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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE lolcr COMMENTS <br />Site-Work a 7 <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 />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL (@lPt I ,, t.,+le-ft -4/rtrq) <br />Notes, Remarks, Etc ( <br />OWNER AUILDER DEII'ARATION <br />I hd.try amm uida Flllry of Fjlry rhn I m n@F lilo Oc Cofl6(lo6' tit@ t s tor rlE a.llorog t6r (Sd ,0!l 5 <br />BuiId Ed Proldhtr Co&) Ary Cn, or Cordy whih r.qdE . Fni 16 .odru.l. 1116. ioFore &,mlLh or rqt 6y <br />!rictu.. Fi.r ro ir! isreq .l!o r.quic rh. AllicMl tor su.h Fnir to fik r ttn.d nnd6l rhn lE d 3hc b lico!.d F@!r <br />lo lh. Foviriod of dE Contd r Ltmrd l,r (clqid c. Co'llllEin8 $ih Sdi.. 7(m of Divnion ! ol llE B{siB id <br />Prof6bd Co&) or rhlr lt d .lE ! dd9l thatEoh rd rh. b.ri tor rh..lh.d .GnFion Any viohrion of S<tion ?0lt 5 by.iy <br />ipplic!.t for . p6si lubjaB ih. 6p9liq,r ro . ciril p.ulry o t nor 6oa rh,. tiv. hun&.d dollG (ltoo) <br />l. B orG of rh. FoFrt. or iy.ftplo)6 vnh urs6 a rhcn sE comrn&rion. *rll do rlE wftl erd 0E rur@ ! 6r <br />idald.d eofrs.d td !&(Sd 7044, BBiBad Pioadio6 Cod. T1ECo moistitMt sd.'6d+rlybuo$nof <br />lh. FFly wls hitl or llpmv6lhd@tr rn wlD dc sh s!* himEll or lEr.lt or llmush hi! or h6 owr dptoy6. <br />prori&'h.i ruch inFnffir G d iidi.d or oFnd for slc ll, lEslE, rlE hlildlg or r+dF&n i! sld $.hi. d ,- <br />of Mpldn! r O.G BoiLd $iI lb* ilE h(h drFri,B tk L o' di {td or hild or inlrort ln. FlFy ror trE F4or ot <br />l. aorEofth. Fopdy, mdclNiv.ly.oi B(ing snh licd!.d co.nra.ron io.odtud rl' FnFd (S4. 704,1. &abd <br />od PNko Co& Tn. ( onrdro. r licw l.!* d6 mr {plt r. m oqE of propqrv *ho boild! or iDp.ov6 rh(Fr <br />.rn *lh od.&lr ad r(h Flialr snh r (hnrraro4r) li.n d tu66r to rh. codr.dofr Licd. L.$) <br />l6crcmB m.t . sdm <br />Drr. OrrE <br />uonr<rqsi cl)irpf,nsaroN <br />lEq4aallo! <br />I ha.t, .mm unda !o.h, oa pojnry on. of rh. aolkrwins dil@rrc6: <br />I hll.ad*ill@i ri. . cdiar.rt. ol Conslo s.ll'lBurc fd, sorl6' conp.nsnn n. a Fvid.d for b, sdiJn 1700 of ilE <br />hbor Cod.. for rh. Ftol:r@. of rh. *!xt for rtrtt rlE rErir . is.d <br />I h.!c.nd *ill m.i.t!i. sorl6 .onFEllhn iEff.. a Eq,ir.d bt Sdhn r7(n oltlE Llbor (n&. ror llt Fltu of <br />rh. sorl fm whtt <br />'hi! Fmh b isld My $orld c6r.'tEEaion inlllft..eid !dFlkt numha a..-- ' Yl\Urrg\ L'tr\:rfE <br />poricr Numh.. I r$qrrrva cl: faa E<r -\".\2.\or <br />l..niryrlltr rn th. Fifotuft. ot$. *ort for *hrh thn Fnn is isu.d. l rull hr dphy rnr Fsn in d) @E$ a <br />'o <br />bdrft slret tu tlE "odd omr.rudion hE of c.lifomi& !d +E rfid if I Jrlld tEom..uqd b lhcqon6' omFn .rio. pmlnioE ol Sdiotr 1700 of lh. lfto. Codc. I dlll fonhs n h ondt $ nh dE F.tirbN.. <br />$ARNINCT tuhr. ro N. sorld' @!'9saiio. srqrs. ir unbwtul. ud rndl iubjd e dploF ro aiho.l pdlhi! .d <br />.ivil frn6 up ro otu hundrd tho!.ard &116 (t100.000). in .ddnion ro rh. on of.o6F6aio( d&t i6 . FoliLd lor rlE <br />Sclion 1076 oflh.lrk Cod.. irrrd.!d iloftr'r ft6 <br />1 <br />I hotby rm undd Fdy o f Fjurv thd I m lic.N.d unds Frvilion of (nuc 9 (coohacinS snh S6lbr 7000) ol DrBion ! <br />of th. BGilB ed Prcf6ioB aod.. td ny lic.e i i! frll 6c a'd crE r <br />19 <br />' vL-\L,t <br />caNfralcrl0NrEllalitq!!(r <br />I M) .lTm und6 po.ny of Frury rhc rh6. i r odM bn ladin8 tsd) f.r rlE Ff({m. ot rh. umt for s hah rhn Fmn ir <br />is.d (S( 10s7, ( iv ( )tndd'r NM. <br />AIIIICANLDICIdAAUII! <br />I hdlq .iim uhdd parlty of pdjury on. of lh. followine d< lerlion : <br />Ddrolns. Pnmne^lh6ro. Nohli. n. F.&r.l RcgtrLri,N (Tnb {0. Pd6) <br />R.q!n i krd of NdifFdar <br />I cdiry *l!l llE lcdEal r.8ulilioB re.rdins Etqlo! Grov.l ac d 4t arbk lo lhir F.i.rl. <br />fi?iry rU r t a,. roa rtr appltrrion ed !hr. rha thc iho\c inromdion n ..n .t I '3c ro codpty wnh .!l cnr .id (-oFry <br />o,ni6(6,i srd.l^. rhiE r. hildnB.6nmrd.( rn bd.b'.rrtotu cF6rtn6 of rli! Cni" d Counry ro ai6 !tb. dE <br />rhtr. 'Etiond t'op.ny lor iNpdrio. <br />*,..12. t-z.r'-,,'\ppllc.nl or .rrdr stn.rur. !L <br />Perrile nrn.(pnrr): )(O,,",,LI A