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APPROVALS DATE ID/SIG.COMMENTS
<br />-1,
<br />s oEE olrhc p.!pqly. or oy dplo'€ wirh wr*6 s th.n sk onFnrrion. *ill (t) lL RwI !d tlt !tud@ ir mr
<br />idcdal or o,f<nl lor $lc (Se.7044, Dsind md Pr.fcsionr Cod.: l\. ( ont..ld-! Lr.e lrw do6 @l .pply ro o orM of
<br />rlE FaFlt r.i. hi!! tr i,tpr!€ thaFl\ d *no d6 sh Bt hiIelt o. hc*lf d thrclsn llit or ts o*! o.ptir6.
<br />FoviLd lh.l ech inF.lllEu G d na'.t d ( o,rqd ftr rl lf. t!\rlc. ilE billi,a d Ltrm\dtd ir !E *nhn' ft )d
<br />ololpbbo. E (xG Buil& will lIE E hrrlar ofF.rt .b.oriEdndniBdnrprbrtllEFoFty6.rt F pcof
<br />-1,
<br />s oqE of thc lroFry. m qcluriv.ly cotua.r in8 wnh li.o&d .odrdo6 !o codrucl th. Fri.cl (S( 7044, BNffi
<br />.,rl Rrftsim cod.: 'rh. Conlrrdoa r l,ic6!. L.* dE not +ply lo e own6 of rropdly *no build! or inprcvd thson,
<br />&d sho onnd! nn $cfi FDidr! Fnh ! Comaro(r) ltdEd pll!@rl ro th. ( onlr.ci .' LrN L!w)
<br />_l m.rmF ldc scd
<br />D.r. ()rn.r
<br />lla-Blrlll-(anlfrliAla!lll:(ldaartll!
<br />I h.rch amrar u.dd rmlr! of Fjur' oncorrh. ftnhtruu ddLTarFB
<br />-l
<br />h.v. !n will Eid.h. CaritEll. of CotEr b Sdf-lM 6r wkd' orp.[.lid. 6 Folii.d for hy Sdbn 17@ of ilE
<br />t.bo. Codc a6 lh. pqfo,|l@. of rh. *..t 6r *ith tlE Fnn a is.d.
<br />-l h!v. md will mriotai. *orkd .dhFlarion iBoranc.. s rcqun.n hy sd nrn 1700 ot lh. I lbor codc. aot rh. paaomffi. of
<br />rh! *ork for shkh rhii Fnn i! iqrd M, wt6 comFdion iEurffi. .Mis !d polay nuntq r.:
<br />.4o rl /,,a- enlLy' C a
<br />/, 2- "/ -2.,2.)
<br />I cditrhd inrn DdfoIM. otlh. worl for *hichthi.Fnn ir isuql l lrull.ol dpldy.ny Fmn inuymdn(
<br />s arohqlr&lidbllt*qI6 NnFMion Ls oac.lifo ia .rd .88lhn ill ,buld tE{m $116' to 'lts,Id o6Fudb, F!r6o6 of SG| io. l70o of d. rrtlf, (_o.,e I rbll. ldhwnh @rply silh lhos FbdrioB
<br />WARNING trihr. u cE m.l6 compcrsion o\atrs. ir ubrfuL ud itll subjrn o andoF b aluul FEti!."d.i!il n..r up io o.. hondr.d th.uud &'116 (ll0o.0(l()). in lddnion to rhc (os of .omFMtion. drnrsd s Fovtd lor $c
<br />I hslby .ftm unrEi pnulry or pajury $d I m lic.N.n undd Fbviiion of ClEpla I lonlnchs r nh S.di.n 7u[) of Division ]
<br />ot lh. Aulird sd PmfdioB Codc. Dd my li.ce i! in lull [o.c. tnd.afer
<br />Rc /2 7L/7 /
<br />".,,t 1'27- 4
<br />c0llralt(ItQ!.t EdDllli.Agllg
<br />I ho!t! !r@ unds FdryofF,u rhd tlErt. odrBrion ldiis B*v torlhcpsfolM. ofrh.*vt tu $tkhrhir F nit
<br />M.d (Sc.1097. (-ir (')
<br />APPI ICANT NFCI AT{T(}N
<br />I brr'y r&E urls Fuhy ol Fjury @ of th. folhwin! dGbnioN
<br />Dgmlnbn Po ny^ibdc Nor'nc.rbn l-dbrl R.sul,lhN (Tnk {o. Pd6l
<br />-R.qun
<br />d Lnl6of Norrfrcabn
<br />F I .qrrry Or rh. HE I Egullbd EgdDg Bhdo! lqm\ d e flx +plt.bk ro rhn FoF
<br />U/6.iry tb t tnr @lrtireltrbn .d rd. rhd llE.tiow ilromrbt . cdnEr I .8E ro 6f,dy {nn rI ( nr..<t c@i,y'r6r6; 9d. Lrs Ei,s rc b,,ld"rs oe..l.,r !n hd!t, dnlbr@ EFerri; or rhir cny !n co!d, to snE upo, rlE
<br />aho\. Mrio..rl r!pd) tu iEFli,n
<br />1t'tli(rrl or.\sdr \i!tr{t'r(
<br /></ l^ L 0 r t,,
<br />,rrr,'27J- /1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<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 Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter \
<br />FINAL ctl.?s.11 Ly'?)1
<br />Notes Remarks, Etc.
<br />-+
<br />ELECTRICAL.INSPECTOR RECORD
<br />OWNEX'UII,I'ER DET-CAN IION
<br />I hd.ty rlt@ lidd Frty of Fjury thr I o aoF 6om $. codNl6' Li..@ lrw ld llE fo[.viB l*ji (s4.?0] L,
<br />Bui]rd rrd Profdion Cod.): A.y Cir, or Cou,ly which r.qui6 . p6in ro offiruc1. rt6. ihlrovq ddolith or t!.t D,
<br />rrruclE FiJr lo iti iMcc. .ho r.quic llE @plh td s.h Fni !o 6lc . irei.d srddMl $r h. or CE h lic4!.d p@,.1
<br />r. rh. Fovi.ioN of rlE CorErl( r Lk nr.d Llw {Ch.fl6 9. ColMdhs *ih Serion 7000 of Divlion ! olllE Bui,B &d
<br />PFldioN Cod.) d rha lt tr nE L sorr rls.fom Dd rlE t !i] for 0. rllscd a@Fim Any vbhioD of Sdrion 701I t bt ot
<br />.pplic.dtor.pannsbjalrrn.pfli.dlo..i!ilpdh,otNt@crhafi!.hudtd(l)llr!IlJ00)
<br />se!o. .1076 ofrhc tln Cod4 i a.n sd.nonFy ! aG ,
<br />ttr,, 'tt-Vl'lf
<br />L. dd s Addrss
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