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APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DEA DXII'ARATloN
<br />I h6.by .rm ondd F.lty of Fjury lh,l , m crdnfl 6nn rhc Gnkrlor' l-i.d. L,w for lh. followint l.en (Sa.7011.5
<br />Bulin6r .nd Pr.t6rion aod.)r Ant ( ily or Coom! whi.h rcquiG , Ffli lo .otr(rud, 1116. inFov., danolilh or rq{n My
<br />sltuclue tmr ro iG isu ... rL. r.qon6 lh. +!lkd tu ru.h Fmil h fiI. . !'8md rdmdl th.l h. or 3h. i licdr.d puBurn
<br />lo rhc p,oriiioN ofthc Co.ln.ror s Lt.N.d liw lchiDlg 9, ( omm.nciorr *irh s.n'on 70{D of oivili.n:1 olln. Baina &d
<br />Prcfdions ( od.)or rh.' h. or !h. ii .r.rq rh6.ftu6 d rh. bdn lor
<br />'h.
<br />.lk!.d dmBhi. Any ! hLtiof, of S6lio. 701I 5 by uy
<br />spplicanl f{'r a p.nni[ubjd! lh. lpplic&l lo 3 rivil ,.n!h, o f not mG lhs fi r. hundrcd &u&r { ltoo)
<br />l. s orffi of lh. FoFry. or my dplolc wnh prs6 B lh.n $L onFEihr will d' rL *!il drd dE ,n(rw ir d
<br />imotd.d or ofncd td nlc lsc 7or,|. B6iB ed hotBr6 Co&: I1E codraro'. l-ic.@ ts &'6 m! .p9ly to o ow of
<br />ih. plqdy *ho hril& d inF.€ t E6tr rrd rto .h6 st m* hitelf or lE*lf ot lkDwh hi! o. ha otrn mphyc
<br />Fovir.<l ih.r tuch iiForcclE e rcl irdLd n ofiqld ru oL lf. hrsls, rlE hiBnt or inlmsGr i sld winn oe rd
<br />ofotrpkioc t E ()$M Bu E wil lEr! ih. hr&r ofFnilB rhi lE o. * dA d hlu c ltqoE dE FoFty in tlE F po..of
<br />L a o|e olltE FDFry. m 6.lc'v.ly co.r,rri.B snh licd!.d codrrroB r. @dtu(r rlE Fic.r Isd 7or4. llllilr
<br />!d Proto t Cod. Th. contdort Licru L.f, rb€ mr .!ply r. u o\ n6 o t p.ot6rt wlb boildr or inprov6 rhc6i.
<br />&d qtF @drxt' for uh FoJ.n! qrh . (o n to(r, lra!.d Frrutr ro rh. Conridd'! !t6e bw)
<br />ldn.rcmfl u(!cr S€t'on
<br />D.t.: Or.q
<br />1y,8AE8l:CAU?lBIAIlq!llctdBAr]od
<br />I ha!b, .Itm undc patx' of Fiu., oE ofdE follo*iE &(b'lba:
<br />I h,E in $iU dindn. Cqlif.d. olco.Hr ro s.lf.l@B ld *qld' Nnpedir( o FotiLd 6r b Salion 1700 orrh.
<br />t hx Code fu rlE psfoffi olrl* s{it fd l|lih llE Fhn a ir,*d
<br />I tlE.rd \ ill mi .h {.rtd cohFd.rion iBie., 6 r.q!!.d h S6nn !7(x) ofrh. l.ln, Cod.. for tlE Ff.llll*. ol
<br />.G r$(.
<br />Mi !...n'F trnJ Fll'.\ itr,nt$ ir.
<br />F\r$D
<br />r X .... to /or(zo1f
<br />t I
<br />Or.r U-,* 9 2.Lo
<br />I c6liB thll inlh.Dgfollffi.of lh.$o* td $hthrhs!.rmn ! s.d.l nullml onploy inr pd$n irdynME
<br />$ a b tEsft subjEr ro rhc svid' onFari,n l.E of C.lifodir. ed isc rhd if I t Frld bcoc rt*tl ro rlE
<br />rorl6 oiFunion Fovilbs of Sdion t700 orthc l.tn. Cod.. I lrdl hnhrnh .onply sirh lhot F.ritir
<br />WARNINC F.ilu. to su. trorlB snp.Ntnn slm8c s uohtrful, ud rlull luhjal d dpl.lq ro oininn FEIi6..d
<br />cnil lin6 u, !o on. hun&.d lhourud doll$ {tl 'KiH*'* dro86 a Pr'vi"'n r'r'h'
<br />E',r","t ??Dt
<br />rEctrSAllo!
<br />, hscby .mm und6 rsJry of psjury rhll I M lierrd urdd p$irion ot (l',plc I (snI@i.s *nh Sd nn 7000) ol Dirilion l
<br />oa th. BNiIB rnd ftrf*ioB cod.. rd m, li.ru i! i. rlll fore lrl rrtrl
<br />,,.",,r",,,.,tr-l
<br />,,","ral<zIzor I )z,tt
<br />I
<br />CANIIBI!:IT}II,IID,UGJGINS
<br />I h@b, amm und.r Fmlty ol pdjory thd ths. i! !.odlddion k din!.sdcy for th.I,clomuc. orlfic $ort lor \hi.h lhi! Fni i!
<br />ko.d (s* lo97.civ. c )
<br />af8l!(alr.llE(l38rllax
<br />I hd6! .rrn uidd pd'!i, of Fjury oE of lh. aollowin! .Llljn ionr
<br />Denol Dn PmnlAtb.ro. Notin..!ion F.dd.l R.glldioc lTrl.40. Pd6,
<br />R.quncd L,rrq of t*iifi<iio.
<br />I cdi6 lhd rh. f.d6.l r.8uLrio6 rcxrdins ab..k J rfrr .l r.. turl ll?ltlhL ro rha proF
<br />I .diq rhd I h,r'. r.rJ rhn rn dr{. rhn th. .boq r.idio. ar .otrd I rlrc ro omply unh ![ Cny !'n Cou y
<br />.klinitu-rd srr. Ia{1rld
<br />rtur mdlnn d piopcny lor
<br />,\ppli..nr or Ardr stn.ru [rkil ",j#;;t"
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountarns
<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 />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 Rough)
<br />Rough
<br />Service Meter
<br />FINAL ol74ll{/l Y>m,x-t *t) )
<br />Notes, Remarks, Etc.r1 T ut'
<br />ELECTRICAL-INSPECTOR RECORD
<br />Meter Release
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