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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I hc.nt.rm uid6 F n, of Fj,l'} thi I n doF ltoE rlE ConftloR' lIdE l& lo, rh. follo*t8 lq)n (S<701I t
<br />tluitld sd Poldion Cod.): Any Cty or Couny *tich rcquiB ! tEnn ro Nnnrucr. rlt6, inp.o!.. .lsmlLh o. rq.n t!,
<br />$tucrN. Fir ro ir! isll8., .lo Eqrc rh. +dkli for 3xh Ftu b nL r rai.d r..!Ft lhi lE or ir i! li6.d p(64n
<br />ro rh. FDvLhd of tl! Conl,..ror', Ltc8.d lrw lchrprd 9. Comming wilh s*riof, ?00o of Oivi]ior I of th. BoinB &d
<br />Pof.sio.r co&) or ri.l lE ( ilE ! 6oF rhqltno od rlE t-i! fo. !h. .lkg.d ddrFbn. Any \ bhio. of s<rih 701 I i b o,
<br />@li.ol fu ! Fnn $bj<lr rlE rrplkd lo t .n il p.Ellt of ml hot. the fiv. hundnd dotl6 (tt00).
<br />l, s os E ol rh. FiFry, or oy orplo)B *'irh wis6 a rhd $l..onpoEaion, will do th. wort dd E rnl.lE L ml
<br />i 6dcd d otracd for eL {Se.7o14. BuilB !d PrbGsioB Cod. l1E C.nl,rim r lj(G l* &d ml +ly lo D o\F of .
<br />tlE soFrv wlD hlill tr irsorE tlEoi. -d who &B *l u!* hinklf or h4lf or rholgh hi. n, h6 om mployG,
<br />Fo,iLd ihd ru.t inFoffi e d ird'd n oftrn frr rl. I( lbe6a. rlE h,ildiq d irsolffi ir nld vttE m :Eofd,pllar tlE os E Blitls eill hlr ilE hdar ofFvirB thr lE or nE dil mt tuild m inprov. fi. pr.Fry 6r t,E Firpo* of
<br />l. 6 osE of rh. F$Fr). h d(turEl, colrdins r dh li.6ed Nmtl6 l. ocrn{l !E Flitt (s<. 7()41, 8'!16
<br />rnd ttn6.iod ( o!.: T1l.Conr*rof! r-i<..k l-!w do6.or +rly ro m o*nd of tropdy sho hild! or improtd rh66n.
<br />ud sho odrrr.lor qch F$j<(r $irh. ('o r-r{,1r lic6&d F!6rn btt!(id8rd'r Lidq t $)
<br />I crorl unds scr$
<br />D.r. (r'nd
<br />\toru(tns' ( onlPFNs nol\
<br />lr[(lABAl.[]fl
<br />I hd.hy amrm und6 rmah! orFjury onc orlh. [n['sl|l3 ddh,ari !
<br />I lEr€ .d will nlinr.in i CqrltErl. orco.gr ro S.ll'16u. t *ortd onltEEd5n. a F.*Ld for btSdio.lTm olilE
<br />Lrtnr Cod., ld llE Ffolrue ol !h. wrl tc stth lh. paril i isud
<br />I t \. lid *ill nfuuin *orra .ooFG{ io. insatrc. a r.qut.d bt sd' ion u(x) of lh. t h)r Cod.. for thc psrotun.c of
<br />lhc *ul fm *hrn rhii Firr i $.d My *(16 oiFBlrDn iBue. ffir in FIq numb6 R:
<br />c*'". :! t9aztY -
<br />P.ri.y N,.b- :al L-Z:3]P i UI!Jit?"'o?a.-e^I 'Z<->
<br />I cdify th!' i. lh. FfolmR! of rh. u orl fd trhth rhis Fftn ir is.{I I tlull mr opro) oy Ff,tn i.e!.sB
<br />$ a lo baom 3ut j6r
<br />'o
<br />rh. *orld' coniFadaon h$ of Cllatomi( md !*d lhd if I .hould b..odc rlbiel to llE
<br />uort6' onFEnrn prc\niaa of Sdron 1700 ofrh. lrtf,x ( o&. I rlull. aonh*nh mmply *nh rfior F.virnB
<br />$ ARNINC Frrl@ (r s@ *o116 omFndk. ord.g. t unl.*tu|, sd 3h.ll $bi.rl u alPloF lo (mi,.l p.
<br />.i'l 6B up ro oE h6.Lcl rlFosd rbll,E (llm,fiD), in lddilhn lo lh. cod ot.oFpculion. derad a pi(r..tSRho. 1076 ol rh. L.bor (-od.. inr6d md bnr' s
<br />tzlt, I tl
<br />DE(IJAAIjAE
<br />I hd$) lrm !.& Frhy of Fju, rhlt I d liGa.d un.td thlnn . of('hrfl6 9 (commn.in{ wnh S..tion ?000) of Dirnion l
<br />of lh. BNin6 dd Pro&sioB Cod.. !n my lr@ a h irll rod &d.f..i
<br />--]51) \t Y
<br />\ z-l
<br />' 1 ) \ "1 ( -"*.. )L B'Jru t-r .,
<br />^,-r
<br />qa!$alll.fxl!..LElD|lclcEN(I
<br />I hE by .frm 6d.r Fn hy of p6juy lhd lh* n r ol(rudion lddr4 lsdy tor tlE Fhdba. olllE mrt 6r $tih lht Fni i
<br />aq.d {sc 1097. car c)
<br />tads'! Nh..
<br />ASIIIIANfDECIASAIIA!
<br />t hody r&n unda po,h! of Fju,y oE of llr follouns d<htd ioN
<br />D.mliri.. Pmn.-Asb6ros Norificdiof, lcddll RquLlioN (Till.40, P!d6l
<br />R.{un.d tnr6 of Notifi c5lion
<br />I .dtily rhn rh. a.dqrl r.guhituG rcg&dinx sb6kx rdo!.l N ml appfu.blc xr lhi! pojGl
<br />Eq (d irr rhd I h!'. r..d thB {plrclhon ri nar. rhd rhc at rc intomrbn n .nr.<r I asc ro .!nlpl, wnh lll ciry Dd ( ou,ty
<br />ordffie &d srd. l,q! EIi!I ro hrldrB odMrc !n lE ttt orrnri- r.gEdind of rhn Cn, .rd (tuty lo drq lron lh
<br />alFV. rrdrio..n pmFny aor inrp.dnin
<br />Appli.inl or Eerl Signiltrr€'hr. a l-Ll rll(1
<br />p.rnir* .in. rprrnr ): !( Bea ruta'- s)g6-st6!',
<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 />Bonding / Grounding / UFER \r1 1()d*ya
<br />Transformers
<br />Torqueing
<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 Rough)
<br />Meter Release I tz u Pt 'Y\1,{-fr-.d-l
<br />I tr
<br />Rough I I 'LO Df :v{) a',* s"l
<br />Service Meter lt t,
<br />FINAL I t1,t?U Dfttt4t .7-kk1
<br />Notes, Remarks, Etc.I I I'
<br />APPROVALS
<br />Under Slab / Floor
<br />D/l.M 6 L
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