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ELECTBICAL-INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS (,iTNEB BUILDEI DELCATATIoII
<br />I lE(hy rrtrm uElrr FNhy ot Frrrry rhar I m crcnlli fDm rh. comMon Licn{ tlr lor lB: follpein3 Ersn (Sd 7011.5
<br />Busin.is .,n hof.rrion c(il.): Any Ciy or (iry uhih Riuis ! Frrl li mn{.u1.1r6. irtrDE. &n{rh oi Ellir u,
<br />{MUrc. Fitr h nr i'ser. !l{' Equrcs th. q,plid for rEh Fmil lo fih ! ri8Rd rtttcnr lhd lE ot O. n lkcntd puNodr
<br />'o
<br />tlE Fo rilns ot rlr Co.hh i Lir.{d u{ lchrfld 9. Conm(r.8 *irh s...i'. 7fin or Divisar I of lh. BuriFr md
<br />Pmfca.x,ns (1rL, or ihi rE o..h. r.rcr{,r llEElrcm md rrE lfst nr
<br />'h.
<br />.ll+.n .x.nl'l ion Anyvhhrionofs6ri,n?0.115ty.o,
<br />lpplicsnr ror r ncmir obj.rk rlE rfi,licrnr ro {ciril p.Nl, of Nr mE rh'n nr. hudrcd &rlhr {S5m).
<br />-1.
<br />rs owmr of lh. FoFny. or m, .i{'hrr.. Bilh *!r.! .r rh.i $l. onFNrhn. *iI {h tlt *dt !n ft (ntiE i ml
<br />inrdid m of,sd rd qb ( Sa 7x,r, Buiimt rn Prlr6ri)d Cod., Tlt Conrndd r Lirn- lrr dB d ildy lo m opF or
<br />rh. FDdy *ts hoildr or intmEr r,Eur. !,n *ho &E! such unt hiru.l,or ltrclao' Ihexeh hk 4 rE own.npr,Fi.
<br />,Nvild rhrr rBh in{eltrniGd irod.d doitcd fd rl lt lbM, E hliBi!d irprNld t oU *lnhm Jr
<br />of $q,hi^ E OqE aui!.r will lrE rlE hrjdr of Fri,{ 'h.r
<br />lE m sh( dn ml l{ild or iqhr rri FDpdr, nr rli F Fcof
<br />-1.
<br />us owmr or.h. ImFdy, !m.r.lusiv.ly.onln]ring rilh li..n(d.onlruroF lo oNrrua-l tll lrej.{ lss 704,{ eE rt
<br />un PD.Eadn Codc TL Conrdroa! LtcrE L.* &6 ml lpnly ro u o*E.f |iDr.ny vrh huiBi d inph6 rh.rs..
<br />rnd *ls oli6dr to. iu.h pNJ.rB *irh . G,n'6ctdlr) li.cBd nunud' ro lhc Clonlr..bl. l,tcn$ L!w).
<br />I m gcmpr unds Sari,n-
<br />D.l. OrF
<br />w(r[{FLs,aoirPoNslr-N
<br />lrErilttarlo!
<br />I lErcby !firm!.&r Fmhrof Frury oE .l rh. ldlowir8 dsllrrion{:
<br />I h.E.r, rill mn'tin r C.nrtt... ol Co.r
<br />'o
<br />S.ll-ln$E fm *oits .!rq6slil)n, !s litrid.rl tu nySdion.lr(rr ofllt
<br />Lihx (idc. ft, tlr Ffomtu. ol rhc ao.t roi whth rl! FanI n is!.i
<br />-l
<br />hrvc lnd *ilr fr.inrlln *oi(cn .omncnrlliin rnsur!rcc. .t rcquiEd hy Sal k,tr :l7t)o or th. lrh.r Cod., ,.r rll Ffolmr. or
<br />llE wl [r vnih lhit rEmn n nr,.d. My torlsa onrEBri.r iNrre ffir ]d Frl., nlnrtEr Ec
<br />l( rl!rhnr rhc Frntr hr..ofthc unrk for whi.h rhr pr rnnl rs Lsucd. I shill trol chployrtry pci{on in rny nu.rer
<br />y,
<br />^l', tt('r sbFl h fi. so c.oqrnurn Lr\"4(.td .sr lhd ir I iDUU tE{or rul,r< ro llE
<br />$t'rt6 omJrnqrir. J|srnhns or sdb. l7m of $. I rlc.I \hdll. i,nhs hNnurly*ilh rlx,Ep0virios
<br />\lAR\t\t: lJrurc h, \'u. qorl.^ .otrIrn\$n ,lirL rn!. N trn itrlul. r,l n,' I \uhFli r .tr,tn,!\tr ().' trtrrl ttrrlrf,\ xn,l
<br />civil lin.r ulr h om hundr.d lhous.i &lLts I {ddirion ro rh. o( of otr'rEn\.Iior (,lmsc\ r. F va.n ld r,r
<br />I hL'rh! illntr,urrl.r nc' rtol FrIr/{rl urtlcr l]nittrrof( h!fln ')rr.nrrftDI s hSucrionTlxx)ruil)ivntr)nll
<br />ol rL Bu{ift(r r.d Pfl,f.$bn! c(rL- !,t my li.c.{ i( in tull tu^r.,l.fiNi
<br />Li.n€CL( <
<br />CD!MIl:EQ!l.EU!t!!illi!!q
<br />I lE..bt rrrm lndcr FMty ol Friury rhar rlEE Lr ! .oNrudbn LndirS iecBy ror rh Ffi'lrrm ol rh. hrk f!, whth rhi! Fn iir d (sd lo9?, civ c,
<br />Attttl]TNLDECl.AaAUll!
<br />I lloln, anim !dc. !.n.lry of Frrlry or of llE foll'*inr &tk r iooi
<br />txrrlnion P.rmnr ArtErtos Ndifrlhn kt.l RcgublirslTnt &. P!n6)
<br />-Rcqun.n
<br />L.ll.r oa t*]rifE rbn
<br />Icd y rhd 'tr l(krl Eph6laE8-d,ng r{htr rmtrl ft dn rlr r6lc n) rhlr pn,Fd
<br />-l
<br />{,lit rnlr I huvc rcy'rhk.r'y'r bn.,n trlrc rh.i rlr.rnE int m.bn i! crer I 'sr ro coi{
<br />qniuBs .nd Sl.r. l.*r Nhti'rrr1o hildins conrnF i,r un lEEhy lurtnri& rcEftnr.riwi or rhir C
<br />nh r nrnrrinutl trircny ritr trll\\rr\n I,Urr$$-l-l( ---
<br />Appll,. or A!!,l*..rrt- fl ,{ln td-"
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Founlarns
<br />Signs (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouoh
<br />Service Meter
<br />FINAL L-zt-19 Zzt<atr',/< -Z?
<br />Notes, Remarks, Etc.
<br />sNr nn l 16 nt rhc I jhtr c' r1.. rkrd .Ll drorav
<br />Pole Bases
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