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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE COMMENTS OWNER B!IT,DER Df, I,CARAIION I hd.ty amm unlq p.mly ot p6jur) lhd I m ddpr ftom rh. codr,.b6 Lkd. tiw lor rh. folloqiu rann ls6 7011 5 BlrinB! rnd Proasio. Cod.) Ao, Cny or County vhich r.qui,6 ! p6nn to consrrucr. .h6. inro!.. &,.olnh or Epot uy rln'cl@. Fior to il! isMc.. al,. r.qun6 lh. appltd for iu.h Fnit ro 6k . sisn.d 3ldclMt rhn h. or JE i li<mrd p@iit io $. rbvi3i.6 of rh. Contriclor's Lto*d L$, (Ch.pra s. Com.trns $irfi S(thn ,00o of Divirion I olrh. llBin( ud Prcf*ions Cod.) or lhal tE or ih. 6 ciopr thscfiom md th! hcsi tot rhc !ll.s.d c\nprion Aryriol.lirflofs..rhnT0lli t b, lny applic. Lr.Fmnsubjdsth. @pli.mr to a.iv il poalry oa mt roE lhd fiv. hu.dr.d dolld (St00) l. a ortrofrn FDFny, or m, oprrrG *nh *as6 B fi.ir sL omFadion. *ill(h tl! *ut rd llt ndre b tur inod.d or or6cd for sk (58.7044, BuilB dd PrDf6i6c Coa.: Tk codrdorr Li.* t4 tL6 mr .p9ly ro 6 o$G of rh. Fordy who toil& or inF.\B dEE{ &ri *lE &6 sh wrt hin*lf or hs*lror rhrcusn hi. m ts o*r.nqh}6. FolikrhdMh,trFolder!@&ridq!.doroFEEdfors]..llh*6q,rllbildl.sdtrrs!ffiiddwnh6oft)s ofcoirrldbr iE O,n6 Builda eill lEw tlE hlddr of FDvrE $i lE or rh. dn mi hrild .r ir9.D\r t E FnFty tu fi. F,!or of l. a o*E otlh. pmDaly. m qclGiv.ly.or.r-rtrB *nh [.ca!.d.odrdon io (Mtud rtE FnF {56 7ot{. t}!.6 ald Prbtsim codc: Tn. Conorror't La.& L!n'dc ml .psly ro M o{E ofproFly sho ti{il&.r irp.ov6lnqon. ,nd *,ho cotrds for 3ucb Frins "ih. Cotuo(3) !id.d Fdd r6rn cotuddiLi.@L!*) I e.rmpt und6 Sation EAAf,IILCA!'IEIIAIIA!pECtlEAno! I bd.t'y tmm u&r FEi) otpojuy oE otllE tolloshs &(ldaioB: I h.rt !d *ill milnri! ! CqlifE l. olcoMr b $l-l6u. fd,sl6 onrpdsion. 6 FlriLd tor b Sclion.!700 of llE tdo Co<E ru llr p6fo|m of th. &iI fd qtit rh. pdni a iscd n ha. ..d $ ill nrinh'n * ork6' .oml.crlFn iGu.Ee s r.qun.{ b S.(r. I7m .f dE Lrbm Co&. tor rh. Fforllllre oftrir .d poli] BEbq e .-- 5&{, I\ I ccnrt rhr ir 1n. FfolM. of (h. "rrl tu tr hkh rh6 Fmn 6 is.i. I 3htll F a r. b.$@ $tirl lo lhc Ed6 snpG.ibr hn: otcdilomi{ !d {r $r ir I 3rlould tE(oE $li6l lo lrE \$116 oop.rBdion Fo\i!io6 ofs<rbn 1700 oflhc t tv Co(t I dEll. font[nt smpl! n nh rho- ForEi.B \I RNINO: Flrlur. lo <u. q!*6 comFc*ion 6\ora. t uiLsall .Id shrll ebFr & cnpbra b ailtml Frls .d citn lin6 up ro oft hur&.d rh!$d &,lkE (1100.000). in .&lnion b rlE er of c.nFMio.. dd..a6 a rro\ildj for rlE sRhn :r('16 nrrh.,!ibo. ,.,,lc'12 / /Codc. inr(d dd alolE s 16 () DECI4AAIP! I lldltlr .JIm u.dd FEiy of Fjury thi I m ltd!.d ut!d6 Fovilio. ol Ch.F6 9 (onjffih8 qlh sEr.. 7u)) of D,ririon ! of rlE &!iG. ind P,oEsbB Co&. id ny lidE a in fi:ll for rd.lTd (Q..*.",.o qz26L r9 *"-"",5euler 9o[*rtj cax$aucltotrLExllaca0E!(r I h@b'l lfIm u.d6 FEhy o f Fjury thd lhs. i! . ointu(Dn lddflg !gm, for lh. FLmmk nf rh. *ork irr *iin lhi! Fnn ir ire.dtsa 1097, civ c ). ATfU(AtrLIIiCIJSAII1I! I halby0rn"u.dr poalry of pojuryon. of th. folloving dcldlio : Dnnohnr. Pdir3-Asb6ros Notification F.d6al R.8ul ionr(Tirl.40. P.n6) R.qut.d tnr6 olNotifidion r smli..blc o rhis rrujdr ion tcotr..1 I aararoconply*irhall ciry d(in'nry 1 [t a (inn ) n,.nr6 qr{ ih. ahr â‚¬ nmt ion.d propdly for wf (o/zz /(E Site-Work Underground Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bondin g/Grounding/UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough (L/ls /iq 5^t'l Service Meter FINAL \1,/. /ix 5 N<Y ID/SIG. Pole Bases Notes, Remarks, Etc.