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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEf, BUIrl)ET DEITARATIOIT
<br />I lE.by dnm un<16 Fsny ol Fj!4 fi, I o dmF from llE ( drdm Lkar Il* rot llE folloviq te. (S< ,01 I 5
<br />Uu'r6s !,td Pbf6io. cod.): Ary Cny or Coudy \hafi r.qun6 ! Finir ro oldrucl. .Xs, dFoG dtul.h m q.r oy
<br />tud@. Fir ro irr isuucc. !t5o r.qur6 lh. ipplic.rn for 3u.h Fnn to fik ! sisn d llddol rn, h. or llE i lic6!.d F@en
<br />kr rh. provisiod otrlE Conlrlcloar Li..nr.d L.w {Ch.pl6 9. Cortm.icing wnh Selitr ,000 of Divdion .l ofrh. AorinN ed
<br />Pmt*ions Co&) d $d tE or rh. i! .rmpr ltacFon ad llE b6i! tor th. dL8.d adFion Any violalion of Sdbn 701t 5 bv !n,
<br />.rrpli.mr aor r Fmir i!B6r lh. lppli..d ro . ovil p.@!y oa m! mE tnr fiv. hun(H doll6 ( t5m)
<br />-L
<br />s o$E of rlE FrFry. d ny drpb,6 *hh *.e6 s ItEn bL @EFsrno. ril dr ltt *rl in Errurc a tnr
<br />iddri.d trofiqd for r.r. {Sa 7(X4, BciE rd ftntu ioB C.d.' TIE cdn.rr't L(@ l,$ 66 'Dl {?ly ro xow of
<br />rh.FbFV wtb hlill iqmEtlEe rd vl$ *s un*uI hiNllor lE*laor lhreush hii dtd om.nployc,
<br />rovid.d ll'.1 trh iiFo\€ffi @ mr d'&l d otu for rL lf, hdsq, OE trildq d itprlrqcr i. sld *ihr oE ,r
<br />ofcompldio( ln Own6 ttul&, will hlE ltE hnL6 olFoviig lhn lE ff rh. dij rcl t{ild or trnFow lh. Fopsly for llr FrF* of
<br />-1,
<br />sorEofrlE Fopdrt. d d.lu'r.|, .onr*llls sht lt@.d condr.B ro @dM tlE ,.!.i61(Sd 701'l I}!6
<br />,n PtDtsbo Con ltl. Cont .ioa. Li.e ll* <k'G Dr.rply ro r orE ofFopd, *r. tbildr or inpro\E lhd6..
<br />ud \tE @'rr*t' f( iu.! Fi$ snh . Coffio(s) liqsl Frur b E Co'rrr.ld! lilE Le).
<br />lm.rflpr undd Sdron ,tt &l'('ntrrhN'.{son
<br />l)rre ()rnd
<br />l!985!&S:glrrf!$Aro!
<br />IECIJ8AII{I!
<br />I hd.t) .mm u.dd Frn, of FJuy oE or llE rolhs nB ikh.nnd
<br />-l
<br />t E sd *ill tuinro. Cdiftd. of (-oB6i lo S.lt-lMrc in HI(t @mPaslrq 6 FDriLd aor b, sdhn !700 of llE
<br />Iilor Cod.. for rh. Ddf(,tlm. of th. "ort for *ith lh. psnn 6 ie.d
<br />d,,.ln.inrarwo dr'.omp.N.rn1n iNurMc.. G rcqlt J by sdrio. 1700 of I h. Uh.r Codc, lor ih. F ionrm. of
<br />ion N!ra. csid drl B)ltr' numbq &.
<br />)trl ty
<br />-l
<br />rdrrylhor in rlr pdfomec. oarhc worl tor whkh lhir pmil B 6su.n, I shallml mploy iny p.fu. in !n, nMns
<br />$ sro b..o,rc rubjd to thc*0116 conF@rion l.s olcalifomi( dd isd lhal ill 3h'uld l'..om. lubjdl lolhc
<br />*o 6 comFMtirn pmvisioG of S.<li!n.l7mof th. t hn ( odc l!tsu. fonhvnh .omtly wirn rlFs Provilio6
<br />hrq ro @idl FrlE rd
<br />daus6 6 Foril<d fo. llEc^i! lir6 up ro oE huiiLat tho6art dollft {1100-000,
<br />salir)n 10?6 .r rh. lltrn (kle inrd 'nd .tu
<br />DpcllEallll!
<br />I ho!6t .rIm und< F!h, of Fju.y rhi I m ltdB.d urxb Flvtb. of Chqq 9 Gon,lBrS wnh Sclio! 7000) of Ditirion l
<br />of 0. BBiEs lrd PiofdbE Co&. !d 6y lia& i i! tull lorc rn .fid
<br />Cto ?7375Ql4t.Ffrl;.,^,"1o30-7/
<br />gNllalJlflo!.lElllNtiAcltrcI
<br />I hdrt'r lrlm uBi6 Dqdly ot pdjurv tht rhd i t 6tubn brtuu tsn, lor tlE Ff(ffi. orlh. trorl t'r $nrh this Ftri a
<br />6rar (sd t0e7. civ c)
<br />AIIIIIABLIECIJAAIIA!
<br />I hdd,t rtrft u.d.. F rly ol Fjury oE of 0E follo$ i4 <L.!rdi6d:
<br />Dsmlirion PoInr.Arbd4 norifM6. F.d6!l Rcauldim (Ink 40. Pd6)
<br />-R.quir.d
<br />Ldra of Ndifdion
<br />I cai ily lh.r rhc f.dqal r.lubrioB EsadinS ah6rc rmo\ dl trc
<br />I c.dit rhd I hn. r6d rhij b mnply$hh lll Cny Art coum,
<br />od'mR-'6 dd Sr.tr lr$3 \ 6 .l rhir Cir, !d Coury ro qnc l!po. ir
<br />.hr\c m'nncd p.oFty
<br />-,./o'3o-[f
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor /t\
<br />Bondinq / Groundinq / UFER t2-17-tg )"vtM)
<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 />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />,4,
<br />Rough Jrlht t^-t7-(g h.t-80
<br />Service lvleter !<
<br />FINAL L2-t) -lg x.v/{t}\
<br />Notes, Remarks, Etc
<br />'*^*ro*Z(G
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