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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DEI,(' RATloN I hd.tr ilm !.d.r p.Mlly olFJUr- rh, I m.roF 6im lh. (i,nlt&'r6 l.i.@ lr\r aor rlE folLu'nB rar)r (S<70:rIt BBi.B lil trof*nt (iicl Ant cht or coun! whih r.qoi6 ! Fnn !o odn(r..h6. itrS.o\e ddellh nr qiir o\ nrudu<pr-rronr s6.c.k ralln6!h. q'Plicul for schFd lo6k.3iB..dsdoEl lhr lE ot dr ir lk.(.d plm.$ lo rh. rrolieioN ollh. Confi.ctoae l.kord trs l( hq,td e. Comhdc'ns *irh s<lion ?ffxr ot Divilio. ] or rhc BBi.d and Et l*bs Co<ll or rhd lE or lh. t.roF tis.6od dd llE ti.ri fot rh..ltl.d (dFirn Any vi,hi.. ofs.(lhn r0!15 hYlnr .pfli(r lor i Fnil sbJr.ri lh. tp9ltmr ro ! 4ril Fmh) of mt mrc ln n fi\. hu.&.n dollE (t5o0l l. .r osnd ofr hc Fop.ny, ,n a.lurn.ly ..nt!t1inB Nnh lrcosld conr.cr.6 n, .on(fld llE Foj..l (sc 7044. B'rnnd xn Pi$ision ( .d. Th. ('o.1.!cloar t.'c.e l.'* dod mr .!tly ro o* od o I t op.iv sho blilds or nryrurd !fi<6.. Dd trho slnnd! fr ind F.jdr *nh. Codrao(, lt.sd pllld ro rh. (irftlm t I toe lr\ ) l0! cr.mrl utrdd Sdnn D.r. (rind s0aKE85:(AUfl;!SAI1!l! DjI(.I.ASAIIOI I hdch) rflinn unda l.nrlr) of tEjrry onc oalhc lhlLtriry d(l!r'rirni I h.( &d wll roinrm r (-dlilE.!. otCol$l lo S.lr'|tr{G fd s$Id-omF6rnn.3 Frnid.d aor tt Sdhn 1r,00 of llE t ho. ( od.. lor rh. FIodoc. o f $. ".rl tor qhi:h 'h. p.mit 6 isu.d Ihrr..nd$ill 'd.in sorl6 conFE riln rtuft.. s r.+ir.d hr Sdbr !700 of rh.I.lbr co&. f.r lh. Ffotu..t $. s! fM $nkh fiir D.rnn i! isld My *!rtd' @srEE rf, iNre. teiq atd polKt numb6 E lc.ni!rhlr i6rh.poformN.of llE q'o.l f.r *tthrhisFnir B isu.d.l rh.llmr @ph) iny F$. in !.y lMrg $ 6k, t<om riticl lo lh. rtt6 onrpdr.ib. Le!.,(.lilont. ind irc lhr if I.tr!U tEod $B<1 ro tli *ort6' c.nFurio. poviloB of s.d'on ! 70o of th. t tor ( od.. I !h,ll. Ldh*irh omply wnh ths Fsv66d wARNlNc r.rtrr. ro s@G Nrl6'comFsdr. o16+. a unl$ful. &d tllll lubi.tl !s ro ainiul FDla irxt cnll nn6 uI' ro oE hunt.d !fiour..d (hl16 (!l0o,il(!o}, n.ddnd-z>- -DISJAAIIo! I E.,r* rrm unda FEIy o f Fjury lh.r I @ liclN.d u.dd Forisio. ot Chrpq e {offiins rilh Stli.n 70fi)) na Diviri.n I of rh. Bsi,B !n PmfisnB Cod.- .d nt lt.e . 'n tull aoN tn.ficcl *"")l_7=-tf (llltlalgla!.r[lulcaq!!(a I H" tmm undq Fuht of Fjn,r_ rhlt rfid. u !.oldrudnn lrntrls.stry ror rh. rqfotuc of tlE *mt tu uhah liii tEni i! i!u.n (Sc lLre7. Civ C.l APPLICANT DECI.AIITIOII I hdlrt .iftn uflk poll, of p.tju\. oE 6f rh. folL" ng ddkrd ios Dorclirio. Pdmil'-A3h6tor Norifi cdnrn Fcdn.l R.Sularion! (l nlc,l0, Pid6) R.quncn ld6of Ndirrdrn I.di!rl'drt[L1t.'ilr.*ul.rios,.rtrdirri\rtsnxr.,tri\rlrc frrDh.ahlt(,lh$II,|(r l. comtl\ $ h.ll (-ir\.nd Counr\ f rh'r Cir t ,nd (irunt) b 616 ugr rlF ,^*?-1:r- /1 Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building A\ Under Slab / Floor 8'- r 6-t1 yrttLtl) Bonding / Grounding / UFER ,\/ Transformers Torqueino Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) ?mS- Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough Service Meter FINAL TPtt*^l w/'ov) Notes, Remarks, Etc i0!t /*,lL mn-,+thd l, .! ownd of !n. polEny. M my onpk,yc \rith s tad s !h.it el. comD.cd ion. * ill do rlt (Gt d th. ,nrtE n mr i'rdrLd or orr.il tor * (s( 7cu. tllsilB m! lrofshd ( o<L I h. (-odrdd't LtG li] dB d lplt !o i. ouE or rh. Inrtd! qtn txil& or tqe\Brhd . !d $b dE sh \qt hin*lf or h.kla.r thmuah hi!.. hE .trn 6l''h!s. pIolidcn rhar rurh inprowrs c ml ntdi<H d .trdd nn sE ll ho\6q. lh. tlilr,B or imE!!.nEd ir nld * iihln D.. ts of co.q,kln( ir ( \16 Blilda will h.rc tlE hrddr ol Folit{ $n h. or !h. dil mt hoi! or inF.rt dE FbFry 6r llE txrF* ot Ut4lb'