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APPROVALS DATE ID/SIG.COMMENTS OltNrI BUII,DET DELCANATlON
<br />I h.rt, rrrn un rcr FMlty of Frjury rh.l I m .rq, 6!n llE Coftrm Li.nr Lr* for rlE,ollowint Er$n lS.< 70.!l.J
<br />BuriB. .d PmrFran C.d.,. An, Ciry tr Crul,, *hin nquir a F,n ro dhrtud. rr(. irirow, &mlirh or FFn .nt
<br />nrudm. prir to irr n\n4., Nlq, EquiEr r,t applilnr tor rurh Fmir io lik . riSmd nd.Bnt lhd ll .r ri. k lic.nEd p!tu1
<br />l0 tlE rmvnions ol rlt Cotrrtrrn\ Lic.nsil L.r ((t.Fcr 9. C.mmtuana *iih seiiln 7ux) ur Ditki'n 3 ofllE Ausim$ rnd
<br />Pn,f.(i'n\ Co&, or rld lr 6 lrE n .r.n!, ln.r!nr{ !d rlE hrt fi, rlE rlb8cd .kd+rio. A.y viohlbtrof khn 7(}.!l5tytny
<br />.ptli..d tu.Fmn.!bj.d3llr rpplk..r lo r.il rl Fmlt, oa n,r m,E lhln fivc huid,.n doll r($m)
<br />l. d n*E otrlE FDFny, n mr.rphFr wirh q.8a ai rh.i sk 6nrrdh( vill& llE ltrt !n llr rrurE i\ N
<br />inai.n (off.Ed rd{b(Sd 7ol1l. BoiB &<l Pr Brb Cod.: Tlr Coddd t Liff tir d(f mr+rlylouoEEof
<br />rlE F!Fd, ptb ttrildr o. intmB lrK,n. !d sls did Mh s'rr himclf or h.Rlf or rhmqh hn m h.r o*. .ri{i.}t6.
<br />rrcriid rh.l iuct in{FW ! e mr hrod.n qofiiEn fo. sL la, }n*tc. rrE l,iBbs d iniftwd n $b wirhin oft lE
<br />ofcorrihri{llE Orff Au kr will bE llE horen otF*iB t& hortE dil ml hlld d urproE lrE Fr,tqi, ftr rlE tolN of
<br />l. r! .*mr ol E tn,Fny. im.rcluriv.l, .ontdi.g *ilh liM-d co rNlN lo s..lrud llE FtrFct (56 1)4l Btrri*s
<br />.,n Etr&si.C.dc Th. Co trloir Li(nE t,w &B mt tnrl! ro u o*Bi orpft,irny *tb hdrHi or i,t{r,Er lhdan.
<br />rnd sho oflrk d trh |n,J.di *irh.Codhr,l3) la6rn pulu tnrlEconlr-ld r LirE L.*r
<br />-l
<br />.n .rrmpl u.dd Sdion
<br />$ol(FrL{ coMPrltsATloN
<br />DEltlSAM!
<br />I hdchy lllirh uftld rEonh, ol FrruN oB ol llE r.nl,r 'ry d.ck.r-,n1
<br />lhrvrtr *ill trlnrrir{(c rlt0lc"t(-,trhcnrn' Scll.ln\ut nn sorltdr conrl{ \rri,n,.!\ pn)viihd ntr h, Sc.ri( :l7lr)o,rhr
<br />lrhtrGr,r.lirrk lrrturlBr. or rh.su'l I'n $hrh ihr lcnni n a\kd
<br />I hlv. rnd*illnurnrrn r. crr .onF a\lrirn nrurumc- !r KtuiBl 6y Sr-r in r 7i I I nf rh. I jtir CGi.. nr rh. FnflEtu. .l
<br />,:::' " ir,{'i U ;i? - -Z;:,Fn\sr trln ,n\ufun( rtrtrkr ml tllf,y nun$.r et^ *\^-
<br />,,,.rn.,*. 6NrJ v.,la <, ,34, ?P '*nr", I .\.\e',
<br />-l
<br />cdiry 't!l in
<br />'lE rE.fnrmN or rlE *.it rd rhth rht rEmii I tikd. I shnll n .nphy rn, FMn '. .ny mnE,
<br />{' rs ro hr<)m rubFlr b rlx workd' drnlxn{ri.n hwl of CrlilUmir. !frl i8R rnd il I rlnuld lEonE \ubl..r ro rlt
<br />qi.kds' r$f{xn{riln 0NvishN or sdtun l70o of rtf, lrh, ad.. I sldl nrn h$iih .oqly *irh rhre J,nr!tb.\
<br />$AlNlN(: l.inm r' rrur. *rrkci\ ron'prn\rrtrn,.orrrr!. '. trDlr*lul. Jnd \hrll {hl{r ri ( oFr r, dminrl lir'[.\ xftl
<br />.Lli'AY'U1"zult1-""^''
<br />UCEIIEIEOAIIACI!}B
<br />DECIIAAIQN
<br />I lEEby lrrfr un&, rEElty ol rE riry rt I !m limln und.. nDlirii or (]Eprd 9($mmrin! *nh sdn.,cm) oaDiririon I
<br />ol ltu auriftss anl Pnrrcssbnr Code. o,n nry li..nE n in tull t('N .id cftacl
<br />:;:I,iirT
<br />t>
<br />-Li(n* Nnnb.r \@1n-o"
<br />E-"-Yv-<t12018
<br />IOIIIBUqIIQNI.IIDINIj.&GEICI
<br />I h.Et'y .mn undcr FMlly .r FrFry rhd llEr. h . on(nr1i.n Lndins u*.my lor rrE Ffommc or !h. r,{r tu *hah rht Fhi !
<br />ir\$rlls&.t{I)7,cn c)
<br />ATTI.IIANLDICI,AaAIIIIB
<br />I M, .rm uftLr F.rlry of F iury oE or llE folk'*in8 &.lJ.l ioflr
<br />Itmlhirn F.dnr A!t-r6r tlorifr.ri'n tdr.l R.SaLrirnr (T{ k rx). P.n6}
<br />_R.quircd Lrtrc. uf t{.riasrbn
<br />-l
<br />d rfy rnat thc f.ncral r.tlLrk or Eaddinr .dBh Efr,rrl N nr rppli.lbL b rhs FnFl
<br />Kt:yrhst I hr\c R.u thi{ smltrintri rl \rarr rh,r rh. rh,r. onlDbonn.{rN lrBrNn,(n{lysirhrllCirysrrl(i{nry
<br />rd Srdc u*!rl an! bbuillin3ronturr iE of $1r Ciy .!d C@r, ro 016 Won lh.
<br />*.,Hlu ,D x 2o1g
<br />!hr{ mnrbBd proFny tu inrF.1i,. pu
<br />Appllc.nl or Aaml SlaEluE
<br />P.mtlc rR lprl ):4 bl A,"6
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Salety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh 1n /rs, 9 -n€a l;'B#
<br />Service Meter q/t )/lb 9.'M tiriffi)
<br />Notes, Remarks, Etc.
<br />ELECTRICAL-INSPECTOR RECORD
<br />FINAL
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