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APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDEI DELCARATION
<br />I hd.b, rlIm uf,ds p€dy of Fjury tld I n d.,rpi nDm llE Coftt 106 tjc.@ ltw lor lh. foUo*nE la5n (Se,01I i
<br />BBi,ld .,rd Prcldio. Cod.): a.r Cily or Couny $hi.h r.qui6 r Fmi to otdru( .nd, rprlre <lamlirh or tr9.! -,
<br />,^rr@, Fi..to hr isDa. tlo (qu6 rh. t dtd aor 3xh Fni b 6L i 3isn d iiaE lhi lE or tlt i lic.E { Fl,!d
<br />ro rlE Flvitio6 of dr Co.n.rlr! LkErd l.r' ((i. d 9, Comdh8 *ilh Scii,n 7@0 of Ulilion I of llt Bdi6 dd
<br />PmfBios Co&) o. lhd,Ed JE ir acnpl fiqdrod.i llE bG! for rlE dks.d dd4rion A!! vtrLlbnofsalhn 7011 , b] !,
<br />.prlkd 6r r Fnn $bjcl' rlt ,gpltor ro..iril FMty of ml ma lh& nt hlixtld rbU$ llJ@)
<br />I. ! o$ffi oftlE FoFry, tr ny orpby6 $nlt E+6 s lh.i sL corpnudion, $iI tlo E trqt !d llE inalm i mi
<br />i drtj m off6.d ror q]. (S{ 70.14. Bsi,B rd ftlfdhB ( od. TrE coddors Lkdv L.u' &6 nor @t ro 6 o*M of
<br />rh. FrFry *lb hlik! d inryDtE llEE4 .d r lh &€ uh {ul nilula.t ha*laor d,.uBh hit d lE osn 6n9hr6.
<br />F..riH !fii sclt inFr\ad3 nd lrai.d s onqld ft, $l ll lF{6q, E hrildilB q rrF.r.lrd nnld rahin ft 6
<br />ol.onpldil\ llE OrF B{iUd wil htE tlE hrrk ofFow{ lhi l!ot3tr dn d hild ot itPrclt dt FsFrt ft'r llE F,!o* of
<br />l. c os,ns ofrlE Fopdry. o .r(lEiv.ly codr..lhs sili liGE d .odncloR to coldruci llE Foj<t (sd 7ot!l tl6od
<br />drl RbfrsiI cbd. Th. ConlEcloi! Li.f,r. lt* do6 no! {T,ly lo u orln o f proFn, *n blildi or inrovd rhds..
<br />ed f,ho @.,16c13 for ruch prajds wnh. ('o dcl.(!)lk.B.d p Bud ro lh.Conlrrcroi! l-i.@. Lw)
<br />I atrcr.nrpl undd sdtbn
<br />Drr. ()nn.r
<br />\\oRri!rRs' ( ontiENsA rIoN
<br />trl:ll,lBAuA!
<br />I h6.h! aflirn, trnd< Fnilr' olp6jur\ on..Iln. tu|](N 'ns J<ldardnr
<br />I h.v. rd q ilt di.r.n . c.nirE.!. or( oEa ro S.lf'ldur. fo "dt6 onpqsdFn.6 Ft\it dforttSslioir7motrh.
<br />lrbor Code for rlE Ffotu. olrlE $vt t rnkh rlE Fbn i s{.d
<br />I hrrc ind *ill @idin mrl6 co,p.d.lion turGq s t.qtircl t'r Sarion l70o of rh. kbor (-o&. tot tlE FfolIrE. of
<br />l..rlifolnd in rhc p..fod!....frh.sort fd $hthlnBIEn ir 6tu.n,, sh.ll not dphr lnyFs,. inuvlMng
<br />$ I ro t .otu 3ubj<r r. rh. {o d'.onFsnion l!tr!.fcrlifomit. xd lar lh, irl thould }tom. tut al lolh.
<br />u 0116 c.npderion pmvilioN o l S..lio. l'7oo 6alh. tior ( od.. l stull. ronhq nh cooply snn rtur pN\ iio r
<br />W IININC Failurc lo Kc. $.116 compdsaion cordlsr is unlasaul. 4d shall subjcl d dnplord lo mrul Fuhi6 Md
<br />.ivrl fincs up lo oru hu.dr.d rhousd dolles {tl(r). in addin)n to rhc cosr ol $n. danff.s e\ nnv dl for rlr
<br />Codc, inra6r i.J.noNy
<br />o
<br />I hd.hy.IIm un&i Fdiy or FJury lhd t o l,GLt d ur& proliion of cluprd 9{.omhdcins wnh S<riof, 7000)or l)n Lirn I
<br />ot rh. BBi!B ed Pnf66N co&, an my li..* a s tull lore !n.fld
<br />".i"""'iIr{res
<br />luo 4a+)5
<br />k"t
<br />(aBlIAU(aIAItlENItlq.ASIECr
<br />I hd.t! lrm undE FuXy ol Frlry thd llE. L ! endruclEi lddnlg .gocy tu lL Ftor]j@. oa6. *!rl to, stth rhii Fhi ir
<br />sucd (s6 1097. cir c)
<br />AIILTCANLIECIIsAIIO!
<br />I hdri,y rlEn !.d6 poahy ofpdjury onc oflh. following dcldrioN:
<br />D.nohio. P@G A!b6ro! Notilicrio. F.d6.l R.*uld io.r (Tnb 40. Pan6)
<br />.R.quir.d lnt6 of NodliElhn
<br />Fi- .fddd r.slhrio6 Egrdbg sh.no. r.mlrl E ml t tla.bL ro thi. FtrFl.
<br />rad $i rppltrbn id n.rc $r th. rto!. infon ion a cdrEl I {re l. orPly
<br />rnd Cod! io dr( upon rlEotrl''@6 dd sr.r. tr{l Ehiir{ ro h!
<br />.Enc .ErirEd FFn' ld iBpcl
<br />""" lO'{ptli.r or Agdi SBn.h i4 [Vt f ,r/u
<br />Site-Work
<br />Underoround
<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 />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL lt//{//K s^k*
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORD
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