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APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Salety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Translormers <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilinqs (Hard & Solfit Rouqh <br />Ceilings (T-Bar Rough) <br />Itr'leter Release <br />Rough <br />Service Meter 4- <br />FINAL 3.1t - ol lLr-.r 9/dea>' 7(V <br />Notes, Remarks, Etc <br />owNER D(rlt-DEt DEt-(-ARATtOn <br />I h.r.lry Jllnm unrcr Fnllry . lcrn'ry rh3i I Mr.t npr lrom rh. Contattr! I r.n< h* tn rh. n,liDh8 rc.!,n (S.i 1)ll 5 <br />Au\nct\ lrl Prnsron C,i,.): Any C[] or Cou.ry trh.h rcqur€s , Fm n, r.nqur. alrcr. rtPn,v., &nxil6h or rcPn! , <br />{N.nrc. Ilnorn' rr\ rs'xB.. rho rcquE\ rh. qllll(rnr r,r nrh Fm (' l]L. nttud {,r.nrn! rhd Ir or slr ir liccnsd ptrFr r <br />nr rhL Frrstr,n\ Dt rh. Cdnti(rtr \ t.Ecn{d Law (( lq'lcr 9. ConrmcRir! *rrh Sc(xon ?(xn ol Drvilion I ol !h. Bunks and <br />hnl.(trrr(-! c)orlhllh.or \lr F c\.mpr rhcEliom d rlEh!\i\turrh.rll!scd.t.nrnr(,n.Anyv(niri,,nolSc.l$n?0ll5hylny <br />,mhrdnr ntr | I.mrr suhl.rrr rlr rfirlRrnr o, L,v,l,t.nrlryol n"r tu . rlr$ Irv. hun,lrcd,lolhF I$5lXl) <br />l. r .rRr olllr In|Fny. or mt.m rlaswtrhw.s.r.1rlEueklr'qf,nqri!'n,rJl&lrhcqntrl,lh.i!**lFis, <br />r o N! or o|ls€J,q elc tS( 7014. Burdsr dn Pi 6sons Gik: Ih.Conrktr'r Lrcnr L.* Lia3 mr.n lyhrow.l <br />rlE lx,trdy wh, tnillr m inF,a rh.Nr. .rn shr L,iEr (uh q* hhcla or lErEll or rhn{glt hr or h.r.Bn m{'liryei <br />I,o!Nlo! rh.r rkh mpowtunk e r, rr.DLrl or oll.ira! Ltr {l. lf, k)ew, rlr hnLh8 n fFEEnr ir r 1 * tn om Fd <br />ol conlPLr(,n, tlE oqEr BuiLL. v l harc rlE hunln ol lovus lhal lr .r dr JiLl an hlin o, rtet rtr |^'tsy hlr ttf, nurFR .l <br />_l. r\.wN.l rlE F{tnr, 06.r.lhi}cl, $nr, rurs* h l.cnr.J.onk t,r k' ondrucr rh. lr'iel (Se ?ol,( altEs <br />,rl th 6rr{ CoJ.: Thc C.nidcttr-r L(cnsc Ij* lrtf,i rn El|lly r. u o*n., ol roncn! *rx, bo dr dr mntuv.r !h.rcon. <br />rJ slt ('odk-k fs rul th,F*!s w h ! clnfrklll\, lrcn<! luruad b rlE Grnlr dilxrNtrw) <br />I rn,.kupr unJ{ Sc\ rnr "(r^1..*- <br />f, / -,..-o-NoiffifiiiN"rxaliiN <br />oIlr,l.8drllJl <br />I h.!.hr,'lltrnr utr'l.r 1^_nrlry.l Nrj1tr!on( <br />-t <br />h.v. .rn *'U mBr.u . Ccn fr.r. Jr CoN.r h S.ia.rnruE tu knkdi- sln{En.{it.. ar F)vr!.n lq ty S&r.n l7m or d. <br />I jhx (irl.. ls 0E FrfomB. ol rlE v,I for *hrt rlr tm ! i.s&J <br />lhrhrn,lwrUmmr3'nworkrrrronncnsli,nm{hn...r\r.qotrcrlhyS.(rlnr7(xrolrhcl.rhor(i!l..ntrrh.Fdrn,ie.!r <br />rlr w[k ntrrh'chrh$ p.nnn i\ ^\k'l My work.r{ o.rFn\ir('h 'nntr.ncclrnd ur] Fnlynu'nh.r u. <br />Pon.t N!hl'.r:- <br />I (nrtyrh.r m lh. ncrl.rrokc ot lh( woit litr whrhrh! pos r s\u!rl.I rhrll n, cmploy rny ltrv,i ,n rny,mrcr <br />v, s n,liv'm \ trd r, rh. klllcF comp..uri,n hw\ol ('.I'roru..Bt !!re rhir fl rh)uLl ltutrr 1($r.r t' rL <br />*o' kc^' $m!cn\.ron !n,vri'n\ nf Sccr irn J7O0 of rh. ! rhtr C(!.tc. I shall lnrlhw h ompl, *rrh rk,t tlolnn,n\ <br />WAI|NIN(; h'lurc h $drc k d\. rohpcn\d({ (r!.rrs. '\ utrhwhrl, rhl $rll \uhFr !n cmpl,ltr tr, qmDd lrtulrrr ! l <br />t'vrl ltrrs trn i' oN huftltutl rhor\lnJ Jnlld\ rslll).rxll)r. n tulJnbn t| rh. (^r o! (,n[.nsrr(u. Juuscs r\ F,vidcd i,i rh. <br />Sc.r,on .11176 ol rhc llhr C'nL. mrcrj !, rtlm,/t/ /{ / / 7 1z/ur...- .QJrr".o7 -/ 7 r-rriiiiuioF[ititoi-!.lu-tt![l!^ <br />I h.Jrht xlltrDr trnJ.r lttr,rlryol trttLtr!_ rlrr I <br />ol rh.llN[T\ ]ntl I"r1(!,r (i . r,rl <br />r$nol(hr|frr \rlLonnncturS qni S..rrn llxxlr.l l)rvr\or I <br />lktn{ s h ltrll ntr( rxl crk\1 <br />C9NiIA! TqN-IEBPTNj-&GENI.I <br />I h.rchynlturundc! JEnrlryol JrrjLtryll rherc Nrlonndd,n hndu! rltruy ktrrh. I).dnlrMc. otrhcs* lilr$hthr Fmils <br />issucJ tse. 1097, civ. c-) <br />t d.r'rN.ft: _ <br />ATIILICANT DECLAR TI(IN <br />llINl'y nllinru cr pcn{lry or F jury onc oirhc tulh*rnr l.(lurr('ns: <br />I)cmn[r{ l,.rhrr^sh($n(Ndiil.arn,n l;ederxl tcluurtr r(1(1.4{1. Prn6, <br />Rcqrmdldlcr.tMi iaiDo <br />@ n, !L?l..hL t' <br />'hrs <br />tf,oirl <br />ni,mton tr $m.r lr!r&roon{ilye h.llCiry dCdxnry <br />,y.nrh,nzcBl'r.rs .riv.sof rhsCiryr Cnunry(,cntc.uF,ntll <br />a <br />ELECTBICAL.INSPECTOB RECORD <br />X <br />lrDni \ Jtn.ri: <br />I <br />-,,rc/ry/rctq