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APPROVALS DATE COMMENTS OWNF-f, AUILDf,i DEITL'AlL{NON
<br />I ha.lt irm usrd pddry of p6ju.y rhsl I ffi dmpl filn rfiG Co.rtdou' l-i..n$ Law lor rh. follo*ins l.en (sa 7011 5
<br />BNind rnd Prol6io. Cod.) Atry (ily or Gunry qnich Equt6 r Fmir to con3rucl, .1t6, ihp.ov.. ddnolirh or qin uy
<br />sd@ Fior ro ir! isu.e dh .qui6 $..pplr&r for ruch pdf,i ro liL. riSrEj rrffil lhr lE o, dr ! lk@d pl,o.,n
<br />ro rh. Forlio6 ot rlt Conrrld r l,@nrd t * ((tFd 9, Comtrins *nh Sdriotr 70m ol Diftbn 1 ol lli &BdB !t
<br />Pof{ioB Co.!.) or rh, tE or ilE i! dmfl tHmm !d llE bo$ for llt .lLscd cranFion An} lioLlhnofs.nEn 70115 byoy
<br />applicd lo! . pGnn sbjd]ls th. rpplicant lo . .ivil Dcnrhy of.ol tuoic $d fi!. hundrcd dollus (1500).
<br />-1.
<br />6 o*E of rlE FDpdrr_, d my.nqlola wnh e+€ s llEir $k omFlrbtr riu do l,E rsr -d ln. *!r'tE it Dl
<br />idad.d r otrqd tu sL (Sd.ro{l. EBilB bd Proftsir6 Co& Tn Clfrdd', Lt@ t,f, .bc 'd +rl, lo r ow or
<br />llE FlrEiy pho hl'll m i,tq!€ li.6r\ !d who do6 sh ed hitrsla.r lExlf or lhrcush hir or hd om mpblE.
<br />prcvid.d rh.r s.h inF.vaEnlr e mt inloi.d oroflc.d tor r]. lt hoa6. tlE tnildin8 or inF.mt i ski wilhin on ta
<br />ofors,lrb( llE O*G B{i!6 sill lrr lh. trdo of Fovilu tll' lE or slE dd tul hlld r n4.oE fi. F!Ft} for llt Ftrpor ol
<br />L s ow of rlE !.oDdy, e qclu'ecly co'fi.r!{l vnh li.ald .odffm to 6d^rl l& FDF (Sd ro+1, BGIB
<br />.!d EotBbnCod. rh. Conlrrdoir l-i.d. L.w 1106 mr .pply lo e osd o f proFry *ho btildt or imrrovd lh6@n.
<br />and Eio coirelr tor suchFnjd! wirh a Coiaro(.) licd!.d puBurl tolh.CodD.rorr li.G k*).
<br />I h.rdd u,d. Scl.. .B aPC forrh6@n
<br />D.t. Oxnd:
<br />rvoR(i tls' conrPar[sa]'IoN
<br />DEgrr&lII9!
<br />I hd.l,\ imrn undd pc.ahr oIFJUD on. oarh. a(nk'l o* d.(h,di.B
<br />-l
<br />hlvc ri will minrd" r Cdrf*.r. of Coler ro S.lfJ@. fdr wla @mFErion, s tn vid.d aor b, Sdiotr 1'700 of llE
<br />Irbor (td., for $. palomea oflh. mlt fm *hich th. Fqrn 6 irB!.d.
<br />-l h&. r.d *i,l nldin *dtd @rrccapo illiJlf.. ! ,.qucd bt Sdbn 1700 otll! trtd Cod.. fn tlt Ffffi. ot
<br />tn. wt 6r wtih fiir pabr a io.d My rato ompo.ri.. iErle i.r rn polt, luibd r.:
<br />"--, \tiJwrS\ Ur<t Jt\5
<br />\)Co .aa {l ,*n-i.t.ll
<br />-l
<br />.6rit rhd itr rlE Flolle. o{rlE worl fn rh.h dk Fmi! t isu.d, I ltl Fl cnphy i.y F$n in &, ttl.,E
<br />$ s t' b.<om. 3uUd b lh. wott6 coDpqE lx'n h*! of Cllironil od .gE thr if I Jlould b6om sutial ro llE
<br />*o 6.omp6!.rionpoviiiodolsdaonlT00oflhcLrborco&,r+dl,fonhwnh@dplywithlho.ForirioN
<br />wAlNlNG: Frlrc lo s@ eort6 oarp.<io. rctdlsc ! uLstul !i rhdl sqd d drpbF lo oi6ql Frr- ild
<br />.Ml lin6 up ro on. luxH lhouEd dolltr lll0o.&0). i. .dd ior to IIE cor or cmFrErior ddn ga 6 Folit d for tlE
<br />Sartun 10?6 of rlE L{h,r Codc i 66l od lltonEy! fc
<br />I dry !flim unda Fuh, of pcjury lha I m lrcsu.d und6 provirio. of Ch,pE 9 (com,ffiins wilh S..lbn 7000) ot Dirnion :r
<br />ot rh. tlcind dd I'ofBioG Cod.. &d Ey licru i! in tull forc. rnd cff<l
<br />\3 \ ooq t r'-{
<br />\) '1. t o.("& vry
<br />coNsrruc-TroN I r\n||{G a(:l.N(1
<br />It E6y.l[m udq FrnyofFr)u.ythr dE ii. oIdnsriri lados te4! for llE Ffollffi. of lh. *ql frlr whih rlir Fnl i!
<br />iiu.d(sd. 1097. civ c.).
<br />L{ndq r NE.
<br />-
<br />Iridd'r Addd:
<br />-
<br />AI! TCANLIECIaIAI&!
<br />I hod! .fin uda Fulry of Fjory oE olllE lollowin8 daldrl ioB
<br />D6ml'roo Pmn}A+.do! NorifE ti.,n F.rl6.l Reuh!hN t rnk 40, Pa6)
<br />-R.qutcd
<br />lrrd of t+ori6.iion
<br />o ify lhd rlE fcdarl r.auldioB Egrdins utBtos rmn !l u. nol q)pli.bL ro thn Frjd
<br />rhd I tsr. r.e! rhirptlk{hn dn $l.lhl I EJii'Iildy .irt rtt cn, ro< count
<br />ordi@nc6 dd Sur. I !s! chrir{ i. t0i iv6ofrhs('nyod ( oury ro drd uFln rh.
<br />.t{\ c nE,li,)ncd po|tny fitr
<br />,\ppli.rnr or,rgdr Sirnrrur.."14 Ai
<br />\z.I) )"-
<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 />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter _..1
<br />FINAL 2-l-7ltrl ,.{/,1t41 t1/
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORD
<br />ID/SIG.
<br />Air Condilioners \t )
<br />-",-]2tr.r'"
<br />II
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