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APPROVALS DATE ID/SIG.COMMENTS OWNER BI]ILDAR DEI,('ARATrcN
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<br />applicd lor a Fmh iubjds lh. ar?licel lo ! ci il p.naly of ml mt. tho nv. hundr.! &rllu (tt00)
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<br />rlE FoFry *tD Urikbor inFr6th,q rn wlr dcsh wrt hid.llor hdslf or rcuafi ti! m lE oo 6phr6.
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<br />ofol4ldi.E tt OrE 8{ilda ri! lErt ln hrb! ofFlitg U'r EornEdilml hild m in{.ow,E FtFty tor llE F,Po.of
<br />l. 6 ow oltlE EDpsry. 6 d.lsiv.ly .od.srins wnh lica&d conB16 lo oirntu<r dE pmFl tS(. ,(xa, tt!!6
<br />,r'd Plobno Co&r T1. Cot rrdoir Licc* L.w r,c tul .tpl, to 6 o$M olPr.Fly who hlildt or inFors lhc@a
<br />6d $ho orc..r3 tor och Fj.tr! *nh. Coffio(r) li<d.d pl6u,r lo lrE cdndd ! l-iEu t *)
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<br />I hq.tr .llm uo& p6.li' olFiury m oftlE aollos'in8 daLdlioB
<br />I hrtr -d sill diln.n r Cdrifi.i. of Colld ro s.lf-lBE 16 6t6 @iFrlion. ! FoYii.d 6t b, SerDn trm ol E
<br />t tdC.daforrlEFfmofdE*dttu *tii llE F tr. i! is!.d
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<br />v..!n *nl @iddn m* coEFdion iffi.. s Equd bys..tbtr !?m olllE L.tDr Cod.. fortlE Ffl,lmof
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<br />I cdit rhn in dE Ffo,rtl.d of th. rort ior f,lfth rhB Fmn n e.d I !nr[ mi oqht et Fstr h dytu6
<br />5 s ro b@m $lirl ro lh. *ura oDFlrion Lf,! orcdifodi& d.sE rnr ill llnuld h6otu !ti$ to rh
<br />*!n6' @nFE b. FDrieioN oasdi,n !7m of rh. L!&x co& l lrdL nnh*nh ornh wnh lla FotbhN
<br />waRltlNc: a.ihr. b s wt6' odp6lrion Nv6+. ir ul$6rl rd J!.ll ubi.rl x dlPloF to stnnd Fdb rn
<br />civil 6E !p ro orc hutld.d lhousld &llr. (tlm.@). i. ..!dnhn to lh. @n of .orlc.dio( d! s6 ! Fovn.d tu r
<br />sdi,n 1076 ofrlE L.hd Cod.. nnqd ed ndEr't L6
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<br />I h6!by .rlm !i& pauny oaFjoty thl I u liEid undE Fnln.! of ch4r6 c (offi'ns *nh scti,n 7{m) ol DirnFn l
<br />ol rtt AuiB rnd Pr.f6ioB Co&, od my lkav ir in tull for. tn.ra!
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<br />I h6.ty altun und6 p.n.l! ol pdjury rhd !hq. b ! .6dtud t'n lndbs isfty lor th. Ffollffi. oI th. *nt aor whi.h
<br />'hir Fnil it
<br />isucd (S< 109?, Ci! C).
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<br />cdiiryrhd rh. f.ddd r.SulolioB Esedins sh6lG r@ovll6. not t glicabl. to lh! lmjd
<br />IcdilylfidIholrr6dlhirappltslio.&d3r.!.rhlrth..bor.infof,nalronncon.1.ItsB!ocomplysnhtUCiry!.dc6!,
<br />ordimncB dd Sul€ t,w clatrB ro hlilding codMiotr dnd hcrcby iulho@c r.F.i6id'vB o f l,itcily dd ('6um, ro 6r. uBrn lh.
<br />.b.v. m6tion.d prcD.ny lor
<br />Appli..nl orfu€nlsknrlurel tfuq- Qt-4rh,1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />FINAL €ltdtq r 1|w,"atdt 4)
<br />Notes Remarks Etc
<br />ELECTRICAL.INSPECTOR RECORD
<br />Meter Release
<br />Service Meter
<br />I 'c.NrJumbq
<br />AIIIJ(AILDESIdAAUOX
<br />I horb, .tr n uidd p.nally of psjury oE ot lhc follo*ins delrol io.s:
<br />D.moliltur Pmils-Arb6ro,No(ili. ion F.ddd R.luhtionsIIillc40. PM6)
<br />-R.qutcd
<br />lnla oaNoincdion
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