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APPROVALS DATE ID/SIG.COMMENTS OITI{EX IUILDEX DEI,CARATION
<br />I h.it, rllro uidr, FEhy or Fry{, rh! I d ckrl$r fn,6 i}E CrrddrB Liw L.v for llE foll,wha u$n ls.t 7l)l I !
<br />Burim.r rn Pn)f*bn (a!) Any CIy or C@dy eh.h E{ui6 . Fni ro @lrrB1. .116. uqroE .l.mlisl or EFir my
<br />srdcrlr.. Fior x, ih il\umc. d$ EqliEs rlE rppli.ior for rlch rrmn ro fik r ri*ftn {dcmni rhrl lE or.lE t ltlnsn pldul
<br />lo lh€ FDlirbnr or ltE Conlrltr r l-iccnri l,* (Ch. cr g- ColmEin! *illt skrEn 70m or DivkiDn 1 of llE BuriErs rnd
<br />Piuf.sil C.d.|u thd lldrlE B.Enpr rlEriim.rrl rlE b.i!i rd ft.lblsn.r.n+b. Ary vi.hliEofs.crio. TOll lhr.ny
<br />.,Tlt! ro. s !.mn subj€ir rlE .t'nlicrnr ro. civil Fulry of rcr m,E rhd fi e. nudrcn dhL^ Itl{D)
<br />-1.
<br />.r owE ol rh. FoF.ry. r my .q'hFs vnh r.!6 .t llEn $l onrE.dhn. ,ill & 0r krt rd dE r,nE ir Br
<br />i'rdd.d ( on En nr rl. r Sd 70,1.{, Bu.iBr lld Pror6rh6 CorL. Tlr CoddrI Litm tle dE mr +1, lo, otE of
<br />rrF I,DFny *r$ trildr or iqmK llmtr t n rb d{B uh $n himrll m LElf or ttwush hn ot her oM.npktFr,
<br />proviLd rhd rri inqnkrd! G d in rn d inotrad fo. sl ll n,ftw, rlE biUh, or ilry.oEr bsldeihin.x,qt
<br />olqrl+tri(a 0r O,E Autb,iI lbr rh. hnLi ofF,i.r rlt lEstrdil6rhrB q+.oE rlE FtF,lm 0EF,FE0f
<br />_ l. r\ oe w or rtE I'llFn t- am .rrluarly .onrd6g *irh li.!n<{ codn t,ft b con{Mr rlr ,rJAr (Ss IXt, Buqrsr
<br />.rd Atllsir O{.: Th. Co.tdof ! Licc.F
<br />lrd wto srnlncrr tn rKn FoFri *irh i (rn ryply ro x ovF oa FDF.I y *L b!iB! or t4ro6i tlEh.
<br />3, tirnrd putud b rrE C.d.{tr r Limr L!wr.
<br />'/
<br />l)lrlaaArat
<br />I hcrchy rllirn, trtukr Iimlryofpcrrurt om olrh. n,lh$'n3 d..brarr)nr
<br />I hrrc sil f,illminrai'r r (.dirrdrc trrc(,nsd h S.ll Iirur. f(, wlda eonlEnsi(,n. !r F)vidcd li,r b, Ssrb..17(tr olrh.
<br />Ltrtr (i'dc. (x rlr F mrEr oa rlE f,nrl n, whth rtE Imj! i\ tr\kJ
<br />_l hltr.nd willnuinrlin w. cn.on{Enssrio.i'NUaru..us rcquncdbyS.rri,n:17($olrh.btxtr(odc.lorllEpcdirnuneo(
<br />l,E $ork lor *hi.h lhilFrmir i{ ilrrd Mrk,Idi oqr.di,n 'nrorrtu..!nar drlF,la! numtEr r
<br />-l
<br />c.nify thlr in rh. pcrrormftc urrlt work aor ehth rhh Frnir t Nru.d.l rhlll mt.q,hy ony p.mn in iny tuntu.
<br />$.\k,lE{mrubF !i,rlEf, 16{ mnFrrdi'f, LEr of Crlifomn, 8rd rlr llBt ifI rlDlld b.(om {bjdr r.'rE
<br />Ert6 odp.dion FrvrbN of S$li.n l7u) ol 'lr l,nr Cod.. I tldl- f{xo*nh 6nqly rth rlbr Fovbi,..
<br />WARNINC l.n'luk n, {..urr sork.'\'.o rt n\rri()n rB. ir unhqrul. &d rtull suhirl rn oDbyu lo cidiAl Fditl 'id.iv,l tims q' n) or hx'rlnd rhrqll dolbr 'n .&t i)n r) rlr ro{ oi corr{Ensrio.. d.mXsr .t tnrvil.d fr rlx
<br />::w[qb *':
<br />4. It" llv,,L
<br />EECIIEAIIITB
<br />I h.Eby rmrmrndcr Fulry 6f lctnry ihll I !m lkln$d und.r povli,n orCh.nrd 9(.onmmin8 pilh S6ion 1000) ofDiviiion:1
<br />or Ir AuriB .,!d Prols-B Cod.. !n dy lt.E i h tull fle .d cll<r
<br />ra8slf,!]qrlQN.LtaDtlG-AcEUla
<br />I lEEby drrm uds rf,Blry.l rErrlry rhd llr,c n , snnntlh. Lidi4 +.fty ror rrE FrollrEnt r)r ltr wt for *tih rhir Fni !
<br />is.!.d (se lm7, civ c L
<br />AITI.ITANIDE!:IJf,IIIIId
<br />I had'y arm undd Fn.lry nf p.rnt.y otu of rlE n'lk *in! &rlad h.!
<br />D.Bniion Pcrnih.Ashrkx t'{orilic.rion F.ncnl Rcslhr bnt lTirL 40. Prn6,
<br />-R.quir.n
<br />Irtrd of t{rifdin
<br />I cdi4 rhi rlE r.&r r8lLrirns E8rdiry .S.sor Emv.l r F{ .ppli.lhk ro rhir nmFr
<br />-l..nrry
<br />rhlr I hlvc rcld rhN
<br />odiMN$ and Srrk L,w\ rchrn
<br />lrrr(,nrJri nrir rh rlr.'hr. ' I rtkr rocdnrnlysfhrll( 'r] rnd (,trtr !
<br />yrurrxtr,. rct,fu\ctrh(ilr\olrhi\( ily0nd ('ntr !i, cntr urnn rtr
<br />rho\r mnrhftd ln)Fdy f(,
<br />it^o& vriliS (^?lo',X.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<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 & Sollit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meter
<br />FINAL ;-t".2/J*t,il '@{)
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORD
<br />Meter Release
<br />lflc(n|n u,rtur S..rknr
<br />"^,:drl@//b Jr- tliv" W.w*L
<br />I tr.r!.l lrs I k.n{ Ntr 'lrr
<br />lhle (i'nlr.dor
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