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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DEL( ARATION
<br />I hr.hy lmm undd F..lt, of Fjory th.l I @ .rdF tnm rhc Corn clon Li.cg lrs for rt. followi.g r.e. (Sd 70! I 5
<br />lrainB . Prof6ion (ild.): Any Cilt or Coudt *tkh Eqfid r Ftnil lo ordM, dla, inFotq &m[rn or w.r d]
<br />ntu.lE Fnr lo irr isle.. .&o r.qri6 lh. Tplr.,'l for rct Fnn lo fik . ri8ftd nndE lhi lE or {E a li.d!.d Fdlr
<br />to lh. F.Giom oI rh. (nntdor.3 Lkm!.d t * (-t'.pro 9, Cormd.ing sirh Setio. 7000 of Dirilio. I of rh€ BBin{ od
<br />PmfBioN Co&) or thll lE or rlrc ir .r6npt lha.fton Md $. h.rar for lh. dLr.d ddplion. Ady vioLl ion ofs.dhn 701 I 5 by uy
<br />,ptlker lor.I,ahn et clrrtt .pglic. to!cirilFn.lyofmt mrcthe 6rc huixlr.d d.llrs (1500)
<br />l. 6 otrG ol$. FrtEdt. e n, mplo)6 *nh $.s6 6 rhci, hk @oFrdiotl trill & 0E *qt lrd ilE cnnE k d
<br />iilotLd or oll6.d for sl. (Sc 7044. Buina sd Pilt*ionr ( .& TIE Conlr*loir Lic.M L.w &6 ml aply lo a osG ot
<br />rlE FiFl, $ho hril& or flF.o6 dE6( in qh. d.6 exn sd hin*laor lE*lf or ilmu8i hn d hs oh mrhE.
<br />F.\id.d thd .u(h dFDrsEit G fi rrald.d lroltqld ror rL lf. h.trs!. rlr hildit or in*ovsEn ii iH qihh m
<br />'aot mmeldhc llE (lrE Brti wil hv. llE hdar of FD\aA rl[ h. c slE dil ol hild m inFDE dE FDFty 6r tL FrFa or
<br />l. 6 o\E of rrE F.Fry. m dctuiv.ly conrxllls trnh lkoed (m*tE ro anlNci rL FoF (Sr 704a, h6n6
<br />rnd hsisincod.: T1.(b dor! l-icGIt* do6rel 4,rir, ro do*c of FoFly*ho build.or np&6 rhs6..
<br />rnd vlE co.rEcrs lor iuch roicl! *nh . Co Ecro(r) licd.d p{uun ro rhc Codr.doir ljc@ lr*).
<br />I m .rmB unid s<rhn
<br />D.l.r Ornr:
<br />woRxrEqtoirPENs iloN
<br />!!CIJAAI]A!
<br />I hd*{ rmm u.d.r FuIy .l Frd or or rh. aolhr d* d.(l&ibG
<br />I hr\r dd tr nl tuiitrin i ( cnifi.lr. ol (ir6dr ro sd r-l nsur. ror suk6i .omFsri nih. B liovid.rl lor by srr iiJ. 1700 o I !h.
<br />l!h.r Codc. for lh. FfonM(. of Ih. M* for shict rhc Fmir it isu.d
<br />I h!1.llnullmbhin * 16' .omFMio. r'nmmq r Equir.d b sdiotr !?m of
<br />'h.
<br />bb.r ( od.. tor ilE FfM. ol
<br />th. f,ltl tm *hich thit Fmil i! is.d My $trkd .omF(io. iBr*..eir Ed poltt ruDbd @
<br />I c.nili th.l in lhc p.rfortue ol lh. *.rt for {hkh lhir p..nrn L! is.d. I thlll ml dlloy &y rE$n in eyi.l@
<br />r 6
<br />'o
<br />hdoc $trd to rlE hlt6'.onp.crion h*i of Cdrfodir, rd lgd rhi il I .lbuld bd6m.ut*!
<br />'o
<br />ilE
<br />h!r* 6mFdio. F.rilioc ofsGrh.1700 olrlE t t r Ca&. I dull. f.nh*irh orq!|, *iii rtF* F.vtid
<br />$ARNINC ,i,lur. ro {-nr. sork6'comt r*!nn corsi!. 't unhri'1. ind 3hrll iuh|<r nn opli,td b niminnl Fuhir ifrl
<br />.Nrl fi.6 ur r. orc hu*t.d rho@d dolL^ lllGj-(joo). r ddnFn h 6i of onp.adioi driEed ! Folii.d t r rlE
<br />Scrhn 1076orrh.Ilt r (-od., m'dd Md dolB'rf6
<br />to-lo'1,
<br />DECIJ8AIIOtr
<br />I hcby rrm unda p.n!h, of Fju,- thn I o licsu.d und6 F$virion of CtuFa 9 (commci,s * nh S.dion 70(xJ I of Divnion l
<br />of rfi. Buri.G Md PbfdioE Cod., ad hy ticru n in full Lr.. ai.,T(l
<br />rrlo'l o
<br />I hdby .rrm und6 Frlly o f Fjur' lhrl lfim ir ! 6Nrddi.n kndir8 .8ocy lor lh. Ffomdc. ol lh. wrt lor thich lhi! Fni aisd{se 10a7, ci! c )
<br />affu(AtrLDDcttf,alla!
<br />I hd$ aiin unds pqlhy of Frury oE of rhc folhwins &rl[rioNl
<br />Dmolilio. PdmiteAlh6ror Notilicltion F.d6.l Rcgu l.rioB (Thl. 40. Pn16)
<br />R.qun.d 146of Ndiftti6
<br />I.d'ryrlrrrhca.d.'trlr+ul.ri{, k*ddr! trshcntrrortr!ln'cnor aflrh(ahl.t) rhir |mldr
<br />l (d'!rh$ ll[\.r.rdrh(anr,h(irk,ni.d$d.rh r1rrl!\.rin( hri.n Fn.trd I
<br />'',1'nA6r, \r,.IN!'cL'4.hu.hl'r*r. lru,,nn.ml\..1\ tr 1...?r'qrffi tr
<br />,;;;",-"il;:..'K"*,'&
<br />Prrmhenrm.i,,no: Aorw At+;+
<br />rlTato amp! f,nh.llCnvbd Cou'ny
<br />i!6 ofinir Cht" md Coudylo alq uFnllr
<br />lo-to- t&
<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 / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels plnlD 5*rt-*I ti-
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)/o/n//k t ';zvt oln-'&-
<br />Walls (Rough),i/n'[+?nolz /{2-
<br />Ceilin gs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough /oh7//l 6r/lorn-/@-
<br />Service Meter
<br />FINAL tt/'t / r t tuoh--ht-----
<br />Notes, Remarks, Etc.
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