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APPROVALS DATE ID/SIG.COMMENTS OWNFI BUILDET DELCAf, ATION
<br />I h.r.b, .rrn odlr Fn ry or Friury rhi I m.r.rqr lFm rrE (bn'r-l6 Latr l,s for tli ft'llo*in3 rrtr iS.. mll J
<br />Burmc$ rd Pmr..r$n CnL) tuy Cily or CNnry ehah rcqurct r Ffli' lo ornnrud. nrd, anr,nt. d.mlirh or EFn ry
<br />tocrlr.. nnn ro irs n\udcc. al$ rcqotci rlE ipt'lkr ro, ikh Fmi k, nhr rigmd (!l.mnl lhd h.nr rlE n lirnEd lDru.nl
<br />ro rlr nfl,fiioN of rh. Conrrctols Liaisd ljs (Chqrc. 9. ComnEtuins Birh sc.ri,n 7(xD of Diririrn I of rh. Ausims rnd
<br />Percsi'.r C.d. ) or tlrr L d rlE ir .t 'rit rh.Er,o6 rnd ln. tE\it tor rlE rlbFd .klrnlhn Any vbldi,. or Salnn 70ll5l,y rry
<br />q'plf,.d lor . Fm, shFdr lll +pltr.l k'.crvilFMlry.lfln mrE ltn fivc hudrsl dolla llyEr
<br />L f o*w of rh. |nlFnr.rd h'(:sir Cftlc ]1c Coni
<br />1il#;ffi
<br />7"'r-i-,{o
<br />drNm3 r h la.Md.od,bonnRi rlI Flr rs{r 7t}1.1. Bu\K
<br />)rlrolxdrwt$ hlild. or nnrmv$ thson.
<br />h.ork&1na{ l,iIn{ ti*)
<br />I2r,!ux,u.l!\
<br />I h.rrty rmrmundd I'.ulryol f.rtoryort or rh. nrll'*,ng &{hr irn\
<br />I hrk uri *ill'tuintlin !(tnilrd.ol con\cnrrr sclf lnsurc litr rorkrB coupcn\!ri,,n. r\ pfl,vidcd f( hysccrk,n lTll)nrrhr
<br />llhtr (irL. ,u rlE lrrtunuB! ot rh. worl ror whkh ilx Fmir s srkt
<br />-l
<br />hrE rnd $ll minr.in work* ...q,.N|r'. rNne. $ EquiErl by Scrion l7m or rlE trbd C.d.. fot tlE |Erfm ol
<br />rlE qd rs whth rhn Fmi i kr,.d. My tct6 otrFrtdior iNurld tuir,n Flry otr!6c G
<br />-l
<br />cdifr lh.l in rlx FlorErc oalL wo.t iir *hih rhit Fnir i{ irrarL l rhrll nr .npl'rt ry FBr rr.ry IuE
<br />$ .r.o h.roft ubF! ro rlE *ui6 @nlEdsn L*s orcri(jma.. !n.!c rh.r
<br />'f
<br />I {n.ld lEffi obFr ro 'lrsorin'onttNri.npmvtbnrorS..rion.l7(xrorrlEt hq Cd.. l !r!ll firr&nh Nq,ly *ilh tln- lmfibn3
<br />WARNIN(: Iirihtr. n) {..u'. trorL.^ .rtrntr Nnrtr' .rN.rrs. } unlx $hl..l rn cmpl,Dtr i'.nnmrlt(ulrir rn,l
<br />;:P.ra;-'*:
<br />n !n (r.,trrid('n. drtru8.\ r\ Irridrd tur rl'r
<br />DEIIJf,AIIl}d
<br />I h.ahy .mrm up.Lr Fnlllt .f lErjury th.l I rn li.lnrd unds tm ion ot ch,pr( 9 rcomrEmi.8 wiln sdi,n TurD .f Divii.n 3
<br />rr rha ltu\irc$ rn,ll"olc\xtrsCodc. rlny lf,c \c 6 ir tullnrec lrilu.i
<br />rRM Ebs _>"\g-tt_
<br />gllirBllcuoltrEllllc-&GEdlr
<br />I lEr.l'y rrtrm u.d.r |EMhy .l F+.y th.r rlEE n r mNlnrrbn Lndina .s.tuy lor rtu F.fo.11EN ot rlE s,t nn f,hth lht Fhrl ir
<br />ilr!.n (sc _]097. civ c )
<br />AEEI,ICANI.IEIIJIIIII}N
<br />I hdtt', Itrm und.r Fnrhy .r rEr,lry oE of rlE f{nh*in8 &rLdi'nr:
<br />D.mn nn Ptrnnr-Ath{or Nolilnlion Fi{.rtl R.auLrir. arit.(). P.n6)
<br />_Rqur.rl tr dof l*.firrbn
<br />l.cn'1, rhrr,lr tcJ rl,.!uhrn,n\i'!xltr( or rt,|l(ihk r, thr\ f r"r!.1
<br />.h,E irnnmrnm n coBl I rSrd tu.onply *irh rll ( ity tnd Counry
<br />tmhy dhtrirc rcF.r !t trB of lhii Cn,.fi1 G,unr, lo c.lE uFn lh.
<br />, rtit n$ror \!.nr(irmrufr
<br />t u..-,-..,-",n",,, flg1t,/ 91 pCL
<br />3.6-t{
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor I
<br />Bonding / Groundinq / UFER tqsl?D'it
<br />I I (I I
<br />Torqueino
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release bl{lao 7}'4b)
<br />U I
<br />Rouqh
<br />Service Meter --FINAL o/n L,o 716 I
<br />Notes, Remarks, Etc.t-,
<br />ELECTRICAL.INSPECTOR RECORD
<br />Transformers
<br />?f\.oP?a,
<br />_1. i o*E of irE F,Fny, (, my.r+t Fi wirh sr8.s 8 rrri. $k d,rtEMrn. rilld' tlr *ct !n dE !r^!lE k mr
<br />inrcri.d or on.rd lfr nk r Se.ro44. aurir.r ."d PFfsrhnr C'rL: rE Codrrrolr lirn* lr* &B mr tpply ro 6 owm. ol
<br />rh. rrlFny wh6 tdikl! or irimrws dER)n. .xi wl$ d6 sBh snt hirclf or hftll ar rhmu8h hir or ll.r o*n .trphrr.s.
<br />pii'rid.n rilr $.h iryr,\tfunh @ Nr hr.rd.n d off.nn fM r]. li tss*ci tlE ttrirriry ff irFoEEnr n g'U wirhin ox Fe
<br />ordnrilrion. rlE OwF AuiB6 *ill h.E rlE t{,i.i ofFDtins tlEr ltorrlEdn fl tlild.r iqmE rtE p&td,l llE luroior
<br />Cuir
<br />lrrilci\ Addr.$
<br />(trJiDBtr rd SlI.l$rEllrB l.
<br />rrbK ftnrard rmFny fd
<br />I
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