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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNF,T BtII LDER DEL('ARATION
<br />I h6dt lrrm u.&r F.ah! of Fl0rr rhd I m .tdfl nom rh. Coirrl6 l-t.e t,s rlr rlr tollorins r.&r (s( 701I J
<br />IIB'iB dd Prof*nn Co&l Auy Cn, .r C@dt uhkh R$trd r Fn. 'o
<br />sdrud, ita, imFo\< &nDlth o EFir d)
<br />tuduq Fir lo ilt i!rud.. ilo r.qut6 rh. lpplicDr for iu(h Fnnit to 6lc i si8n d rrdmdt rhd h. or $. ir lic.*d r re!n!
<br />ro rhl I'!\ isioN of tlE ( onlncrtr s Licd!.d ll$ (chlprd 9. ( tnd@in* * irh sd io. 70m of Di!i.i6o 1 of rh. BuriB md
<br />Prof.si.nt ( od.) d lhn lE ( rlE s (cnpt 1h6.fi!m d rh. tE. [n rlE .lkts.d nmFi[ Any fhLrio. of ldnn tu!15 b]m!
<br />.rrlicd tu . Fmn .uhjd3 !h. ,pplic.nr k\ . cn rl F.llrr of mr mE rh.n lir c hu (d &llB(tJ00).
<br />L a .$F oaih. F.Fny. M ny dphlc u'ilh u'{6 a rh.i $k ofrrEMion, $ill(l) rlE so !nrllrrulwid
<br />dod.d o o[.r.d for rL (sa 7ola. &!ds Md Fror6$B ( dl TtE C.turtor'. l.r@ l^.&6 6t .lr ] r. d os]E ol
<br />rh.IrrFr, (ho t[l& or in{ft\ 6 rlE6n, nd wln d.E scfi \srl hitu.tf or h(*lf or rhouAh hir or hn om mpki}G,
<br />I,relidal rhd luch imFo\ 66r! dc tur idddd or o,Iotd ror sL lf. how6,u, rh. boiHins or iryr.\qrE n i! sld s,irhin on. )6ol.oq 'rn( lh.()*E hriUa *nl n!$ llt h!&!.fF.\ir+ lh,lEorrh. drl d hitt iIpro\r 0E FDFV nr E FrF*of
<br />L aosdoflhc propsry. dn c\clusircly codr.ding wirh li. s.n.oflmrl.N to.oRtud 'lEFoid {Sd 7oa4. &!il6
<br />Id PFkih co&: rh. co.lrd.rr Lt.e tl*.&B mt e''tt lo e o*E otFoEnr who hlildr., in 1016 th(d,n,
<br />Md rho olercrr for sh Fr.trr snh. Co d.(r lirMrl I[lsM nr rh.Codrdd 3 tk.e t$)
<br />l n.r.mt, u.dd S(lroi
<br />l).r. o.n.r
<br />woRxERs (tl[tPiNsartoN
<br />D[(la&rlrg!
<br />I hd.l^ rlnm undd folh\ olFtu,] oE oath. tolk,nns &<lir.rk\6
<br />lhnv.dlsillmninrrinsC.nifior.ol(i,tr\dlros.lf-16or.ntr$ork6'..mFMr6n,athrlid.dlorhrsdiontrrnrofrh.
<br />lrhn ('od.. for th. Flolrffi. of lh. qc( tnr shi.h rh.Ff,i 6 isu.d
<br />I h.\. rnd \ ill mrhu'n world' .onFMrior itrturrN.. s r.q t.d bt S6t ion I7O r or rh. lititr CorL. ,o, rlE Flollll4r of
<br />rhc ro nl uhrhrhnpm .eal M) sc't6' 'nrrnsrtrn rn
<br />,.--, \ 5e c\^q-. l//^1 g ^^l I
<br />{nirer rrulF,l'r\ nonlE ir.
<br />A5".t,.1.-
<br />,,,,..7,/1,/10 Zd
<br />t'
<br />I cd,a) rh.' in rh. Faolrw. of rh.{.rt lor $hih thi Fmd ! su.d. I nrl mr nplo) ut tFb. i. o, mME
<br />$ d ro tBonc subJcr! lo $. *ori6 codF rion hsrofcllifomr ud.*rrhd ifl rhrld tEcoft Brrorh.
<br />u ort6' mmFstn'^ DmvtioN of Sdi.n ll70o oath. l.l'or ( odc. I tulL fonluilh codrly rilh ttF* FornioB
<br />WARNINC lailur. lo surc svt6 snp.neion ftn6.*. i! trnla$ful, .nd slEll 3ubrd M nploF b dininll FEti6 !d
<br />rivil finfl xp lo onc nundrcd lh.usd dollaB (00,U(D). i. .ddnn\. ro !h. .od of..mr.nerion, &mU.! a provid.J lor lh.
<br />SElioo !0 76 of rlE Lh, ( odc hiGd 6rd
<br />^:>-764afi ^
<br />'7, tr
<br />r)r{ r \r!!r!!tl
<br />I hdcbt.m,m und.r Frt!! oaFJuD rhd t m lFEd un& For+i of (tuFs 9(oor]rrrrs Nnh S<rFi 7000, otlr\nN !
<br />ol rh.lrN'n6srud ltoldsnrB(i,d.. a.d mr licos. is m fxllnn.rand.fIer q 7;[00
<br />Vltral- A-k pr\-
<br />(alira!(.ltaxlrtDtNclcl;!(r
<br />I n@b) rmrn undd Fndhy of Fju.,v rhar rhd. i. r.airtu<rirn Lndiis a!fr) ror rh. rEfolfu.. nlrh.so* for \fii(hrhii Frmir i
<br />ir$.d ls( r0r7, Cn ('l
<br />affl.l(3lllrElldaAuo!
<br />I hdltr r6m uidq pqrhy of paj(y orc ot rh. tollo{inr d.(lsdi.rN:
<br />Dsmlinn Pmnr-AttEnG Norilicd ion F.&.1R.!!ldioN (Iirr.,r0, Pd6)
<br />RGqurcd l,cl16 olNolif!c!lion
<br />I cdrf! rh, thc fql.rn r.Auhrr6 Gt&d'n* *t-hr rmr!lr. mt Arl(ltL to rhi! Foj.(
<br />g/.- n, ,*, , ** ."0 ,n" "prlicirh eil !r.r. rhd rh. !ho\. in nnnEnon Lr .ord r trlra ro .ompry s h arr (- y and (-ounry
<br />"rdrM(6 dnd s'6r.I.*! r.hl4 r9aliHi,Ir c{nrNdhn. dld h.r.h.urlFriz r.r.€ddn 6 of lhir ah ..d ( ou'ny lo als urnr lrE
<br />;;;#H;:ffTra, o.,?L,e,a\- --11 s7u4
<br />Pdr,(....(pn r: ?(Lnup5 A. (ywauoj
<br />Site-Work
<br />l.lnderground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Si gns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof To E UI ment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls R ough)
<br />Ceilin S Hard & Soffit Ro h
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lrilete/ /F|NAL / />1/J0-Zn ?/tf
<br />Notes, Rdm'arks Etc 7
<br />APPROVALS
<br />. h,"orrr--
<br />Pole Bases
<br />Bondinq / Groundinq / UFER
<br />Air Conditioners
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