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APPROVALS DATE ID/SIG.COMMENTS OWNSI EUU,I,ER DELCAI' TION
<br />I nEry rrdr unr.r pcEfty or D.4ry rhd I o .Erpr t!!m rlE coffi6' t:tr L.t rd ttE ,olb*it tu ls...7orr.J
<br />Buns. rn PmI6in Codc): Any Cry o. CN / whih rqui6. Fnit ro 6nrn.t .1t6, irrproe d.mlni or Ep.u My
<br />m6lG, Fri b i! ,s!e.. &, cli6 tl' ll'lid tur sh Ftr to 6l. . li3En nrqEd rhi lr ( ai b liid Ftu
<br />h rll FrvirirB .r rr C.turd! l,irn .d I.* (Cr[p.a 9. C.nmri.i wth sdlbn TsxJ of Divirion I or th. BulEs ud t
<br />Pmr.sion. Co&) r !h.t ri q E !.kn+ ln.lrioo ud llt bdir tor.h rla.d.rn{.m Aly ELh ots..Iio! 701I J by uy
<br />rpprid In r Fnt rbj.trirrE rrplbniro!.ivilFMlyoldmErh.,nv.hr En dolL,r tl5{xl)
<br />_1. , ord.lrh. FqEny. M my.n0hy.6 enh *.t.r & lh.n sb nD9.Niin. willdo tlE wrl ri th. tuG ir d
<br />irdridl d orcrd fd rl iS4.704.1, Buriht ql Rol*rs CdL: Tlt Cdd-i licr Lr* &.. 6r +el, ro D o*E ol
<br />rtE Frlg'y *l! hddr rr intFE tl(,tr !i *rn &E uh wll hire( or lErlf or tkooth hir d td os.n'Olotr.t,
<br />FovxLd $d sh itrtFwturdd.drofidrdti* U. Ln.€, t,lh.srt(EgftId Ba'5'ili!E )d
<br />oioirlitr 0E Cl*q Bliltr *ill h.E rlE hrtld or pnylB lhr h. r aE dil Dt b{i! or nDoE {E F,Fiy ii tL DurF* or
<br />-1,
<br />B o*E ol $. F)pqtr. d.r(!rn.ly otu-iDa *il' liiel cturs ro .lnfur rlt Fuir (S*. ?0.r,1. BuiEs
<br />oJn P,Dbsh Gd. Th. CoDhcr,'! Lic.ns l* &Er kn r!gl, ro r o*E ol rnt dy sho ho'ld! q laEEr tlE @tr
<br />&d rlt) drrre ad trh FrFk *lh r C.tudl, lt.rsi FrtId b E C,frxlc.' Lire Lr*)
<br />_l or.r.nl{{ urk Sd
<br />-,.i0'/i'zolc)o <(CL
<br />DESI.ASAITg!
<br />I lftby .Irrr uftLr Forty d nqu,v oE of tlr. foullnt .r6!rrb6:
<br />_l h,E Id *,ll Edm t Cdfr{. o,C-Ilr b S.LldE nr *dt6 NqEMo...r FrvlLd tor brlierM l7m ofo!
<br />L.lv Cod., f{ rhc rElol:]8. ol lh. }, r( rttn ttE Fdn i. isu.n
<br />_l hrv. rd *rlt tu, an ktrtd coqEMrFn rrurN., ! Eruid l,y S<ro. l70O ol rlE bbor ('o&, for llE Fft.lmt o(
<br />,E *ut f( *hib lhn Frd n i*xd My *orl6a @qrME. ,jue. wir ul poLt .unl'q el
<br />_l c.nily rh{ m ttr Frfnnum. of rh. *ork fd *lrrch thr Frmir n !$.4, I sh.ll mt ..Tlo, Dy FDd ,, dy ll).mr
<br />$ a rn b.sf, {t*t ro rlE wrt6 srrp.rdho Lv. ot Cr'rmr 8d tc 0u if I rlndd hftnm rr*tr to rrE
<br />eoil6 con .h\.don pols.B of s.(lbn 3?m ol rtE Lrh, cuL, Lh.!, fonh*lh .otrply * h tk* FDvir.B..
<br />WAIINING, hilur. rn €.u. *.rt?6 Lnrp.Mirr sv.to3. ! unk*ful. .nd ihlll rnhJ.cl r .npl6Fr b ainii.l p.Mts.d
<br />.Ml 6Er up h or hdrd rhr'.dl & llii (tlm.U)). i. rll.m ro rtr .d oi.ortEdiD. .trE!.r - FDvn..t fu rlE
<br />sr(rkin l0r6.!rlr rilrtr(i(tc. i
<br />[.^.0 - 2rl1o r[os
<br />D[Ctttarlod
<br />I fiad, .Ifm ud.r Fr.Iy of pap.y rh. I o! licEl u s FoBb. otclrplq I l.l)llrlrBbs sirh Sd.!,0001ol Divnion l
<br />ol rh. Bunqr rnd P6r.Mion: Cod., nn ny L.m i n alll for .n .lTd.
<br />L'c.nr NumLr:
<br />gaNlallqua!.r.EaBri.acEdcr
<br />t lEEby rrrm uid.r p.Mhy ol F,rr.] rh. tlE i, . oMdn. !di.a lSffy d 0E Ffffi. of rlE rrrr (tr *iEh lhi Fni i
<br />nrul (56. 1r?. Civ. C.J,
<br />_l rcii{t ihl rlE frdcal r.Bolllio E8.rdn, $h.rbt EDr.l r. ftr rpplr$k t. l!! pr'F
<br />_ldiyrhdlUwrcdtlu'rptlEr,nrnnet.rld0..lbE6fordeBcqEdl{rbordrr.hrIC.yrdCdd,orniffi., ud Sr.r. t *r rtril}. ro tdhins .i,Brrlc'htr .rn llrcby .urlhria rpr.sdrr'vq of rhit Cny .6d coury r. . 6 ulon 0r
<br />0!. ftdbmd |,op.dy I rJcL,. lC) ^/1'zoLllDpli...l or Arar \irDru < {a
<br />o
<br />c\
<br />L
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Saletv /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Flea'
<br />Bondinq/fouF0ro/UFER 2252)fLc'r ?-tl
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release Z-zr>zt tL Cts UerUS -2,
<br />Rough
<br />Service ltrleter
<br />FINAL E.to-a4 LCr ;/ztZos.YI
<br />Notes, Remarks, Etc.
<br />ELECTRICAL-INSPECTOR RECORD
<br />Rev. 08 07-201
<br />t n&,i Addrqr
<br />-
<br />APPLICANT DFCI-]IIIATION
<br />I id!n, rtrm uid.t Fmi v of p.rlry oB ol tlr lo!.wi!r {ra,..dbo
<br />Dcmfton Pdunk-Alh.ror Ndlncdln Frdsrl R.SuldbB CInL ,(l, Pd6)
<br />-R.quu!d
<br />LdG.rNrfinln
<br />tl
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