln 16 rhc Contdr.r'r L..e lrw)
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<br />I .mm unda noall y oI pqju._v oE ol thc
<br />Itlqa8drxr!
<br />I hrv. rd will minr.in ! C6ifE!r. ofc.t$r ro S.If-INUE tor sort6 c.nFBdion, 6 Fsridal for by Saibn I700 otllE
<br />r.!d Code fo. $. Ffollrl.E of th. wt ld rti't 0'. FDi ir isrd
<br />I h^..,i r ill ui .ir sGto omrErsrilI ierG.. B rqrn d qv S<lion l?00 otrlE ttbor Co&. tor llE Ffolruc. ol
<br />lh. wort for shi.h rfin Fnn n iEkd My wort6 NnFErhn iNrre cdir tn Flty nunbr &
<br />I cdify lt l in lh. p6tolrr1uc of llt *ort fm *ttn lhs Fmn n isu.d. I rldl m' dDf oy ey p6$r in uy DljlE
<br />$ B ro ta!ru ebitl lo rh. tr{6' comFM6n hs oa( dlilomi& Md .gr lhr if Lhuld b<oG 3ulid ro tlE
<br />$0116 orrFdi.tr FlririrB of Sdbr 17q) of rlE l.htr Co<lc I Cdl. tdlt$nh onpty { nh rh.e FolitioB.
<br />ub$ful. !d idl $brcl & qn9hlq
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<br />oinin l Frli. dd
<br />omp.Nxd.. d!@rd a Fold.d for rh.
<br />I hmby 6mrm unds rnall, olFjury rhd I6 uidd t@r i.F. olctuBa 9 (onIErills *nh Sdrion ,0Oo) of Di\ kio. I
<br />.l llE 86'nd.rd Pmfdt'B ('o&. rd ny la* i! h tult fo,c. rn .lfd
<br />coNsrnucnol LEI'{DIltc acENcY
<br />I lErtr .rm Er& FrXy ot Fjwy rhc rha. i . Ninruib. lddirB .Se, for llE Ffollrl4. of lhc vort bt *iFh rfia Fni .
<br />irs.d (Se. 1097, Civ C ).
<br />Ladd r N4
<br />AFPIICANT NFCI II( TION
<br />I nsd'y .r,m unda F..hy of Fjury orc or rlE lollosin3 dc(hrdiotu.
<br />Damhs. Pdtni-Arbdrm Norifdio. Falorl R.auhlbN {f nL 40. P.n6)
<br />Ra|ui,cn t,lld of l'roliftii.n
<br />I cdl ii lhi lh. tcd.r.l ,.suLrioB Esrdi.s 6l6lN r@$l d. nor q'PlicdbL lo ! hi! pn,j.d.
<br />nsr.rhdth.rbo\. infomaln,n is cotr.cl I aa6l
<br />rn lE.b,r .dhoE. Es@rdtrd ol
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<br />SAt f,&r cHt,C
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<br />rhRinr rftl a^u \ ro.t6 qt{rh.
<br />,",.AyLr f lV
<br />DATE I rolSrO.I
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