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APPROVALS DATE tD/stG.COMMENTS OWNEN EUILDER DELCATATION
<br />I rEEby rmrfl u*Lr p.nlhy ol FrJUry rhlt I m cxcm0l film rlr G,.rt!(roft Lk.n{ liv lor
<br />'h.
<br />n'lh*ins E!5n (S.{.m] L
<br />Burin.$ 6d Prcf.si.n C.<L): Any Ciry or Cou.ry whkh EqxiF. r Fmn ro mnrrud. .lrs. in!,nv.. dcmlirh or nFn .ny
<br />3rncl@- Fr b air i(nft.. .Lo squir rtE +pli.!nr ror rEh Fmil h 6k r rilrd {r.md rhd lE r stt ir li...(d Fru,r .
<br />ro tlE rmviliont of dE A,nrrrq\ L&nrn Lw (ChrFd 9, Commns rih S.di,n ?(ln of Divi 'n .r 6t rrE ButiEn .
<br />Pmf.d6.r Cod.) or thr lr .lE ii.x.,r ilxr.nom.!n tlr tE.k,.r rh. rU.rtn ckrr{ran AnyvbldirnorS.{ri,n70ll.5br.iy
<br />dpl,li.ad ror r Frni suhF.htlt lrFlklnr ro.civil,r.uh/ofnor mr rhnn nv. hu.drcn doll s($!OD
<br />-1.
<br />8 tuB of rlE FoFnt. r ny cqrblsr rirh }rlrr [ 'hn ib dri{Enr.lion. *ill d' rli k*.d irnnmid
<br />id.ri.d (oficrn f( rl. rs€ 7044. B$iBi !d Pmr*bB Co& TIE C''rrrld.t Li.cnE t *.lo.i d .rPly h x orE of
<br />rh. prqdry *ho hrltr iqnEtlEEcdnwb&Esnh himllortftlf ot mulh his d ls.*n.i!ilor!6,
<br />rovrLd rhd rkh iqhwnh e mr id.i&rl m otu rfi sl.. lt h,*t6. llE tlil]irB or irFftftd k 3ld *hnin m ru
<br />ofcor,{,lcri4 rh. Ow*r Buiu.r will h.w rh. ttrrnd! of F)vin! lE nr \tE dil mt trid or hqiDE irE F)Fry ror oE FIFIE of
<br />_1. !j o*m' ol rhc F)pcd y. !m .r.he!.ly .onrd 18 $[h li.cn<n c.dra1(m ro .on{el ilE F,j.\r lS\'' 7(X-{, Burm(1
<br />nd ADIL\srn Culdr Th. Conrdols l-i..orc tj* &E! nor upply b m.gn.r o(Irolcny wh. builds nr mpnrve\ rh.r.on.
<br />lnd wh. conhcrs for ruch pn,Fk wirh ' G,nh.hnr) li..n$d ,urruiN nr rh. Conrrlcrr\ l-iccn{ I xs )
<br />_l mcrcn{'ronlr sdri,n-. B & PC iorrhirclw,n
<br />!).le (){n.r
<br />]rQ8.6};el-co}rlrNr -Il(]!
<br />DTS.ABAIIA!
<br />I h.rchtrlltrmtrn .rFnxlrrorFrrrrr_!trrolitk lnlkrltrrF,lr.lIrri(r
<br />_l h^. rd rill rodr'i. r ('dirr{. orC.rnmi ro s.lr-lnruE fd *(16r'onrEtrdi,n. r ForiLd ld by S..lhn l7m ol rlE
<br />tibor Cod., for lh€ psfollrmc of llt hrt tor *hth lh. Fmi' 6 nud
<br />,l h.vc lnd *ill minr&in *nrlcn .on9.n{rir inrurtn.. .. Eluir.d hy S6rhn 17fi, or rh. kh.r (irL, for rlE FfitrdBr nl
<br />rlE mrt lq ahat lhit Fmir t ileEl My q,t6 onlEn{rtn hsrrN.uit un F l.y nunlw m
<br />."*, Y\/\'lwlol r,.^h t'
<br />pnri.y r,,u,nt,,-ttN1!\(41!E9l3a I , \ , \..,
<br />-l..diry
<br />rh,r in rrx Frro,mm ol rrE utrt rn ehth lhtr Fnil ir irrxn. I rh.ll mr.nPloy..y Fr$n in.ry mF
<br />i, 6 ro b.om rubFr to rlt wnt6 orrx$.rin L*.f Cdifomir. d rgr rh! irl rh'u! lE or d*tr rd rrr
<br />m.kds, snFnqlion povnioN of Sdi'n ]7m oa rrE I rlrr C.d.. I rhrll, aodnq h .o'r{iy wilh rhot povtionr..
<br />$ARNIN(; l'rihn t, (ur. sorlcr( tutr{rnqrnn.r\c(Fc is unlxnlul. rnd \h!ll $hJNr rn cn{'
<br />cilil fftt !l n' or hu lrrrl rh.urd drll6 (31u).ux,). in .ddiri,n n' rh. c,i of. nlxn
<br />:.*li[V'"ii'i..?Ulu : ;;;' "
<br />lsgl.AaAlo!
<br />I n id'y rrrn ud.i Fn I, or Frrty rhn I ri li!.r.d !r.Lt Ftvni,n ol CIuFG 9 (flrllftri.! rirh sdbn 7mJ) or Divirin l
<br />of E aulia* r.d ProLi.irtrr Codc. lrd my lt..s n in nrl foN !d.fic.I
<br />r5-
<br />-llttv tr mtg
<br />r.i:re Nur.Er \ ooa.r q ?-r9 .
<br />16-a+{^f a€L
<br />-
<br />co^lsl1.l(Tl(lN I t\nlN(: ,r(:rltcv
<br />I h.86, l{lrn und.r FBlly of Fi'ry ln.t lEr. ir . 6n{.di,n r!dr8 .8.8y fG llE Fnllmd or rrr hrt rd rtli_h lhir Fni ir
<br />n(rd {sd .1097, civ c.}
<br />L.rd.rr Nom
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<br />t ndcis ddrc$
<br />-apPl l( l,Yr pEcl AI-^TloN
<br />I ho!{, t'm ui<Lr Fndlry o, F.jury om ol rlE folhrinS ddL0l ionc
<br />thmlirhn Pcrnirs AstBr.n Notifrdion kr.6l R.8uLl ionr lTi k 40, Prn6r
<br />-R.quiEd
<br />Ldlr of |ldirrrrir
<br />_t c.n'ryrhrrrh.frd.rnlrt.solrrion\ Nsurlr! d\trio\ l.trr)val rrt trrr xtDl($L t' rhh lh,Jr.raTalill d'ly rhd IrrEE d !tur .r'pltrr nn rd {ftrn rh rrr,F inr,,dr
<br />i;lrw md srx. tir. EhlB r. tuildina on{rurior .n h.Erty rdtnr
<br />fl n.tu l.3re lo ori y f,ih rll Ciry rnd (i,unry
<br />.-ddirtr oI rhis Ciry lil Counry h, .dd upo. llr
<br />.tEw nEo(i,Ed rn,Fdy r(tr inrFarn. F,Fq
<br />A|,Plicnnl or Axml SiBnnlfir
<br />I I'emile Nrf, lprlnlr:iDa,'r,tl f^.-,
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<br />2 018
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaoe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding i Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rough {tt ilr 5 Dsa ,"rf<1
<br />Service Meter
<br />61FINAL /ts i'tb LlztT,Nt
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORD
<br />Air Conditioners
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