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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underoround pP{lT 3-(2)\14:r)
<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 />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER W-lt)
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release "t
<br />Rouqh
<br />FINAL or A)
<br />Notes, Remarks, E c
<br />c,*a
<br />OWI{Af, BUILDEN DI:LCANAION
<br />I lErcby ilnr !.dq l.ruhy (,1pcrjo,y rhlr I m crcnpr lNm rh. c(,.radoE l-iccne La* nn rh. follo*i,r t trmn {Sec 70ll t
<br />aurimss dd Prof.*ion a.d.) Ary Ciry or Conry whih rcqln6 ! F rlt lo olrd. .x6. inpmw. dcmlirh or EF ry
<br />llrucrm- Fr xr irr irwc. e ra,r ih. 'ppli(Dl ror rkh Fmr h 6L r rtrd .rdcBn'
<br />'hrl
<br />h. or rti it littrrn Frod
<br />!! rhc Flvranr of llr Conrr&roa! LEn{n L,s ro[Prq 9. G,nmm'ng srh sdrion 7ffi) !l Oivishn I or rlr EuriE$ .rd
<br />I'mrcs\ion\ Cod<) or rhrr h..rsh. h ckmB rh.r.ftomond !h. b.sn lor llE alleg.n crcmfli,n AnyvbLlknofS..rr,nT0:ll r hlrny.
<br />lttlica n i lErmir suhFlrrh. amlilnr ro !civilFEhyofmr rnc lhd iivc hldEn dolldr (t500).
<br />_!. .s owr of
<br />',E F.Fny. m ny.i!,bFcs wnh *rrc1&! rh.i. sh $qEndr'.. sI ilo th. wt.!d dE rBrE ir d
<br />i.l.njci n o,Itrd rd slc (se 701,1. Bu\itrr rid Ptut rsbN Cclc TIE Contd.l\ ljcctr$ I r* &$ d 'pdy t' rn oskr or
<br />rh.I'mFdy wh) hoild! o. in{,mvrrh.E'n, u qho &B iuh vod hinN.lf or hcrrll o. rhmuAh ht or Lr D*n cnq)loyc*,
<br />pmvid.d rhlt su.h inlFomnrs e ml i, ci.t d q ofr.rql fry qL ll tnkE dr tliuint m inlmErnl t sld wilhin om ytu
<br />ord,rilrra trEol,ftr Bu*Lr eil lIE rh!d.noaFrnnglhdlrnr\l.dAB hildd inleE t'l FtFly rr, tlr FIFEd(
<br />havc lrnwill tui'nri.r Crnil'rrrc of Cotr*d n,S.ll.lnsurc f.rworkda drnllttruirn.!( pn'vild fu hySrcoonlTmolrhc
<br />' L.t r C.n ,lor llE rsftxlrl[-_..c of llE x* ru ,tih rlE Fnir ii itru.rl
<br />2!,ME.d*illmi rii*oa.6 coilEndion inffir.. G rcquEn bySdir.lToO ofth. L.b., Co&, fd rh. Ffolffi o,
<br />, rhc w6rk for *hi.h lhir pcmir i! ts$dl. M, worl6 ohFnsthn insuBrc cutr dn poli.y nonb.r e:
<br />e,,r"yx,.x, A t cr^)4414l9ll r.p"ii,lzt
<br />WARNINC: f.ihrc lo scuE wortcn omFnsulion colcns. is dnltrwtul, ond shlll subj.tl atr cmplord to ainnllll pcMtts atrd
<br />civil fiml u,r h oE hu'rkn rhousd dollrr (aloo.Ux)). in rtdnion ro rh. ..{ {f coml,.nsri}n. d.m8cs .r prclidcd lor rlE
<br />Sdri,n 1076 oI tlE ljk Codc. hlm.l ltrd sll(lmy r fs
<br />""' lf tql-u 7-
<br />I lmt'y a,fro ud.r FMlry ot pd,ny r hd I d lirn u.rrcr Fovsrn of (-lEpls I (ollrftring * h Sdi,n TUrr or Di!-h. r
<br />of tlE Bu{Ns !.n Pmt$-ns Cod.. 4l ny li..n{ tr in tull lord {n.fisr
<br />,.-.".u* ,|b, A LIO 1 *3bjo
<br />tq zl x .z-
<br />I lErcby lmrn unlcr rEBhy oa rErrury rh.t 'hsc haid! rB.Fy l rlE Frfmmftc ol rlE q,t ru *hth rhn rsn. ii
<br />isi$d (sd 1097, civ c.)
<br />L,nd.a. NrnE
<br />-
<br />&l..nifythd rhc f.dcrd E8u&rions ESuJing strsros Emvrl e tun qrtltshh lo rhi l,roFl.
<br />Al dify rhot I h.rc Ed rin .pnltdhn sd sr.r. rhd rh. rboh Dfu'd irn is .ffi I rAr lo onpl, *nh.I Cilr.d counly
<br />dnIms rn Slll. bur Elrin! ro toildinS.otrrrtli. r,n lEEiy ruhlM EF*dic orrnir Cily Ud Cou'y tr.trrq qsn 0t
<br />rh,vc d.ri(,Nd lmlEn, ld ,n\rErtion FurB,cs
<br />ipt,liranr trr '\stnt Six'uh,ft .-L_-d
<br />uS Te^)2a-D.--..,^r 4"lrt
<br />Hov 08-07-2015
<br />ELECTRICAL.INSPECTOR HECORD
<br />a/
<br />Je v2)v
<br />,C
<br />Service Meter
<br />_,. as owmr ofttE FDF.ny, amcx.lusiwlyconrr!.rin8 wnh lided.onrdd x,.oBhd llE pflr.d (Se. 7014, BNircs
<br />.d FbrBb. Cod.. Ih. ConrBio Li..nF llw d(B ml .pply to a o*rcr or pmFn, who blildr or imPmw.
<br />'h.rco...rn wh. o.rr-1s ror t6h F!rn! snh. Cod.-ro(r ltr.-d Firlid r. Ec.mxrdt Limc L,,
<br />-l
<br />mc*nfl under Sdri,i-, A & P.C rorrhir Eer.
<br />Drr.
<br />-
<br />--
<br />O*Er
<br />-ld!8f,I8[.CtX6lENrAISA
<br />agclalAllQd
<br />I hcEb, .m,h !n&r Fn lt, ol IEiury dE ol rE folld n8 &.!rnl hnr:
<br />c**, oL$ ,2e?ukr,r d,ettsl_a.e
<br />zEl c.niry rh.i in rbc Frl.hrre.rrlE *o,k for whah rhr pcrntl ir iriEd. I shrll rcl c'rFl6y rny Fen in {nt n$mr
<br />$ as to b.a!m rut+{r ro rrE w.td'oiFrEdion L*r or Cdifmi, 4i 8gE lhr ir I slbrld talr $brdt l. lh
<br />m*6' onlENtion t,ovnFn. of S*-rbn l7@or E l,n C.n , I {Ell. lodh*nh 6n!ly *nh rh. FovtnN
<br />Ltd.r's ftldfs.
<br />AII'.(ANI-DECIdSAIION
<br />I hdlhy dthn undcr pcn.lty ol I'erjury oE ollhc follo*inr d(Ldrions:
<br />Ixmlirbn P.rnn! Ast il.x Norirr bn fc.t ..l R.gobr bni (Tnt ,$. Pun6)
<br />_RquE{ l.trdof t*tfdq
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