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ELECTRICAL.INSPECTOR RECORD APPROVALS OWNST BUILDET DELCARATION I 6y llIm qnld FEli, of Fjury $d I d qdF tm 0E Cotnr-ld Li.e l.* ao.ih tolb*iig @.(sc70ll5 &!in6. dd Profdion Co<t ): Any Cily or Counly ehkfi Equn6 . Fmil lo oErrud. !Ia. ihFove &&lirh or lF.n sy rrudE Ft to ir is!a.,.ho rcqlic rnc ppltd fors.b F6n ro fih t.igrld ir6Er $d tEq dE bliq!.d pored ro lh. Fnviris of r. Cont -:tdr k68.d Lrv (O!.prq 9. CMus uirh S<rion 7000 of Drlili.. I ot rhc Bu.ind ed ftrLsbG Codc) or t h. or rlE i 6c!F rhdcior ,!d rlE b6i for E .lLsod adF . Aly rnbion ofsctb. 701 ! ! t .v ay lrplkd for r pdmn $bjdr th. tgpli.ui ro . cililpauh, otmt mr. Oa 6\. hu&.d &llB ($m). l. s omd of llE FoFrr. o ay mployB virh w.s6 G Ih.t pL NnFsarDn. wi! & dE uvt !'d 0E nn.l@ i ml i,roi.d d ofia..l lor * (Sa 704.1. Bui6 !d Pr.fa.io cod. TIE Cdildoar lj.EE tn &d not +|t lo & o"E oa rlEF.F wrb hoil& d iFots dE![ en r'r$ dE nrn rut nieltor hq*lr or rtFosh ii. 6 hd orn celo,6. Frvd.d thd kh ,rqoEEr! G tur nqd.d d o,tu 6. rl. l[ rDEs. dE hrildlr or iis*q'd ! eld *itu @ ]sorcnpkiE dE()lE &rildd*i! hwdEhldarof F rE tr lEmtE dil ml hild if,p.oE$. FrFty 6r tlEF rocol l. a o*G olrh. rmFry, E sclunrly cotnrrlfu *nh koE d otudG to o.dM1 rh. Foj.d (Sc 7OrJ, ItllB,'d hot i6 Co& Th. Conldoit Lic.G rtr &)6 mr .p?lt ro n otr a of FoFty rlb t{ildr d 'nprnt6 thaor ad elb @lrrdi tor *n Ftr]et. rnh. Cofi-ro(r ltoE d,u!ei lo 0r Co'r.-:r6 r LilE Lr* ) I d .r.ntr und6 Sdnr. D.r. orrr 1!!a[Ea5:(auf!!sar!ar D}r(ln$arar ' hs.b aflim lnda po.hr- ar psrlD oocofth. a.lk)trin8 ddladNN I hlvc ert will mintlin . Cdlilic.l. of Coc6t t' SGlf- lNu. for worl6 comDqulion. s Eovid.d lot by Sclion .l7LU o I lhc LlH, Code fd 'h. Ffffic of tlE *vt for qtih rlE FEn b i$u.d I h.r..rd snl m'nr.in *0116' ..mFdbn iturGq 6 Equr.d tr,v s<ii6n !?m ofth. rlbor ( o&, for th. Ffoll1re. or rlE w ftr wtFh rhr pdEi ! isd Mr *ort6 smpq6d6. UBllmc ffi, rn rol,-., Lyelt] /"luaalfur L". P.,rclNuhb.r:' aLOooor fl7/ 61 lxp*ut /tt I .dify rh.r i. rh. FlolM. ofrh. *rrl lor whri rha F6n d iqEd. Lull nn dph, m, F$n ( &y mrF r a lo bccom !!hj6l !o lh. sold' comp.N.li.n bs! of Cdifomi.. &d lgr lhd it I nnuE b.comc sh6l lo ttt sr.t6' ohpsu.lion pmv6ioN of Sdlion 1700 of llE libor Cod., I tulL lonhwilh comply $ilh lho- FNvitioN.. IIARjIINC Falur. ro s@ rdld'6np.drn .ovd.sc i! u.L$tu|- rnd sldl $bFr o apLln to sitri..l FrlB !d ..il litr6 up ro oE h!.&.d rh.!t rd &'lln (trm.mo). i. .tldnio. ro rh. .or of.o mFdio( rh,i.g6 e Foriki ror 'h.sdbf, 1076 of rh. lrh.r Cod.. inr6d dld aomy I hdlby rttm u,!(b Fllty of FjEy rh.. I 6 li.a.d u,'& FDvirir of Clt l,16 I (@ffiios *rrh S<r!r 70m) ol Ditar.n J of rlE haiB rd PolBeiod Co&. .d ny li.@ i, h tull rora rn GlIEr. . -+4r1tt+Clnn :j.]Z-/a {41ec@ colllalclrcfirElDllc-ac[lcr I H'y .fim un&{ FItly ol !.ru.y thd rh@ ir . @rrnf,tb! lqdnt8 .3C, for llE Ffol:rec of llE md 6r *llth thir FEi i ie.d (sc !097. Ctr C) l.rjq'3 N@ ASIU(IXLDEC|JAArIO! I lEdr .fiin un& Fr.ht oa Fiuy o* of lh. folb$os <L.hri6d D.mli'iof, Pmn$Arb..6 Norirrdio. Fcdd.l R.suLrsN (InE 40, Prn6) R.quircd lnts of Noliftolhn I .dit thr rlt HdJ EgrldioN r.8iS,8 lhdoIoDrd r. d nplt bL lo !i! Fjd I cait $r I h.v. dd rlir qdtaior lrd i.r. lhi rh. rbovc inf.nni6. ir c6ar I tsE ro ondy snh tI Cny ..d Counly o,dtu 6 Ed srd. I iw! ELriry h t{ ildiB .oBrudhtr td ha.b, Drb.ir rcF.5riiv6 oarhn Ciry ed Couty lo dra upor rlE !bov. ndrion.d mFnv ror rorc.." lr@* r""*.",-^s,su-ql zfuz*-- ^'t 7-EJ7 r*rr--'.rpa,ryf, ' Cas/e, Ekt/+ Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceili ngs (Hard & Soffit Rough Ceilings (T-Bar Rough)ll t\ Meter Release I /'t /vll6a\ "\ Rough Service Meter I FINAL altul lrl DQP I Notes, Remarks, Etc (II DATE ID/SIG. I COMMENTS - /2. t+ I I I I I I