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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI'ARATION
<br />I ffiy rlIm u.& p6.ty of Fju.y rhn I d dmF [b6 tlr conlr.tm tE.M Lt* lor dr followi.g lsn (se ?0t I t
<br />UuIB !d PloiBnn Cod.): Aoy Cn, or Co{ny shih E!!iE . Fqbi to mtu. .tc, 'qro1e ddbliir or rq., iy
<br />,i.ucle Fbrro iB istlm...lo EqllE rlE tplran for Mh pdmr lo 6Lrrisn d siaEr rhil'or . i! lta!.d purEr
<br />to lh. FtrvilioB oa th. ( onlnddt LE.nd Lrv (Ch.pr6 g. Comfti.g w n SRftn 7000 of Oivniof, I ol rh. Aurind rd
<br />ftordi,B Co&) or lhd lE nlrE b a.qr rhd.noo ad r bG! aor rh. rllcs.d crsrFiu AryvbLlbnofscrbn7011.5brey
<br />.tpli.&l lor . Fhn qbjal! rlE @li.. ro . .ivil parht of @t Dr. th- nr. h!.d!d &,llr. (t500)
<br />-1.
<br />6 o*nd of lh. FoFny. or f,y dplorG {irh w'ts6 a th.n $E.ompoanion. villdo tlE qst !d tlE !fiEr@ b Dt
<br />n.ltLd d off6.d ror sl. (Sc 7(xrl. &Eir D<! ProadiiN Cod. TlE ( o ndd ! Lk@ l,w rba d +ply h o o{G ol
<br />llE FoFlr, *ho hril&or !qo6 Ela !i *tb do6 Eh *ort hiMllor hd-lf or rlmuSh h6 n ha os ar9hy6.
<br />pr.vidai
<br />'h!r
<br />ruch inForsrEl! G @r iddi.dorotu f.rEL.l( ho6s. rlE t! lilB m llsr$EEi i nld *irhn (ft re
<br />of@inplrFn. tlE olM Builb wiu hrrc rlE Ur&n olFov.nB ola h. or JE dd Dt hrld or s4N!. thc prrFt, fo. tE A1rpox of
<br />_1, aow of llE Fopdr,, m.r.luriv.l, conrdfls *nh licdcd (flrd@ $ $lfu.r rrE rrcjd ls{ ?04,t, Bdi6
<br />ltd Pmnsirn ( od.r l hc ( onlr.cl.ir LicN. t w d6 nnt ipply to u own6 o f ropary Eho buik ! or inDrovd rhd6..
<br />r.d etro olr.!cl! to, ruch Fj..l' *th ! (biIio(r) liet p{Bd ro $. (on|ncrd ! l.k.G l,*)
<br />_l uctmpr ud.r Sarirn , B & Pc lorrhntun
<br />D.t. Oi.d
<br />laaliESll:AufldtArq!
<br />DIClt8AIlg!
<br />I hdcby.md und6 p.nlltyofpdjury oft ofthc n,lbwint ddl .lioB
<br />-l
<br />h.tr !d will miiln r Cdifrd. of Con6r ro s.tf.lnl4 f6 "ut6r 6ntEnrri{,\ 6 Fnri|.d lor b, SGtb. !7m of rh.
<br />l.ktr Coda for tlE pctul]rE. ofih. mrl lu $iah ih. Fnn i iE!.d
<br />I h.r. lnd * ill nainr!'n wort(!' coapqanu iBuffic. d r€qlnal b S.riion:1700 ofrlE llhor (b&. for th. psfonffi. ol
<br />rh. eo.l lor wn.h rhn pamh b erd My std' comFErior iBul4. m od Flt, rumbd ft
<br />{ r=-
<br />Pol,.tN@hd: ' trp"a,-L
<br />-l
<br />cdi8rh inlh.Ffo,]m.of rh. "orl lor trhichrhB Fmn i! Nu.d.l.h.ll ndl mpkry lny pcion in rnyfteo6$ a ro t-arE lubjEl
<br />'o
<br />lh. *oltd'com9.rs6n hs! of( dil6mi{ ud reE rhrl ial 3lDu[t hcoc sbi{ lo rlE*ortd NtriFBdn. preranB o,Sclio.I7m ofln. t hr Codq I iEll, tdhr nh oDplt $ iln $or F.lirioB
<br />WARNINC: ruilurc tr sw wrrld'conFBdion cor(38. is unhwful. ed lhrlllubjd u oplors to sihiMl poalli: Dd
<br />$ fir6 up k' oE hur&.d rh.us rL,ll,6 (ll@,om),
<br />'n ddnnl l{ rh. con of conFi!.tio( dd.sd a F6rd.d for tlE
<br />SarFn !076 ofrlE td, (.da iddd di.tl)lB ! rd
<br />p.,., 't:/c,,fr.q-r *S*--*
<br />r rc-l \slr) a6f! rfltt_rol
<br />OKLll.l'ITIrl
<br />o
<br />I hd.by rfim un.l6 Fr]ry ol Frury th! I m h.slol un(b Fovni,n of Clqd I (ostuins snh S61i.. 7@0) or D,vn'on l
<br />ol lh. Brind md PNfsioB cod.. a.d Ey l..e i! in aull aorcc lrl.ret
<br />4-\6 -k. \0433 \6
<br />r-i r-a/rt, c-**., )r-
<br />tll!!rBltclt!rBr.E!!l!G3c!!(r
<br />I hcby tffror und6 Fr.lry o I Fju.] lhd lha. ir . oNrudi'n Lad[* 4fty ni th. Fforll@. ot lh. q ort for rrhah rhb Fmi i!
<br />,s.d(Sd. 1097, Civ ( )
<br />ATTIJI.ANI.DECIJSAI]O!
<br />I hddy lnEr und6 po.h y oa p6j!ry on. of lh. follovins ddl&atiotu:
<br />Dsmkkn Pmile^rldos fioti6.db. F.da.l Rcgukrioo (rnb40, Prn6)
<br />R.qut.d kld.ll'lxifi.iiE
<br />-l
<br />cdif, rh, ilE f(b.l r.guldbd ESrditB atdot .om!d r. d ppltrbL ro rhir Fltrr
<br />Pt cdiiry 'h! I hlE Ed ths .ppticdior -.t nrt. thd tlE rboE inronnnion s .ordl I rsE to onply $.nh ! Cn, .,rl colrny
<br />onlrtu(6 ed star. I!tr! ELril3 ro buildin8 codlrrudiotr hd.6y durhtriu..pr6drdiv6 ofrhir cny od (t'u yro drd opon rh.
<br />!b.\. mrion J prcFnt for itrlFl
<br />nOOU".r, o.
<br />^a-,
<br />a,rn.,r* )!..:,-.-_-1.'. ' r21c 1\tr
<br />P.rrirfr n.n,. r prrnr): V_ +\iJDfle\^J EArr-t-a?-
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spqs, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Qqrding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />F actory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Ro ugh rL/k /,tv ih/6'r.
<br />Service Meter
<br />FINAL U,lst /0 <rl7r
<br />Li.e 4tr4
<br />l.. dd i Add*l
<br />Notes, Remarks, Elc.
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