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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILDEX DEII AIATIOII
<br />I h66r tltm un& Fon].f Fjury ftr I fr daDB 6m rtx Conrtld Lift L* fo, rlE follo{il{ lajr {Sdloil5
<br />BaiB 6d LofBion Cod.l: Ar, Cat or Cou.nr *'hich rqun6 r Fn. ro olurud. .ln. inrp.ole &mlirt N l9.i a,
<br />.r')(luc Fb, lo h. illmc. ito cqliG rlE .ppli.rm lor !(h pcnn lo [L !.i3..d.rddEr thr h. or JE i! licdE d Fdrd
<br />ro rh. prtrviioE ot 0r Cotrir&rd! Lics!.d l,e ((n pt6 9. Co@ins wnh S.clion ,000 of Divilion I of rh. Bd.6 Dd
<br />Pml ioB Co&) or rhrl lE m $c i! e!.nlpl rlftnom ed rhc hdir fo, rh. ill.s.d 4mriio.. A., viollrion of S.dhn ,0r I 5 b, Dy
<br />rpplicar aor r pdmi tubjar rh. rpplic. ro !.iv il p@hy or mr no.. rhan Ii!. hundr.d doller (1500)
<br />--.1. a ow olrh. Fopqry, u ny dnployG unh srsB 6 dEn nt @nrFldioi. will& tlt "ol ad dE tMrc i! mr
<br />idcd.d nolldcd lor.L (s6.70&. BuiB &d Frnf6.io6 co&:'ln. (bdrErd'. Lte t wrh6flnplytouo*Eof
<br />llErnFty ul'o hil(l irsors ltd@ !'d $ls dE uh qxt hielf .r lEElror llwus! ii! d Lr otrn cmpl(l'6,
<br />Fovir.d lhd sh rnFoffi r d nai.d otu 6r -t. l[ lbuN. tlE tlildq d ilF$rold ir ild *'tfih w ]a
<br />of.npldia E(x{Etui&f,inllE Eh!&.ofF!$tfiih.dJrdilmltliudtrrptrEltrFFryt llEF F*ol
<br />-1,
<br />ao*n6olth. rmpdry. d c\.t6'!.ly .odrld ins $nh lic6!.d colnfudnn kr .orsrucl th. lniF.r (s6 7{N4,lrBins
<br />ad PJDbid Codc: Tl. Co.rr&rols Li.o!. t.os do6 nor apply 16 m osn( orprop.nr \vho builds or nnpmv.s rh6mn.
<br />ed who $t'idr lor ru.h F.je13 silh. Codmto(t) li..nsl plriMr N rh.(i,nrncloa3 Lic@ L.s)
<br />I u.roF ud.r Sdion
<br />O.l.: _ _ (,16:
<br />*onxTEiairMt6raailon
<br />DEC!4AAIIA!
<br />t hdrby .|Im un<l- FIny of Fju.y oa ofrlE folb$iq <!..Lrdao6l
<br />-I
<br />h.vc .rl * ill nlinrain . Cslilicarr ofc.nht lo Srli.lNurc for $orld co6t.@rion. a li.\ id.n lor b) sd' ion I700 ot thc
<br />L!bo. Code lor th. p6fonne.. of lh. *ort f$ qhich lhc pnnit ir isu.J
<br />I h,t! .nd *ill n.iarin *0,16 comFd ion iNo.k., c r.lun.d h! S.<rnin 1700 of th. L.bor ( o&, ln lt. p-fo,rra. ot
<br />ln. rorl f6r $hkh rhi! Fni ir i*r.d M, F 16' omFEdion iBurk. sir drl polty nuhbd r.
<br />-l
<br />ccniry lhll in th. Frlorffi. of th.$ork nn $hich lnis p<rmn ir &u.J. I Jhlllnol 6plo' aoy F$n in ant ntrnd
<br />$ a
<br />'o
<br />b..om. rut d r. rhc wortal ompcE!!ion latr! otcalironi!. ud rsrd rhd ifl 3lmuld hdoftluhjd
<br />'o
<br />rlE
<br />sortdl .ohp.@rion povilioB of S<rbn lrm of rh. | ,hor Cod., I Jrll, nnlhrirh .ompl, *irh rtt)* rn Dr irions
<br />WARNING: [.ilur. ro su. mrta' mmFdion mr6+G b unh*tu|. ed irll sbal & dnphF lo 6inql Frtir od
<br />.ni fIB ut' ni om huniH tho6'd doll[r {tloo.mt. i. .ddtnn lo r,E .oi orconFB1ion, drtu3o r Fit d for th.
<br />S6rbn 1076 of E l,bd Code irsln !n nurElrr fc.
<br />^--d, v (.'t 17"'' r rdNseo ton r ri,ri ron
<br />DTSABAIIO!
<br />I bcrby llfrn und6 rEolhyofpojury rhd lm lidtr d undq Forilioi .f(lDfla 9 (llmnoqins trnh salh. Tu[)otDivision!
<br />ol lh. Buiru.nd PofdioN Codc. drd hy licru i! in tull forc. d.Od
<br />L'c.* Nuf,h.,,"",,^^,X("'tE
<br />(aliraitcrall,rlDMilc-!:ti(I
<br />Ihn.1D amrm und6 Folhy orpdjuq-'rhrr rh6. i!! consrru.lion Lndinr lrfry i(r ih. Fforron.. .r rh. s k for \hichrhnp6nn i!
<br />isucd (Sfr. rc'r7, ( n. (' )
<br />afftl(ANlDEgJllllQ!
<br />I nddr rtrm ur&r pothy oI Fjur) ot ot lh. follotr ins d6l,r.l bB:
<br />D.mlirion PdmngAitdd Norifiorion F6ldrl R.goldi.re (rnl. r0. ld6)
<br />R.qtrr.tl I .(n dl Norifmrion
<br />I cglilyrhd rh. rd6.lr+uLtioN r.3ddinr 6ldN rdno\altrc oor 0r'!li$bL lo lhis pojd
<br />I .diry rhr I h.'. ud thi! +dilion !d {xc rllr rh..bor. i.rorn irn icn6r I +Eloorplywnh.ll( ry.d Co@ly
<br />diM6rdsr.lru,lkigrob.iLlir'ColrnxlhtrrnlEbvdtbnrEF* i!6olthiCtyadCounyb6rid4ontn.
<br />.bov( 6rioi.d Fopdly t6 i!tpaF.. Dr,Dr6
<br />^Dpuolr
<br />,
<br />^16!r
<br />sf6ron: y '{'"'l -Z D.,.
<br />Pmlren.n.trnd:_ _
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meler Release
<br />Rough
<br />Service Meter I )I
<br />FINAL .9lL5lra wlw
<br />Notes Remarks, Etc I
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<br />Sub-Panels
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