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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O$TTX AUILI'ET DEI-CAR TION
<br />I hdlty .r[h ui<b Fdy of Fiuy rhr I m da4r t!6 lh. Codsr6 l,tdg L.* for rlr tluou!ts ,6,n (56.70115
<br />&!ilB .d P.otBF! Co&): Ary Cny or C.ury *ti<h r.qliE . FDi lo ocrod, .X6, nr{tuE &eliih or i+.r o}
<br />ltuciuc Fir to t isaicc lbo ..quiB rh. .ppltllr lor ru(i Fhir lo 6L i 4ncd ndq@l lhd lE or thc i li.dcd pl@ul
<br />lo rn F!yi!io6 of tlr Contabar Lic.tu d lrw (Chafld 9, Comocing *iU S6l'on 7000 olDivi3io! I ofthc BBincs od
<br />Elof*bECo&) orrld lEmilE !.rmF rhacnoodd th. h.ri for E nb.d d@rtioi. Any vi.hio! of SEtbn ,01I 5 bymy
<br />+Plior for. paln rut*ll lh. .9Dlic&r ro ! civilp@ny olmr mE tn6 6v. hu..i.n 4'(B (1500)
<br />L G olGof rlEFoFry.dnldrpblG wnhr.aqBilEi $L@npGrb.. wil6lt.*oiidtltnndE!Dr
<br />indrd.d d ot6.{ 6r rL (sa 70{a. B€ilE -d PrDfdbc C.d.r 1& Codfuu r Ltc t w rb6 d @ly to M o$G ot
<br />'h. FDFty sho hitn m itgDE oEEG !n *h .106 sh *!rl hiell or ha*lror rltlu3n hir q lE oq s!ploy6,
<br />rrovidcd lnd &ch inFo\dffiGd nEd.dqotu 6r-t l( h.*M, tl' hildns m rp.waEi n$ll wirh, om rr
<br />olcotrpkira tlE O*n6 BdUd will h.w t r hn!6 ofFovinr rhr lE or dE drl @l hild or ispro!. rhc FlFry i,, 0E FnFr ol
<br />l. a ow of E F!Fy, e a(hri€ly .onrrline unh lkd!.d conrdG !o sdnEt rlE FDj.{ (Sc ?o1-1, &!jB
<br />rn PlDt6sCo&, Th.Conlrxlo.t LiccB t $ (t)6 @t,rpl, to dorGotFoFty*ho boild! or isprord thd@a
<br />&d vlb (ddr f6 s[ goixn *fi . Cofi-Io(3) ltaEal plrlllM ro rh. (nnrdc r LidB r&)
<br />I dcrmF un& Sdion . D & P (-. for rhir r@n
<br />\{of,xEnli. cof,tPr\slrIoN
<br />DECIJAAIIq!
<br />I lsdy .mm lnda Friy of Fjurt ok of E follo*ls &hrdbB
<br />- I trr! ,'d will M.nr . Cdifi.n. ofco,6r ro S.lt-lde t {st6 otrrFrrhB d FriLd for b, S<rir t?00 of rb.
<br />Llbor Code aor tlE pqfoltl{e of E Et for $tah th. Fnn i! iBr.d.
<br />I h!v. ..d will m.irl.u worla cmp.Nrlio. iNlltcc, ! aq ad b, Sqtn i 1700 of fi. t bor Cod.. tot lh. p6Iotuc of
<br />rlE rdr for Blxh rh! Fnd u isr.d M' s*d orpadFn ule. ffi !d Fl.) tunbd E,* , fZ-JzE!<!- -{ .<-; t /
<br />po,rr,;,.Je ,* O 6 q trZZ?_t_8 ,*^ .7P<1tZ
<br />I cdify rhrr in !h. paf.mMcc or rhc wod fot vhich lni! Fmn i! n$.d l ih.ll mr 6ploy my pn$n in oy meE
<br />e B lo hqom. rubj.rl lo llE mll6 omFuion laa olcrlifoni.. dd ,sE lht it I rlillld b6oft rubr*1 lo lh.
<br />$orl4' onFBtr ion FovtioN ofsdnn !?00 ofin hbor Cod., I lrlrll tonh*ilt .onply wnh orc Fori'ioN .
<br />tlARltINC: Frl@ ro se *vt6'con4cErrn ovs.g. i uh*foL rld rhnl rbJd e @phlE ro @n d FBli! rndcril f@ up ro oE hun&.d rhoud &,116 (11m.000
<br />sdion .1076 oftlE Lrbor code int6.i !n rh.rEy 3 f6.l. ii iddtrioi ro tlt .on or
<br />DECi,A[AAloN
<br />I ha*, .ni6 @d6 party of Frsy rh. I d li.EE d 'Erb Fovirbn of (l!.da I (@@irB wit S<rba 7000) ot Diviin I
<br />of rlE &6iB id Pt!ftsbB Code rn tuy lkaB i! in tull foN &d.tl6r.
<br />-
<br />LiccM Numba ^Y59o r r'>
<br />r r)\\rftt( ll0\ r r )!tr\(, \(,r \r \
<br />I lEl'y .IrrD @dd Flty of Fiu., $r Gd. a r ornnErnn bnitB .gdy for E Ff.rtl:E. otlhc wt tu sti:t rhit Fri a
<br />ie.d(Sc. 1097. Civ C.).
<br />AtPrlcarfDl]gdSanoti
<br />I hatiy ffiE sn& F.ty of FI,y oR ol rlE lolt {ins &(Ld n6
<br />D.tukion Pa il^rh66 r,l ifFri6. F.dd.l Rcsuldi.d (Tnt.r0, Pd6)
<br />R.qui,!d Ldt6 of N<ni6dn.
<br />!bo\. haotu{n i.Md to o'rpD wnfi .U Cny rd Cou.'!
<br />oaltir Cny an Couly lo d6 uDon E
<br />rtor. ,Eriond tmp.ny fn i.+di,n ^,1o1o
<br />".-U* ".r.,rrr,, K Cl:Dt^[a. Lz>,a
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
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<br />FINAL Cb,lc )t/)a .f)
<br />Remarks, Etc
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<br />Service It4eter
<br />Notes,
<br />*qr#6
<br />fdiry rh!' 'lt t da.l tsuhioB ,rssdhs sb6io' mv.l r. nor .ppli$|. lD rhir pn,J6r
<br />ard Slrl. l,n. EldrB
<br />'o
<br />hlildfu
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