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APPBOVALS DATE ID/SIG.COMMENTS OWNll-T AI IN-I'PI DFI-(} NATON <br />I lrEby rfirn ud.r p.nalry or F jury 0d I m crcq, 6!m llE ConlrrloE Lirr L.* lor llE loll6shg ,an (s.{.1I),r I t <br />A!.iMt .tn Pmfcsbn Codc): Any Ciry or Coudy *hth ErtuiEs r Fnir ro sdnrl, .ha. irqroE &mlirh or q.n xy <br />rrerm, Fb ro nr afl.m. rls EquiFr rhc .l,plirl for rudh Fmir lo liL r riSEd itll.mnt lhrl h. o. ii i! lilkd Frod <br />nr rlE ,mvnh ol dE Conllrro* LilrEn L.* (Ch!Dr6 9, ColtmNnB enh Serir 7m of Divtion ] of dr AusiEs .,n <br />Ptuf.1\bnr Gxr.)., rhd lE d.lE L.rcq, tlEcrrcm.,rl th. EBis fn th. rllctd.rcnplion Any rioldk n ors.clioi T0ll r by.ny <br />. Tplr. l.r.Fnn tuhdudr rmlk. !orov'lFMxvofrur mErhd fir. hund^'d dotlrr '$m). <br />(l!.|-L I o*m, orrh. Itrcrtny. or mr.moloye! w h **6 rs rhcr nh 6n{EMrL ail do rlE qrl srd 0E nnIlc ! E r <br />it.ii.d or olI.rd ror rk (Se.7O4j, AusiFrs ua R.lc$ioE Codc] TIE Cdtu*ior'! titE trv det ml PPly lo & o*E of <br />'lE Frsr, *h,t &t\ n 4,tft6 dBen, i,n wL, d,a Mh wlt hiNcror h.Rlf or rlNu3h hii d Lr oo.8ilby.c, <br />,Dvit d rlEr iEh inprowd. n mr irdrt d dotuEd lorrL.l( lDM.lh. txildu4 or lrp&hmn its! w&ii6E F, <br />or o,pLti,., tlr OvEr Bui!.r wi[ llw dE hr&n of Forits rh.r lE r tE diij mr hrild or ilaeE th. proFry &r tlE IrrFs of <br />-1, <br />rs owEr .r rlE pmldy, rm cxcluur!1, co.hdi.t *'th liccnc! cont,rrnr ro oNrMi itl FoFr lsd 7o,l4. alrlBi <br />!n PFriarinCod.: Thc Conlturoi! Li.rnr liw &E 6 rppl, !o .n owns of l,mFny *h. huildior inlPmEr lhs.o( <br />!.d *ho coMts tu ruh F)j(k dh r C.ddcrr lianEd n!ru' rorE Co rrroir Lii.t. t,*) <br />I dmcx.nrpr undcJ S.{ion 8 <br />{:^.l--u- zt <br />![!l.tBtr]r]: <br />I h(rchtamnnu crp(nalrrolrerJuryoNolrh. lnlL'wingd(bnrion* <br />-l <br />llr .,n ril f,inr.b r C.nia..r. of Codnr ro S.lf-lNe td r6tm onp.MraJn, .r P'svit d for b, Selio! lr0o of tll <br />tltu Cni.. fd llE Frfl)ffi of tlE *nt for whtn tlr Fnl i! iito.n <br />-l <br />hrv. rd will m rnrlrn *otkal .oqEnr.lion inur{Ec- .r rc{uir.d h, Sftri,. l7cl) of th. Irbor C.<,.. fq th. FfolrrDr. of <br />rlE q'rt li{ }hih ltis Fmir n iinrd M, worlqi .!dp.B!rion iosure..air,n Fky NmlEr @ <br />frDmtI' <br />,$1**rr,t, ,,* -alfrk nl rrF *ort fi, *h.h rhh F.nd i. irsucd.l sh.ll mr mpbyrny p.ren in uy tuxr <br />- 'e rs ro b(!m sbFr h oE rut6'o,rEM En Lq of Crlilodir.d rre ri.r if I dhlld b.$c rubFr.o rlr <br />worlcB conwnsrhn povilioE of scrhn l70o of r,E Ltfi c.&. I rtull. todhwiri snv,l, wnh 'br pmvrbnr.. <br />suhFl an cnlphFr k' diminal Fdlri.s and <br />I 6&t!dFi. dlsgri+.si&*. <br />',E <br />.,vrl rlN\ up t' nN htntad rho0u*l dollr\ lllll).txr)). <br />'n <br />1;:;" <br />)76 olrha lnh, Oxlc. 'nr.rinnd!rkrfty s fc.\ <br />-zt - Ll <br />I lEEb, aftrn undcr Fulty of p.rrlry rhxr I m li€osn rfli.. prorlrion or Clulnd 9 (onmEin! rnh S€ibn '7U10) of Dititbn l <br />of lh AutiEs .rxl Pmrc$ionr Cod.. rn m, lt..k ir i, tull fole rrl .tler <br />Lrcn{ Nun Er <br />Conl..(or <br />CIIITISIJSIITMJNDIIqAIiE!.g! <br />t lxEb, rrrD nnd.r FMlry .t FrFry rh.r <br />'rEr <br />r ! coniu' Dn ttuling sScry lor tlE lrr(omc o, th. *qk trr whth rt! Fni i <br />nikd (s( 1@7.cit c ) <br />attucArr.Dl;llJBAlllt <br />I inbtrfim,untlcr Fnalty or txrllry onc Dfrh. ft,llirwnrB dtclrarknN <br />Dcnr,lntr,n It nnnsAsh.iu\ Norn.irotr lrcticrrl Rceullriotrs ( fib,l0.lJn6r <br />Rcquircn L!nrr ol l'Jlnirtxi.n <br />l!.nifvrhd rh. f.d.ml m h <br />16.-r,- , r* ** *.,, <br />lioE Eradir8 a$.sl6 EmEl E mI q,pla.bL io I <br />tllion aid sl.t. lhrr dE .tow inforDli'n n c&Er I <br />d C.u'Iy ro Gni6 upon tlr <br />-zt -z I <br />ndnrR.\ xnJ Srrr.lr{\ rL 'n! [) hu Jnl h.rcby iurtnk rcl,rcBddiwr ofltn Cny, <br />\cnu-.t <br />rirEd l,ol,cny for iNlsr <br />4{c* <br />,4 <br />Site-Work <br />Underqround <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bondino / Groundinq / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilinqs (T-Bar Rouqh) <br />Meter Release ?4y-21 fr-.c-2 /7 <br />Rouqh <br />Service lvleter <br />FINAL v-z lDz t UL-ts d eaog -2r) <br />Notes, Remarks, Etc <br />x <br />ELECTRICAL.INSPECTOH RECORD <br />.,r <br />Lr.d.r't A<,&.s <br />- <br />f+//+ 14