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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS COMMENTS OWllET AUILDER DEI]CAR TION
<br />I lra6, .n6 u.d6 Fuiy 6l Fj'r, ri. t 6 6diF t!6 rh. Conr-t6 L.!e tt* lir. rlE bu."t len (Sa r0l l J
<br />BBi.d .,rl ho&r.io, Co&): Any Cny or Coudy *hich tlquic r pcmir ro @drud. .ia. itrp..ve domlirh or tqrt uy
<br />3lr!cre, Fiq ro irr iBue.. lLo r.quid $c lprltet for tEh Fnn b 6L r ltn d sdffir rht lE or rh. i licdlal pueer
<br />ro lh. FovnioN ol tlt Cor rlor', l-i.a!cd Llw (Cn!pr6 e, ComtrinB enh Sdior 7000 o, Divnion I of th. BNirN .nd
<br />PmfGioN Cod.) or rhd h.cih. n q@pt lha.fipn !i E bdt! f6r t,r.Lg.d qajplioi. Anyvi,ldionofsclbn?0ll.t brD!
<br />qlicEr fc . Fmi rubjcl' tlE l'pli.or Io r dvil p@hy olml mrc $s lir. l[,'.H {t llD (lJol))
<br />l,6orGofrt FFry. d ry 6nphr6 rirn *.sd a dE $EsiFllion. $iud, dEMt.i UEiiEE ir d
<br />iidrLd or oltq.d fd sL {Sc ?044. BsiK Ed Pr.iErFB Cqi.: T1E Coddr'r Ltd t w &6 ml +ply lo u o$e of
<br />rlE FrFrt shd hJali or iq6v. tha6[ nd who dE run 6rI hiMll or hd*ltor rboush hi. or h6 .m mplot6,
<br />ptuvir.d ih.r ruch inp.!\q6$ d bl urdd.d or olH ft'r rk. ll howr. rlE }lildlu or i'l!eq6n B sld wirhin nk Fofsnpldh( llE O\re hddd wiu h.w rlE hmb' ol Ftrvins rhi lE or tE dil mr hild or ilsovc thc Frory tu, dE F,Fe of
<br />l. 6 o*c orrE FoFr,. 6 dduN.ly .o'rtlins dh ksE d .odrxrod ro odrct llr Foj.tr (sa 7Ot-1. &6iE
<br />!d Aok6Co<L: Tn CoIlrrloir Lk.e L.w d6 mr .rply ro x of,E of FlFly who bo'H! m i.prcvGllEo(
<br />ed *ho 6ffi fq ru.h F!i$ Mh. Corftto(,li6!.d Fn:rEi to th.('ontud t ti.@ Lr)
<br />I M.rmrl undd Salion ,B &PC fo.$b@on
<br />laaf,Erl:(a!,rEltallIl!
<br />DTSJAAI]O!
<br />I tE l'y .rrm ud6 pdEfty of pq!.y oE ofrlE folh* or rlrl,nio6:
<br />-l
<br />hrv. d will uinr.b. Csri6.1. olcoMn ro Sdl-llle ln sqt6 .onFudion. d FDvii.d 6r ty S6rio! 1700 of lh.
<br />Lrbor Codc tor lh. FfM. of th. mrl 6r *nih th. pqmil i isu.d.
<br />\,4 n v. t d will ui,{u E d oEp.rEtlDn rmq E nlquiEd by Selb! 1700 of 6. Lrtor Co{k fo. U. Ffon!.d of
<br />6. s* 6. ptih tLi' FBi i iE d My wnt6 odrdrih iM 6b.n Flty tuota ft:
<br />,* Sla,* (ornac nsaf; ott Jocloct {e Fpd
<br />".,-"*M'-lt/'tt/tt-
<br />I cariaytl in tlF Faoru. of lh. work tor whi<h lhi! Fhn n isu.d. l rll.ll nor dploy uy pG$n ir Dy mMd
<br />$ a ro l8lr sbjdr to lhc {qt6' coipnu..bo lN! oacdifomL rd isr rh.r it LDuld b6oe lltrl b th.
<br />sodd' NErFBlr.n Frvbn6 ol sdrio. 1700 of rlr L.hor Codc I 3ldl fodh*nh onpty "irh rhoi Frirbc
<br />wARnlNG rxlur. ro sR trortd'snFdrcn ovdat.i! unla$ful, !,] drll 3ubFi r dDhE to sihiEl FdE dd
<br />cnil nn6 up to om hun&cd rlFund &116 (tlm,ooo), in addnio. ro rh. (on comp.Brio.. d.h.36 a prc\'d.{ tu th.
<br />sclion 1076 ofrhc L.b.r Code inr4cn rd anornl,i ,s
<br />Ll! r \\r r) ( 1)\ llr \r rtllDlculallotrIt !b, .Irm !'xb pad, ol Firy ltr I d li€E d r$(b Foviio ot (t!?l- g (Mi,{ wnh S-rie 7000) of Diuitiin 1
<br />oa E auiE od PtDft.bd Cod., .d oy lkqE i an tuI bc .d cfcr
<br />,n*".*' CrD (oog )c,Aqolzcerrde lhtctyL N,!o-
<br />cqlsrBt6roNIE!!I!clcE!.9
<br />I hot6r rfim uid6 Frly oaFjury lld rtcr i]. ordtu.ri,n lan S.gsE] 6r rlE FfM. of rh. m tr *,ith GFni !
<br />iluql (Sc 109?, Civ, C.).t ndd r Ne. _
<br /> ?PLICANT DIiCI RATION
<br />I badt.ftn !.dd F.h, ot Fjury oE of in tollowiIe d<Lnrio6
<br />D.@lilion PmirlArbdld Nor ifi..rion Fc<tdel R.suhrionr{TnL40. Pan6)
<br />R.qun.d l-.lrd of r,Jdia(rb.
<br />4l @!it lhi rlE ftdE l nlllroB E rdiDg d.d6 lfuvd & d +kd.lo 'hi FD,rr.
<br />r/-l .dit ftr , lrE Ed tlE epl'ciioo nd r!r. rhr dE.boE irfoE|ri,n ii.nrr l.sE ro @rpt *n,!.ll Ciy.,{ Coudy
<br />ordiEnc6 !.tl srrr. ll$: rchrtru ro tl'ldh8 ic ofrhn cny .nd cou!ry ro @16 rEo. u'.
<br />_n", $/Dl!Vahov. m ion.n roFy for iBpdhn purFx6
<br />Appll..nl or Atdl siFn.lu..
<br />e-i--..1p.inr), /Ocr,14
<br />n, arl h6.by aulbrn. qr*rnd
<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 />Sub-Panels
<br />Air Conditioners
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter I
<br />FINAL zh/rt -)G qla;)
<br />Notes, Remarks, Etc.
<br />DATE I ID/SIG.
<br />^,,, ul trf (7'
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