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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OllNER AUILDUf, DEl''AN TiON
<br />I hd.ty .mm !nrt6 Frtly ot pgiury lh, I m q.tpt fiDm rlE Cofircrd' l,rc* Lv 6r lh. follo*ine l@n (Se.,o]l ,
<br />ll[inBc sd PnlBion Co{.} Any Cily ot Cou y which aqun6 a Fnn to co6lrucl. !h6, inprcv.' donolilh or r.Pn x,
<br />rrucl@. Fx, r n! i!sJlm., .ho rcqun6lb..pfltd fo. Mh Fni lo fiL t i'sEd niomt lhd lt or 3lE it li(d!.d F u,'l
<br />h rlE Flrti'B of llE Cotu&ld t Liflt d t v {Ch46 9, ( onljmm8 f,nh Sclbn 70m of l,viriod ! oa llr Bdi,6 d
<br />Prct6ioN Co&) or tlu tE d rtE i adD9l lhddrod &d llE bdi! tu rlE dkscd da4.i.n An, riohD. olsdio. 70! I J b.v uv
<br />rpplie tor . p6nn $bJdlt tlt rpplior ro . civil p@ly of ml turc tho ar. huDd..d rtourt l ltoo).
<br />-1.
<br />B o$n6 oalhc pmpdiy. or ny oplo)G wnn w+6 s rh.it &L comFsdnr( *ill do llE mrt .d llE slM'lw ! d
<br />i dr.t d orofia.d td !& lsa.7o{4. Buin4 Dd Ptof6.ioB Cdl TIE Coiri..id t La@ t^'dod el eplt to o osE ot
<br />rh.FoFy $ h. hilA n ltsD6 rlEa in r h &E srt qll h'@lf ot lE*ll o, ltrcuah h6 d lE ou.i95vq
<br />FoviLd lh,l kh ir!ftldd! & d ndn d d olEr.d 6r d. lt lD*6s tlE t!'ldns ltFoEcr i. sld rinin .4 ,r
<br />ofotrpkioa ltEO*E &lirCs will h.vcttE hrrls!ofFovitE lhi lEdJE did Nt hlld iitp.oE dE F{rqrv i,0EF,F-of
<br />t, s M ofrlE FoFry. 4 .r.lGir.lt lonlrdiss *nh IclrE d .otnxi6 to codld dE FoFr (Sa 70{-{. &nilE
<br />rn hoasin c.d. TIE Cornndd't Li.d* r.* &6 mr qrly l. d o$ac otFoFry \lE huirdt or iDProl6li6@(
<br />ed *no sl!r-$ aq rch F.j.<lr $ilh . Co.ntFo4, l.au.i F{rsorr lo O. codr.cis t Lt@ Lrw)
<br />-l
<br />m .rcnq udd S..lion _.B &P( foilhrsrte.
<br />noSf,ESt SqttrElsaro!
<br />DECIISAIIA!
<br />I h6.ty lmm und6 Fr.It of p6jury o.. on h. lollowing dclltdioN
<br />I hav. rd u'll @inhh a Cati,icslc of Co!@l ro S.lfiN@ aor srkd @mldlnlion, d F.vid.d lor b, Sclhi l'700 o I lh.
<br />lrbtr CorL. [n rlE Ffffi. of rlE *dI ror $tth llE Ftn a au.d.
<br />-l hw..hd *ill roirtlin wdldr otp6nh. iM4 s Equn.d bt khn !r00 orlh.lr&, co{.. tor rlE Ffffi"r
<br />rhc wo* atr *hich lhis Fnn i iqEd My m dr'Nmpdldion inllllim 8it tn polky nunha &
<br />CMirr-
<br />ErriB:
<br />-lc.nitllld orh.Fformnc.ofrh.f,orl for s'hich rhltFh( i3 isu.d.l rhlllnor anglot.nr F$. innvmuF
<br />$ sro b.$d. lubjel Io lh. world' comr.Ed ion latrs ofC.linrn6. md +re lhtl ifl should tlom. llbjtrl lo llE
<br />Mrt6 comFr$rion FoEioB o t S.clion l?ll) of lhc tlhy (i'd., l JEll, fonh* h .omply * h rn'r p.!vaio6
<br />W RNINC: t.ih4 b sw rflid' orsdlib. @r6!gc ir uE*tul ,n rhdl $bj.{ s drpLF b sinid pa.rit dd
<br />.iv'l fu6 up ro oE hundr.d rn usld &llc (tl(lo.mo). in tddnio! lo lI. (o, ot.onFEliol! d!.!Se a P.otil.d for lh.
<br />Sction 3076 olthctdDrCldq inld.E ed.hormy't f6.
<br />_ ADgIot:
<br />utErtfDrlrxllaoaa!!(l.68Arra!
<br />I holby lrnn undd Fmlly ot tdjliy $., I m li.€E d unrla F!$hn of CluFa Itonnft,ns $nfi S.6ion 7U00)of Drishn l
<br />of th. Burin4 &d PmldioB Cod., ad m, licd. b in aull ,orcc rnd.ret
<br />L,..e Nuhtq
<br />IqIIBICIIOILIjBDIEAJCEICI
<br />I holi'y.lfmu is Funy ofF)ury ltr E a.odn tion bn !s.sd) tdllEFfffi. or0Erdl6r *hthlhit Fii a
<br />6e.d ts€. los?. cir. c )
<br />AITUCAII.PECIJsAITO!
<br />I h.tby .iEr, lndd pqllry of pdju.y orc of llE folhwins d€hiairN
<br />D@olnion Pomil3-Arb6lor Nolificdio. Frd6.l Rqulalionr (lnk 40. Pan6)
<br />R.qunal ldr6 olMni6di..
<br />-l
<br />c6rit thr lh. fcddil Eltlrlioc Esrdins a&nd r@r.l s. ft'l +?lr.bL ro thn FqGl
<br />-l
<br />cariry lh.l I hw. rad lhb .pplic.lioi d nar. fi.t th. ftov. inlonndion n .oE.d I .sre lo conplv wnh dI Cn, ind Codv
<br />ordeftdlld Sra. l-'g Elrilu ro hildii€ ..Gml.lio( !d hs.t, .ulhoriz. EFerdiv6 o f fi! Cnv dd Coulv lo alq Wof, llE
<br />&orc mrion d FoFry for iE clbn F,Fc
<br /> ppric.trr or ^16r
<br />shn.l!rc
<br />Site-Work
<br />Underqround
<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
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />-l
<br />Roush Qo\r,l 2-,€ t)l/,'t,4 ,{,1A,4 -11/
<br />Service Meter
<br />FINAL /14fub
<br />Notes, Remarks, Etc
<br />4 n
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