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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER BU!I,DIT.R DEI,CARATION
<br />I lErchy oflirm undq Fnahy o(,rrjury rhur I m cxcmt{ tmm 'h. Conr.Erri Licn{ L.* ftn rle nnbwing rlsn (S.r 70ll t
<br />Bu\in.s! ,Jrl Prohssirn Codc): Ary Cii, or Cdiry whan r.qui6 r Frni! ro .o.<Mr. rl'6. mqmr, &mlkh or q!, y
<br />{Mr. Fi, ro nt Lrs.m, uls r.rtut.s rh. +l,lkar tu ruh Fflr kr fiL r i8*n rlrl.Ent rlul tE or rlE t liansd purunt
<br />k, rlx l,Ulnbni of rlt Conrrto LirnEn Lr* (Cbep!.r 9. c{'.ftr_in8 !i!h sdri,n 70[ of Divi.ion ] of $. 3$iEs ri
<br />Prof.srhni Cdt ) o. rhar lr or rh. L.knlllr rlErcfnrd lnd rtE h.ris rd rh. .lLe.d rknlrbn A.y rbLrion of S61bn ?031.5 byoy
<br />rp',li.!d for. rEmil subFk rlE ryliLinl to rivilFMhyof B'l mrc th!. n!. hu.dEn dollur ( t5(D)
<br />-1.
<br />.r owr of llE Fopcdy. q my.trPhyEs $irh qgct et llEn -b otP.trr.rio.. $dl do dE gdt.d Erlfu!Et
<br />ur.in d 6ord.d tq qL (56 7(x.{, Auri6r rnd
<br />'lDtcr.lB
<br />Cdc Tll Condd\ LarN tlw.b.. d.pply ro o olm of
<br />rlEFFny vtn toilds or inpo6 ilEE& rn *ho dE qh sxl h&rr or l.rlr or rlFu3! hir dr tn om.i{,bF1
<br />pmvd.d rhrr .Eh itr!ftwdr c d notd sfi.rd ft, r& ll how, rlE b,rrlg n iqmErd n sld wrnii m F
<br />oforlI'LrirE rlE Owffi SuiBd ril IEE rlt h,d6 of Frrts tll lr or rlE dn [l| hild.r inF.oE ll* FoFry rd E FrrBof
<br />_1,6oem.rft Fr4dty, d.r.luriwlytudr{in8 *irh liin*d offirm ro o.cru1rh. F)}d (Sc. 70,14. Bsffi
<br />dn Msio.r Cod.: Th. ConlBld s Ltc.E Uw &B mr +Ily ro x o,nd o, FmIEn, *ho hrildi o, ampmtr rlE@n.
<br />md wh 6,ulnr td qh FoFdi w'th. Coln.l1o(!,lirEn luFud ro rrE CtrdBior'r Lis* t*)
<br />-l
<br />d.rnfl u'd.r Sdbn-. B & P C i(r rhir B$n
<br />t!!8trEXli:cutEt8tAlla!
<br />D}:CIdAAT!,N
<br />I hcEhy rlln,hxndci Fnatry of p.rjury o'r ulrhc foll'*in8 dNlnErDnl
<br />_l hnlc ul will roi.rain a Cen ir&rc ol Con{trr t, S.ll ln\ur. l(tr sorts\' .onrFi\rn,n, u rovilld i(, by Ser ion 1700 of rh.
<br />Iilu Cdc.Iorthc pcrformrc. oilnc wort lor trhich rh. t'sa hn\u!d
<br />I hrR ,nd will nDnrain workcrJ .onp..sri $n in\uromc. !\ r.quncd $y Sd ion lTlX) of rlE titl, Cod.. ln I hc psformnc. of
<br />!h. wor* lir! which rhis ,cnnil il rssucd. Myworkcrs uonTctrrrl{trr xNurm( ffrEr alf'li(y numbcrsc:
<br />-l
<br />ccnify rhar in rlE r{rforruh-'. orU. *ork thr ehth rhir rrDir ir ir1ftd.l lhnllfrr.nploy$y Frsn in.., MBr
<br />qr * b b.ftnE.!bl{r ro rh. wo.kn NmFn{rirn Ls1orc.liftmi.. inli3r
<br />'h!'
<br />irl d,ukj tf,$r uhF1 ro l,E
<br />*udGi on{x.erk,n ,,mvi!io.. ol sdbo l7m ol
<br />'h.
<br />tjhtr CdL, I .}sll. rinh*irh d,nrly }irh rlFc pRrvish6
<br />WARNINC FaituE lo sr vo*cc onqrndbn o63! ir unLstul. . !h.ll ilbFl d drlploFr ro oinh l lEEli* !n
<br />ciril lirc! up ro om hut*rn rlnu{,n &,[.E (tlo0,ltD). in tddnion ro rlt cor of co,p.Nriotr d.mg.. .3 Fovli.d ror rlE
<br />s..rirn 1076 oa rlx Liq Codc. inrcl .d tmr! t6
<br />ulf}lElsrll&[.Illa
<br />Itti1]rl&l]I9r
<br />I h.El,y rrsm und.r pcdry of Frry rhn I sn lcn{n lrl.l F)i$n ol Ch+rd 9 (!f,mrn8 sith sdi}n 7m), of DNib. l
<br />of rlI AusiEli .rd Pml$ioM Co&. .d m, la.n{ ii r rull roN !n .fidl
<br />ratilBl](IrnillNutu-a!.uli(I
<br />I h.rh! nrfirm und.r FMlry or l.rJorr rhnr rh.rN.(rnntu1rn Lhdn! rS.Nr rdrtt,i onuft-c otllE Nuk f.r snahrhn rm n
<br />h\u.rl (S\.- :1097- Civ C )
<br />AITIIIAILDEILAEAIIqd
<br />I haclry aflim und.r lrnali, of pcrjuy o.o of rtE iollo*in8 d.cbtol irii
<br />o.Nnnion Pcirnik.Asbcsld Nolifi..rn r_cdcnl Rc8ularx,nr ( f irlc 4{}, I'M6)
<br />Rcqutcd t llcrof NoliaMrhn
<br />-l.rnilir,Hrrhc
<br />trdcBl rc-fulrri{nn rtrlin! r\}t no\ R,r)rrl Jrr Nr:'tllll'. k n) rlri\l,n'r.r
<br />I enify lnd ! h.vc rcad lhn lpplicdlhn !n (01. lhd llE ttnv. rnlnmri,n n cotrF I rBrN n' compl, etrh a! Cny rnd Cou.r,
<br />odtrrcc!r Shl€ L.ws Ehri,rS to t{rldr! contlelaa !,rl h..cby.ulnrn rcF.{nlalir.r of rhn Cn y .d Coury 16 .ilq qnn tE
<br />lbok mnrioEd pn,xny to. nspdlbn puF,q.
<br />AppUc.nl or AB.nl SlAEruE
<br />Plrnltc mmlpd ):
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Sions (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communrcations Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Flough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service lvleter /.....\
<br />FINAL rt -\j -21 \fi-)o\
<br />Notes, Remarks, Etc
<br />Rl.v 0A'07-2015
<br />APPROVALS
<br />CuEr
<br />Air Conditioners
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