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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNLR BUILDER DiiTCARATION l I hqtby .ff6 uldd Fdry of Fjury thd I @ a@9! frlm lh. CorrrIlo6 Li!& llw for llE lbllo*it. ,@. (56.7011 5 Buin4 ..d Pmf6ion Cod.): tuy Ciry or Coudy rtkh r.qunB ! Fni ro onsnEl .nc. i.p.ove d@[tn or le.i oy- ntuduc Firb i! i!.le...ho qu6 ln. eplirr for lBhFnhio 6k!rl8n dirml lhrlioriE.li.6.d Frisr lo rlE FDrti,E of tlE Conf-ltri Lt.E d L!* (Ch+rd q. Co6ftus wit Sdio! 7000 oa Divtion I of lh Bcir !d PDfdbB Co&) q rhr h. or ,E i! sdF rhd.iioe ad rlE blii fo, lh. dlq.d qaFion. AIy viol.lion of Sdrior 701 I 5 hy ey .lplkor lor . tEhn $bjal! rlE tpplid.r ro . civil pc[Iy ol or mr. rb.n nv. hu.&.d dollEr ($m). L s ow of rlx FDFiy, or my dplo)6 wnh v.s6 B oEt $L ooFlnion, wiu.t tlE uul dld tlr *ElE 6 ml i adcd or ofrdd fc rL (Sc.70,1.1. Bui6 Ed Pbf6b6 Co&: IE Codtlolr Li.@ t w do6 n l .p?ly lo m ow of tlE proFry wln hd& 6 i!Fo6thdEo. !d{ho do6srr!m hiNlf or haIlfor tt!!u3l' his or hd 06 dnpbtG, lroviLd tb.r sh ihFlEGr. e tut ilrcld.d Coltqtd h. rt lf. ho*M. rlE buildlg or itrpEvscl u $ld *ino oc ta ofconplabG dr OsE B{iBs wiU h.w d. hrbl otFlyi,E llr tE or CE dil @t hild q inProE 0E FoFry tur th. F,!o! of y', s.* or * 9,q!y. m .rcluiv.l, colfdi.s {nh li.6r.d conr..rotr ro co.$).r rlE Fmrd (s6. ?o44, &!nB .rn EDknr Cod. TIE Codr-roir Li.a& t v &6 rcr.Dr,ly ro e ound of propd, wto hrildr or impmE rha6tl. dd *to olI.-t! t!. sh Flitl wi$ . Co,i'rlo(, li.dt d plBurd b thc coDndoi. Lt6e te). 4at6dnetv:* sctior -,.=4.121-o OliCIA.B.IItQl I hs.5v .fim !od.. F.ahy ot rEJUry onc olthc I luv. !i willmiddn. C.difi.rG of Consi io S.ll-I6u. for $sl6 omFEr6". a FriLd for by S<ib.l7m of rlE Llor Code for rh. Faoll1@. o t th. mrt for shkh lh. Fmn i! ie.d. I hay. ud *ill n.irrain world .onpalrion is!.e., d rrtliEd b, Sdio. 1700 orllE Ldor Cod.. fo, rrE Ffor|j4. of th. uork lor uhich rhi! ponn 6 isod My sorta omrd!.bn iluft. ffi rn Fli.y nuhbq e Erpn6: - I cclify rhlr in lh. pdfortu c otth. wolt for *hah tni! Frtrn n irq!4 I !h!ll ml otrPLy &y Fsn in dy tuna e 6rob.<on i$Jer ro rh. rclt6'onFEnmn Ls ofc.iifotui( dd {G lhr if l lbuld b<om rbid' lo tlE qoit6'comFerionprcvBruofSc.rilnlT00olthctlhrCq!<ltBll.fdnenhofrdywnhlho-FovnioN.. *7(RN|NC Fiilu. b Gu. *0116 composlNn c(ir unlawful, ud sh!I, iubrd r allolq ro oinird Frli.r arl cn,il iiE up kr oE hun&.d ttEus.,ri Sdnn 1076 ot llE ljh,r Cod.. i.rq.d rcn, d.,r46 a Foviicd tlr lh. i--)7 LdX': I bd.!y .llm u.dd Fd'y o r Fjury rhd I m LcdBqi !r!6b. of ch.rr6 I (@'lMirB *in s.db! 7000) ot Divitioo l .a ilE BGi.6..d Pmf6ioN aodc, &d my lic.M n i. qorsrBucllo.lr-trdDllc.Acllcr I h@by .lfm lndd Fn ny ol F]!ry ihr lhd. ir . odruclior Ldins {dy for lh. Fl(xlt@. of rh. mrt aor s'h.h tha Fni' it s$cd(sd 30)7, civ. c.)w"*' AIIUCANLDECIdEAIIA! I hr*t.rrr uD& F.I y oI pqjuy oE of th. followios d(l&tliou: Damhion PmnlArbdd Notilicdion l.n6.l R.8ul!lioN {Tirlc tlo, Ptn6) R.qutr.d Ldrd orN{,n.alrn rhd I lEv. rad this .pplt lbn dd lrarc fi.I rh. abo( i.lomrr m. is coGl I '3re lo ompty wnh tll Cny .rd Couity drli ft6 ..d si.r. lrvs Elri,'s b bondin! codd 6 o t rhi! Cny od Coury to ars upon rrE .bo\. l6donol Forqly nr \trti.itrr or lRut Sif ih'rr l'ermlrN tr.hr i prlnr ): dE( rd hd!!y lurho@ EEqdrriv4r*-At u"NJ:242) Underground Pole Bases Liqht Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER q a.t (.u )ftn0ra-.q5t Transformers \\ Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough),l7 Hb/\4a,-w82 Ceilinqs (Hard & Soffit Rouoh c -?/2v >/hAcvr d*'s7 Ceilings (T-Bar Rough)I Meter Release 3))Ur0d -qb / l0 Rough Service Meter t (tl DFvurt --t''57 FINAL {1.t "lo 54\w?7 Ngtes, Remarks, Etc I Vt CE 0/,/l) R.rv 0B-07-2015 Site-Work u Li 1,\ trl cdiry rh, llE f.dsdl r.3uhrio6 rs{rli.s alBro! rdovrl s. not {?ltrabl. ro lhi! p,oj{Tl