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ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.COMMENTS OWNER AUIII)IR DEICARATION
<br />I hd.ty .ltm uida Frn, of pdjury lhr I e 6@F trm lh. Cdf.cr@ Li.ff l* ror llE 6llo*i!B 'qJn
<br />(Se.7oll J
<br />aui,B rn Prefsio. Co<h)r Aoy Cily or Cou'ry whtt Equi6 . p6oi lo 68rud. .[8. idp.olc &mlirfi o. lq.n ev
<br />JlM@, Frro ir3 a!ll,E. .1o rquiE rlE +pliar for uh Foi b nL r t'Sr.d tlrsEn llii h. d tE a ltd.d plr$d
<br />to th. FDvnhE ot tlE Contrkroir Lic.nt d L.w (Chrptd 9. ComftinS wnh Sclion ?000 ofDivilio! I oalh. Bui,B ed
<br />PrnElbE Co&) a thd h.6 rlE i ddrF rh6t6om &d UE t-i! lor rlE.lks.d dalFbn at, violrb. ofsetbo 701I t br ov
<br />.ppli.ur f6r. Fnh $bjdr. th. .rpli( r ro r.ivilp6!tyolml mE lha ,ie.ls,6ai dollct (1500)
<br />-1.
<br />s olc of th. FlFly. s ny dplo,6 rii *186 ! rlE rL on d.i,a rrl & $. rdt -d dE ntErG ir d
<br />inrir&l or or6!d for eL ls€.?04a, Bqir6 ud Pmfsios Co&: Tn Coltn.lor'! Licde llw <b6 ml @pl, to s o*E of
<br />llE F$di, $t hil.l d irryoE dEE( tn vho &6 sdr wt hitrlf or lE*lfor tluough hit q lE oE @by6.
<br />Fivi,.d thr rE! irqorqr6 r br iicd.ddolt.d tu rL tr. fio*w. tE t iDir d i4.Nd i bld*ihim,E
<br />ofonplrbtr d'. (rrd BoiE6 vill haE t E hrdd! oaFovtB ttlr lE or JE dit @l build or i,ip'tE lh. p.oFly ft,r llE F,pox oa
<br />-,.
<br />s o\rE ofth. FDFty, @ Gclsircly cotrrding wilh lkdtql codrxloE !o o[rru.r tlt Fojoo (56 ?014. BsiB
<br />.,n hba*n Co&: TIE Co r&rr'r Li6g t * &6 er +plr ro o o*E of FoFr, *lb t{il& d itrpto€ tidoc
<br />ud *ho cortr<1! tu N.h FriElc wnt . Co rxlo(.) licdlcd p6M ro rh. cod[dor'r Ltq& t.*).
<br />I maod urb Sarih .B &PC 6rlntl@n
<br />Ir .: Otk
<br />.u!8ri[ll CqlrE Urallo!
<br />IEC|SAATIA!
<br />I lEcb} lmm und6 FrXy of Frury oE ofllE follos tru ddlldio6
<br />-lh.v..!dwill
<br />inhin. Cdtifrlc ofcolFr ro S.I BN ltr wlql oBP.Mlion, E Fortj.d fot by Selion 1?00 olllt
<br />t&r Co& for dE F oilaE of rlE wr tu $tth ln. FDi i! iEEd
<br />-l
<br />h.\c rrd v'U midlti! rvo.Id conFiulbr iEurM.. s r.luircd rlL sElion ]?(/J of lL tlbor co&. for tlE Ffolrl@. ol
<br />rhr ro.k n, *h{hrhuFn 6 y *Glqr' oDFE En rlMac 6E rn Fliy nudbq t.
<br />l)I
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<br />cdit thd h ifi. Ftotrrr8. of $. sor( fo. "tkh rhir pdnn i! i$u.( I .h.ll nor dnPhy .ny Fen in My meM
<br />e B ro broft sbjei b rh. s,l6 onp.Edion hE! ofcditu ia.d+rlhr ial druld b<oE rulirei lottE
<br />*r*d' n mpadioo Frrti.B ors€lhn 1700 of th. t Er Code I tEll. trnhsnt @rpry * hh rh.E FortbE
<br />w^Rltlltc F.ifurc to m *0116' smFlrnr! ovog. ir dL*f!|. .nd ltull sut,,(tl o dnpbrt lo aimin ] Fark !n
<br />om hlnd.cd rhoudd dolld (tlOO,ooO). i..'jdnio. N lh. con of .omFurion, d.ms6 6 tevil.i f.r rh.
<br />U
<br />und6 r,6rlry of eqllry rh{ I m li!.tu d un.td proiirion ot( hlprd e (..mmtrin8 wnh S.di,n 7000) o
<br />ot rL tturiB erl fiifsioB Cod.. lrl my lt.B b tull f.i€,n dId 7{uuCD
<br />sl!5ralrclolt.LEdlllcrrc]:!1,}
<br />I lErq lmm unda Friy o I FJury rh, dE ir.6dMbn lddnlg ts*y for rh. Ffolllld. of tlE *d( 6r *tth lhi psia I
<br />nu.n (sc 1097.( iv C)
<br />AIIIJCANLIISA8AIAX
<br />I ha*y .fm ui&r !d.lq ofFIJry om of llE lolbs inB &.h,.1bc
<br />D.mohion PmitvAsbdlG Norifi.trio! F.d@l R.gulnrhns (1irlc40. Pin6)
<br />R.q!t.d Ldrq of l',loii6crnn
<br />-l
<br />cd,6llld rh. r.ddJ
<br />n EcoE n I .gE ro ompl,
<br />rqr c<itE ol rhir ( i',
<br />I
<br />I cdii r hd I h3\. rc.d r hit .pI,l
<br />o,d'n!fr s rlsrarc l,{sElding{n
<br />sbr. mortr.n.,i Dn,n nv rrr Gy'dr
<br />Aprlkr' d A!o' Skin,nl
<br />p-tr- -..ro.torr, u-/rovts?Lr,,.((\-T
<br />fi17 +r
<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 a
<br />Bonding / Grounding / UFER l- ls -11 I.tct c))
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />' Ceilings (T-Bar Rough)
<br />'lnleteFRelease!ol\'l l-2L11 X,\qAY
<br />Rough JaCst-t-ttr-t1 n-.12ffr0
<br />FINAL l.-(y-11 X.\4t0)
<br />Notes, Remarks, Elc
<br />APPROVALS DATE
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<br />Ldid r N.m
<br />tad6 t A&tB:
<br />Service Meter
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