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ELECTRICAL.INSPECTOR RECORD OWNER BUILDER DET-CAR TION I hd.lry dlm !id6 Fdy ot Fjut, drr I m darpr &!s llE clfrdd u..M ta for rlE aollo*ig run (sa m1,.5 BBi!B dd Prof6i6n Co&): Any cn, or Coldt whth r.q!i6 r Fni to onrrud, .lta. i'q.ove damlah or rqn &y rndue Fnr ro it3 iMe.t EqriE th. +pliel for sh Fnn lo fik ! r'sEd nroEn lhrlEor-.ilka!.d F,ird ro rl'. Fvtk'B of llE ('olfIld'! LE,.{ t * (Ci+rs 9. Co@in8 snn Sdbn ,00o o, t viri,n :l of lh. &!i!B ud Pmfdioc Co&) or rlu lE d dE u .rargl thr!6!o .d r bGt for tlE dh.d .targiri Iy r6ldEn otscrnn 701 I 5 tt ey rpplii: 6r. Fnn !U6r! rlE TplKur ro..i\ il F ny.f mr mE rlEn fi r nuid.d &,lltr llt00) _1. a o$ffi of lh. F.Fry. d my anpb)â‚¬ rdh *.s6 - ilEn ik cotrp.dhn, rd! do dE sdt rn dE rfdE i ml inod.d or oF6qj fd rl {Sa 7044. t l]l!r 6d ftDfsioE Cod.: TIE Coilr..ld r LilE l.* &6 nor ..,r4 lo 4 o$c oa t,E FlFiy *tb hritik d itrt o\s tlE4 -d *rb d6 rrn wt niN.lao. h.Blf oi lhm!3h hir r lE om arb)E, Fovir.d rh! $ch iiFovrc$ e 6r dqxLd 6otuld fd d. ll lb*Gr. rlE hoildiB or hryrffi i! nli $inir @ '6of@nplri,r\ rh. O*F 9uiBd $U h.E ir hd.r orrrDE{ tli lE d 5lr dil ml hdd ( niFlr. 0E FoFry 6r dE F4or. oa ]!.11-BI-!:-B5-l-Q.l!!ll)llua.lutll.!!!!!a: I hd.!y tflim unrL, Fulry of FJury oG 01ln. folhtr us d.clsdnB: _I hrvc rd *ill tuDr.in. Corif.r. ol('o6aI ro Srrf-l,.e br *uld .mF.Elion. d Fnlil.n 6r by S.(!bn 1700 of llE rltq Codc tor llE pdfolrl4. oallt 6t td *t'th llE Fhn i e.d. _l ha.r.d *ill unl.in e*6 conFllir. iBjtt..6 Equid bySdb.lrm of rlE l,b (ode for lh. Ffoffiof dE *uI (r Dhrh rhir pdhn 6 Eld Mr wld' @mp.,!.5a 6ijff. ffi .n Fky Mbd E: ,.u ltulltlu zztr-/. --' hf? qb4 //?o z I cdiry $d in th. pdtollrl4. olth. worl to which ihi! p.mn ir irru.d. I $.llnol orLy !.' p6en in tny mrnd $ a lo b..omc auqd ro rhc *orrd onFBdion lrw! of Cllifotur& ed rsc rhd if I lhuld heom lubjdt lo llE wo&6 .onFerion pruvaioG ot s.<lb. lT00 ol rh. lthor codc. l !h.ll. tunhw h comply snh rh.r pmttioE. to suc $odsl comFMlmn co is unb*fuL ud sl'!U iubrql e Enrk,)f ro mh.l psDnis dd hu&qj rhousd &llB (l100 hn, .lan.!d d Fovid.d for lh. lt!L]&uto: I horty .fim !r'& p@.h, ., Flury fi. I u li.E d @dq rmvtio! ol CIlsIE I (offilB *nh Sdrbn 7000) of Dn-bio. l of ln. tuiB ed P,!fdb6 (odc. ..d 6y ltqg a . tull [oN !d.iE r re 73 7tz 1la loB5IalcrIodLElD|xGTGEl(} I hftby af'rm un&r Fn.n, o r FJu.y rhd rha. i! . .odrudio. Lndi.B a{try for lh. I'qfollrlu. of lh. *ut fo' whth rhL pdmi it i$u.d(s( 1097.( iv c ) APPI ICANT Nf CLAR.{TION I hddy.trEh ui& Flhy of Fru,- oE of lt tollowir8 dchr.lioNl o.mlhio. Pdmnl^rbdor N.!in..' irn F.d6ilR.luhrioN (Tnt 40. Pd6) -R.quir.d td'6 of &riftdion -l cdri$ rhn G. fqrdrl '.suhi.6 rr.(tlns Bbdot rm\ al &. mi rpplk!5k ro rh6 F.r.d -l.dit'h, I h[.'â‚¬d rhir +plr.ln. rn nd. rhd tlE !t \. inaotuhn s con6l I .3r lo odd ) *nh d Ciry .,!d codt , ai C6d, ro ora l+oo rlroijmmG !d Sht l.u3 rcki.n ro tr hg .urbrn. r.Fe tr 6 of thr ( ( .bor. n6rio*d FoFny for Appli..nr or Ai6l shn.tur. APPROVALS DATE ID/SIG.COMMENTS 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 \.Wrd, Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unil Walls (Conduit) Walls (Rough) Ceili ngs (Hard & Soffit Rough Ceilings (T-Bar Rough) tle-tenRelease w41 YWJtJ'O(NL Roush IaLBI I r-r1 \-t$t) Service Meter FINAL r-t9 x.l4$( Remarks Etc.IJ l\f L-u ,;r u/t</r *lK -1" x* Notes, -1. 6 owE ofrlr ForEry. d cr.luivcly .otirEriry lnh lico&d co'{,.c1o6 ro.Dr{o.l llE F.ial (sc 7044, 86re dd Ab&sin ('od.r Th. Conlrrctoi! l,ic@ bw dG nor.pglyro o ownE ofprop.ny who brild! or ihprovB rhs@o. &d who co'rE dsnn$cn Frj-r3 vith ! C.driclo(s) li.oN.d puMln lo th. Conl..clol! I-i.4.Lw) _I m cr@pr @daS(lio._, B. & PC. for $i! l4on