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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.oITNER BUILDER DEII'AR TION
<br />I h6.6l iftE un& Fulry ot Flur.v lhi I - a@pr toi llE Colnr-t6 Li.@ r^ lor ilE follo*ir8 rcE {Sn 7ol I J
<br />tlEins ..d kofaion Co&) A,y Cily or (-oudy whi.h r.q!n6 a pann lo codrucr. rh6. ihFolt &hli't or n in ey
<br />rNdue Fior to il] iMcc. .l,o rrquiG rh. splkur t r $ch Fn i ro 6lc ! s,8..{ nai.i6r rl'rt lE or rh. ir lic.r.d F!e,,{
<br />b rlE tmrkbE o, fi. (nnrdr! tirN.d Lrw (Ct$6 g. ( ol:llldins $ nh S<lir 7000 or Divibr 1 ot rlr Sdil6 od
<br />Prol46B Co&)d rh,r rEorit !.r F rh6.li!n &rl rlE b6a tor rr.lkA.d dalFio. Any vioLt m. ofs6lio. 701I J bysy
<br />.pplk,fl aor a Fmn !ubj.d! th. lpplicot lo ! .ivil pdhy o f nor morc rhu lirc huMt .d &rllh (t500)
<br />l. a o*G of rh. FoFir. oi mr mpbr€ "nh w.sd 6 rh.,IL NmFE{im, $nl.b tlr *dl drd E$ri@i! rDl
<br />i sdql or ofi6.d lor d. (SE 7044. BBind sd ProaBioro Co&r Th. Conrrlcloir l-icce hw do6 nol @pl, to d 0*6 ot
<br />rh. Fn oly shd hiil(h or nrFo€ (Ea[.r!d *tb &c irn *$t hi@lr.r n*lf o. $muth hn d lE om anpb)6.
<br />FoviLd 'hd
<br />sh aq!\.rlaEd nod.d otutuxl. l( totr6a, {E hlildrB c iarlEd !-ldyihhffi )t
<br />oacon{,ldinl tlE ()$nr Bdllq rill hrv. rlE hdd' .t F.vnE thd h. or 3h. dd mi hrild or rp.oe. th. FDFty for lh. pclor of
<br />I.aorEolth.Fopar,,mctclundyc.n.cih**nhlEd.dco.rrlcroBro(drucltlrrmjdr(Sc.70,A@d
<br />ard Ph(!.ln Cod.: Thc Co Brol'r Licd.l-.w d6.ol a$lyro d 0*16 ofpreItr, who b!il& o. impovd th6@n,
<br />sd $h. odBlr for roch Ftrj.(r sin. Co mo(rl lkd!.n prBd rodE Codrrroi! lile |,tr )
<br />t M.xmfl ufrld s<rion
<br />l).1. o'rd
<br />\roixrRs' ( o\rPiNs^lloN
<br />lrlictalAua!
<br />I hq.br !fimun&! p6!h) olFJuq oftorrrE follo\h8 &clsdi(rB:
<br />I hrrc ad will roint.in a Cdrificirc olconsar to s.lf-lNurc lor *ork6i conpd!{lFn. tr prDvdcd ror bt sdion .r7trlr o I rh.
<br />I it'or ( o.te for
<br />'h. Ffo'lM(c ol
<br />'h.
<br />$rI for s hth lhc Fnn i isucd
<br />I h.!..ndwil! mlinr.in wo 6' comF.!.rio. iBur.n .. 6 r.qut.d b, Sdl io. r 700 of th. l,bor C.&. for th. Ffotu. ot
<br />'h. "$rl for whth rht Fmit G ir$.d My *1116 conFEdhn iNtnltr. .&i d polty .umbd rc:
<br />'Av --'-'-lfr-
<br />I c€nify lh.l in rh.Fnrhanc. ofrh. sork for *hkh rhh p.mil is issu.d. I shallnot oplor rny pd&n in uy mDE
<br />i, a b t6od iut 6r to rh. 10&6' on,,<ird on lrtrr ol Cdifohi& ,.d ,sft rhd if I rlbuH lidor obi.{ to
<br />'lEs0116 rcdFsrirn FlviiF6 of s..rh. 1?00 ofih. I r&, ('od.. I Cdl rdh$nh .o.lpb $ nh thos FsrtioE.
<br />IVARNINC roilu. ro Eu. sortar onFEdion (.rm8. n lnhniul r'd sIlU ruhj<r d ophrs lo <m'Ml FdE ed
<br />cnil fin6 up lo orc nu&.d thousn &U6 (ll@ rn. daEs6 a FYll.d for rh.
<br />GL. inl(61and nlrotrE)rs<l
<br />DDCI.AR TION
<br />I hdlby .llm urrn Frhy olFjry thi I m li.a!.d u.& Fnliiion of ch,flr g loffiin8 rth Sdbn ?00{) of Divnhn l
<br />nt lhc 8l).116 &d PreldoE Co.t , d my l(6e u r tull for xt.rer
<br />D.r. .," I fj"?ri lo5 l( tG-,G-,;t. e i..t" fc /- z
<br />calgaltflo!.rllDrlri-aclBl}
<br />I h.Ett .rm u,xls Frlt, of Fjury lhn dEr i! . Ntrrru.lbn Ldiry .sdy for tlE FfdlfuG of lh. *ort 6r trlth t! Fni a
<br />isn d(s< 1097, Cir c,
<br />AITIIIAILDESJAAII9!
<br />I horb,fmu.d.r Frlr! otFjuryoE ofd. folkr$ins d<lr bN
<br />l).molilion Pmir!-Art6tor Nolificrrion F.d6!l R.suLt rcns (Iir l. 40, Pen6)
<br />Rqun.d Lnr6 ofNdifrrna
<br />I c€nit rhd lh. fcdsrlr.rubthN r.sudins sbcaros rdnordl6c ool mplicabl.l(' rhit p$J.d
<br />id. dxl dr. rhn rh. ,t !. infnmdion B .ond I .*ra h rcnply $ nh rll Cny lnd Cou.lyl.6tfr rhd I ln\crdJrh'rrppl'.ir
<br />t 'dinrtrr6trtrrl Srdr.li\\ rrl ,n! n',h
<br />',1.,'e.,. '.<.j F,,ls) |i" ,"21,,,
<br />rlpricrnr orarar Sirnrrure,/z'
<br />r.t,r6.nrrr.s olrl,L\ ( (! rn(l ( ounr\ n, cnrd trF)n thc
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER ItltLltq Dlhlc .49<7
<br />Transformers lt rf I
<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 RouOh),l
<br />Meter Release tt lrzlll D,t !l<L-'rGq
<br />Rough tt/b//1 De(ric L-4 ?1
<br />Service Meter lt
<br />FINAL Irltz-lln D*rttoz-+81
<br />Nqteq, Remqrks, Etc
<br />tr f c
<br />I krd {1,2 -r
<br />COMMENTS
<br />Pole Bases
<br />,t
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