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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS I)WNER BUILDER DEL('ARATION I h6*,r amm u.d6 rE lhy ol p.rjury lh.l I m ctmrl from lhc aonlrrioE LicdE ljw for |fi. tolloq'int t.e.(St70ll5 Bdin6 !d Proftsni Co&) Any Cnr or (ou )" $hih r.quc r Fmi to .odM, rxs. rmFove ddmlbh or rqrt uy tud.. Fir ro t3 6ffi...to E9ln6 'lr Slkdt fo! wh Fnn ro fiL.3ig..n fiorH! 'hr lE or slE i liG&d prrnall ro rhc I'or6nrB or|n Com*roar La.ds.d lr* ictlBq 9. AmnffiinB wnh sdri'n 7l)0o olDnilion ! of 'h. BuiB ud PbfNions Cod.) or rhd h. or sh. ir.rmpt lhq.t.m ud rh. haiL lor th..lL8.d Rmption Any riol.lion of Sdioi 7031.5 by tiy ippt .nl for . Fmit $bjcts rlE !r'' ic! lo.cnilFufttoiml mr.rlE lirc hun&â‚¬d {bllm (iJrN) _1. a o*c otrhl fftFry. or ny.tuplorG *nh *!s6 a rh.ir $k sdFudion, trill(b dE qirl -d rh. rid@ i ml ilno<t d or olIa.d for sl. (Sa 7044. Buind !d Proa63iont ( od. Th. Co r.ctoi3 l.i..e Llw rh6 nol plly lo h oqr oa rh. Fpdrt *lE bil{b or iqorâ‚¬ tlE@ nd who {r.d Bh q$lr hi@ll o. h@lf or t,roq} hn or hE om @ph)6. p.orii.d ltr uh rso\sEr! E bl ndd.d r oFEld Ei ul. l( hor6!. rE hrild,'s or i.F.E!d t 5ld *ih6 ffi tt of.onpld@ dEo^E B{ilda qil lE\r E hldar olF.rrB d.lEn:lI.{nd d hitl d inglE 0E FoFly tudt F rBol - l. ao*Eotrh.FrFry. m.lctun.rcornrarh8 $'nh lkqE dcoitxl.Broei!tu r rlr Fj..r (5c 70fi, u6K in Pltiss co& llE codrror'. Lic@ t.w doer mr .ppl! ro d o$nd orF.Fry $ ho blild! or inporclhsan- sd *ho oflElt for uch Foj<l! $nh. ( oirrro(r) ltd!.d pusulr rn thc Colralor'3 Lt.e t *) I mcrcmfl unds s(tion n & PC f.r rh! ra$n lhr.: O*rd woru(rraiaoMPENS^TmN [ElJrASAIllr! I hd.l,y .md u.d.r pdrty ol Fju' r_ o@ of rlE lolh* tls d..t aioN -l h.v. -d will tui! rh. C6rifrnc of Coe b Sdr-l6d for Mrtd orrqliba a rrcriLd for b, Sdbn !700 oiilE Lrbm Co&, for lh. Ffolruc or lh. m* for *tkh lh. ,d n i! i$u.i. a t tr'c roa *itt minllin *o*d o4GB iDiBM(s Gquid qv scrb.l7(D 01lh. t lEr Coda tor rlE Fbrlsc of rh. wr tn *lrih ftir F6t i' is,.d My *qld 6r!F!rni i6l]ftC nE -d Flt, auDba G cmi( Ael, .4..^ ggtc^ !-r u*rt'**, p.tc' c b5{ 3 k6b5 - -g*p*, /' l ! q , c.nit lhlt inlh. pdfom.m.oflh. worl tu which lhn p6nil iu i{u.d. I shall nol oploy iny F!.n ii.ny me6 s a b b..dn. luticr ro rhc *$116 onp6uri6n l,*. of( llifohir. .nd !!r lnd if I lhoulii beotr iubj*l lo tlr $0116' q,mFBdnn F.\i!ioc ofs<rio. l7m of rlE Lhd ( odc. I ihll. tdh[hh oq t $ hh rhor ForiioB WARNINC Failur. h cuc $ork6 omrErdion mrdlll. is unlNful. Md shalr u\Fl @!lo)r io dfrin.l Ftrth md ciril ii..! !p Io onc h!n&.d rhousd dollu (f100.(Xxll. in frldni.n lo (h. .o( .tao'nl<@r d,m!a f,! liNid.d f.. rh. Srrhn 1076 ofrh. llhor Co& 'nrad &d o*, rL/ rz/ t8 a I hdrbt .rm !n& Fdly ol Firy lhr t e liâ‚¬E d srla Foitb. of ClIFq 9 {@ffius virh Scrbn 700(), or Ditbio. l ot rhc BBics lld Prcf<iod Code rn o, lboB i. ii tull aoG.n clt..t LicN cLs: a lD o,,,, l?///?// ll o/.-22,7 Q ( on,r..,or A?A a.tg.ltadfDEct af,allQ! I horb .fn urd6 F.!ll' of Fjury om orlk lolloq'int dc(hnl i,N D.nbldion Pmh!-ArtBoi Norifmlhn F.ddll R.8uli hN {Tnl. ,10, Pd6) R.qut.d Lclt6 orMtitu lion -l .diry rhi llE f.d6rl Esxldbd r.sadrils 6td6 ltmrrl e ful irhrbL ro th! FDi( I cgliay rh{ I luE rad rhir .pt licrion arl itllr thi tn. rt$!. infomni.n i! coE d I .sra to mmply wnh .! Cir, 8d Cour, ..diMn.6 rnd Sd. lr$ ! rkin* t. hlildin8 .oN'rudiotr t htri7t r.!.sl.ti!6 otthir ( ilysd Cou vbdidu|rlnrh. .bo!. nBr6n.d rR\Fn' lor cpdhn pu.F6 ::T:.'.':T::-:r#.';C^-,r'^^JeOt\ 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 / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rough)/ Meler Release 97tv77q'#z -) Rough Service Meter FINAL 5/tqLa .&r/. Notes, Remarks, Etc.(ONSINIX-TION LFNNING AGEIIIY I Hr .,Im un& Fdly ol Fjur.v fir llE ir !olEroclion ladl4 lsdy for lh. pcf(rljre otlh.*ul6r $'tth lni Fni b isuol (s6 1097, c! ( )