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ELECTRICAL.INSPECTOR RECORD O\TiIER BT]ITI'ER DELCAN TTON I lEctv lrm u.&i Dadly of DGjdy thd I m ddd nld rh. Conr..r.6' l.i.* L.s for rh. folhrr\s r;&n (Sd 7011 5 Sdi.s ald Pof6!io! Co<t ): Ady City or Cody whah rqun6 . psna ro @ndicr. .td. i!9roG .lamlllt or rqn , irudue Fi,r ro il! iBu4a &o Eqlic rlE rppladr tor kh Frn lo tu t r,8i.d r[oE $r lr or dE i ltd!.d psls, ro rh. F.vi3io6 ol tlE Co,[rsr(! Lt N.d rr* (Ch4r6 9. Cdffihs with S..1ion 7000 ot Diviio. I of tlr Baind 6d PrcfqioG Cod.) o, $ar h.d,E i! dd4r tha.6oo..<l rlE b..ir tu tlE rlLs.d d@Fioa Any viohion of SElb. ?011 5 t, &y qplicd f.r.Fnn$llJâ‚¬r!rlE qliqlro.crilF tyotbr mErhd fiv. nu.d..n &'Isi (1J00) l. s o*E ofrh. FoFty, or n, dpbt6 $irh w.86 ! dE rL omF!.nG *i[ dt 0t *dt tn dE ortE i m' ino.!.d d ofidld an sl. (Sd.7044, BuiE d ftlfobB Cod.: Tlt Codtsrd . Ltqa l,* &E tEl +9ly lo a o*G of dEFDFry whohilddi+oqdE![-dshdErdrq l hrellor hdlaor ll@ushtn dlE omslpb,6. Fovii.d dut lqDrsd!Ednod.ddotutu rt l[ h.*d. Ehliuie ( iryltqd i, bB *irnm )d oadpldi... rt O*E erilts will l$r rlE h!d6 ofFDvrt d. lE or Jr dd d hdd d .4.Dtr dE FoFry ft( dt F,pc of l. s ow of th. FDFly. & d.tusnd) olrn rDs * nh ltdBd .odd66 ro consd tlE FaFt (S<. 7Or4, 8'6116 .rn PlDl*i. cod.: Tn Comdo.rLic@t * d6 mr Elyro d ow ofFod! $lb bil.h or ihpmr6ltdan. .rd who @ln.-l! for *h poF3 *nh r Co'lral6(t) li.oE n F]l:ld to 'lr Cor.-rn t I ^" 06 -l+- t7 I h6chy !fim unds pqdty of Frury or ol rh. tu Policy Numb.r: I m.:dpr urds Sern. I h,v. ad will @i.rain . Califrslc ofcolqr to S.lf-lBur. tor m.L6 ooF8dio.. B Flvidcd for by Scnion 1700 ofih. Libor codc for rh. pdfotuc of rhc { ort aor stth th. dmn b isu.n I hay. dd will mainr.in $ ork6 compcNd ion rBu'arc., s r.gutr.d hy s(r hn l7(x) of !h. l,n t (td.. ror rh. Ffome.. o f lhc ert for which lhir F .il is i$ud My work6 snpd(d' io. iBurmc. cMi6 ed Plicy numbs &. I cdiryfid i. rh. paaotu. of tlE $orl(). *hkh rhir Fmh L is.4 I !h.ll hl anplny o, Fsn ir uy mM s d ro beom rut .d lo lh. wrta'ompdEiion L*! of Cn'[odiud.sE rht if I thould b6om rut el lo Ut wlt6 otrpaE rion proviiod otsdhn l T00.frrE l$or Codc. l !h.ll, fo.ll*nfi ondy snh lho* provbioN ond nc6 .rd Srllc L.s! E6s !o hr'ld,s ('Iutu(lhr l .bor. mrhn d EoFlr fm ErFnlrJllrc ^rr*,-^r-,.n-.f 06 - 4 -/? WARNINC: rntuc ro s@ $.rt6' conFElhn cor*.g. ir unLtrtul. ]'d lndl sbjrn 6 .i\il frn6 up lo ofr hu.rLcd rtbs,ld &!b3 (llm.ofi). in ddnbn Sqrion 1076 offi. t bd Codc hrad .rd norrEy'i f6 I bq.t! .frm u.dd Fcht otFjuy rh, I e lkau.d u,xLr p.o of CtlFc 9 (.om!B sih Sciior 7000) oa Dtr ilion l ol tlE B{si6 ud PrcB3n Co&. nnm! lie6 s ful tue tn.ll.d Li.@ Clts: I cdiry rhn fic f.d6rl egulltioN ESrding ctEbr rmov.l s. nol lpplalbL r. lhn Foi{ lcdirylhar I h.v. t@d lha rypl tnnn ,rtj !r.r. rh, rk rts'c infotuhn ir c8a.t I .srd lo $mply * nh .ll any t County , sd Coury ro dls uro. lri gIlII8Xlf,&!..LEllrdl]-AGEMX I ha.by rlfm 6& FEty oa Fjury lhd lhs. a r ol(ruclbn lqdlq !gd, for th. Ffo'rmc of llE srt tur *tt(h thi! Fnir ir isucl r s6. t09?. civ. c I APPI ICANT NE('LARATION I hdlu alEr uid6 p.nalty ofFjory on. ot rn aollowing d6lt ionl D.molilion PmiB-Asb6ror Nolificdion r.dd.l R.sullt ioB I'I l l. 40, Pd6 ) R.qut.d tnl6 ol Nolificlrion APPROVALS DATE COMMENTSID/SIG. Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Roush) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Rough Service Meter FINAL lo tfllâ‚¬ft Notes, Remarks, Etc Pmlld rn.(p.inr: -,06-/4-rv I I I I Meter Release