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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNAtr BUILI'ER DEL( ARATION
<br />I lE ty.IIm uldd pady of Firy dlr I dqmF nrn llE Com-i6 Li.w t * for lb. tolb*iog lq)n (S*7otl (
<br />D6i.B .d Prcf{ir Cod.): Any cny or C@!iy *nih r.qunB . Fni lo orirud. rra, ieFo\q ddDlil' m lF.n ei
<br />{ocrue Fior ro it' iMcc. .&o rcqut6 rh. ippliul tor !o.h Fmit lo fiL d 6i8t d xdoMl $c lE or slE b lic6!.d Puteon
<br />ro llE FovirioB of dE Codrrrd r Lic.r!.n L.u (ChrF. s. Co@i.8 whh Sclbr 7000 of Dnni,, 3 of rlE Buin6 ud
<br />PNftsi,ECo&)orth,lln,lti6dtrF$adomdth.t16tullErllecddalqrb.4,,\tldnrofscli{70115!yot
<br />lgplicur lor.Fnn Nbjcl3rh. rpplicul t a.ivilFehyorrcl mrcth& nv. hu.dt.d &'llur (t5m)
<br />t l, s o*c olrlE F.Dqty, m, 6rph)6 *nh w.a6 s ltE $k smpodioc trill & dt wt id dE id@ is ml
<br />d[dr|.d or o,tu rn rk (5(.704,1. BdiE lld Pr.i6ioB Co&: TIE ( otrrd( t licE I.* .ba mt +?ly lo o o*c of
<br />thc FDFry *ho t!il& c inpmrg tlEstr !d who &E cEl F him.lf or h*lf 6r tbrcush hn or hd om @plott6.
<br />Flvid.d rhx ul, DFEGT e mr i.dri.d or offrr.n 6r rE Ii I'ow. dE rriBiB or iryBod L 5U *ith E q
<br />of o'eLr-( rlEo\,E Buildr sO nft fi. h!dd' oaFovis d. lt r tt dn d hild n,tqoE dE FtrFry 6. dt F rc.,
<br />l. 6N6 of rh. Frparr, m dcluiv.ly codr-rlls rnh kd!.d coddm ro ol(ru.l tlE FoF {fs 7044, El!!B
<br />.,n hot&rnCod. fh. Codr.rois l-ic.e trw &'€ mt {,pl, b &ouE of rreFly $lb buildr or inF!!6lhdatr
<br />rtrJ trl'o unm.rshtr su.lr |n()]ds\trhr onrr&lo(, li.4r.n pududr kr rh. ('ontrdoir I-r . l iwl
<br />,---f ,,,0-t*.'
<br />,.,!6L-"-7.1
<br />, n.*, ,f. ** -,o *
<br />fr
<br />I h.E.d Gll oid.n. Cariftr. otcoen ro S.lt-l6G 46 $orta @rPdiir! a FlriLd tor by Sdbn 1700 of lL
<br />L.tor Cod.. fd UE Fforll4. of lt wrl fm *tah lh. Fnh it e.d.
<br />I lII\r Dd $ill ntit rh srl6 con4.r6.rir ilullltft.. 6 r.quir.d by Sdtn t?00 of ds Irbor Code for lh. Ffoltje..l
<br />E Nrt tn rtih lti! Ftni a iq.d M, * 16 oop6dbtr iM 6i,.d,oli'y Dmba E'
<br />PokyNmbs- ErPiB
<br />f,l*irytuio,t poro*.or[r *orl fn snthrhn Fsn L b!u.d. t Jdl rcr qnphy yF5niruyn!.ffi
<br />e BbbqodstlirrlortEm d o'Fd.io! LBof C.li6mi...i tclll. if I tlbdd taor {t'6t 16rh.
<br />wrtd' .!nF!.rb. Fovsbc of s*lhn !7@ of rlE Lrtd codc I 3h.ll. to.o*nt onplr eith llc Povibd
<br />\'lAtltINC FiihR b m *sld otr9@tDn oret}. ir unh$ tuL .d ltdl ruti.tl o .!!doF to aimlul FlrB lrl
<br />cnil lind u, ro orc hundEtt lhosd dolld (tl(edF@rDo. d,trg6 E p.orrd.d lor rh.
<br />sdri.n 1016 nf rh.lrl[rCoJ. 'nrddd
<br />I hd.B lrm ur& Fulr) oa FFry lht I d ut 6 Fuiriotr olorda e (ohnErins *ni salbn ?ur) of Dir 6on l
<br />ot rh.IlurnB a,rl Prof<rN Co&. ari m
<br />cqllralllla!.rElDllc.^cDlc(
<br />I hdby.mm ui& Fulyolpajury$r llE b. olBruclbn lardins.s y tu rh. Ffolrffi. of th. *orl hr *hich lhir Fhn L
<br />isEdlse. !O9?. Cir C.).
<br />Iddd.r N.ft
<br />A'PLICANT DECI-IIR TIO'I
<br />I lE*y .trm undd ,a!ly of Fjlry .m oarh. folhsinS &cLrn bN:
<br />Ddmhi,n Pmnl^rbd6 NorifKdbn Fcdgrl ReuldioN (Iitl.,{J, Pai6}
<br />Rqur.d l.116.i Nolifi c:ltrrn
<br />I cdit tlld llr r.d6rl r.suldirB E*idin8 stctos ra'ul s. Nr qplk$L ro fin Ftj<l
<br />I cd iay rhd I h!v. iad lnn q,pltrl !d xx. rhd th. !ttr\. i.forniion i3 .Ftt. I asd lo @'!pl, wnh .I Cn) lrd Counr)
<br />ordnm6 el9d. lj$: Etnilv dlsrir EFe n6 ol dE (-nt rd Cou'lry lo dnd lFn ttr
<br />.tr,( nmrNEd prcFn, for
<br />\pplicrnr or rsdr Si*nrl D.,c a -. a7 - ?r2
<br />t. /qit
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / 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)-t1 . \ - < --{r
<br />Ceilings (Hard & Soffit Rough 7 3't'-)"-Gb
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL I ,-'7-/E J)eJ"ry?-rt)
<br />Notes, Remarks, Etc.
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<br />o.r,,/ 6 -27- Za/z
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