APPROVALS DATE COMMENTSID/SIG.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bonding / Grounding / UFER Zll?/lt1 /At(rr)
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Bouqh)
<br />Meter Release
<br />Rouqh
<br />Z-{t1)t4 .,'44tC9/
<br />FINAL ))tz)t1 ,,ut"(cl
<br />Notes, Remarks, Etc
<br />OWNER BTIILDf, R I'EL(ARATION
<br />I ts.by rrrn und.r FMlly ol Frury llEl I e.r.q,l fian rtE Codtrrm Li!re bp ro. rlE folh*i.! rcti,n (sa70ll J
<br />Bu.incs ,n Prot (ion (od.r Any Ciry or G,uiry which rcqlt.i d lxmir to .onsrNci, !lts, rq,n,E dcm i.h or EFr rny
<br />srtu1m. Fi{ lo itr kurN- ller ..nu6 rh. rfirrdr ritr <uh Fmi! L, lilc ! .i!md {rdcrd rnn lE or slE ir lien-n llrsltll
<br />ro rh. ,ruvirionr of lh. ContEk" s l,ietr*d La* lcha q 9, Cohmftint *nh Se'ion 7firo of Dirnhn :1 of r,t BNin.€ lnd
<br />Pr c$i)nrCodc)or rh.r,Etrltr n.r.@. rlircftonnl rrE tr\a rr" rrE rrL8.n.tcrq'lhn Ary vhLrid or sdsn 70l l Ib)rry
<br />Eidta ,{, r Fmn rubFkrlE +I,li(rnl brcivip.Mllyolnol nmEltun nvc hunded doll,6 (stm).
<br />-1.
<br />ai oEE of ltE FoFnt. tr my crl)loF{ *irh *.scr ur rltn r'h con{rnerrnr. srll &' rh. *trk dxl llr rcl@ r fr,
<br />inlci.d orolYcrcd fn st 156 7(x,r, BlriFr i.d Ptor6lnnr (ild TIE Co rrrd r lj.cBL*&6fll+plyrornorfttor
<br />rh. FoFn, wlh biH{or i,pr.B tt.or dn wh, lllB {Kh K'* nnnscltor hmllor rhrough hir r hct om lnplorcB.
<br />Irovi|d rhrr .Kh uqroErdr n d in.!fi tr ofisRt fs sk la lbttu. rlE triuin3 d rp.nmd n sU $lhin oE Fr
<br />or.arrq .riro. rlE O*Er BuiLtd wiu lEv. rlE hndd ofprovins (lpr h. or.h. dil ftn ttritl or iqmE lh. potdy lor tlE lirps of
<br />l. $ D*ftr of tlE Fotrdy. !m c!.lu{rcly codralrns *nh l*nsn cor relon I' d,n{tu1 rlt Frttt ( S.c. '7(!.{. ltow$
<br />!d th'li\ciotr (olc lh€(onrr!.ttr \ l-ic.hrc LDU dtus ton spply(' mo*ncrofllotl.nyuho bui6.or im,)r rr rh.rd{.
<br />.Rl *ln 6nr rr rd rrh FlFdr Eirh . Ooddon ( I liancd (unn n) rh. (inirr.ttr \ I i.n{ lrtr )
<br />;:--""iriTil
<br />DEsutaftll!
<br />! hcrcby lmrm!.dd Fnrlry or Fi!ry um orih r(rlk *ol ikl Ln'r'.<
<br />-l
<br />hlE arn will minird . C.nif..k or Co.enr ro s.ll l.iur frr rst6( otrlE.!.lion. .r F*iLd for by Setir -17([ ol thc
<br />trlic Cd.. ftr rlE F forIa! of rlt worl roi shkh rhc pdnir h n!x.d.
<br />_l Mv. rnd *ill tuinhin work.r' ..qE...rion insurrEc. !r rcquircd by Ssl ion lTlD ot rh. tiho. Qrt . for ltE Frfotu. ol
<br />rlE tu l td *hih thn Fni ! ii.i.d My qctn on+.ndrr inru.N cui: ld Fliy mti*rr e
<br />-l.rnifylhrl
<br />rn rh.IErfortumt olrh.uork f(n f,hah rhrFrnir t s$.d.1\tullfrn c'npbytrnyFro. indn, mlnmr
<br />{' !s n' tE(rE subFd r, rh. w.rkcrJ.on[.ns.t k'n hq\ ol (-.lifomu. rllgErhd 'rl.h{HlE om.!bF! lorrE
<br />r. 6\ onqEuihnrn$isi,n\ of S.dhtr :17(l, of ih. I:htr Colc. I {ull. litnh*irh .otr{ly wirh rlsc fm!i\i,'ns
<br />WAININC F.'lur. ro rurc qxt.rr'q'qusrin omsc n unhrrll .d rhrrl .ubi\1 rn (mbrrr b aimiEl llEli\ !,t
<br />(nil llN !t' ro oN hnnJrcJ rh)u\ d (lollx6 11llx,,(xrr), ,n ion h th. .os {l cllttEnstion. d' 3.! .r F.}n.J tot llE'r;iik. rrdc{n lr dEy I f*r
<br />l)ir., f)I q
<br />u,!NtlIl!.I]
<br />I h.rd,v rllirn un,l.r Il(nrlr],,n Jtrltr'J_ rhxr I rf,I'Nn\lun(l( tro\r(ri 'n ( h.(nd () rr.n'
<br />or ih. Eu(c. nnl Ph6i(nn! Co& rn mv lt.n€ i in full ftrrc. arl cfiNl
<br />CONSI'NUL'TI(TN I FNNING A(:rl{CY
<br />I lrltt,y rlrrm lLLr FEhy of F rrry lhd llEE ir r sh(nrrion !din8 l!.ry ror rrE Frf(,rlEN of lh. *d ror shah rhir Fmil ii
<br />irludi (Sc. 1097. Civ C )
<br />aftllcnrflE(JlSarlo!
<br />I hdtt,sfmu r.r F.rl'y of Frlury om of ltl folk,uinS dellrrlionr
<br />Ocnnnion P.rn rArhcstN llorinclraoi ttd.rll R.glLrhnl lTnk 40, I'on6)
<br />-R.quiEn
<br />L'ls or MrirMlio.
<br />I eniryrh"r rlE Ldc.rl rstrLhrm E8sdi.!.stEqo( r.'mr.lc mr qTli kro$nFtFr
<br />I .d,ry rhd ! hrE rcd rhF rn,lirrhn ud rhl. lhn lE ftN 'nromrr$n t .orrcd I tar lo ornl, sirh il ciiy.,rj colnry
<br />ddioNr ar, Sr.rc rrq. EbritE ro t{iunrs @n{ddn,n. xrd l*rby,urhtriz. rcpE$nr0riv.r ofrih Cn, rrxi Giu.ry'...rd uF)n llE
<br />rli& nrnri,En rxotrdJ r(, iFx{iri
<br />^pproir
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<br />^s.nr
<br />sir,r.E K rcftfrt,
<br />ELECTRICAL-INSPECTOR RECORD
<br />Service Meter
<br />l,r.ns. Nunrttr
<br />-
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