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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET AUILDER DEI]CANA'IION
<br />I ha.bt .trm !n<b Fuh, ot Fjdy thr I o qdifl n$h rl! Conr-roB Lilc tr* tor rlt tol[Ni.B .@,n (S4.7OJ l.5
<br />Boi.d d Pmfoion Co&l A"y Ctr .r (d y which rq!i6 . Fni ro srstu.r, .i6. iqr.r., &imlirh N ra.imy
<br />rlNdue Fiorto ilt iBuM.,.h{ rcqut6rhc'9pli(m for $Eh rrnni to filcrlisn.d $ dor ih lEor.h.nli.dr.d punrar
<br />ro rhc Fvi'io6 ol dE Coirrrrq.3 U.6!.d Lls {(t'ata 9, CoMftirr \nh S.dion 7000 oa Diliri'n ! of rh. B6ir6 Ed
<br />Pmf6ion. (.d.1.r
<br />'hr lE or rt itnmF 'hncnonen E t'dir lor rlE.lLs.d.raPhi Any tithriindfsdi.{ 7o1l5tt&,
<br />i9?liclit for t Fnil $bj*t! lh. q,!li.&l lo ! civil p.oht of .ot 6r. lhm 6yc htrndr.d &lls (tr(l(J )
<br />1.6 osc ofrLF!pdr). ( ny 6!pht6 unh r.s66 rllt $L diFudhtr nill d, rL\(i rd ft nruro. ir Dr
<br />irrad.d nolT6rdf nL{Sd.7ol,l. Bui6 dd ProlBiE ( d. T1.(ndrdorr l.k.BlffdBml ryrh bororEof
<br />rh. pq6, wrbhr!&ornnFnvdrhditrid*ho*duhs hihklf o, h6.lfor rhmush hir or hF o* n .'rtlorc6,
<br />p@iLd rh.r r*h iolrllqci. c ful rron d orofidd for sL lt lF*M. rlE htiuil*.r irsftn.1ld ir sU $tnin,,R )G
<br />ofmtpl.tia dE()..G 6oiBE sill lrElll h,lbr.fFoviB fir EortE dA d hoild.. iqmr EFF) tu E FlFEof
<br />L ao$E olllE FoFly. d qctundr co'rdin8 $nh li.dr.rj.o ndoE ro mdrud llE F,,jd lsa 7(Ill- ll$trrd
<br />!n hoEinCod.Th.Cod.xroi!Lk.ell$d€hrrnlyro otrnd ofFnllnJ uno hird.or imtrotsihdd,n.
<br />.nd *hd dln rl. fo. rEh Fojer. snh. ('o'iri.ro(r) liardl poEu!,r lo rlE Conrrr:lor'r lj..E Lrs)
<br />I rn.\.mF mn r saiio.
<br />O.t. _ orr.rl
<br />won(E(s- ao PrNiA r'ran
<br />llE(t4AAIIA!
<br />I td.by lmm und€ Frhy of pqu4 oE oltlE folhsns ddLlr a6 oI h!r. .ri will uinr.tu r ('.n ific . of( on6r ro s.lf.la@ for $orld co0rpoMion, a rrr iddl for br s(rion !r(r0 ot
<br />l.hor Cod.. ad rlE Ffolrrec of rll. {qt lq *tah rh. ponn i isu.d
<br />I nav. md s ill mlinr.if, $ ortd .omFni.rn,n instrmn... d .qtrral \ sd b. :r 7(xr orr h. l.itxr ftd.. nr rlE F n ne. of
<br />lh. slrl lo qhth inir Ff,nn ir is&d Nly eo'kd comFMir aNurik. carir lnl Fnir' nunrh.r o.
<br />!.difr rhll inrhcFfo.@tu. ot$. *o ldshthrhLpsni n i$ual.I rhlu n't onphy uy Fien rnrn) 6atrn(
<br />h Elo beo'n. Buuel lo lh. *orla. .o'npd.lion l.wrotcrliiomE sd .3G rh, irI thiuld trlorE subjal t' lh.
<br />srld onpqEann Futiod of S€d io. l7(D of th. l,hx ( od.- I rlEll. lnh{ ilh omFl! r irh r h,r F.\ irionr..
<br />WARNINC: F.ilur. u !@r. s! 6' mmF.dion corfrr. ii unlArtul, .nd .hall rulrjd in .nrlulr
<br />'o
<br />.inrinrl r(,hi6 Dd
<br />cnil fin6 up !o oE hui&rd rtbulnd &lls (tl00.({x)), in rldihn
<br />'o
<br />rh...n .fJolnFNri.n. &rM!6 r! prorid.d 6r r,E
<br />lLtt |4WeS.(iotr 1076 oallE l,lu Cod.. nl..n ..d dbrE!'J fc
<br />og;uaarq!
<br />I lElby rrrm u.& F,hy ot pdjury
<br />'hd
<br />I m lic.iql und( rfrvi.io. ol( h.r{6 9lcoh,I@i.s $ith s..1i.7fir) dr l)ililion l
<br />of ltc Bu.i.s ud PrDlsioN Code &ri my lic6e i! in tull lore Md.It<r.
<br />nclwtt
<br />t0d$f,t](lto!.-Lru[$i-Ac!tr(t
<br />I iq.nr.mrn un& Fsh, of FiuO rh. rlE.t. o'dtudhn liidiE r*ft) for rh. Fhnle..lrlE rdI (tr trni.h rhb rfta air$.dls< 1097, Cir C )
<br />APPI ICAN DI'('LARA I'ION
<br />I hdd,l tjTm unds Frt) ol Fj6 oE ot lh. follor inA dalsr i.ns:
<br />I,.mlilion P6hneAib6lN Nolirk.rion F.dq.l Reul,'hc {Iilc.l0. Pd6)
<br />&.qui'rd l-. 6 of l'Jod6crhr
<br />I cdit rh rlE f.da.l rcsuLrbd nrrdiry d6ror rmv.l !( mr .pdi(.blc n rhii FD,,cd
<br />o
<br />I cdiatrhi I h^. rod r,ir rt lkllhn hdrh.6tnr.,nf.nnrrkrrcor<r l i8raro.omr r\ihrllCn\lndl ounlyordiffi ud srd. t *: EkirB 16 hikt'lB
<br />.b.!. mohn.d proFny ror r6rEdion purr(
<br />l|f-
<br />ApDlotrt .r ^ror shur. V
<br />Pmlri mn.(prl.O:
<br />ht Y;61'.'-,',."' T W; il)
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />ht Standards
<br />Spas, Pool, Fountains
<br />.9!gns (monument)
<br />Life Safety /Low Voltage
<br />flre Alarm / Dampers
<br />Communications Cable
<br />Buildins
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<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 Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meler
<br />FINAL ?tfln .4r4.40 )
<br />Notes Remarks, Etc I
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