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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS COMMENTS OWNP-N AUIDEIR OtL(AT TION ,
<br />I h6.ty .rrn un& Flhy of Fjury rhd I a ddt filh rlE Coflrxrm Lt.e l* forth.li,llowinS rdoi (Sc70ll J
<br />Bain63 ind Prol6rn Cod.): any Cny or (o!nl, vhict r.qun€ r Fnh to coBlru.l, rlta. ihprov., d.mlah ot Ep.n sy
<br />lrrucrue Fior ro ir! kr!e., .L!o Eqri6 rh. .ppli.Mr tor such pqBi lo Rl. i !k .d ndG6r thd lE .r rh. t lirds.d p{r$a
<br />ro rlr FlvnFn oI llE Conrrrk .3 l-ico..d l^' {Chrfld 9. C(tmtri.8 wnh S*lirn 7000 of Divnbn t of lh< BoriB .nd
<br />PlDldbN cod.) o, rhn lE o {r i 6@91 rhd!trom &{ t E h-ir tor rh..lLgcd dorpli, Aty lioLlion oasdion 70.1I t l, mi
<br />q,pltd for. Fmn &qd8 rlE 4dkd b . dril FEty of ml mE lh& 6vt tun&.d &llr3 ($m,.
<br />I. a om6 of lhc FoFnr. or iy mploy€ *irh *ag6 B llEir $lc .omFnsnion, *ill & th. wI ad tE nr*rE. . Rn
<br />i.roi.d or oirq.d lo. sL (sa 70{4, acilB od PmftsioN C.d.: l}. Conlrdoa. l.i.ru ti* &6 no! @tiy ro m orn6 oa
<br />lh. rroFry wlh hilt o. i,tr(r6llE@a d wln (lE rid' qtt huMlf or hdrlf.t ftoud hk or hd o$n odo)6.
<br />Forid.d rh, sh insor€llfu G d na!.!dl d olE rd tu rl. rt lF6q, ln trildir{ h+dqGr ir 5B $ithin w \d
<br />oaNnplir tlE ot*E 8d!a f,i[ lx\r dE h,&' o, FDriq ln. h r JE dA d hlU d iT.oE ,'. FtF]' 6. t E F,FE ol
<br />I. c orre orrh. proFry. dn .rclusircly ca,{r.crins wnh n.dr.d ( .*io6 to oarru.i lh. Fojel (Sa 7O14, BuinN
<br />ad Est$i C6&: Tt. c.nrmu's Lic.M l^ d@m! q,Plyro Mo*ns of F.Fry sho boild!or inrrov6ihaon,
<br />sd $h..o fts fo, u.h FrFlr wnh r C.nrdo(J) li.@.d F,B{rr b rh.(idr&re'3 Lke l$)
<br />I n.\m,n $rjs Sd1rcr
<br />D.r. O'n.r:
<br />\f,ONl(r&S,cOM PENSATION
<br />DECIJXAIIA!
<br />I ffir* lltui undq Fun) olp6iu)- oe ollh lolloriie &.lJn.B
<br />I h!r. rd will mi.r!i. r Cdiarn. otcolEr ro S.lf-lea rd wtd onpadii., 6 FDVIH irr b.v Sari6 1700 otltt
<br />l,bor Code for lh. Ffomm. ot lh. wrl tor *nth tn. Fnil n su.d.
<br />,\hrv. md *ill nrinitin *0116' @mFshn i^oft.. r r.qut.d l,y Sdlirn l?00 otllE Llbor Cod., lor lh. tdfom.R. of
<br />1
<br />Dqnn ir iqEd My wrl6 6,q@dio. iM.6ir !n Flicy udbd ftk
<br />8.tf - tz{t r:,nr6: 6't'ltA
<br />l.difyrh.r inrh. Ffolllw. olrlE *orl fn utthlhis Fri! a au.( I.ndl mr 6nphy my F$n in or nuE
<br />$ aro baoft $tirr ro rh. rutd onpdBian h6 oactr'aomia .rd .eE thr it| ltruld baotu rut*{t lo llE
<br />*!*6 66FB.rion F6rirn6 ofs..ri'.I?m olrlE t b.r (-ode I ddl hnhrnh cood' snh llrE FEF6
<br />waRNlNC l;a'lurc ro surc trorlqs .onrFrsarion covqa{c
<br />'s
<br />unla*tul. ud 3h.ll suhjsr M antlo}a k) ainrinal pdrhid rnd
<br />c l fin6 up to on. hun&cd lhousnd
<br />S.{rnn t076otrh.Lbo CqL 'n!6dD*.: l" lr7 l,t ?i:ol.omFNrlion. d&!88 B provid.d r( lh.
<br />D&CIJSAIIO!
<br />I h6.b, lmin und6 podhyofpsjury$31I m licsEdl u.da Fovitior ofCn 116 9 (rcdmdcin8 wnh s&ln.7m0) ofl)nnion I
<br />ol th. &BtrB lld Pr.lBi.ld ( od.. ald my li..e ii in tull foG !t.ftd.
<br />(r' t.ln o loo966)
<br />),,-""*-(
<br />CONSTIUCTION LEITI}I^K; ACFNCY
<br />I hdt r lmm u*r6 Fulq or FJu,,v lh.t itEt . i sBlru.rnn l6dds isn, fol llE Ffffi. of
<br />'h.
<br />{r,* lor trfith lhir Frr it
<br />isucd (s6 !097.cn. c )
<br />AttllcAdlllgdaarla!
<br />I hd(b, .trm uidd F.!hy of Fjury ok oarh. fulloBins dc.&ai!N
<br />Drmoliion PmnlAsb6lor Norifi. ion Fcrldil Rlsu ldions (TnE ,r0, Pan6)
<br />P.qu@d LdrnolN.trlic!.i
<br />I cqliry rhd rh. f.d(.| r.3uhtioB rqrdin3 dsos r.mt.l r. n{ {?liabk ro lhE FeF
<br />I cri'li rhar I ha\c rc&l rhLt rfdrar
<br />ortli'ian.6 tud Sr c Ii$ rela'n* n) hur
<br />trhr. nkr'r,ncj lrn,r'd! litr $rrln,n
<br />{pplicmr d {rdr ShDi,ft A
<br />'.n drd ia!!-!hn rhclhor( 'nl"mdnn a.ond I.srarosnpl, sirh !llC(r.nd ( nun'\
<br />ld'nsrturlNtr iid hd.sr.uthon^ r.F.s{n6 or,hi!{irr d(hufy,o drE trFTrh.*Tz^- 1r,. /c'77-r7'f*( k ' D"
<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 />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />lt/eler Release
<br />Rough
<br />Service Meter I I ,l
<br />FINAL 7ttu tN wtv{
<br />Notes, Remarks, Etc
<br />-----a--T-
<br />DATE ID/SIG.
<br />I
<br />Under Slab / Floor I
<br />I
<br />Air Conditioners
<br />I
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