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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<br />Site-Work
<br />Unde rground
<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 / Groundinq i 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 Rouah)
<br />Meter Release
<br />Rough
<br />Service ltileter 1.1 l
<br />FINAL I lill t4
<br />Notes, Remarks, Etc lt
<br />---
<br />OWNER BUILDEN DEL('ARATION
<br />I ha.!y lltri ui& Frty of Fjury rhd I m qdpr frlE llE (o.r,.d6' Li.u Llw ,or rlr follo,irS '6li (Sc 701 L
<br />EdiB rld Prot6.ion Cod.): Any C,y or Colry rtih ..quia t rrna to Ndtr .td, inprlve dtulirt or t9.r E,
<br />lttudur. Fi.. b n! irulEc, rbo r.+iE th..r?lkar to. i*h Fi ro fiL. iigEd ndomr thd lE.r JE i! lkot d F,arr
<br />r. $. prDli3io6 ofdE Conrrrtoir Lic.n4d Lr* Ictulrd 9, Co6n.ai.g w{h Sation ?000 ofDivnion I ofrfic Bulins dd
<br />PmfsbN Cod.)or rt r lE or rlE i! d@B thsdroD rd rlE t6! lor E.lkS.d dstshn Aryvbhlhrofsctbn70115!y@y
<br />qlrlrdl lnr ! Fflil lbjcl! tl: {rli..ir L ..irilFrhy ormr mE rn! tuc h@&.d &rll,6 (1500)
<br />_r, a osc of rh. rreFry, or dv opl6)6 wirh was6 s rh.t slc onp.6tior. wil <b
<br />'hc
<br />*orl dld llE rrud@ i! ml
<br />ddrd.d or olIa.d for El. (Se.ro.., B6iE ad Pr.fdnB Co&: It Codndr'r Lt@ Lrw d,6 ml +9ly ro i ow of
<br />rh.F.Fry rho tliLb d ingo\€ E@ tn rno d6 sh $ut h!rulf or lsxl,or drcwh hir or h6 o*n.nrplrr6,
<br />Fovidai lhd r.h imFrgldl ft br idcld.d d oltold t'. rL lf, lr$tr, E borrilB inForqd ir $ld viiii @ yo
<br />otco@kiotr rlE O^na tllildd will hlE tlE hrd6 of pmri,t rh, tE or lnc dij ht hild ot EF.ov. rhc FoFl, for tlE FrFr of
<br />_1, aotrc olrlE p.opdry. dq.lNivcly com,!.tins *(t hcos.d conlGtoa r..odtud rlE p.ojd (sd 7llt4,8616
<br />d,rl P,oft.rir ( od.: Th. ( onlrcloir Li.d. lrw do6 m'.pply lo M ow"6 ofFopgly who ttoilds or iortovBlha-n.
<br />ed *'ho o du lor *h Fj.tt. with r Colnsro(r) l.dB.d lr,sai to rhc Codrcld r Lktr t w)
<br />_! @ .r6F u(ld Sclioi_, B. & P C. aor fib l6on
<br />D.t. orE:
<br />Itoaf,!8I:(otlfi!-talla!ItrgdSallll!
<br />I hd.by aflinn und6 p@lry of polury o^. of rhr rolbwins d.rl&arioro
<br />-l
<br />h.ec id *ill oinr.in. c6rifi.r. olcoEr ro s.lf.l6e fq wl6 6mFslbl\ c Fvid.d lor by sEriD ]700 of llE
<br />Lltor Code for llE Ffoffi olllr wdl rG *nah dE Fnn t isu.d.
<br />-lh,\redsillmim.inwo.d'.otrrr.Mi..i$ure..s.atuircdbvsc(ion1700ofllEL.tFrCo&.torlh.Flolfuc.of
<br />'h.
<br />qort for $ hkh fit Fnn t is-l. My lgtda on @..n ilBllft. ffir .d Doliy .unba rc:
<br />. ()lcrtJ i a'*tan 4J6*tL7<*T rz/ Z/t4
<br />-l
<br />cdiryrn in th. pqaolrfucc of rh. port tor *hich rhii r.rmir E iaru.d. l ihdl not mploy ey p6on in ey ndn6
<br />$ a to b<.8 subid lo rh. $o d cooFiso. hs! of (.lifomi,. rd.gr 'h, if I Jsuld tEoR {bid ro lh.
<br />$$ 6'omFNrionpNvirioBolsdioolTmor r L.bor (-.d4I {dL fonh*nh omply * h lle rFrni66
<br />WARNIN(;: lniluc to src wor[d coiposdion co!di*. G uol!*rul ed sh,ll lobjdl u anployd lo qiminal FdlB dd
<br />crrl lin6 up lo oR hu&.d lhousld &116 (1100,0001, in iddilion lo th. co3 of .oEtFurio4 &nqd a Fovn.d for ltt
<br />SAlion 1076 ofrlE bbr Codq i cd!dtnqr.y ! fG/'t - rq
<br />DECIAIAI!}!
<br />I My .nm !id6 Fd!, .f Fiury rllr I m LG!.d ur& Flririor olct4r6 g (offii.s *nh Scdion 7m0) of Divisiln !
<br />of th. B6ind ed Pmf6ioN cod., r my lic@ i! i. tull forc. d dral
<br />' c(Q i6DqLGb
<br />1- 11 <n*-"-K ir 9m 5d c-r'
<br />caBlrtrucr0dr[![Itc.Acllct
<br />I hd.by drm undd F dlr of Fjury rhd rh6. ! r con!ru.1irn bdins rstr, for rh. Ffolliw. of th. wo.L ft'r shth rhi! pann n
<br />i.nlcj {S( 10c?. Cn (')
<br />AIILII:AdLDECIIIAIIO!
<br />I h66y arm und( palhy ot psjury on. of th. lollopiry dE l&alion!:
<br />D.mlnion PdmiFAlbator Norindion F.&.1 R.glLrhN ('rhk 40. PEr6)
<br />-R.quiral
<br />lad of Ndiff,:iim
<br />-l
<br />cdlt rhd rh. f6r6rl ,csubrFB rgadios Bb6ro! r@ral e id !9pli{6L ro rhi !mi{
<br />-l
<br />.dify rhd I t^. rad rnir lrplirxon dn ndc IIn fi. lhl c inaomdion n corct I +E ro n\mpl, e ifi lll Cily &d Co@ry
<br />odndncB ar! sralc t ssnhrinato brildrnBcotrsr ior srl hqcby dur horn. rcF6dra! iv6 olrhi! ( nt dd (\uniylo 6ts upon ltE
<br />rn\!. maihtun prop.nr fo. iNFdbo
<br />rpprrr or
<br />^xu',
<br />sisn{trrt }<n,a 1'a-lL
<br />I'edlrc nrn{(prln0: D(golnn o.* €rr *rv.-
<br />II
<br />agarl
<br />COMMENTS
<br />L.tnn'r Adda
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