APPROVALS DATE rD/srG.COMMENTS OWNER BUILDER DE,CAT TION
<br />I lErcby rrEm udd IEExy or Frrrry rhr I m cxctrPr tDn rlr C.'r,!cr6 Lt rLrwfo. E tollowi,8 m$n lse.70il.5
<br />Busi.csr ajn Pmfcsion Co<b): Any Ciry or Cou(ly whah Equi6 . Fni ro otrrrud. rna. inFot. &mlnn or EFn ay
<br />s!d!n, Fior ro itr Nsu.Nc. rl$ EIut r rh. !.plbur for s*i Fmir ro liL r \rsrd rtd.anl rh{ lt or dE k li..rn pulld
<br />r0 r,t Fnviibn or tlE C.nkrd s t-i.ns.d ti* (Ch.prd L Comm'r8 *nh Sdrion 7q)0 dt Divalion 3 ot tll aBird md
<br />PmLsrhns Cd.) or lh.r 1r or rh. n cr.,qr d.r.frem,n rlt h..k to, ih. .lk8.d . r.rpr bn Any viohion ofS<1bn toll.J by rny
<br />aFpli.'ortor.lEnnirrlbF.rittE.|}pli.dtrrr.!.ivilF.elrtoa'slmEthe6!chundEddolltt(S5m)
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<br />ifldrt d or olf.Ed lor slc tsc ?044. BuiE* od A.r.si,a cod.: Th. Co rskn ! Li.e Lrw d.! d qrly !o 6 o*rr or
<br />rlE F)r.ny rho rlildl n inrFE dEstr ud *!rr dB sn El h'fr*tr or lEmlf or rtmuSI ti or lE o*n cryLyccs.
<br />[ovidcd rhlt tuch inlprovmnrr d 6t i'ncnbloroir.rd rs eh It lDw. tlE hlilnB r rp.mrr.rr i3 Fld q hc)r
<br />o,dt lxhtr rlx oeBr BuU.r wilt hsk ltE tlnkn oi ImvrB dd lE or snc did ml buih or inproE t r FDqry fot rlE F,FE or
<br />-1.
<br />rs o*E of E F Isy. m.xcnlsiwly $nrrslins w'rh lkctr*n.o.rdon ru oiirud lh. pmrd (S*. 70.14. AuriEs
<br />ojrr A.6sn Co<t rTn Conhror'r Lk.M tr* do.r mr +pl,lo u owE of poFny sho hiU. o, hrprcw* Oc@..
<br />ind *li, mnh.is for sEh FoFl' wnh . C.dGro(O li.n$d nlEer ro rlE Co Eroft LirM (r*).
<br />_l.m.r.mpr lnLr Ssrion__
<br />o.k 31S:2o Z_l_ _ o.*
<br />,B &PC for rha rc&'n
<br />-\_:-L.a n<"4*olKeq\' ('()nrpFNsdrroN
<br />DECI.AB6:I1I]!
<br />I h.rchy rlfirm und.r Fdlry of tEjury or of llE aollosiry dc<Ldi,h
<br />-lh.E!nwilmi
<br />dtr.CcnifskofConE.rro5.llln\odntrkrr6.tqEnd.n.rs I'nviHforbySdhn3?00olllr
<br />Lrb.r C&1., fq UE FrfortlInr oltlE vo ld *nah
<br />'lE Fnil ir isEn
<br />_l h.E.d rill Ninlrin ]orrcn cditiMihn in.mE., 6 Etu'Ed b, Sdion.!7(l) oa$c t,bo, C6&, fo. ih. Frto,rl1,4 ol
<br />rh. wort aor whi.h ihi! p.mir is irsu.d. My *dkda snpcnstion insrB! c&i.l !d Fltr.!r'ts e:
<br />SLr ""n,ry,r', ,,r'. p.,r"nMm. of th. ro,t for whichrhis rErmir is !std.l tldlmi.nvbr.ny Frcn in m, 'mErs a lo tEmr {bFl lo rll hd6l otryEN.lion h*r of C.litomn. rBl rlE rhd if I !hou! t (r rutrF.l to
<br />'lEw,kcc colllttrqlion F)visionr oa Ssrirn 170) ot rh. lrh, Crxl., I rh.ll fdhwnh co,Ply *hh i,IE l,ovtb.!
<br />WARNINC Flilm ro sE wrtnr onp.ndion mEEgc is lnL*tuI. ud slull subt cr o cnpbF, ro dnh FEnix rd
<br />.iril fic' !! ro oE tu,nrd rhoue,n dol.fl (ilm.m)). in lddnh. lo rlE cor of onpcnerirn. drmr.r a pNvn.d lo, rlE
<br />Sdion 1076 ol rhc Libo! Qldc, iorcrcat ald llLrryt fer.
<br />o.*,3 /S-?z1t _ ^cr,{di: &aZ.< &.,
<br />LICE((ED CONTIACTUf,
<br />lEcLdSArr(a
<br />I h.Eby dTrm udcr ltulry ol trrju.y rh{ I e lirNd ud., Fovii,n otch.Od I (ollmEing pith Sdb. ?Oq), ol D'vii,n l
<br />ot rlE BusiE$ ..d Pbf$sn'ns Cdc. eld hy lic.n* is 0 tull fod sd c[.cr
<br />gllti:[BlJtfxrNutlllli1cE!{l
<br />I rrGby rmund., FElryolp.rrur)lh{ rtft ii rdrNMiln Lidin8 !3!ay for llE tELllrrr8 6rlE hrl lor "t hlnn pdnln;
<br />rslcd (sd 109?, cie c.J
<br />TIIUSANLDEII.ASAIII]U
<br />I hdlby rJrmr und.r FMly oi pcrjury or of llE folbvint &.LEl bnr'
<br />t).mhnrn P.rmir$Arh.nos Norifi.rtt,n Fcd.r.l R.8ub,n,nt {Tnl.,l0, Pd6)
<br />R.quncn blrcr of Noliff,cliotr
<br />-l
<br />.dify rhd rh. fcr,.nl ESrhrbB Eradr8 ..hdos Em{l e d +pli.rbl b rhr pmF.
<br />5-5.*iry,r,,rr.*."a,r*rpplt.rionuinllcrhltin.Eoromtunn.oturIrsGro.onlory*hructry.ndlr,unry
<br />ordiErc !d Sir. t *. rhrlB r., boildin! @idari'i. md lEr.byrrdbM EF.-,{.riq 6frhn Cr,..d Couryro. auFni.
<br />6ov. rnrn'ncn pmpcny aor instEdion purpoEr
<br />^,**, * ^o",n^<fuL-z{- -tqa-- - - n, 3 / 5' Za z I
<br />Pmr'm,prr,: - .}t^dra SaSg
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Rool Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Bouqh
<br />Service Meter
<br />FINAL 'tfuhr l'j 4Xh,)
<br />Notes Remarks Etc.
<br />I
<br />ELECTRICAL-INSPECTOR BECORD
<br />Site-Work
<br />Air Conditioners
<br />l8!ci3 Add,cs
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