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f ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE tD/stc.'COMMENTS OWNEX BUILDF,R DELCARATION <br />I ncby alrrn udrt p€dly ol psjuty lh, I h smF nom lh. Conlklnt Lic.M t w aor lt followirS len (Sq 70ll 5 <br />BBirB dd Proa63ion Cod.): Any Ciry o, CN!i, whth r.qliR r FEn ro otEru.t, .116, iDFivc damlitt or lF.r !ry <br />r[de Fin to ilr lsua.. .lo ..qi6 thc @li..,n tor txt FEi lo fiL r tiSn d rrdara rhn lE or JE i lica!.d Felr <br />lo $. Fori3io6 of dr Co.EErd'r l-@ir.d lrw l(tuI,6 9, CoMftinS wirh S<rion 7000 of Divi.iod ! of ln. EBit6 a.l <br />Pmf.sbB Co&) d tha E q tlE b adF lnd!6om !'d rh. b6. for rlE.llq.d qaI8br A,y virlrior oasction 701l.J by uy <br />,ppl'cul lor r Fni $Fs rlE r@!k ,l l. r .i!il Fr.hy of m| m,. rbr, fiv. lturi.d &lla! (ltoo) <br />!,6NEoffi.FoFry,dsyalpLt6*'nts{6srlErrLoDFlrion.uilld,$.wt-dtlE{nnEirEt <br />lrod.d 6 off6.d lor sL (58.704,1. B6iE ad Proi6{c Cod.: Th. co n.rd'3l,roe Ir* &€ d {?t to u 6qG of <br />rh.Fopdy *hot Jd.d iqorq OiaEn.n *tn &s sh qrl h'lMlfor lE-lf or tlrousn hn dlE ou slqloyq <br />Foy'd.d rhd Bh bFlrsdt F ml noi.d ( olH nr rl. lt lbM. tlE hoirlila iry6qd i. ild wihh oE )Eotor4ldi^ tlE o'rE e b wi! lIE rlE hr&r ol FriB $r lt u ,E dn er build d lrFor ttE FoFty t, tlr Fn .* ol <br />-1. <br />6 o*E of llE FoFrr, d qcluiEly mddht $nh h..6.d .odfum to colfu rlE Foj{xr (56 7014. &!nsin PtDtsin Co&: nE Cont..to. r l.ttu L.$ dG mr .rpl' ro e orE olFopaly * l[ hildr or inrrovB lhqorsd slE onds fm sch FDi(! qnh r (ornBro(t) lro!.d FG{r.r bdEcodr.dd r Ltoe lr*). <br />-l <br />cr pr unds Sdion <br />w,, 11*?fuc 19*-&.furfu <br />uDrg.dSaLlQi <br />I h6.b) .lrm unJd p.ElO .f pdJU4 o . cl rh. lcll..* 5x J(LarsnB <br />I h,!. md $ ill mainrain . Cdili.r. of(\rMt xr s.l NuE lor workd, conD.n!.!bn. B provid.d for by Sdtun l?m o t thc <br />tibor Codc. hr lhc Ffome. ottn. wo* ror Rhich rh. p6nn ir isu.d <br />-l <br />havc and vill mainrain *orr.ru' comp.Nd io. iNuranc.. dr rqun.d by sd n n uoo of rh. Lab.r Cod., for rh. Ffomd.. ol <br />lhc slrk ror u hi.h lnd Dsmil ir isuoi. My w{rkdr .omp6s.r ion Nursc. cmi< and Fli.y .umbd m: <br />Icdiryihi in EFfolI'G!orfi!*ort t rhahlhBFmir ir igu.( I dEllnoraphyuyF*nio&yseE <br />5 6lo baoE sqal to tlE $o 6 6nFud5n L*".fc.lihmr.. rd {.@ thd ill CDuld beoG $biet io tlErDrt6 onpdE Ihr F.ririrE ofsdi.n lT00 of rlE lrEr Code l iBlL fdllr*lth snlply [itl thof, poritioB <br />\{Ai]tINC: Flilc !o s@ NrL6 onFBnFn cora{r. ! uL$tuI. Dd rlull $bi.* e oplorE lo cimiul FdE od <br />civil ah6 up ro oE hu^&.d t[oqr.nl &,lln (!l(I).lr(I)). b lddnion ro llE co! of comFEtrior d.n s6 a Fovtu for rh. <br />sdio. 1076 .l rh. l,tnr c.& i 6d 'nd.nm'r fd <br />IZAP<.tu 11 ,.><<-,,,.A,L*rrffiprtr . {arror <br />I hatbr lIIm uldd Frl' of Frury rhn I6 h.E .d '#s FlrEDr orcrrtrs e (rctll,lExus rrh Sd.n 7@o, olDr6b. ! <br />of rlE alls6 ed Profr$s6 ('o&, id ny l{o* ! fi tull lorr.n dtd <br />ca!$alcrua-LlllllicJcElcr <br />I hclby ,Jtm und6 FElly ot pgjury lhi llE i! ! mnrEdbn k dhS .sncy for lh. Ffomdc. of lhc srk aor *tricn lhi! rEnn i. <br />i$u.d (S(. 1097. Cir. ('). <br />L.od.is Nah. <br />A88IJ(A!L!ECI.A8AI]II! <br />I ha$y tlin und6 pd.lly of rEjury o* ol lhc lolh*inr &(ler ioN <br />(tmlilion Pmns-A3bdor Nolilicr'bn t.d6rl R.suhti.G(I lc40. Pd6) <br />-R.quircd <br />Lcll6 of Mriadioi <br />I .qr,ry dlr rh. tcdn l r.gllrao6 ie.dds atdor robrd e lor eli:lL lo rhi! p.!F . <br />J-9 *,it ,r,. r r*- ,-a ,r'i .Flillim -d d. rn E .b.E inrorn m ! .o,rqt I .ere ro orply *in dl c.y .!d codynlll&B &d 9r. LtB drrB ro hildi.a 6dhr4rb'l. rd lE.t/ l,hona r.FsuiE oiihir Ciy td Cou,ry ro ar6 l+on dr <br />.bor. m'ion d FoFnt fd iBFlio. <br />{ppli.rnr or ,ladr Sitn.rud <br />(x Vi-' l*t -/Ie.un &*rer:a <br />D... 12APil( l1 <br />Site-Work <br />Underground <br />Pole Bases <br />Ligh! Standards <br />Spas, Pool, Fountains <br />Signs (monument ) <br />Life Safety /Low Volta ge <br />Fire Alarm / Dam pers <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 T op Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />lQgilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />&ough -t/24f,I F/rkZ fn /al <br />Service Meter <br />FINAL q1w,t Fb/u(,'-/or'Notes, Remarks Etc <br />-> <br />Cmit: <br />_lrpiB _