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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG COMMENTS OWNER AUILDER DELCARATION
<br />I hcrchy !finm u cr pcnolr, ol D.rjury rhlr I m cxcmfl frcn rh! Conrrsktrl Licctrs lis ln rt. hlk'*ins rclq,n lsc 7(,.r1 5
<br />au\inc\ rnd Prof.sion Crri.): Any Ciry or Cl,unr, *hich rcqrncs r Fr'nn h .oidn.r, rlr$, imtln,r., d.nmh\h or rclDn trny.
<br />{ru.rur.. pritrto irr isudrcc. al$ rcquircs rhc,rpli.inr Lr such lxnn ro fika si8rcd strrenEtrr rhrt h.or sh. i( licrncd pu^ua
<br />rr rhc Jm,virion\ ot rh Conrrador\ l,i.en*d lis lchaprcr 9, Conrmrcing *irh S.ctbn TIln of Divkir' :l ol rhc ltuiin.lr lnd
<br />I'nn.\sion\ (idcrur rh8rlI or \h. n cxc'rnr rh.rcfmn {nd rh. hask fttr rhc rllqcd cr.nDri.n Any vrld.bnofSd1b.70.ll5 hy lny
<br />.mltrtrr lor r Frnrir sub]({h rh. iprli..nr io a .ivn p.mlry of n.r m*. rh.n nr. hundrcd dollds 1S50Or.
<br />L !\ owmr or rhc pNrf,nr- or o, cryL,'E{ *irh *ass as lhct sk ompclsrion- Bill &, rtt tr* !d rlt ind6 n d,
<br />intnh or ofiercrl ntr eE ( SL_ 7Ol,{, BuriF$ rnd Pmfrsrions Cd. TIE C..rreroir La.n* Llq dcr mr .0rly b u ouH ol
<br />rhc F,ldy sbt ikls or inlEitr rhcbn. dn wln iliE *h k)rt hinscllor &r{!foi rhn,uSh his r h.r orn.nlplor6,
<br />proviLd rhd \uch inpmwnlr m mr inlcnlcd o otu ld $h ll rFwrE. rh.lDildinr or inrnNmn' n $ld wnhin oft ,!&
<br />of.oipLrbn. lh. Or w au,Ilr *illhaw rlE hndd of Fsving rh,lE d \tr did e, hiu or nrlNw rtE |n)Fry fo. E lrrf...f
<br />-1.
<br />!{osmrorrhc F Fny,. crctusiEly contod in! rnh h...td .onrebu b mn{rud tlE r(Fr lS( ?044. B$m(ri, Pnftliih Codc Thc Conkrckrt l-i.cnsc tl* dms fl, q,nly h m o*ncr ol p.DJrdy *lrr nuiur or iiar.v.r th..sn.
<br />rnd *ho o ndsicsshIr x<i *ilh ! com1.(r) Iarn..n rununr h rlE a! rrlmi Lt.nc u*r
<br />-l
<br />.mcx.nrfl uB].r sNr
<br />D.t. ()w.
<br />woRl(FLs' coirPf.\s TroN
<br />DEqlJtAIlo!
<br />I hr.ny rmrn und.r FMlly of Fttrt oE or dr folhsing rk LdDns:
<br />I h.s rnl r ill frinrrm r Cdili{. or Con*nr ro S.la ltriur f6 *rtda 6np.M io.. $ Fovikrt tor 6y Satnn l 7U) of rh.
<br />llho. Cd.. n, r& Fftu o, rtr h
<br />'tr
<br />rtah rlE Fmn t irqtd
<br />_l hrvc r.d qrll tumror r ork B- .omrE.r{k . ,nuffi., ( ftauild hy Sftr b. l7fiJ of th. tjhor a&L. ,nr rlE Frfdmtr. ol
<br />rh. soll [r*hf,hrhr Fmir F.$.d M sstdr $qxnd.n inrure! siT .rd Fli.y.un$.r e
<br />rr Tn5
<br />,o*,, l. I .\1
<br />-l
<br />.slify lh.l in l,r FiforBE of llE wotl fm whah lhk Ftu h ns.d- I sh.ll ml .os,hy.ry Fen in My ME
<br />$ ( io rNoft ub,lrt ro rlr sdt6 @ni.adaon b*r orcniaodb. rd.!rt rh. irI dbuld ltem uhrrl ro'rE
<br />k,rtn 6qtubn FDrki,nr 6r sali,n l7(D of rlr llhd Cort. I rlbll fdh*dh 6r?ly *nh rh- Fsrnhnr
<br />t1.\R\lfi(; l.r'ltrrc i,) \..ur. uorkc6' co.rycnqri drcr.
<br />.r'l I'n(. ur t' ,{E hudrc.l rEiu{nJ ui llrr. 11,rt.,,r".
<br />"!lAR','l?'204i Md rumr\' {'
<br />l).1.: .tpplionl:
<br />Bc i. u.hwtul...d .h!ll iutFr .n o
<br />I &at'y afltm urLr [rDky of Isru.y lhar I m lilandn ion.rCi.fls9l.onnrrEinsc hs$rrn70(r))orl)\^r,n.l
<br />or tlr Bun6( r.d Pn,Lrlnns Codc. aln m! licR n in tull fore srl .lfar
<br />I i...e Cb(b lo oa4 8q*lilR 1a 2fl1q VoLtgr-
<br />IOI AIICIOIiIE\DIIC.AGII(}
<br />I h.(hy rfinn trBtcr lEulrr.r t ryury rhr rn r. r 3.on{ru(i,n lcdins ag.R_y lbr rh. FrturnuN..lrh( f,urk tur $h(h rltr\ Fnn ^l$trrrrsr (x)7 (-,r ('r
<br />AEELII;ANLIEI;ISAIION
<br />lhanyaninno cr linnh, ofp.rjury um ofrh. foll,'*in8 dr--lrrrrirn\
<br />Dc ,tir ir l,.nn r As}[(or Nori,i.nr,on tc,l.Dt Rcgutrr i,nr (tirL 10. Prn6l
<br />Rrquncd l.crr.rol Ntrtfiraii'n
<br />l.6ilyrharrh.lcil.fulrcSuhrionsagirdinglshcno\ro,vdt'r or npplrrbL b rhn lmjd
<br />9-+cniry rhur r hs,c,c{,l rhis rrpri.dinn a $irc rhar rhc rhv i\.orL\r I rtNr,r.onDl.v* h,ll ( iryxn,l(i)unry
<br />ortlinnncc\ md Sllrc linrEirrinx ro huildins con(rud i(,tr ;chl iurhornc r.prcrnlrrirc\ rlihi\ ( ir) rnJ (i)unry n).nkr uFn, rl{
<br />rh)v. Drtrridrd !n'Bn) lar (Ncri(,n
<br />11ppli.nnr ur Atrtrr Sigtrsrore
<br />l,rrn,ir(ntrnu(rnnr): Do n; <)
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release
<br />Rough a/t /,k 5 "trn,zr-\&
<br />t@FINAL 1s 5.E*t^,tu g{
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />Arios rMlAlR 18 ?018
<br />Site-Work
<br />Air Conditioners
<br />Service Meter
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