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ELECTRICAL-INSPECTOR BECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNrI AUILDEN I'EI-CAX.^TION
<br />I hcrdry rrm und.r Fmny of Frrury rnI I m .rlt,r tom rh. Codr.r6 Latr L., ftr rtE lolb*int Mrn (Sa 7011.5
<br />BusiBe .rn Pn'G$i'n Ccj.): Ary any.r Co , *hth Equi6 r Frn r. onrnat 116. irprsE. &mltrh 6. G?.ir y
<br />{tur@. Fir ro irr rtl)lE, d{ Eqlircr rh. .ppli._&r l trh Fmr lo tu. rtEd tr.r.rnr drr L o. nr i Iitn-n pursld
<br />ro llE FDyisi,N or [E ConlrElm s Liensn L.r (ChrFd 9, ComEfting wirh SRrkrn 70gJ ol Divi3i.]n I ol rh. EutiEs rnd
<br />Pbf.rsi.n. C6<t ) or ih.r tE o, rh. n dcrln rlEEfhn.nd rlE h.si for rhe .lLscd .rcmptt'n Any vhlnhn of S.dbn 70:t I J by rny
<br />lrpliclnl for ! Fmil suhFck rh. lppliclnl
<br />'o
<br />0 .,vil p.Mlry ot frn mrc $0 ,iv. hun<ld dolld {S500).
<br />-1.
<br />us o*tr of rlE r,!IEnr, or m, cryb4s wilh st8.r ( d.i. $L sryEnqtfun. wi[ .L dE {d n l1! rlurE n br
<br />idqr,.d r olf.Ed rq -b ( Ss 701,1, Bo{tu$ ud ftnfd.bN Codc: Tll C.ffini lirne Ls .t .s mi +ply b m orEr oi
<br />'hc
<br />ForEly etn ltild( o. iqrsB ilE6c rd etb da ct wl hitul, o. tNlt or .hF{lh t! d lEr 6h.net"r-,
<br />pmvd.d rhd uh i'rlnffi8ed iGr.lcd rotuql ftr d. lr. iowE, r hlild!{ r itrrtwnE r i!-ld*itum){r
<br />ordrllhri^ O. ()$F Auill.r DiU h.t tl! hiLn of Imvits $. lE q {E dn d hIB c iqmE dE FoFry r( llr F'FE of
<br />_1. rs o*Er of rh. ,h)l.ny. .nr .xlusircly conrd mB s h l{.n5.i1 .onhndor\ h lrndtu.I li ftut d (S( 7(!l.t. Itolms
<br />rl t irhssi,n Cs! -l'hc C,'nt'cttr s l-icensc l-!w .l,E\ to,r .pply ro !n op rcr ol potEny sho builds or inrpfl'w\ rhcr.otr.
<br />ind aho co.rh.k li, ruch lhr,.ck wir h d cunrrrct'd\ I licc.\ed flnurnr t' lh. (-onrrlcktr s l.i.rnq Lis )
<br />-l
<br />!r cxcnrrlkkr S(rrr
<br />D.r.: ()16 wor(ri('.ai rns^TroN
<br />[llltxarloN
<br />I h.rcby rmrn !nd.r Ftuk, or FIry om or rlr rolloeinr dc<hntb6
<br />I hn$ drj eill miirli. . C.d irrrrc o, C.nor xr Sclt lnsurc tu work6 mnF.urio( &r Fovi.Ld for by S(rin llTur oa tlE
<br />Lahor Codc, lor lh. Irfonnrcc of ttE eo* ror whi.h rtt p(mii ia issucd
<br />_l hxrc rnd sill@i.l!in wo.k r'cotr{En\lri,n i.\uru .. !s Equtcd by S.cxon !?(Dof tlE L!b.rcod.. fo lt FfomRc ol
<br />rh. wk r(t }hih rht p.rnril ir ijntd M, sorta{ mqEndion insurN (u.r &d Flty numlE e
<br />.-., ({a.{tC.r^
<br />0"""n,"*, c,2t r ?f%t?@ I
<br />l..nifyrhrr 'nrh.Iln.muecnfrh.*o.k r(n *hf,hrhrr!. n i! r!e\|. I rhall ftr .nrrit,y rny IEr$n r!n}nlnEr
<br />i, rs k, t(lnft \ubr.r n) rh. $1rk.6'drnllcn\!' i{nr l!!1 ot (alif(nL rl l3N. rnd il I \hrull El*om \uhFr rD rh.
<br />w.*cB' .onrt. { nnr pn,rAtr'n\ of SNrn,n lTlxr of rh. I jhr C{xlc. I \lBll. n,nhwi [ ( lPly sih rt5{ pn,!i\ii,i\
<br />WARNINO: FdluE lo f,oE udt6' of,rpcf,sdion sv.E8c ir u.h*tu1 .rn .hrll sbt!! s.nploy.r ro sini l p. hix .d
<br />civil fiEr !p l. or hud,.d rl$uerl &ill,B (llm.uD). i. ddli,.lo tlE.o< 6l conp.trsriotr {iDr3...r Fovil.d for rlE
<br />Sclion 1016 olllE trlr" c.d.. im.d !d Irl,ry r fs.
<br />u^,,, 4 t1 tuo
<br />I h.Eb, amrmund$ F.tulrrofF.jurt rhar I .ft lit.rri u.dd Fovirn of(lEpr6 9 ($n1mming wirh S..rin r(t), ufDMrin l
<br />or rh. au\iBsl and Proa.sio.\ CuL, nl my li..n- n h tull nE a,xj.fid
<br />5 lo t7q7o
<br />4't6 '1oo 4!r-<-
<br />col\sTrllcTroN r F\DIM; aGF{(v
<br />I lEal,, arsm ud.i rt lryolF.rurylhd rlm n..!n{Mrbn Hng +cry for rlE Frfo,M. otlE so nn*h.hlhii Fhi k
<br />n.Ed (se .1097,.iv c r
<br />AITIIIIIILDESIJIAIIT}U
<br />I hdrby.trmr.&r rEnrxyorIt nryoE 6frr roltl*br d6L, i,nr:
<br />D.mlarirn Pcrmirr A1l !l0! t{olifrcdbr F.dc.i R.auhbnr (T k,r0. Pd6l
<br />_Rcqlirn L.rrs of NnrifE rir
<br />,*
<br />.dify tur rhc r.J.hl ESuhra6$ Ggrrdin! dtBnx Edrlal !E mr rpplalbh lo rhi pFj.rr
<br />nifr rid I h.!c E.d rhir Dpplilrion ]d (!rc rhlr rh.6hrrc informri'n n Nmr.l !8ft ro cotrply*irh rll Cirynd Counrt
<br />ordinlNs rnj Srr'.li* Eltrin8 k, buildir on(rucr bn. rt hcEby Nrthrir rcr*.rdiv.r ur rlB ci' y &l counrr ro .nrr uFrn rlE
<br />[rxt mnrkftd,h,Fny ntr m.Fdir. tu
<br />lpplic.nl o. ,tA6l SllEllF (.r< tO
<br />=D a.r i 4"5-.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salely /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />To uerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rou gh qA<,/F6 S D.,.tt-ri+*,
<br />Servrce Meter
<br />FINAL IVI/ H <\ffi
<br />Notes, Remarks, Etc.
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