ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNET BUILDER DEITCARATION
<br />I hd.b, irm unda pouny of FJury ihn I E .r.ngr noa rl! ( odr.d t Licar L!* lor lh. rolo*inB l@n(Se.70ll5.
<br />Burin6r !d Prcrdion Co{k} Ary Cily ot Cou! y *ti.h rcqutd r Fhn to conllrud, .n6, iftttrovc d<rclilh or rqu uy
<br />nM@, Fs ro nr isl,m. .!. r.qrn6 th. q?lrer for $ch Fmi lo 6L r.iJEd ,ro6r rha rE or rrE ir li.su.d Fmd
<br />h rlE F\ni6a ol0r Co.ldd r LE.i.d t *' (cl!4rq 9, Comdins vii serbn 7000 of Drvrhh I of llE Buil6 lld
<br />tmfdi,6 Codcl M rh.l lE d ilE b adDF dElfoo .d rlE t6ii for 0E .th.d .roFnn Any i.ldih olsdrior 70tI J b, sy
<br />.Fplicul aor . rEnh rubjdi lh. .r?licel lo ! cilil Foiy of 6r mr. lh& Iiv. hunt.J doll6 (1t00)
<br />_1,aoq6ofrhcp.oFry.o,o,dplo)6withwl*6slh.t$1.omFErior,f,ldoft.wtodtunntt@ir,
<br />iddld.d or ofra.d lor $L (Se 7o{, Bcil6 md Fr.fBioc Co.L: 'tlr conrndd'i rioe r^ &6 mt tpplt ro d orE of
<br />rr'.FFll *tb hril6 o, illmc rrs@ rd s ho dE *t trrri hiMlf or h6*lr.r dmush hi] d tE 06 64lotq
<br />FovxLd lnd *h ulp.ovordr E d irald.d otu ftr rl lf, lr*6c. lll b,ld,a m ig!\s!d a dd wi6n c )c
<br />o,codpldin\ th o*G B{iLlE sll l$r tlE trrd6 of Foriie ini lEor{E dd mt ho'! or n!.DE ttE FDF 6r E F,r...of
<br />ZLl, so*EorllrFoFly. m.rcluiv.ly cotulih, snh ka!.d codr(6 to c.nntucl llE FoJcl (S( 7044. &ai6
<br />.,n PlDtsn cod.: Ih. conrdd r La.e l,r d6@r eplyro -o*rdof FoFn' r'tb buildro. 'nFor6 rlE6n.
<br />.rd stE od*t lor trh FoFrenh ! Coffionr) litcdl po!:d torlEcorl[cld ! LilE b*)
<br />,^""^illi;f n
<br />.ll & P( lnr ih6r.aon.
<br />oiner pt,,lfl Le
<br />\!ali}[5:(allt}:rlnrr!anIll;gtl&U&r
<br />I hdqD.L lmm und6 FEny olFrur} oft of lh. follo*ins tkrlqri)B
<br />-l
<br />hatr ud s ill ,uintoin . Cqiifi.lrc ol Conqr ro Sclt-lnu. for M,t6t @n,p.nornr, 6 ,.orid.d tor by S6.on I rm ol rh.
<br />liv Codc. for th. Ffollr:ff. oa lh. mrt for *nich lh. Fnn i! isu.d
<br />_l h&. ald $rll tufi.in *sldr .onqGdioi iwe a r.quicd hr S<rb. 1700 of rtE Lr!o. ( ode tu rlE Fnrlffi. of
<br />rh. $rl ,or whih tha pdDir a sal My f, tdr' conFlibn iera.6fE nn Flq @nb< ..
<br />er*C*c?atral-
<br />.Lo/zy'zorl
<br />I.di&rhd
<br />'n 'h.
<br />prfo,ltllE of rh. mrt for $hih rhn Fnd n 6s.d.l sh.ll mr 6pl6r sy Fsn in uy m&F
<br />h B ro bdotu sbi6r ro llE *.d6' compFsiion Lwr olcllitohi4 dd qs6 lhn if I lhould b.rotu rulr<r lo rlE
<br />*drl6' @mpoer io, prcvisioN or s.d ion 3700 of thc libor Code I lrull fonhvilh .6mply vnh rhoc rfrrlirioB
<br />$ RNING' FrbE h ffi wt6' omFdion co16!8. ir unh$a!I, .d shsll $bd D dphr6 lo .rimiul FrlB !B
<br />.rn fin6 urr ro oE huD&.d lnousd dolEs tllm,oml. in dddnin b th. .d or conFElior d&i.s6 6 Fo\it d lor rhc
<br />S(rion 1076 olrh.l$o. Cod.. ddd Md.fira ! fc!L/4 e
<br />I,^"9s.llm uid6 Foly of Fr{i} td I d liE d rddd Fovitir ofct4G 9 (.!l1rllrEi'! wnh Sdion,000) olrh'iim !
<br />of lh. AuiB &d Ptutdi.G Co&. rld Ey ltd& ir h nrll rorc. nld.fid
<br />c -4t CJO ',.*.*,.,",
<br />.ld157q
<br />*," 'e ,/t lr't ,"",.r",..)(
<br />coagauglo!.rElDBlilcENtr
<br />I tE.Uy rtfm qld FEIty of Fju.y lhd tha. n r oldrudni kndlB .ady for llE Ffolrucc of rtE srt hr $l'ih thi p6,ri .
<br />L$&d (sc ,1(})?, civ c)
<br />lJndcft Ad&s: _
<br />A?IIJCAILDICTA8AIIO!
<br />I Eel4 ,trlD uidd Frhy of Fjot oE ot rh. follo$'os &.h,rbB:
<br />Ittuhbn PsBnlA.hdor Nontr.rbn F.dd.l R.3uLrioE (Tnk.r0. P.n6)
<br />-R.quircd
<br />Lat6 ot fiorifi.rio,
<br />-l
<br />cErit lhi rll ftdarl Esuldia Egdi.6 !t ro lumtd E E{ +didbL ro thn Fqd.
<br />_l .diry lhi I lw. 6d rhir irpkebn !d nic Or rhc &r inbrrnrb. ! .6r*i I .gE ro @mply wilh .ll ciy rd co$rt
<br />ord'un!6 dSr rc lass rchrin! Lr h{,ldm3 iot! dd h6.tr lufi'na rcF.srd'r6 o f rhn cny .d (-ody lo al6 uron llE
<br />t'Appllcrrl or,\tdlSknrluF
<br />r...tr* n.." tp,tm t, X )Afu N6"yr*l '". o y'nf fi
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / crounding / UFER
<br />Transformers
<br />To rquerng
<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 Rouqh)
<br />Meter Release
<br />Rough
<br />Service Nileter
<br />FINAL ,./t//4 -,-Mw
<br />Notes Remarks, Etc 7-(-/'
<br />-t
<br />APPROVALS
<br />Ehrrc rndlioncd proFny lor iNra-_rion
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