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ELECTRICAL-INSPECTOR RECORD
<br />OWNER BUILDER DELC RATION
<br />I hd.t, lifm unl6 padt ol Fjort lhr I m q@F &om rlr Cotnrdd LiaE ta for th. follosin3 lE3. (Se.7oll J
<br />Burird ud ProfBhn Cod.): Any Cny or Cedy }hit r.qui6 . Fni ro @rdM. dra. npmle ddmlah or irr.r o,
<br />!f!.nG, FDr ro ir, dueq lLo Equi6llE.pdidl for s.h Fni ro 6L r i8..d crmr llr lEorir i lk.rE d FE,n
<br />ro lh. Foririo6 or 0r Conn*d'. Lr6&d lr* {Ch.pis 9. CoDid.ins wnh 56161 7000 of Divirb. I of 'h. &!iB rd
<br />P@fBioN Codc) d tllt lE 6 rlE i cr@F tha.6oo d d. bdt aor rhc.!Lr.d adnlion Ary viohlion of Sdbn 701I 5 ty &y
<br />.pplic l aor r Fmil iubrdl3 rlE .tplicd ro . citil Fuly of mr mR $D lir. hundd &'lln (1500)
<br />_1. 6 o*G oarh. Fop6ty. or ny dplott6 *nh *.s6 B lh., ok .omFMio( wiu & dr w* .n tlE rnrrE a ri
<br />i drld d offc,ld fd rL ISc ?04,1. B6iB xd FmldioE Codc: Th. ( o r.d*t l-i.ce I.w.ro€ ml mely ro s ou'E of
<br />rh. proFry *lE hriLhor drs.E Ea rn wlr &- rrn rst nirolto,lE*lf or ll@ush h! trlE om.rlPlo)€.
<br />Ford.d rh.r luch mF!\E6rr G @l i,ndiral or oIH 6r sL l[ lb$6d. dE tuildrB ( inso\6r i ild wthh ft ]d
<br />of6tr9ldi.tr tlE O^E &irE rin &rc dr hdor ofFtrwg thr lp or JE did ml hild or irpdw th. FlFty ir {E F,[oa of
<br />-1.
<br />s orE of rh. ImtEly, d o.luivcly coi.*r i.s wnh lcaB<l .odr(t6 ro odd tlE Flrar (S( 7o!1. tbl'6
<br />!n hDtsin Co& Tn Conh.lor't Lic* l,!w do6 mr lppl, to o own6 ofpmp.ny who tiuil& or inprolB lh6@n,
<br />rnd uho co'm*! td 3ah Fnitl! rih. Conndo(r ltd!.d pu6ud 16rh.('odr.cld r ljc@ ltR)
<br />-l0.rflpl
<br />unds S*lio
<br />Drr. Ornd
<br />'\totu{ r'fs' carltr NaAil(ri
<br />D};CI,AIAIII,II
<br />I hr.ht lilirn, und( t@h) of IEjuJ_] on. oi rhc aolk)tr mS d(lar't n6
<br />-l
<br />h!v. id *ill @nt@ . cd'frrr. of Coigr ro s.lalBr. for wdk6r con,P..!rio,1. s For iLd for b, Sar6. 17m of rlE
<br />L.bor Codc. fd rlE Ff(fu. of rlt *si to. rnth th. psiir 6 isu.d
<br />_l hlvc.rd sill mrnn.in m*di conpcBrioi iMGe a rcquir.d ti, s.(iln l7m olllt l.tor Co<L. hr llE pafl,'te. oa
<br />rlE *e.t f.( whf,h rhir psnir i! iq!d. My wtd cooDa8 lion iM.. ceir !d Bllty ruahd ..:
<br />Ar,e..r.a,, Zo;Jn
<br />v Y,5oqLt> lb r/ t /P1
<br />-l
<br />ccnit thd in Ihc p<rforruc. ofrh. sod for $hf,h lhi! FEn n ii$.(,. I tlull mr d.pk'y.n,Cr-,*
<br />s 6 t' b<.c !uhj6! to th. "ura codF.dion L*r .ac.lifomi( ed !88 th.l il I slDuld b6oe stiei to rll
<br />f,o.ld 6nFNri,n Folinc oasdbn l Tm ofrh. rrhor Code l tEll. fonhsnh drhpll snh rhos poviti.N
<br />WARNINC: tule ro <@ erl6'llmFuton .o\6rc. u dhsf!1. !i rhnl sobid 6 dplolq h smtul pdtrt6 dd
<br />cnil fir6 up lo onc hun&cd lhouo'i dolls! {tl(r0.000), in tdlhion io rlr .or oa conFElion. (lsrt36 B Fnvld.d tu rh.
<br />1076 oI rh. tib.r Code inrccn ud inorEy r fG
<br />tr
<br />I hq.6t arm utold Fah! of FluD rh. I m of Cllt,rq 9 (omnftins Nnh Sdbn 7000) of Dilniotr l
<br />ol lhc BuiilB !'d Pmf<ioc (itj.. nj ny l(.& ; ir
<br />,,* Lbfc4,
<br />-r,t//IL4
<br />I hd!61 ,lIm unda F!h, of Fiury rhi 'lE. it . 6dnar
<br />Gu.d tsr 1097. civ c )
<br />atllJg.aur&cldlarra!
<br />I hd!6y rjlrn unda p6ihy of Fjury on. of lh. following d<Ldi.B:
<br />D.holirrcn Pmirr-Asbcror Nor'liclrion F.dd.l R.guh ion. ( tirk 40. Pd6)
<br />-R.quir.d
<br />tnr6 ot I'lod6.ibn
<br />I cdrfr rhd rh. t d6alr.glhtioN EsEdin{ stElo! romul&G mt aprlsrbk to lh. proJ..i
<br />-lc61ifylh.rItd.@drii'.Iplarrcnddrd.rhrth.!hor.inaonr.o.acsr.rIlsGro.onplywnh.[(n]lndCounlyMdSi.r.t ws r.lslirB to buildins cod.ucrior dd ha.b.r.uthorn! r.Fsri tr 6 oalhis Ciy di Coury ro 6lq uFn tlE
<br />@irnqi pmpdr rnr inrFlion p{rpo.6
<br />,\u,li.r rr tsr iSix rrur.
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 />To rquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouah
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough \/14/tc1 )ar6
<br />Service Meter ,l
<br />FINAL //ct '/q --/#Dt)
<br />Noles, Remarks, Etc.
<br />I
<br />Pdnilrt une (prrnr)i 6<- a.+>!./,"
<br />4acy for !fi. FfomMc ol lh. *orr fot $hi.h inir tEnil b
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