ELECTRICAL.INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.OWNET BUII-DER DEL(-ARATION
<br />I lEEnt .,irn uidc. Frhy (/ Firsry ih.t I e .knl,l filn llt (l r-16 Lti.€ tiw lm rlE nnb,in3 Eau lsd 7l)l! 5
<br />Burin*r drl P6fi$rn Cod.): Any Cily or Crunly ehth rc{luiEr , Fd 'o m.rMr. !hs. id['nE, d.m,lNh or Ep.n .ny
<br />rtutu. Fi, x, ilr isrlurc..ls rr|uiB ttE {tt{tr.i tor ruh Fmi tn n! ! ris*d nn.rd
<br />'hd
<br />rE or rL it li!tr-d Putrd
<br />b rrE lhvirion. or E Contrs.ntrt t-ic.nsd L3* (CtuFrs 9. Comfttui.! * h S.clion 7m) of Oivhioi I ofrhe B$iftir ind
<br />Prrf.sr,.r Cr,. ) or {lErrlEk.!q'rrt E6om.'n Eh'n {d rh.lL8.n.rctr+n. An} vi,lxi,n ors..ii,.70.tl tbyuy
<br />a,Tlica for.,r.nir subj.ct! rlE lmlkdnr ro..ivilpcndxrolmrnftlhu 6vc hu ltd dollirr l55m)
<br />I..i .pmrof lrE ImF,ly. or my .mrlnrcs *irh *ls.\ B rhcn {,h.uFtrrcrhn. *illd, rh. wdt and rrr {dN is mt
<br />d€riol or ollcrn nr qt lss 7O+t, au.iBi ..d Pr.frrio.r CcL TlE Cotrrrlq'r Li6t ti} do.r d +t'ly io.n o*d oI
<br />rh.tmFny wh t{,,llr or ill[mrs rltmtr !d *,rl &B Mh slt him3.lf ot h.Blr or rF 8hhn or h.r ow..mflo}er.
<br />pn,vid.d it llsh inFDtut ft d ar.rl.d ,i ofitci fN r]. lf. tnr{f. ilt tliBry r, iqnffin i! r*l *ahi. m i@
<br />of.unptrir, rtE owftr auitn will h.E llE lndcn or F,vins fiat ll. o, $. dij d hliU or nrFow drc FtFn, ror !h. pu4r,s or
<br />-1.
<br />8 orE of rrr tmFnr- d crluliEly.ofudh8 wnh l.rGcd odr-lm io ot<,ud ilt lrtjdr (sa 7o+4, 86Isr
<br />snd h .:sid CorL Th. Conrturor ! Lic.nr. Lrw &Ei ml +ply k' an oeftr or InrFny who blilds ot intmE! rlFd'n,
<br />.nd rth onrN!l ilhrFirlr *nh r Co'rr.rodi) lir&d tusnr lollECodr-loir l'].o.lrv)
<br />I amcrcnlll uLL. Sdli'n-
<br />D.r. 0*F
<br />wo!rxER{' a'(rlrPr\sATr{}N
<br />IIEIIJTAIIA
<br />I rEi.hy.fir$un&r FMI'tof ,Eiury oe.r rrE l,'lrr*m8 &ddrrn
<br />I h*r .rn will mi .o r Cdlif..lr of ConEni ro S.lr-lntuE fd rrrrn drng.n .rbn. $ Fo!-lci lor by S..tm lfi) ol rh.
<br />llbr, Cod.. r.n rh. Frfoflm. of llE wrt for whth lh. nc.mi i trudl
<br />I hlt dnd will rxrl.i.
<br />tlr- ktrl fttr rhthrhnJtr
<br />*oilcB c.n{irMri,,n i'surark.. tr! t.{uncd hy SRr ion .l7ln ol rhc I f,hor C d.. fitr th. trrfuroh-'c .l
<br />ffi 1t*-'*ffi'
<br />rn PoEY mnbd c
<br />i
<br />*,,.rn,"*, ?2 lt3fB )?LG \oo
<br />l..difyrlEr i.rrEFlorf,Rrof tlrro rq whth rhir F.mi' 't a.Ed I rh.ll mt crq .y.ny Fen a. r.l lMm
<br />$ sk' iE<oiE sunl.<t lo rh. *nrls .o.rtE.{rirn lrwr orcbliforni!. rnd isr Inal if I sh,uld lrcnm $blc.l ro l,E
<br />eortdr, oqmsr,n,mvkirn\ orsft1i,n l7m ol rlE LtB C!d.. I drll- ,rlh*hn $tvly $irh rlnr previri)m
<br />WARNINC FIIIE ro M Nrtc^ oryEnsri.n lancnlc n unk*fuL.,r, rh.ll rubFr o 6I,hF t, s:ml FElar.ri
<br />ciril fin.i ut to nft hlnlrd rh,u$nd d.llus (Sl(rxr. i', lJii,li t) rhc .on "l .onqrn\rri,,n. dr B!.\ r\ frovd.,l tur rlE
<br />S(r(,n 1(,16 ol rhc lrhtr (irl.. rnr.({ rnl?tS \o
<br />I h.Ehy lmrmund.r pen.hy6tl.rlurr lhd I !m lttnsri undcr pmvnnql,rChrlld 9r-,nftkrng *rh SdFn 7OU0) orDivhr,n I
<br />ur rhc Euims .ld Pnrrcron! Cql.. id mt lr..y E m tull loh. $din(t
<br />{
<br />rt)l+1 3G
<br />cou{Iat(tTt{w I r{Drrt(: ]r(:Frt{cY
<br />I h.Er,y r,ftn und.r Futy ol Fi,ry lh.r rhd! ir . onr,n .ri,n k'n,.8 r!cE, lot lk Fnffi 6r llE wr 6t *nth rhi Fni ir
<br />kr.J rsd lt097.cir. c r.
<br />t .dcr'r Ntm
<br />-
<br />ATII](ANLDIS.AIAUA!
<br />I trrt)_ rrlim u lcr Fnrhy ol B llurt om otltE t'lk,r [t d( lrrrixr
<br />l\ nDliri,r Prrn,ir\ A\h!,r Norill.trnnr lt,lchl RrSuUrNn\ ( l ill. Jl). t'M6l
<br />l{.(t trr,l l.rrrd,ilNrr'fu n
<br />ffi,.
<br />ily rh{ rh. f.dcEl rcSuhrions Essdina lrli(or r.m'val !r fr dppla0blc lo thn fmjcr
<br />rlrr l htre r (lrhr\ Jt)Il'.rrktr, rlnxr. rl r rl'r mnllly w h.llCnylnd (i)utr|,
<br />frhi Ciry !d Counlylo cnrs uFn rlE
<br />rhr. rrirxnRl F,trny n
<br />I 5 .' o.-
<br />Applicrnl or,\t(nl Slln$ll U>--tl A',rx
<br />Site-Work
<br />Underqround P4-ftr 0.?, 16 kur:+c
<br />Pole Bases filr,-,x rr a-r,r\ r,;'a-r..
<br />Liqht Standards D*L^1., Ar griu
<br />Spas, Pool, Fountains r)Ai
<br />Siqns (monument)
<br />fov11a1,n l/q,/t9 5,Yrlt '.{:r>1 'ltrl
<br />Life Salety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />tJnder Slab i Floor
<br />/Bonding.l Groundinq / UFER ('/q/k 5 i,nlz|u?<t
<br />Yransf-ormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bouqh)
<br />Ceilings (Hard & Sof f it Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />FINAL J/4)"/,*9>ev
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />a.-
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