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<br />APPROVALS DATE COMMENTS OWNER BUILDET DELCATATION
<br />I tfthy rfim ud.r tfrhy r{ Frury d I e .rqi ton tlr Co'rrdrn t,te t r for llE follovo! cr$n (s.c 70]l t
<br />Busincs i Prof.sion Codc): An, Cily or Colnry whih FrtliB d Fnnl h mnsMl. .116. ihp.DE dcfrrlirh,{ ra., ry
<br />(rudm.Frloni tllec. rl$ raoiB ilE qDlarr ror h Frmt ro 6k . si!ftn ( cn. rhd h.or rh. ir lken{d luru.nl
<br />io rrE F$lnirN ol th. Co rl(\ l-irnrn L.* (CIIF4 c. ColnftEi.s rnh S.dh ?c)0 .1 Divnio. I of llE SuriErr .d
<br />Prcfcsrr.r Cod.) or rhr lE or rh. t .x.npr rh.Eliom snd rh. lltn foi r k db8.d .x.tr{ b.. An, vioLt ion of Selbr 7011 5 by r.y
<br />.pplid n,.Fmir shFlr llt rpfli.. lo rcirilFqnyo,mr mn rh.n fir. hundt d &lbt ($q))
<br />-1.
<br />r oqGorrlt tmFny, d my.npl,)6 qnh *r8.r $ llEir sk on{Enuliotr. willdo r n,t lid rh ntulG n tur
<br />i,rcni.d or ofi.En fr Et rS( 7{xa. BuiEq d P!or6i,B cod. Tll Cod,ssi Lite Lr* dB d {t'ly lo u o-F of
<br />rh. rfrEny etF hrlk c i.rmE tlEBtr ud shl &B trh sr& himEli or lEBla.r rlFu8h hir or h.t own.m!loF.r.
<br />pi6vi.t d rhi sh brroffi. e ml -i.id.d a ofidd ir ql. lf.,rffir. E tliBit d irF.lErr.rr nild.inh* F.
<br />ofc,rpt ii4 t|r OwE Alilb *i[ tuE llE tdnlcn orFDvi.8 llE lr., rlr rtil d ttriE or nr{mw tlE prrpdr, aor fi. purDo$ or
<br />-1.
<br />I orE of rh. Fr.rty. d .klu.irly or.-rr3 wdh li6ci .o r..16 lo onrtu ! rlt Fn cr (Se. 70,14, Bcffi
<br />..d hrBiiF Cdh, Tnc Cont..lor'r Li..nF l,w des ,rrtplylo o,er or,ioF,!, *nl blildr or i,lPmv* rhootr
<br />.d wh, odrrir fc tuh F rd. *nh . Coirrrlo(n lcnrn I rd ro ilE Colnft1d! l..lnE L*)
<br />I ! .r.0,'r utr&r Sdlrr-
<br />Drt.. OtEr won(Bai (i[rtF\s^Tlolt
<br />IIISI.Af,AIIIA
<br />I h.r.by .m(n un&r Fdlly of Frny oE ot tlt nnbr ins &cLhrnF
<br />-l
<br />hlw.,i pilr mFrlh. C.nifr.rc oa Congi ro s.ltl M rd ro.rd of,p..dh( I FoviLi fo. by sdra.n.!7{D or'h.
<br />Ltrbor c.d.. ror rll FrformN! olltE uort ror whth
<br />'hc Isn i nrucd
<br />-l
<br />hlvc arn *ill oinrain rorld conFnqlim iNunR., es Equind hy Sdb.lr00 ol rlt Iltr, Cdd.. lor llE Ffolffi ol
<br />rlr qrt for *hth rhit Fnn n irnd Mt s6rt6 con{tdiin inollN fftr nd Inlty .unbc. m:
<br />-l
<br />ccn'ry rhar in rhc Frrdnrn.c or rh. wort ntr whi.hrhi{ p.flnil n issucd- I {lirlltur.mpby{.} Fr$n in.nyNnmr
<br />$ *h tk,G $lrd htlE *ql6 drn{Rdnn h$\ orc in'dn. rd IlR
<br />'h!'
<br />ilIrIFUHt corst'Fllorlr
<br />work. c.n{Ensl6n tmvi\ionr of S.clio. .}7(Ir of l,r L!6or Gn - I rrEll. tdhrnh Ntply *irh lhc prcviionr
<br />WARNINC F.iturc ro qm rd
<br />.ieil 6n.r !p r(' oft hudEd rhou
<br />S(lirn Y)76 Ir& L,ru CaL, lt!
<br />D.,.: ,l-5 - 16
<br />{6 o'qtMn. mEr!! tr onb*tu! .nd {ull sbFr .n.npkrF
<br />'o
<br />aintul F.lt .nd
<br />s,rl dous (lloo.ml. i..ddiri,n lo rh..D( of 6,9.ns.rion. drf,3c! ! lr$vitn fd rlE
<br />cd.,n fil'Ev\ f.6
<br />I lEEbt .ffrm un&r Ffllry of F,irry lhrl I m litrGj u!d.t Fovi.ion or CrE rd 9 (c!ffiil{ wilh S.dbn 70fr), or tnviri,. l
<br />ol rh. Euiir$ lnd Pn'r.{ionr cort , .,n nry li(.ne ri in rull n'e ad cfid;+Ll---o:!i
<br />cQlillBlquQulxBDllililliEllr
<br />I h.sl,y rni n ui&. FELy ot pc+r, rld lh.rc i r onrrucinn Lrdins r!ct, ft, thc Frfollm. of rtE wfti fnr shi.h lnir pmi ir
<br />hiu.n (Ss. 1097. Ci!. C )t .d.r't N.m: _
<br />altllg/ldlllEgllSarlo!
<br />I hdd,y .nim und.r pcnlh y of lErjlry oE or
<br />'h.
<br />folk,wiu d.c brorrns
<br />D.mhrr F..mrr-AslE rd N.rianri,n tucEl R.phibn! (Tnk.4o, Pd6)
<br />-Rc{uiEn
<br />l.rcr or Ndi6.di{
<br />l.cdiftrh:r rh. t rldll rceubr$ni EBsdlrE lrhcsxx r.n$v!l nrc nor rntlMbL t' rhs Fn!.d
<br />_l (dilt rhd I hlE E d rfiit orpltrrion ud srstc rh0r tlE lhrvc inturnulain ii..f,er. l 4I[. lo drtrply qilh rll Cirysd Coumy
<br />,diEd.t rnl Sbk lr*r Eht-ra ro noitlinS coNBrioG .,n hn t , .lrbrit rrr.s.rriB ol lhir Cny !d Coutiy lo orF urDn l,E
<br />rlrtrd nEtrrkn'.,1 tfutrrry l'tr trItf,rr
<br />Ap!ft !trr n.it.trr sirnsrurc
<br />q'b-tg
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Sollit Rouqh
<br />Ceilings (T-Bar Bough)
<br />Meter Release
<br />t
<br />Rough I I
<br />Service lvleter 4/tolt{,/Wq\I
<br />FINAL Tsh'l tb 7&4t/a /
<br />Notes, Remarks, Etc c
<br />ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.
<br />Cria
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