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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OtINEi BUTLDEN DEICARATION
<br />I hcby !fim uid6 porXy oa pcju,y tfin I m {dpr filn rh. Cotrtr*rd Licog Liv 6r $. tollo*ing rer (Sa.70l L5
<br />BBind ."d Prol6sion Cod.) Any Ciry or Coulty whkh .qtuiG . Frrir ro cotrrtucl. rlrq, inpr.vc ddmlilh or Ep6n ey
<br />mctc Fbrro iB iM<.!o Equn6 rh.p0li.& for sh Fmn lo 6k. rlsi.d iridEu rhd lEorJr i l(4.d Fmlr
<br />ro rlE FovirioB of dE Conrrlu'J LiE*d l.w (Chqd 9, ('offi6s vnh Sanbn 7000 of ewaoi I ot rlE AcilB Dd
<br />PtDfBir Co&) o. rha lE d !|r ! aai9l rhclton !d rh. b!! f6r E .lkB.d aq4lion Ary riohi,. ofsdi.f, ,01 L5 b, uy
<br />lppliol for . Fhil 3ubjel. lh. +pliol lo . civil pdhy of nol turc $5 fru. hu!'d..d <lolld (1500).
<br />A?4 .* ,,* **r,. o' my oplo)6 wirh w's6 s rh.ir sL comFEiDa *d *' rh. rdi ,rl th. lrriEr@ . mr
<br />inod.d do6a.d fd rL(Sc.70,1.1. &!iN Dd Pr.f6io6Cod.: Tt C! .-rdrti@tr*do€.or+rl,beo{Gof
<br />ttE Frrdr, * L hill d in4.o6 dE@ tn s'in dG sn h* niN.lf o. t.*lf or llFu3h hn d lE o*t arrphr6,
<br />Fovii.d rh, En imEo\qE$ G d noi.d dofEld 6r rl I[ hora€. dE bitli,B o, i.!.o€Er t $ld wihir G )d
<br />of.oq dior lh. o*G Buildc ei! trEltE h(k otFoting fii lE or JE dn d hild d i,rylE dE FFly 6r lh. FsFi. of
<br />- l, Bo*cotrh. F.!aly, 6 aclaircly co r-lds *'nh l'.d*d codrrl@ io.oMM tlE FoF (sd 704,{. BGIB
<br />&d Pioksr Co<L: Tr!. Conf-ror'! Ltoc lr* do€ @r .pply ro a o"c ol FoFry $h. tdil.h or ihFoE lha@n.
<br />md wh. ontltt fd Mh F!F! wnh . CoMo(s) lt.6.d pos@ ro rL Co'fxrqi Ltdg t!*l
<br />I an.xrnfl ud6 Selioo
<br />o.t - /-t(_ 20 o."**
<br />DECIJAAUO!
<br />I hE hy !f,im unds porlly of Fjury om oflh. folkrwils dals.liod:
<br />-l
<br />hrvc rn wnl oi.{.ii . c6rifrr. of co.sn ro Sdfi.lG tor h (4 oDFurior B FEvi,.d for by selio! 3700 of rb.
<br />t bd Clda tu lh. Ffo.l!e! olrtc *dt hr $tit tt FDn i i{.d-
<br />_l hs..,!d will oiitrIrh srtd @EDdB.tnn ituc. a rcquftd !, Sdin 1700 of $. t bor Co&, for tlE FfqtIl.E of
<br />llE Frt fs wlrth rhir F6i i isrd My *utd @npnBdbn iBl@e dia rd polj.y ,onb6 El
<br />CEia'
<br />Polk, N6ba:_E piE:
<br />-
<br />A4a,l rr'"r , r* p-r.*c. otrh. qorl litr nhKt rhn prm n isldi.l3h!llnor oplo, lnr pr$D ir myme,6
<br />$ a to b..od. sbj<t ro th. Mrld' comFiei io. lis ofcalifomq Md r8r lhll if I rhould hdom. rubcl lo llE
<br />wo 6 omFelionproviirNof Sclior l?00orfi. Llhoi (od< l {ElL fonh$ilh co.r9ly wnh rthc prcvilio6
<br />$AR]IING: F&lur.lo s@ *ort6 onqtuion mr'6!sc i! unhqtul. ad iull ebJ€l u sr'r!6F lo (m!ul Fdi. {rl
<br />cilrl ff6 up ro on. hudr.d 'hoMd dolla (t100.000).
<br />Sdlion 1076 ofrhc L5bor Codc, inrcr6r ed dkm., ! fc6.
<br />lh..osl of comp.ner n)n.
<br />. t-td-la <-
<br />DES.ASAIIOtr
<br />I bo.by rlIm uid6 porlry of pqjury rh'l I m li.qu.d urdo F.vi.io. of Cn prc a (olltl6cing *nh Salbn 7000) ot Dilision l
<br />of rh. BsiiB &d PrcfsioN Co&. ad n, Iiuce B in full lore od.r(l
<br />co!$atcxrc!.lldDAcrcElg
<br />I horb, rrlm ud6 p@,11, of Fjlry ttr ilE! ir . @dMbD bnil8 RCy fs th. Fftut olfi. srt fi)r rtin lni! Fnl r
<br />is.d (s6. 1097. ci! c.)
<br />la& r Nm.
<br />,.rxi-'s Ad&5\
<br />IIILICAII-IECIIAATO!
<br />I ho&y !6m urd6 pdrly o, Fjury oc of th. fDuovins d..Lr.rioB
<br />D.molition P6mit!-Att6to! Nolilicllion F.d.6l R.slldion! ('lhl. 40, Pan6)
<br />R.qurql Ldrc oaNoi&{i..
<br />I carly rhtr 0E l-d6!l EsuLrioc cgidi.s Bb.gos ro@ul E mr .p9ltr!L
<br />'o
<br />Lht FEj.{
<br />4k(," *, , *" * ,* *rlteiio. md !r!r. rh.r d. abov. i.ror@rhn 6 con61 I l8rc ro @mply wiln .r cny ed counry
<br />of thn Cny.&, Cod, ro @i6 Won rlE
<br />,",.u* "".",,lnu,f- &rao att /?-ro C -ltlt-
<br />D.k t / -a'-Zd
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Mety'r /
<br />F|NAL // 4/:aX Ft {alor!
<br />Notes, RerharkS, Etc.
<br />Rev. 08-07.2015
<br />MdiM.6 !,<l sd. Irqs Eldinl ro hilding
<br />atnE nffir$E! DrolEn} for
<br />eppurur or arar srrororc E
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