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APPROVALS DATE COMMENTS OW ER AUILDER DEUCAT TION
<br />I h6rb rrr[ un& F.]ty ot FJury dlr I m qdDF 6!n $. Coil,..r@ L(6. tj* ror llE follo*ia ,a,n (Sa ml I 5
<br />Busi.s rld Profdion Codc) An, Cil, or Couiry *,rkh r.quir6 . Fni lo @lgrucr, 1116. i,prcve dsnoli or lq.i hy
<br />tudE.. Fi'r ro iB illrc. . Eq!n6 E @lksr tor e.h Fnir ro liL. 3sr.d iraEr rh. lE or i'. a licaE d Frrsr
<br />ro rlE Fsririra of lrE Co.t&ldi Lia.rd t * (c}qia 9. ConlllBi.B wi'h SdirD 7m) or Dnirion I of llE &!i!B nd
<br />Prcfdio Cod.) or th.! lEorlncnddF lhs.from md th. b.ii! f.r tlE dtcr.d dmFion Aryvioldio.of Sdtn 70115 by&,
<br />.p?licur lor ! Fnn rbrrr! th. rpplic.d lo r cir il Frn' of mr mrc rha lir. hu!r&.d &rum (1500)
<br />_1. a ow or rh. Fnpatr. or my dploy!6 wnh wag6 B rhd Fl. $mFroalio.. sill do dE sort cd rh. dlu<lE ir mr
<br />i,{drjaj d o,Iatd fG sl. (Sd 70,1-{. BuliB Bd PDldi,6 Cod. ]lE Co r.crd t t,aoe Llw &€,Dl +p1, to n ow ol
<br />rh. FrFry r k' bil6 d r+o€ ta@r .,i * lb (t6 *l rqt hi@ltor hd*lf or tl,luai fin n ls osi 6plo,6.
<br />Fovidql lhll .uch ioFlrqEn! E rcl -Iroi.d or olH t'r gl. l( h,ws. llE hrild'ra o inF$tsEn n eB *ithin om ,E
<br />of@nddior llE OEE Suilda *'ill lEw tlE h,rlo ofFrrrs lhi lE tr E dil !$l hliB s irsovc lh. FDFty 6r ilE Fnporor
<br />_1. a o*E of rh. Fpdty, m dclusn ly.otu&rin* wnh li.aEal coddoEro or'rlru llE rrolxl {SE. 7Ou, ttBI6
<br />dd Eoki.. ( o&: TIE (o, ndof r LtN L!$ dG mr .pily ro e otrns orFopqry gho hll& or inprctG rh6@..
<br />md *ho on6.13 for iucl' !.njdr wih ! Coirtro(3) lEo!.d lldudn loth.Conlr..loi! Lk.e tl*)
<br />-l
<br />&t.rnF u,r& sclion--. B & P C for rh6 rd,n
<br />D.I.: O*n.r:jiAAT!8TIAIIIEAIAIIA!
<br />DEqdBA]IAts
<br />I hq.h, amrm undd Fn.ll, of Fjury on. of $. aollo$ins d(l{ltioB:
<br />-l
<br />h.t !d s'll Mime. Colifr.r. of GM1r lo S.la-ldu. fu wldr .o,rr.Nhq 6 Fbrd.n lor t, Sdion l7l)O otrlE
<br />libor ( odc. fo, tlE pslol]llmc of th. uoit fo. which lh. p6nn a is!.d
<br />I h.r..txl rill Mi lin s*-r onFdion 'M4 s rEtur.d h Sdiion IXD otlh. Litot Co<!.. for tlE Ff(ffic of
<br />th. worl for which thi! pcEil ir isr.d My eortdt' comFdion iBMcc tuii oyi Flay nu E dc
<br />Poli.y Nubq:-Erpn6
<br />_l cor,t thr i. rlr Fiolrjjec of lhc worl f6r whd thB Fnn . suo1 I rhrll mr mphy uy Frn r uy mffi
<br />s B to b.com. !!bj6l xr lh. m d' oq,sldhn bs oac.liiomia ud asr rh.l if I rhould b.<oft 3uu<r
<br />'6 'lEuortd' onFunion FovilioB or Sal[n I7m of rh. L.tor Codc I idl fodhnh onply * nh rho* FovBiod
<br />wARNINC Fi,lur€ io sr. srld' onroebn erdr*. Ls u,l,$rul. drl ihall sobjdi m nploF lo ainind Funi3 {d
<br />rivil lina up ro oE nurtu tho6er, &lbr 1cl),00o,, in .ddhion b dE or ol conFqlor d&.ad ! rtu\& to. llE
<br />Sdiin 1076.4rh. tib(rr C6& inrd
<br />UrrLt&llI-D
<br />I halby dlm u,rld Fdt of Frry lhr I s licaEd u,,& FDlirio olct.flq 9 (6!t1:1&.ins {ib s6t.a 7m0) of Dirlrb. l
<br />oa tlE BdilE ed Pmf66E Cod.. rn Dy lke i! h tull foR rd .lbcr
<br />=./
<br />I 'Eea .IIrd uldd pa.r) of Fj6y rhd (E! i! . oi.nldirn ladiq ,sc, ior dE F6.MC of fi. wt 6r rtih thir FEt ir
<br />is.d (sc. 1007, civ. c.)
<br />AIIUCANLITd:IJSAIIA!
<br />I hndiy rffr6 unds porhy of pdluiy o@ ol rhc follo* in[ deldarioN
<br />D.mhioD totneAltcror Norificdion l.d-d R.*ulalioN ( I irL 40, Pu16)
<br />-R.{uiEd
<br />l..il6 of l'Jolifi.ixn
<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 / Dam pers
<br />Communicalions Cable
<br />Building
<br />Bonding / Grounding / UFER
<br />Transformers
<br />To rquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL J-t- r\J )a slF ,Cr-jt
<br />Notes Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORD
<br />ID/SIG.
<br />I ililrct,..tr,pl) s hall( ir,dnd (-oumr
<br />olrin Cny ,td CoEr, ro dd l{on th
<br />a -/ - lq
<br />Under Slab / Floor
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