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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS rD/srF COMMENTS <br />Site-Work I <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (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 />Torqueino <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 />Ceilinqs (T-Bar Rouqh) <br />Meter Release <br />Rough <br />Service Meter I <br />7./)e.r o.ft <br />^ilqi1) <br />FINAL t\ \?r\\ \q bu- <br />Notes, Remarks, Etc { <br />OWNER EUII,DER Df,TTA RATION <br />I h6.by rmm uftkr poshy of Fjury thn I m .rdF nom !h. Coffi.cro( Lt.e lrw aor lh. folhPing t6on (sd 70! L5 <br />Il6in6! ad ProtBio. cod.)r any c y or cou.ry whth r.quir6 a pqmir ro odrud. rltq. inProvc. d@ttl or nir; uy <br />nMm, Fior to ilrffi. rto Eqrn6 l& nplfal for Mh FDn lo 6k . JtstEd srnEEn fid lE or ilE ir liu!.d P'mr <br />ro rtE F$\irioB of li. Conrdo.r Lt.B.d l:w (clEpis g, ( ffiing sih sdion ,01)0 of DnBbn .r of dE &!ilB rd <br />PmGlioE co&) d rix lE or ih. ! aalpr th6c6om dd rh. t'66 lor rlE .lks.d dclqion Any violihn of Sdbn r0Sl.t br uy <br />rmlicel for i p6"h .rbj..lr rh. .ppli.sl lo r .iril p6.lly of ml morc lhe fiv. hunG.d doua (i500). <br />l. G o*Eof ln. FoD.ny. d ny a!rh,6 wih w.s6 s th.n rk ofrFlriotr. $ill& E*qt-ddErn Gi!tBr <br />inod.d d oll6.d 6r n1. lsc 7044. Bui6 !d PrDfdbN (od. Tlr Coifsioii tj(dE t$.bG 'bl Sl, lo e orE of <br />0E F.Fry $lb h,il& d irFoE dEd\ id who do6 i&i w,t hiIMlf o. ha*lf or lhmu3h hn - lE om atPloy6, <br />Fovr:t d rh.r $.h imF.ffied ilnai.d orotu 6r r]. lt Lo6d. r hildi,a tr if,qo\uEn a $ld witfii! m )c <br />ofcotrplrioD rlE Owrd Bojlda will tlE $. hda oaFovirB tlln lE or !h. dA mt hM or in4.ovr lh. FlFly br tlE p!rpo.. of <br />l.6o*cofrlEF!Ft,mactsit€])@nr-ri!B*dhtaa6.d@,irar6looldnrlll!FojdlS<'ror4.hBi'E <br />.,n hlknn Co&: Tn. Co rrrol3 Li.o$ !.w do6 ml.!pl, ro eoMs o,FoFlyeho hildt or inlmv6lh6@,r <br />md {,ho oft6.1! aor o.h projet! wilfi . Conlrclo(!) licd!.d tuBu,r ro $. Co radolt Li.N L!w). <br />l6.idi un r sftrnrn <br />Drr. Oirs <br />\roRKrRs ( oltiatNs^I loN <br />uicuaarlo! <br />Ih.'.h) am nnndd pdaltr olr.sjur_ton.ofrh. ri,lk'trlll3 6*lardn'a <br />I h&c &n *ill mirtlh. Cdiifr.r. orcotrEn lo Sdt tnlG it s.t6' omFurior B FD\id.d 6r by SclhE 1?00 of rh. <br />tlbo, C.de tn rlE Ffolrla. .f llE woit tc trlfth th. pqnn it ilru.d <br />I h!v. .nd *ill mlinl.in *ork6 conp.B.rion iBurtR.. s t.quiEd bv Sd ion t70o of lh. lrt o. Cod., for thc pdfot1ffi. ot <br />rh. trlrl fc *h(hrhE p- h i! s*d Mr un\6 6np.MFn Nu'ffi.cffi dnFlr) numhd rc:(m: flU4\rr.r {- 6.*ta .*-vr <br />poricyNumb' O>t.lV4r3l:4 rirpr. 1- t lL <br />l.di! rh,l in tlr Ff.ffi. ollh. *ort fd trhttlhn Fin a isEd. I tldl mr dphyu) F&. m mt hM <br />$ s ro heom $b6r lo llE NrId' @tr!.ftdio. L$r olcdifomi{ &i *r lnn <br />'t <br />I tlbuld b.(om abrcl h llE <br />$orlc' onFuliorymvitFB of Sdion .u00 of rhc t t r (ode I slEll. lonhsnh snlplt $dh rfior Firiiod <br />WARNIN(; F-rilur. io su. $0116' omp.dion ovals. n unla$tul .d thlll sbj.( e 6plor! !d miEl FrhE 6d <br />.nrl nK up ro oB huntal lhorsld &,lld (tloo,O@). h .dlnb. ro rh. .or of corqEidio.. &t 96 B Fora.d lo, rlE <br />I hd*ry .r[m und6 Frly ot Fid, thi I E li.sE d !,<16 Foti]io! or cluFq 9 (@ffius uilh Scrbn 7Om) 6l Dicition l <br />of rh. B$iN ed Prcf*in Cod.. rd my lt.e ir i. tull for.. rd.lItl <br />'ii"""'il/tf t B Lo.n?o,t <br />/aft,,".-- <br />CqIIIAUCIA!.IEEDIXG.AffI(I <br />I lEl6r.rtm unt< FrtyotFrlr) thd E ir.6l{ru.lb. ladiie 'gfty for rlE pqfolffi. of th.qvl t r stit ihi FEil a <br />Bual (Sc !0e7. Civ. C l. <br />lddd'rNm. <br />APPLIC NT DECI-/IRATION <br />I h.dr .trm un.la D.nllly of FJfy 6k ol rh. Lllowi.! d..l!d io.3: <br />l).mlnion Pamnl^sb6los Nolificdnrn Fcddal R.guliions (l nk 40, Pr16) <br />R.qui,rd llrd of llolifrrion <br />I cclit rhr rh. |.dd.l rcalldhc Egrdin! 6!.sor tqmr.l e ml AplE bL b tfiit FoF. <br />,El .d i6 rhd I h[. ud rhi! .pplkltnn rd ItiG rhn ft. .t v. inforndion ir .oF..r I trrd lo com9l, *nh rll an, and Counl, <br />'['dll@6 dd Shr. t B EldirB ro b{ildi4 rcrrrudDtr i'd hqcby tdlDdz EFs rird otlhi. Cil, Dd C ouny to 6ld $on dE <br />.tFr. lmr6En !.lp<ry for iBp.dirn pdlrE <br />Apptl..nl or A16l Shnilur <br />f.rnlrc nrm. I prlno:Pq-/tc/e <br />I ,DATE