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ELECTRICAL-INSPECTOR RECORO APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rouqh) Meter Release Rouqh Service Meter FINAL /o-zJ- /q Jr'tG+tt a?b Notes, Remarks, Etc OWNER BUILDEi DEItrC NAT|ON I hcty afim uid6 Fllty oa FJ!ry rhd I m crcmF too th. Contmlna Licc@ t w lor llE folbwiD. lar (1i6.701 I 5 BBi.s .d Proftsion Cod.) Any Cny or ( ouny *tah r.qurB . Fdil lo codru.r, !nc. imprcve &,rcliih or rw.t hy 3rtu.rur., FDr ro n! Bllre, .16 .lquiG tlE 4pli6l lor lch pdnh ro frL r ri8..d rldmol thd tt or $. n licds.d pmsl to lh. Fori'bN otdE co.trb! Lie.!.d lrv (ft.f,a 9. co,,lj@ing *nh Sa1h. 7o0o or Dirirh. I of lh. tl6rB Dd PblBioN Cod.) or rh.l lE d JE 6 qcod dE.fon !i tlE blt for rlE .lL8.d aowion. A.y viohnn of S<rFn 701 I 5 bt sy rppli.er fo.6 pmil ebj6c rlE .pgliul lo. civil p.Mhy of ml mE lhd li\. hu'thd dol,,B ($m) l. 6 o*F ofrh. Fop.ry, or ny mpkr,t6 rnh wts6 s Ihd $k conp<stn. will th rlE *vl ed tL studc i ml itrad.d ( otu lc $l. (S< 7oat. a6it6 od Pr.EsiriN Cod. Th. ( oddcri, ! l-ic@ t& &6.d 4ply lo u o6q ot rh. FoFq sh nriii d !rs!q tlEun .d who .kE *h s,i niB.llot lErlf or ll'oush hir d lE os 6lplot6. lioldeJ rhrr .!.h inFomtseEl iiloiLdoroturd frn sL l[ hoM. JE hlildrB d lqotqEr i. bld *ihi. m ra ofotrptltio[ rlE OuG Boit 6 "i] llw rh. hlda oI F.ur{ thr h. or !h. dd ml hrld or imFo\t .lE FlFiy for dE FrF* ot -1. s oqd 6f th. Forory, e .rcluiv.ly .oilrIluu *nh [coErl comrr6 lo stu ttE Foj.{ tsc. 7oaa. &.ns ,n hnftsiE ( od.: lnc Cdhtr.tdr'. Lt@. rlw do6 Nr .!plt ro s own6 oaFopdiy wt!' t{ildt o. in 06 lh66n. .ld *ho @dr-13 ld Mh Fijdr*ilh. Cof,rEto(r) li(a!.d puE@r tolh. Conradn'! Lt.u L!w) _l e .rmpl !r!a sd -.8 & P( ror rh6 r6n ll0as!f,lt(ollllEtarla!o[gtaAllq! I ha.by.mm u.d6 noahyofpquryon orlhc lolbwis d..!e i,a I h.\.trl will inr.h. CarifErc olcoen ro sclf.l@ for wt6. onp66lioi. B Fted to. by serion 1700 of lh. trtor Cdle fm rh. FfolM. of lh. wrl fd rtah th. FDn i inrEd I h.v. !.d wilt Eul'in wo*dr sm!.M ion idurdr.. d râ‚¬quircd by Sd ion 1700 of lh. hbor ao&. for lh. Ffolr1ff. ol rL uol lir rnih rhB Fsi i isld My wdtdr omFMion iBulre md d Fli(y nunb6 @.: -l.eritrh.l inrrEpqao'lw.oarn $orl fr tr'hich ttir Fnl s i$u.d.l {ullmr dphy ayF&n i.&tm E $ s ro bdom. tubj..r to th. ro,rd .onFBaioi Ls .f C.lif.mr .nd rgE lhn if LFuU hdoc otid io 'lE$o 6 onp.Mion rmviioB of S..ron lT(Jo of $. tlbor cod., l {dL fonhwilh con'gly Bilh lho* ForisbE $ARnlNG: r.ilur. ro kw *ort6 olnpsEdhr cot6as. E uoh*ruL &d sh.ll rubi<l u anployg ro oimiml FEii6.rd cnrl n.6 uI ro oE h!id,.d rhousd &Ud (t100 rh. .or oa comp.Nln'n. duus6 a pDvid.d lor rhc sdri6, 11076 of rh. llbor cod.. i d6 &rl d-Ey _t(5'-th DECIA8AIIOB I hdrbyrllm undaF yof FjuryllI.I I m liâ‚¬Bdl u.& Fltithn otcrufl6 9 (!!ffiinB rth S.rlbn 70rr) of Divlb.l or rh. A6in* ed Ptuferio6 Co&, fld my li..E l! h full for.. rd.llld. clo I y-'1 -t-1 Q tq collilaucrxrt.LEuDluclcErcr I @ allm u(b F hy of pdrury rhd rhd n. oBtuclhn kndinr !3ocy tor lhi pqfomdr. of Ih. ron for $tkh rhi. Fmil it isr.d (Sa. 1097. Civ. C ). L.ndg ! Nu. - l..nJ., r A'IILN -- I.difylnr rh. ftdcdrlauhiocEs! ns Ebdorrm\ile ml tp9li.lbLto rhn PrDjd -l cdiry thn I l8r @d rhi3 rydtdioo al sd. rhr llt .tn!r i.fon rbn i! cotrEl I tsre lo orq'ly *nh dl Cnt Dd Co6ly odm6 Md sr.k lts Ehrnu tolrldrng6tiq4o( ed hn by.urhor& r.t errird of thit Cny !d co!,r,lo ola rpn llE 'b.k 6,b..d FrF!) rn ?l("\lb^t 4/ Appror .r ^!6f skotr{ -f- - Z' .e.,, S-l'11 pohnEn.(prr.:? prr(>ovr (ol {grrt AIIUSABLDDII.ASAIIO! I h.dry rfin undd p6!hy of Fjury @ or 0E toll,$ing deld6n3 Dqmlrion ?oTnt-Arb6l6 I'lor'fdtbn F.d-il Rcsuhrion! {Ink 40, Pd6) -R.qun.d L.rld of Nt ific.tio. I = I