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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEf, BUILDN DZTXARATTON
<br />I ha.by .rm u,t& p@.t, of Fi!.y lhr I 6 6dnB Eo6 rlE Coexr6 Liu* t s for rlE frllbvit lar tsd.701| ,
<br />Buind ..d Prof6ion Cod.): Any Cny or Coudy whi.h r.qd6 . p6,nn ro rcnroc( .td. iiFov.. darclilh o. Ep.il ey
<br />rldEqFi6roi. iBe.. r&o Eq{crh.+plilr for *n Fbn lo 6L. tt!.d ria'd $rt m tlE ir li.q!.d FlEEr
<br />16 rh. Fo$ioB of r'. CodrEroi! l,ac.E d L.* (clrFd 9, a@ing $tt' S<ri.. 7@ of Drlilir. I of rh. Buin6 rd
<br />Pmfaio Co&)o.$d tE or.h. it q@B th6.Ooo hd ttr h.!i lor th. .lLg.d .rddion ADyviobrionofsalb!7Oll.5byry
<br />+dd lor t FEi sbjalr llE .p?lid ro ..ivil Fuly ot@l @Grh, fiE tur.rld &Ur! {t 00).
<br />l. a ow ofrh. FoFry, or Ey.trlplorB wnn w.s6 s 0E sk@oFsdon.wiu&rlt*!il!dtl!.r.rEl@.mr
<br />idordd dofld.d for rL (Sa.70,1.1. Esir rn Prclsb6 Cod. TlE ('o|lrxroi, trqE L! &6 iot +ply 16 e 6rc oa
<br />lh.FoFty *h. dil& d in!.o6 dEEtr in *ho &E r1I u,i fiirula or lE*lf or dwuSh hn d lE om mplora
<br />Fovrt d rh.r ,uch hFovqrdrr e ht i orLd or otrsEd 16r rl l[ tbll4€, ltE tlildi(g or inPrlrrEr ! $ld vihb @ ]dol.dl9bia dE o\E elilb wil llE tlE hrd6 of Ftdg r li d lhc {ln @r hdd d irslE dE FlFry 6r dE F,pEoa
<br />- l. BNEof fi.FrFry. oa(hlnrry.otu-lins rnb lkuE d conrdBtosdru.t rlI FDF (Sa ?Bl,l, tlE
<br />.in ffii, CodG T1. Conlr*hrr Lic@ l.w .k'6 mt 4plt to d 0*6 olFoFl, *ho hild! o. isFo6 thadn.ud who @m6nt aor lch Foj.<rt !i$. Colnndo(r) lic6B.d puB@ ro rhc Coddolr Ltau l,w).
<br />I m crdF undd sdion , l, & P.C f.. rhi' r.en
<br />Dru: OrE:
<br />*onl(F{q'CoirpD (s^rroN
<br />DrCLARATTON
<br />I lE.!y ifim un& poD]l, olFjury om of lh. aollowiis d..hrnic:
<br />rrtsr L.o& fmrrE Fftm. of rh. m fd *t,it oE ffrot
<br />*!ttd @nF'iri s Flvild 6r t'y scrion l7m ofr|-
<br />VI hr". ind *ill mltllnn s 6 strFEdion rn'lllu., 6 ,.qunod by sclioi ]TOO of rh. L.bor Cod.. for $. Ffolrle. of
<br />rh. wort fd *hEh rh! FEil L ir$.d V) worl6 omFsdbn 6ds. @i, .d polky n@bd e
<br />,* irlSL orC sla* eompeoro*rlflSt. Ctno +rnd
<br />,^*,^*n_916Q991 --!pte t,p* lll4 Llt
<br />__ I cErily rhll ir th. FlorMc. of tlE *ort lor *hth thi! pcftit ie iBu.4l dullnol dploy sy pqrn iI &y munEr Bro bcor et*rr ro lh rura'onpdErbn Ls.f c.lifoni .,!d *E i|lr ill dbull balG $ti< lo 0r
<br />*ort6.mF6annFovi!68orsdionl?00oftlEl,!,CodqIllEll.lon[$nh€oprywnhrbrFsvir.6
<br />wAINING rdbr. ro su. mit6 orn xrurir, ersls. ir sls tuL Ed lndl $tlj.rt n dtplolq t. m!,1 Ftlir edcril lin6 uD ro om hu.&.d rhou!trd doll6 (t100,000), in adnro lo th. .on ot o dF.!.lio.. droas6 s pmvid.d lor rh.
<br />scrion 10?6 ofrh. litn Codc h6cn ud droBy s 16
<br />IECIIAAIIO!
<br />I h.rby.ltm u.&r Frl, of FjE rh, I @ li.@.d ut*16 Flvirion of cl!.9rd 9 (@ffiiry wnh Scrioo 7000) ot Diynion:t
<br />oa rh. BBIIB ild Pbltsiod Co&, Ed hy lk@ ir h nrI ftlN drd.ft6r
<br />LtN cLs: CltJ lcoS;o),
<br />o",14/1)l!l 7h.uot Nqtt
<br />calllaltcEa!.l. Dtlclctdl:l
<br />I fidlby.tfmon i FuIyofpdjurylha lhd. it ! 6n ruclbn k dinS .3o.y tor lh. FfolMc oflh. wrl [rr qli.h rhir Fni i!
<br />isu.d (sa. :1097. civ c.).
<br />ATII.IIANLDECIJ.BAIIA!
<br />I hdd,y r!'nn udd Frhy of tdju.y oE of rL ft)lbrin8 &.l,diod:
<br />Dcml ion Pamn!-Art no! Norificdnn Fc&.1 R.!!l4 ioB (Tit l. {!, Pm6)
<br />R.quiEd l!16 ol |Jdiftiih
<br />, I cd,f, rhd th. f.doalr.Buld.arseddB s!6r.rrdov.ls.oot +pkrbl.rorhnpsjd
<br />rta Icd'trhr Ih^..adrh!@lEdb.idd.rhr E.bov. EtomrEn ! cncr I .ai6 to onqty *nh .u ( ny.nd ( ount'
<br />odilmB dd Slar. L.H Eldi,u ro buildiry coNrtu rio( arl h6cl,y N$orE rcF6aldivd of rhi! Cit y ..d Co6ly to dld upon $.
<br />ltDt .dioi.d FbFr, lo. iNFrio. F,poG
<br />Appllart or Arat shn.tuE
<br />r-rr- -*qea.r;, ]crr ryr @t
<br />ulo1l+
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life S afety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilin gs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 7 ,/t, /tt -Whi
<br />Notes Remarks, Etc
<br />",,.. M lt)l l{---_1-
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<br />Air Conditioners I I
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