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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS Otf]YEi IUILDA DE.CARATION
<br />I ba.t, .,Im uida Frlly of Fju.y lh, t m dmpl ftln lh. (.oftE lo^ Li<@ t s for rh. followilg r@n (S..70fr 5
<br />&litrd .,n Prolsion Co&)r tuy Cny or Coorr, whkh r.qliE t,anr lo olirucr. dra. iflFoE damlLh or lF.t,ey
<br />sirucrrc Fiiro ir. i!lm.. .lb r.qtn6 rlr +di.or tu *h F6jl ro &k. r+n6d sra,lEn or tE or rlr i lia.d F,.rEi
<br />lo lL Fovi'iE of E Codr-ld r LirG.d try l(tu,rq 9, Coffiis unh S.(irn 7000 of Divibn I ottlE Bcind ed
<br />PDaaioN Co&) or fi.l h. d rlr i q.oF thEdom rd rlE b..ir for tlE .Lg.d qorplioo A!, yiohrbn of sdbn 701 Lt !, dy
<br />lppliclllt aor . Fmil Dbjcr tlE @li.. ro.civilp.ndtyofml mr.rhe fiv. nuidrld dol!6 (ttoo).
<br />l. . NG of ll! FDFry, q hy d4LlE wnh s+6 a tt t FL .onp@rbn. r & dr dl .d tlr irarc ir tu{
<br />i dldci c otu d 6r ,J. (S< 70,14. BailB .d PtobioB Cod. TlE Cotu-ir'r lic t^. do6 .o. @1, b - o"E of
<br />rh. FlFrt who h,ild n ,tForE rlEEr! -d who dE Mh 6n hielf or h.r*lf o, thoush hn d h6 06 dplo)!6.
<br />Folid.d ln.l luch inFotEr:d c mt dorLd or olH tur s].. l( lFM. tlE tlildnB or rrylvqrm i! $ld wihn N )d
<br />olmryldiotr llE(nE 8{ildq w lIErEh!&rof Flviry rhi lEtr JE{M mt hild d urFow rlE FoFry [r rFrF-of
<br />l, aowEoflL F!Fy, m dcluiEly codrtiDg *nh li6E d co'rr*r6 lo con*u.ltlr FoF (Sa. 704.1. BrsB!d Prok ioo Co& -Ih. coftrl.r'. l-i..e L.w do6 mr .!?lr ro e own6 orForEly who b!il& o. iDprov6 ih.@n,dd Eho co.'lri.r! for $hpmj.(t wirh r Coddo(,lt@.d Fl6Nr tothc Coir&lor'3 Li6& L&)
<br />-l
<br />d .roF u!'& Sdion
<br />Drr. _ (ri.6:
<br />l,vonxrRs.coMprl\aI;-dN
<br />Drctd8arja!
<br />I ba6, .,Im u!& Frly of Fr{ry oB of th. follo$ie (,ebni6:
<br />I h*. -d will @.'.i, . CdiaE.lc .lcon6r to Sclf-lB@ ad sort6 comFd hn. G Fovid.d for b, Sdri.n ! 700 or rh.
<br />Llbor Cod.. lor ic p6ton@c. of $. w* for *tkh ih. Fmn i! isu.,
<br />I hl\. !.d u ill m.i.r.h $ ort6 .omrEsrioh '6uru.. 6 r.qur.d or( Sct {n !70{ of th. !,n r Cod.. for tlE rEtlrlrw. oI
<br />rh. sorrUr \txh'h!Fnn EE6l V\ ro*a'(omFlMrn'Mr*..ffi riFl.! numh- k
<br />,*. €tEy'E q'- 47 77aar/ /
<br />,,_,*"^nftaoD1{Zl{t,7 /,,,,* /^/-ZA,/f,
<br />I .diry thd i, rlE Ffot]la. orrh. worl for uhth rhir Fnn i! iriu.d. I it ll mr aphy.o, pdeo in u, @6s a to bcoR $bjet lo tn *urd smF.ldirn hv! otcdifodia 6d lsr rhn ir| rhuld b..om lobjet to tlE
<br />end' onpqsrion Fovnhro ofs.rlion 1700 oflh. Libd Cod.. I thrll fonhwnt cohply vith tlr'E prcvirioE
<br />fll dld ih.ll obi{ a dplorn ro on d FEli6 !n
<br />.ni! 6n6 up ro o* hunH ttrEnd &il6 (tl .omp6aio'! &nag6 a Fnvd.n fo. rrE
<br />, b-22-/7
<br />I lErchy .mrm m&r Fnox, ol pqlury rh,t ld Oopo e 1-*lng *ilh s*rb. ?o{xjl of Divirionl
<br />ot rh. BcilB &d PbfBioG Cod.. sd my lic.@ t in tull forc. rd.ffd
<br />,',r",,rr'"'-d
<br />""" ,6'2a '( / t bnndn
<br />I hdt y rfm ur& Fuiy orFiry thr r,'a. ir .6niMrb. lanlls .sdy tor rh. FforlrE. ot rlE wt tor *tth rhi Frl ir
<br />is.d {Sc. 30e7, Cie. C.).t nds r Nm.
<br />APPI ICANT DECI-AXATION
<br />I h.6t!& oldd panhy otFjury oB of rh. folli,*ilS d..L..bs:
<br />Daolabn ?dil}^thdd Nodfrri@ F.da.t icalLiry (riE 4. h6)
<br />-R.qoiin
<br />Ldrd ot t{otift.i@
<br />I cdily lha rh. falail aguld ioN r.srdi.s Btslc rmv.l r. nor arpltlblc b rfiis Foj.t
<br />2.di,r, * , "* ,oo ,n" *ro.,br rd d. rtr.t. sf.nrlaDn. sr6r I rgerootrpl) r'nh.llCi'.nd Counr!
<br />ordil1m6 &<l Sr.r.lr'r rclris r .urhorn. r.Fsrdn6 of $,t ( n, ,d Connry trr 6r. uFi rtE
<br />nlx\. trr knRl pn)Fnv f(tr
<br />Appl,c.rr or,tial Sh..rur.\",: /"Zz-/7
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Signs (monument)
<br />l.ife Safety /Low Voltage
<br />Fire Alarm / Dam pers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit).t,,>\t,,eol>
<br />Walls (Rough)7r1'r."''
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)7-2{ -t2 ,-I nl"d+'t /
<br />Meler Release
<br />Bs!sh
<br />Service Meter
<br />FINAL 7-2 -7 ))l.{vle OD
<br />2rt
<br />I DATE
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<br />Spas, Pool, Fountains I
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<br />Torqueino I
<br />)" /d
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<br />Notes, Remarks, Etc.
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