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APPROVALS DATE OWNER BUILDEX I'ELCARATION
<br />I hcrcby oflnn und.r prnllry of ll.rru.y thar I m .rcq,r fom rh. Conlndm l-ic.nE L.e au rh. n,lh*ing rcK,i (sd.70.t l t
<br />BlriEr .d Pturc.rbn Ciic): An, ciry or Cddy *hih rq!,.r . Fld rn odM, .1t6. iipmw, d.mlnh o. rqrn xy
<br />{du.. Fitr k, irs truN, .t$ EiturB rlE q!'la..r ror *h Fmi b fik ! rBrd nd.rn! lhr lr or sh. i! lian<n pu,ud
<br />ft' rh. F,viri,nr oa rlE C.ntrdtr \ LiccnEn L.* t(]upr.r O. Co|rftrcin8 *irh Skri,n 7m) of Divirion :! of rl' aurims rnd
<br />Pnrt$nrnr(i.).rihrh.orsh.h.r.mprrh.crhmlndrh.helirntrrherlhgcd.x.nprbn Any viohrn,n olsarion r(rll Jhrrny
<br />.n'licrrr tu . Fmi flhF(k llE tp?lhnr lo r .ivil Frhy ol n d'c th{n fiv. hund.d drllm(S5Or)
<br />l, .. o*ftr or rrx F,Fnt, d m,.r$r')&r *irh $!Bcr is rh.n $k sn rndi'.. rill 'i, rlE lnt.,n rlE cEiE ir ml
<br />i,nc .n {, olltrcn ior slc I s< 704.r. Burirc\s .nd Pn,r.sion\ Gd. Tlt Conrrocttr r Li.nrc bw &f,r tmlyrornowrcror
<br />rh. FoIEny uh t{ikLr.r iqmB th.Nn..rd wh (nEr r$h uirl hnniclf!r h.rrlfo. rhmuAh hir or lE n*i.rril'F.t,
<br />lroriLrt rh.! *h nr{ms rr ft n, id.nd.d d ol[.Bl f(, qt ll lr,M. rlr t!ildi.8,, irlrEld n gid rlhin or Fr
<br />orrrplcrih. rtE Osr BurEr wiu h.t! rl! hnL. of tmriry rllr lE or dE dn r, biu tr r{r,r r,E FFny fti ilt |rllFE or
<br />_l- ar osmr ol rhc F,rEny, trm.i.h\i!ely Nnrr tins *iih liccnEd $nrrrdn! ro condtur rrr ln,r&1is( 70lt1. BuiE$
<br />rrn Pltr*ln C(J. Th. Grnrdoar l-k.n{ t \d(fr rmly ro .n of,B or proFny $ h' luldr or ft{'(rt! rhctd,n.
<br />.nd *ln ddrdituiuchFrFll*ih.Co Nrrl$ lirned,'!6ud r,, rrE Conrr&1fr\ l.ictre l,$)
<br />l).t. ()*8.
<br />ttt l.l(rns' c(rtlPF\sAr(rN
<br />DEq.AAAU!}N
<br />I h.,.hy rrnm ullder F.ih, ol lcrjury otrr ofrh. ri)ll,'wiry l(k6ri,'n{:
<br />-l
<br />h.E rn s rll dinr.rn t C.difsrc oa C.lffit h Sclf lBuE tu *txt6 &qEn!di'n- .r Fntitu [, hy Sd i,n .]7(x) ot rh.
<br />ljlxr C.d.. fir rlE Frfmlim. olth. e.rl (n whth th. pcrnir it iru.d
<br />Ihavc o *illminrrr *orlerr.o'ryxn\uri,n in\urnftc. a{ r.quhcd hyS.dxtrr rlmol rh. Ijhor (ixlc. lir rlE t'dn,mRol
<br />rlF sd\ (' shrhrhii lxtrnn i\ ir\krl lly*dldi NqrndiD inror!ftc .rnar .rn lxrir Nn*.r r.
<br />lG\* lq
<br />l.cn'ftrhrrrrh.IrrlirnEft.ofrlrroil(trrhf,hrhi\Irrnr nno.d.I\h{llfl cn{'k,y .ny F.lU n !rr_ runFr
<br />y, s k' h(unr suhFr nr rh. $ork.tl .un{Ensar ion l,*i ol C,lir(fli!. ind .8m r hd il I rhruk, tEom lhj.cl ir rlF
<br />*ork.^ (nntri\rri,tr, fnrtritin\ olSr(rntr 17(xrln rh.lrhtr (,(l(.1
<br />cnq)btrr k, diturl FEti\ ..d
<br />ion. d.fl3.r r( F,vil.tl aor !h..ril llnc\ up t, nE h!frnr,l rh.u$ft1 ollan l5l(xr.(
<br />,",.=io-z-lg
<br />IECIJIAUA!
<br />I h!rcht rflfm und.r FMltyof Friry rhur I rn liRn<n udo ,n,virion ol Chlpts 9 (connrrin8 *irh S..ii'n 7tG)) oll)irirhn.l
<br />of rh. Aui6r rnd Pmf.smr Crxk. iil mv li.n{ n in tull litr( d.fid1
<br />3b CCB1C b
<br />lo - \o-t i.,JS,Je
<br />toN$auljuoN.LENrN,iJilNcr
<br />I tEehy ,fltn und.r FM[, of pcrjury lhd llEE n r m.cMbn b'nin8 q.ry ntr tlr Frfrmrr. of llr $ort ror *ha'h rhh Irmi. i!
<br />nr0.n ISN :Vr7. Cir C t
<br />t(xlci\ A{fur.s
<br />AIIu(AIIIIIIIJAAIIOI
<br />I lRby rnnn u kl., ,$nXt "f licUury.rr.l rh. n,lkr$lnp dNlanrtrh
<br />I)cnrrl tr!tr lr.n irr Alh.no\ Nnlrliuii( l;u .rrl R.ruhrion! Il (t.lo, P!n6)
<br />R.qund li(.r of M f.rrin
<br />-l cMily rhrr rhc lcilcrul csulnt rcn$vdlrc nor snrliou. ro rhn nDicr
<br />l.rtil\ rhar I hrt.rrJ rhtrxpp t i.ftrdhn ic,lld I .Ee k' 6rply rdh .ll Ciry.nd ( .'u ,od'M'rcr nl Sr!r. L*! rLr,'ne lrr.h) lurhtrrc '.Ft{nbrnrs ,,, rhn Ciry !d Coudy ro cnrd uln. rtr
<br />{ti,vc mnli,,re,l nn)pcdy n,
<br />lpDlionl or ,\sml Sigmlu ,",. 1o-2-tX
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bondi ng/Grounding/UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter t, ,..-
<br />FINAL
<br />7:av
<br />ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.COMMENTS
<br />Communications Cable
<br />Sub-Panels
<br />,/e '24/n
<br />Notes, Remarks, Etc.
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