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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS O\T' ER BUIIJ)f,R DEI'AiATION
<br />I hdcby .mm und6 F.hy of pdjury lhd I m .r.mF iibm th. ('ont(lm' l-k.M lr* for th. fClowhg rdqr (Ss 70rt 5
<br />Buind .,n Prcf*ion (odc): Any Cny or Courr whEh r.quc . Fhi ro mdE<r, .ha. mFare &r&kn or rr.s e,
<br />rDdE Fsr ro nr i$ll,E. lho Elri6 rlE @lier ro, sch Fmir ro 6L r 3t..d rrdE rhr lt or ir i! licducd F,:d
<br />lo rh. provli.ro of rll. Conreroar Lto!.d tlw (Ch.pts 9, Conmacin8 snh Sdrion 7000 of Oivirio. I oflh. B6i,B dd
<br />PrcfdbN cod.) M thru lE 6 Jr ! ddv rlEltw &d tlE b6i! for tlE nLs.d ddBbn An, rblrbn ofsaibn 70!l i b, my
<br />lrDlicol ,or ! Fnn rubJ<|3 rh. .rplio.t lo i .i!il p@tt of not mr. lhd 6r. hund(d &rll&! (1J00)
<br />l.6orE.lrlEFF!rnnr.mplo\€s(h{is6-lh.nebmnFGaion.uill&rlErdirdilEruiRimr
<br />inldxi.d d olT6d lin ul.(SE 7()4.1, Bulind md Prnadionr ( Dd. IE (nfi..roi. l-i.N la {h6 mr irly ro &.m6 nl
<br />lhc IiDF y sho boiLl or iilFoLd tlE6( ,i whr drB kh N* hnn*lf or hd*lf or ilrouah in or hd os mplorG.
<br />pin rLd rh.r r..h mF.ffi&d -rcdrd or ofli'ld tu sL. lt lr$-s. rlE hildiry or uttrulnEr i$ldsrfiiroElt
<br />ofc.,npk ion. lh€ (xn6 B{'tb *ill h.\ c lh. borddr of lrrvnB thd h. or sh. did ml hrild tr in{rovc 6. ,xnFty lor th. F,Fr ot
<br />1€-, * "*"- "r*" *-y. m crrlB'r.ly conrra.rhs $.ilh licds.J conridoG ro cor,rdd rtE Foj*r (se 7044. Buin6
<br />!n hokih C&L lh. ('.ntdol3 ttru tlB-do6 Dt .tFly ro d o$na of FoFry q.ho buildr or inrrerB thq6L..d !k' 6.tnd. fd ruch FlFi l nn . Colndo(s) lrdB n ll{sd h rh. co doirLt*ls)
<br />lrn.!r1'B Ll\l- \6rr, . U & r'( il rhs'.ne,n
<br />",," tZJtl/z"tz"** ctQ--
<br />I I $ oRl(t [\ ('(rlrPL\s,t|toN
<br />DliodSarlo!
<br />I h.r.b, amnh undcr p.nahy. r pqtury one olthr lolb$lru d..lararioN
<br />I h,r. arj u
<br />'ll ru|lllrm ! ( diaf,dc of ( ot6r b s.lf-lBur. tu \orta' .omFshn, & Fbv*,.n 6r ry Serhn !70o of rh.
<br />liho. Cclc. for lh. FfonMr. oar h. woll aor "tkh ih. pdnn k L$u.d
<br />I h.r..nd {illm.i lin rorl6 comndltl io. iEu,!mc. s r.qurcj b} s6t ion r7u) oI rh. Llbor Co&. for lh. Ffol:M..a
<br />lhc mrt for utu h r hi! F ni n ie.d. My work6 qrfrpq!.lirn iNum.c .uis en rDlicv .unbs !.:
<br />( rrd
<br />r'rl,!\\r,5 r\r,A
<br />t// t
<br />6rd'rr ,hn m,h. Fi{'ntrn(c rrrh. $,{ r r,{ \ri( h 1116 rEmtr rr 6su.r. r chal n r mfr,r sn\ Fe,n ,n rn\ minm
<br />$ d !o b.$m 3ub..r ro ih. *nrrd onFBihn L$s of(ilfomE rnd .*G rhd ra , shuld b.om tutid ro rh
<br />so*e comtd$rbn pmvLlioB ol sdion 1700 of rh. t,tor ('ode I !h.ll n'nhBith conpl, w h rhE prcvthtrs..
<br />w/(RNlNC Failu,c l,' suc trorlB omr]€Mt'n covd.s.
<br />cnil fi.6 ul' ro on. hurdrcd thousd dolla! (t100.00o). in
<br />shall 3ubjd m mpkDr ro aimiMl rrtrnis.nd
<br />i olconp.Mion. ddnigB G !ft\it d aor rh.
<br />inrdd .rd dk'lte: s f6
<br />2 Zo
<br />D!:llJ8A!q!
<br />I hs*y .ffrn ud& Frn, o f Fiury lh{ I m licosd urdd rm! bion of Cluprq 9 tonlrmin3 vnh Sdrbr 7000, of Dirilbn ]
<br />of rt Bsi'B.rd P,ol6.io6 Cod.- in iy ltru i5 h full foE. rn dIR1.
<br />qO!$ATCITAMJIDTXIj-dGEN(I
<br />I @ .mm un&r Flrt of Fj!ry rhl 'lE t..odtu<rior lidaB rgtrt for
<br />'h. Ffo.rrj,e otrh. edl li,r stkh $b Fni b
<br />isu.d (sd i097. civ c )
<br />Atfrtca.ur.Dllt a84ll{t!
<br />I ho*y.fm und.r Frt, ot Fju.y oE ol
<br />'lE
<br />folh*r! d(brnioN
<br />Damlniof, Pmnr-tubdo! Norifi.rhn Fcddlt R.suhnrB (rnE40. Pa16)
<br />R.qunld kfid oa t{difari{
<br />rmov.l,. ml at'?lic.bk k! thb pnrj..l
<br />atnv. inlo,nalion ir corEl I ryrEk
<br />an h(8,* lullID. rqr.5rrttr6 of
<br />rb(\ . ddrFn.d proFn! for
<br />.\ppll..nr or,r*dr stn.ru..
<br />h.a (-o"*1.r1',t
<br />l mmd! wnh rll cilyan'j Cau t
<br />rhsCnv ind (iMl' roo c &,r rlr
<br />^" a/UPn
<br />Site-Work
<br />U nderground
<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 />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditroners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls Ro ugh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter -)
<br />FINAL tS-',-Z 4,s/', e '-lLt).-t
<br />Notes, Remarks Etc
<br />Sub-Panels
<br />l.6lrfyrha rhc Ld6rl rctularmN
<br />rdSh.l:riEhringro
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