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APPROVALS DATE tD/srG.OWNEA EUILDE|l DEI,('ARATION
<br />I lE.by .,Ih u!d6 F.i, of prjury fir I m ddlq 6DD E Cqrr.d6 tx.d L.$ for th. follosrt t@n (Sd.]ol I 5
<br />BEina ad Prci3lio. Co<L): An, Cny or Courny *hth r.!un6 , Fnn ro @turrud. .n6. inFolc &mlilh or E .n e,
<br />rtuclE Finto i'! ixltrq .ko r.{riE rlE rpplicor for sh ldon ro rrE I i,8i.d m.!id lllr IE o lE i,r lic.6.d F o.d
<br />b E F!\irioa of rtE Contld'r Lined lr* (Clupr6 9. Corljjr1cis Iii scrion 7000 ol Oivirirn I of E B6iB rtd
<br />ProlgioN Cod.) M l}ln lE or nE ir d@d llE!6on lnd rh. h..i! lor rlE dLg.d ddFbn. Ary vbLlion of Sdion 701 I 5 by dy
<br />.gplacor for ! Fin $bidr rlr .pDlic! to . civil Frhy oamr mr rtd fiy. hu&dl &Us (1500)
<br />-1.
<br />a ow of tlE FoFlr. or ny mpblE unh s.B6 6 fiff sk.omFMion. will& r,E ssi e'd tL inElr a m!
<br />idod.d d ofd.d fd sL (sc 7o!1. BuiB od ProfdioB cod.: Tn ( olxr..rdt Li..qg Lrw &6 ml .ppl, ro @ o{G of
<br />'h. FDF! Nto toild d !l!.DE dEaa -d eho dE $h *ql hi@llor fd*laor tl,o!3h l ! d lE offi cnplo)q
<br />F.vid.d lhll sch inFEE.cFl iroilcd orolEd 6r-!..l( ho6s. E tlildtrB c itrrprlluErl ir$ld witDw )r
<br />olcoflpkiotr llEOw B{ihd willhw tlEtrmk otF.\iig lhi lE or JE dil mr hild or imF!\r tlE FoFiy tur 0E FlF.of
<br />-1.
<br />a ow olrh. FrFry, d s.luiv.ly cofliru.ths wirh licced contncroE ro tuidru.l rlE poirr (56. ?0a,1, BlaD6
<br />.,!d Ptrt in cod.: Tt. Conlr.do. r Li..e I.l* dG br @ly ro d ox@ olF.Fry who hrikh or inFlB thd@n.
<br />ud u'ho @drrr] aor rut F!j.<r! $nh. Coincro(r ltdkl puBd ro tlE colin<rd ! Lio* ts)
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<br />d croF ux,q S<l ,B &PC forth!r@n
<br />wolliF Rs' conlPltNsa llon
<br />lrclJaAllali
<br />I hd.6, .mm und.r FBh, of pdjury o.. of rhc aollo\ ,ns dalJ.to6
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<br />h.r. rd will midn . Cdiftd. of Coqd ro sdal@ 6r wld co|ltEEriD, - EDviLd f.r by S<tbn !700 of rli
<br />trborC6da tq EFfq'e.of rh.@ 6r rtrih ftc ldon a 6u.d
<br />I ll!\..d *ill midlin *\rid, .oEF6ni.n iBuec 6 EquiEd b, Saii)n i7O0 ol t L.bor Co&, for E Ffolrl1le of
<br />rh. $ul for shich rhir Fnn ir iq!d. My *0*6' orpqdbn ilElm. ffii, rn pola, nunbd G
<br />)(..nif, 'hr ir rli Fro,ne. of rh. srt fo, *hih rhn Fnn i! io.d. t Crllbr aploy !y F$. i, D, ffi
<br />$ a lo iE m rubjct to th. wortd mrq@Ibn bsr of Cllifoma !d lgc lh! if I .lbuld bdod rlbirl l.
<br />'h.mrl6' m"lpddiob povirioN of Sclion l?00 of llE Lrbor ( odq I rlll. fdhwnh ompl, *ilt rhoE FovtbB
<br />l-zc-fi L',,- IL.^ -*tl'(T,Ysw
<br />llCtAf,AIIO!
<br />I h6.by .flm und6 p6'rlry olpqju,y lhd I m liEsi unda Fovirior ol Chrpr6 9 (onmdcing *nh S<rion 1000) ol Diviion :r
<br />ol tlE BUG ud PnfBEE Co&. .d m) li.og it h tull aorc..d.rd
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<br />o"",1-Zd,la ,.^-,* Q s...- f,ory,
<br />(all.If,ll(Ir(lBLEdlltrGlcl;!(l
<br />I hn.6y rmrn unds F@lry o r pdjur.v lhd 'hc. i! r onrrucrbn l.ndll* 8gd.y for rh. p6aorlM.. oar h. s$rl tu *tich thi! Frn b
<br />Bu.d (Sd 1097. ( ir C )
<br />AtILlllilLDIgJlaIloB
<br />I hdrtt .trm ui& FuXy of Fiu.} or of rE hlbe ins dahrn66.
<br />D.nohioi Pcmil'Arbdlor Notilicn ion F.dsll Rcsulllionr{TnL40. Pd6)
<br />R.qui,!d L-arc of N.('n.Id
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<br />c6tif, thr rh. fcddd r.lllrioE Egrdi,g reb-ror rffird r. nol 4'tliclbL lo this F.jEl.
<br />.Ll cd'ry lhd I h6. @d lhn .rrlEn nn ed id. rlu rh. *ov. in,onndrn t corar. I lsc ro on{iy wnh i[ Ciry ai (ooty
<br />ordiec6 ud Sral. trs Elrli,ts lo trildins coiaruclior &d ha.by sdno.iE rcp.6dndi!6 o t rhi! Ci y od Coury io 6la upon rlE
<br />lbr. lMr6,Ed F.Fdt fo. mFdion
<br />Afplicrnl or ,\gcnl Signitrrr ^" \L-71:11
<br />Site-Work
<br />lJnderground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Tq1queing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)A
<br />Walls Ro ush)5.-4,".-l'1 s4
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release "l
<br />Rough
<br />Service Meter
<br />FINAL -t
<br />Notes, Remarks, Etc v
<br />ELECTRICAL.INSPECTOR RECORD
<br />COMMENTS
<br />U\d
<br />v.\ul016-9-t1
<br />(m
<br />wAlNlNCr F.ilurc ro soc erld @ipdBniod sv@c. n unhqtul, dd ,hril subFr 6 dnlloF ro qimi.rl Fltir od
<br />.nil fr6 up ro oe tu{dr.d llbqi dolLr (ll0o.0oo). io .ddiio. lo 'lr cor of comFdion. &f,r96 s FDvit d for l!.
<br />selao. !076 of rlE Libor cod., i!l6.r rd ddr.rir ft6
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