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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE lD/SlC+.COMMENTS OWNER BUILDER DELCARATION
<br />I h6rb,.rtu ur<16 Fuly of Fiu.y |hr I66oB tDd tlE CodMoR liEe t w for llE lollowuu @n (Se?01I5
<br />BurinB &l Pmfd'o! CorL, tuy Cily or Counly whict rqui6 ! Fnil lo on d.l, dl6, idprotc' .lmolieh o F.n ey
<br />nrudEe Fsro il] isll.K.lo r.s,G rh. qDlrer for sn FDi b 6k.rtD.drrdld thr lEor dE. [.oe, Filtd
<br />ro rh. FovilioN of $. Comncroir Lic..s.d Lrw (Ch!pl6 9. aomtri.s wilh Sclion 7000 of Divaiof, I oa lh. Buin* ud
<br />PNlGoB C&l.) rha lEd.& sqatrpi rlElfrcm sd rlt b.i! fo. th..tls.d doopd,r Anyvblahnolsdion70.ll.tbret
<br />sDplic&r for 6 pqmn !ubj*t! th. .rpliclnl lo a civil pdhy oa nol m.. the fiv. hui&.d &UE (1t00),
<br />t
<br />r'\Zfl s .Md orrhc pmpdrr, or ny.mplorE wrh wa86 s rt.n sE onpG$.l,o.. will d. rlE @ &d$.nir1@! Br
<br />lilcn d or olf6.d lor iL(sc 7sl.l. t}lG od PrefsB ( c& nE Cotud 'rLi(wt3dEEr+plyr.nor1E.a
<br />' rh. prDFary *ho bu'l& o' nE nv6 rhaon, !d who &6 dcn e* hiEcllot ha*lf or rhmulh hi! tr hq os @plo)6.
<br />Fovidai rh.r rd rqlErd! e[{ -roi.d do&.d 6r !.k l(, hw. lll biLjlr n nqocEr b $U *ihn tr )r
<br />olcorpkiotr rlE Ogc B{iIk wil h.E rlE hddr ot FovnB 6r h. or nE dii bl hdd or n4.!E dE FoFry tu rlE Fl.,!r of
<br />L s ow olllE FoFiy. M dchliv.ly.odrslin8 *ih li.cE d co'rr(oR !o.otu tlt F!i6t {SR ?041. &!iB
<br />rd AokinCo<h Th. Co.lEto.3l-i.e trw &'6 mr !p?ly lo e own6 of FoFt who b{ildr o, idFoc tha@[
<br />ed wh. sntkr for Mh F.jal! *nh ! Co r*ro(.) ltdual prE@ to lh. Coil.doa! Li.@ t *)
<br />I m.rmpl mds Sern'n --. B &PC fotlhitt@n.2-5'2-o
<br />Dli(rt-8 rI9!
<br />I ls.tt rfrm undq Fully 6f FJUry or o f rlE
<br />I h.v. nl vill Eid.b. Cdriftltc otcodd lo Sdl-lBr fd wtd otrp-Bri'..6 ForiLd fot b, SclioD l7m ol0E
<br />rdor C.{te for th. Ffofu. of tnc wt &r $dth tb. Fnn ir is.d.
<br />-l hw. ind srll uilrri. eort6 omp.eli,n irll!d..3 ,lquiFd by Sclitn 1700 of dh. Llhor C.de tor llE Fiotu. of
<br />tlE 6.1 lq vhtt lhi Fnn i. isrd My worl6 ddFldb! i6utle ois !d polty D@bc El
<br />Cmis
<br />lol'cyNuibd:_Hrpn6:
<br />lib col'ryrhlr
<br />'n
<br />rh. FL,mm. orrh. so* tor whkh rhir p6mir i' isucd.l enll nor oploy my pqson in uy m6n6
<br />t /s !o tEm ubi.tr ro
<br />'lE
<br />rvl6 otrrFltbn L*! otcdarodii .,!d BE rhr if I lhuld baom $Bal to llE
<br />hll6' .onposlion prcr6io6 ol S.dri 17m of th. rltbr Co&, I JEll. fonhw h comply ellh lho* FlvilioN..
<br />WAIININC Fnlu.. ro su. wo.k6' corr.Mn,n coldg. i! unl.wtul. ud dull subjdl d oplotq ro ainind Fllid sd
<br />cnil fin6 up lo oc hud.d rhoBdd d.,lL^ (tlm.mo). n rldnbn lo llE con of.onpqtrio(rq:l*Sdrion 1076 olth.lrbor Cod.,,nrd6r md dtun*, s 16.\..€-2-5 L-_.^-_
<br />I h.cby.frm uid6 FEiy of Fju'y lhll I d li@.n iTirion olG.pts I (onffirs wth s€lln 70s), of Dir ilbn l
<br />of rh. ,iEin* md Prot6rioN Cod., ,rr ny lcd* b in tull fo!c. drl .fiN!
<br />cqBlrBllgrQMJdu!tufflq
<br />I h.Ety .rm undB FEIy ol Fjury rha rh@ i! r otrqDcrion ladinS .gacy fff lh. Ffot:Mc of th. rort 6, *hth dris Fhn it
<br />isEd tsc 1097, cit c.)
<br />AIIIICANLDESJEAIIO!
<br />I h.q'rEh uida p-.ly otFlly .a of rlE bllo*ing d..bdi,E
<br />D.molilion P6mit!-A!t6rG Notilic.rioo Foj@l R.Buld ioE {Titl. 40. P.n6)
<br />R.!u ir.d lnt6 of Nor'tuion
<br />j-.qi_'6 Ud I h.v. 6d rhb l,plkdEn tn di!. thd tlE !bov. 6fott .bn i! corndi. I lCE to omply $ih .ll Ciry Dd Comt,
<br />o{iilE rd Sr.r. Lr*r ELrE ro boildin8.otudbE rn hddr ll,horuc/.gsntE6 orthir Chy &d Cou } loal6 t4o.rtt
<br />rbow Mt6..<l FbFy fd ircFiioD Frros t i . \
<br />^;;,..^;,;;"- oy "v --L ' )>-- -,, 2 t ??
<br />rmrc.o.(pd!,ri J 6€.L-i<lg Lo?(.Z-.-
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />tl
<br />Rou h 0& P/.441
<br />Ar -/?
<br />FINAL glVfil?o WU,A V,.(fl
<br />Notes, BenFrks, Etc.
<br />l-LfllllrJll01ol-
<br />'
<br />lt
<br />I
<br />Rev.08-07-2015
<br />Communications Cable
<br />Service Meter
<br />r .)l l\l 2n- f,
<br />7il lLlMOt
<br />(
<br />t c-rit rhd lh. a.d@l ,.suldaoN Egardi.g Bhdlo. r@vd R ml +pliob!. lo rhB pNjcr
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