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APPROVALS OATE rD/srG.COMMENTS O1INER BUILDER DEL('AT TION
<br />I h6.$r .rm undd porhy of FjE, thr I e crcnfl freo rnc Co r.cldi Li..u lr* lo. rh3 fouosin8 l.en (SG.?011.5
<br />ABinB !d Profsion CodG): A.y Cily m Counly *hkt r.qun6 . Fni to @drucl. r[a. imFovc, &iolih or q.n ey
<br />xodue Fnr lo nt isle...to r.quiG rlE edaul ror Mh Fnn ro frk ! rar.d lrnffir lhr lE o..lE . ltd!.d pusr..r
<br />ro rh. I'oviliiN ol tlE Co ...t6! L,enr.d L.* tchaprs 9. Con:lrEin* snh Serbn ?0m ot Divni.r I ol lh. Ban6 ed
<br />Pmt6rE Cod.) G thar lE G slE i! s. F rh-6on.sl rlE b..s aor tlE Jlcgoi dai'ri.n An, riohnn ofsrdb.70ll.t by ey
<br />.pplimi for r Fnn .ubjcrt rlE {ph.6r ro . civ il Frty of m! mG rhe fir. hu }.d &,1l'. (lJoO)
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<br />a 0\16 of llt Fopsrx u mympb,6 silh r.a6 6 rh.i ,k <trFlrnlG silldo dE *st .d 1,. rraie. @r
<br />idd&l d or6cd ad !.1 (s< 7o{4. BBilE od ftDtBiJB CodG TIE ('dtdd r liqE l^ &6 m' eh ro r o"E of
<br />rlE [6Fr] * h6 hiLh or itryoc dloq -d rtb d6 rEt srt tilrlf or lErrll o, llmu8l' fiit d tE 6st d4royG
<br />p.oriLd thd sh imFDEEi! GrFt ii@.Lddotrg.d tf, rl. lL ho$6q, tll hl'ld!{ c lqrolEEi 6,ld *irhitr tr )d
<br />oronpltbo tlE O*c enl& *iU hd! 0r hnldr ofFri'ts tL lr m JE da tur hliu d -lrori dE FlFry tur ln. F,Fc of
<br />l. 6 oqa of rh. FoFir.', @ Bchandy cofi*lba *irh ltsE d con ar6 ro $dru.l rl! Fj<tr (s< 7044. &!i6
<br />,n hokimCo& Tn Conmd ! Lic* L.w &i6 mr .rplr ro & oeE olFoFry sh t'{ildt or inp$6 $n6(
<br />Dd rlb m ,* ad kh Fois rirl . C.fidorlr, ltaldl Frnor |o rrE cdr.dd'r lxqE t^ )
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<br />I hs.{,} .fim uflda Fdi} oa pajq- orc oI
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<br />follo$ i+ da hrd i,N
<br />I h!\. ad $ill n nbn! d cdriarc.ic of co66i tu s.lf.lEUG f.r hrksr o.rrdr{rnn. a rrolid.d for br S<rir 1?00 oflh.
<br />l.bor code fo.rn FfollMc. oa(h. *od for whrh rhc Ff,i ! ieaj
<br />_l hlvc lnd will
<br />'mintlin
<br />worr.( conrEro.lior iBordnc., f,! Ertou.n hy Scl i,,n 17{n of ! h. l,&tr ( od.. lir rh. Ftolr11m. of
<br />rh. sor! for *hi.h rht Fnn t aie.d My*orldt' comFrsdion iNlrffi..dE dd p.lK, numbo e.
<br />_l coriry lhrt ii th. Fhtu. of rtu rolt ror E-hkfi rhi! r6nil is Gu.d, l3lull nor dFloy lny pdsn i, oy nm.d
<br />$ s'otEoft3ubjdttod.*o 6!comFuion l.H of crlrloB,. od lsR rhd if I lhouB b..om rubjci lo tlr
<br />*e.16' comD.$.lhn provtioN oasa]lion 1?00 ol rh. tjb. ( o.L. I illL nrnh* nh conpl, $ nh rhor provitioB..
<br />IIARNING Fail@ 16 sft *0116 oqEBdrcn cor@s. L! unL*tul. ed rhrll ruq<r e dplors 6 ainin l FElis.
<br />cnil nnd up b oE huid.d $oMi
<br />I .d.ffir*
<br />I bc$r .rIm unds pddy ot Fiury lh. I 6 h.q!.d u!xl6 Flvirb. ot(luprs 9 (offiins vnn Sdb. 70ml of Ddlir l
<br />of rlE BGitB rd PmfdiE Co&. rd Ey lt.e i h tull fore rd.fiEr
<br />Lk.a CLs
<br />-tx.*
<br />Nuebd
<br />Ihl.: Culn<rd:
<br />c0lilax(fiqul;lDllc-acttcr
<br />! @! ,ltm u.d6 Frny of Fjur.v lhd rhs. it. o'drudion lddin3 .sd) ror rn Ffoli@. otrh.rnrl6r *nkh fin Fmn ii
<br />i$u.d (s( 1097.cn c.)
<br />arttrrall-![crJBAll0!
<br />I hdrr, alld un&, p.n.lty of pdjury ooc ollh. followins dBI!6r iofl!:
<br />D.'nolnion PmniArbdtos Ndific ion F.d6.l R.guld io.s lTn E {0, nd6l
<br />R.qun d lnlqolNotificalion
<br />l.dify rhd rh.lcddrl rcgulari{).s r.SEding at6r,)s rono\ !l r. nor qpl,l(.h|. k, rh'r f'ojer
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<br />cdif, ihal I hN! rad rhn .pplkslio. rd ilrl.lhd rh. rbv. infomdtin i! .onai l.ardtotumdr Rnh lll Cny ind County
<br />onnMnc6 md srarc t ws Eldin$ io d! rE.S, ruihri2. rcFBd'dird oflhir Cny md Coutylo ols upon trE
<br />ltnr. Miio..rl F.Fn, aor
<br />\pllirrni o.,rPNr si3n.t
<br />L-ILLtJ f] pt)gl4 rc, 0S
<br />4,41
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough il/ul'{3h\ (6
<br />Service Meter
<br />FINAL tolru lfi ,.+yul )
<br />Notes, Remarks, Etc.
<br />ELECTRICAL.INSPECTOR RECORD
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<br />C6iE:_
<br />S(Lon (r7a.rrlr, xhtr Codc. mr(.i d
<br />Transformers
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