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ELECTRICAL.INSPECTOR RECORD rD/stG.COMMENTS OWNER BUILDEf, DETTARATK'N I H, .Irm uxld p@.lly or Frury rnd I d ddF ion lh. (br.tsroE LiE& L.v for lhc follo*ing ra. (Sd 70r I J Buitls rn Probion Cod.) Aly Ciry or Colny $nth '!qui6 r Fni lo @tinE! .nd, irp.o\q &mlirt ot red dy nrude rrir ro ir3 isude lL. ..sri6 E Iplid tu sct Fhn lo ft . .igt d nrald lhr h. or iE i lics!.d FrEfi ro r,E FDvtio6 of rlE Co rrloi. Li@.d t R (C!4r6 9, Coffiss enn Sdrbn 70q) of llrvbion ] of llE &!i!B rd PilfdioB Cod.) or rh.r lE.r ilE ! ddpr rlErfroE ed E bGir rd llE.lls.d 6ctptb.. tuy virlrior of Sar.n 70!I 5 b,.n, .rpli.or for . Fnh sbrdr tlE rEli@ lo r civil pd.hy of d mG rho ,i!. h!.(H d,lLE {$m) l. s o\!e of0!. FoIar. q ny dphr6 wnh *rg6 E lh.i sL conF6iiotr *iI d, E *st ,n dE rnrrE ir d iddd.d c olrdld tor sl. (Sa 7o.ta. B6ina ud PtDlelEN Cod.: TIE Codrdft r lica L.w &B rcl lpplt lo M orc of llE FnFry wln bil.:bor !,p$6 Eotr rd wtE d.6 $n Mrl titMlf m tE&llor rhbusn ni! or t6 om 6pkryc6 prova.d $n iu.h imD.rEns . E tul irqilcd or of6l tu sl. ll ho*ffi, [E hoildins or itPDldel n Ft wnhin on. y* .f@fr9Lrio[ th. ()*,6 tluilda $dl tEvG lfi. hd6 ofpmwu lhi lE or .h. dil d hi! or lqow lh. Fopdty li, rlE PUF.. of l. 6 oMa oarlE ,..!qry, o .r.h!ir.ly .od4.rins *nh h.d!.d mdEloR ro coinru.l llE Foj<t IsG 7ot4. Buit6 rd Prnls-n Co&: T[. conrdor3 Li.G Lsw dG ml l!pl] to d 0*.6 of FoFy wlb b{ildr or inpmv6 rh6.,.. .nd $ho oddr fo, Mh FF! *nh r Com.dd{r) lid!.d Fngd brh. Con rrd ! LalE L.w) I @ .@F udr sdir h-oRt(Eas. cou Prtsalt(rN DEqAAAIIA! I hd.by lmd uid, Fidry of Fjury oE ol lhc lollo*'ia &hrilioB: I hlrc .d wall o.in!.in . ( d ili!{€ ofcotgt lo S.lf-lMuE lor work6 snipasio.. s FrviLd for by s6lio, ]'IxJ ofr lE trtor Code lor thc l'6fomm. . f rh. sorl aor which th. p6nil b is.d I hav. and wil I frdinbh $ o.kdr' (omrGaiio!s Equn.d hy sdiion :r 700 olthc L.bor Codc. fo. rh. Ftullffi. ol th. $orl for *hich rnii r.nn n isd M, worl6 'GUr4. .aid rrd polay numbq e. I cdit rld in rlE Fto,rrm. of rh. "rrl fd *nit rhi! Fmn ir ir$.d. I rhd ml6nphy Ey Fbn in uy MF $ d ro bcoE xtitt lo tlE *qr6' oEFEdbr L$ ofcditumir r.d CE lhn il I JDuld hcom $bix! lo ll! wrt6' omFErbn Fnli!5B of sdion i7m of E t tG Code I tdL fonh{th mrp'l, *'nh rhor proriDE \*ARNINC Friluc tur Gd. $0116' omFBdion mrs.s. a unlr*tu|, .td lttrU 3utrd o nploys to dfrmd Frlit !.d .ivrl fin6 up ro otu huftl,.rt lhoos.d dolls (tl comF,lxlior. drrDs6 a ro\ .{ ld rhc sdrion 1076olrh.lls)r( -0 /q I had,y .fm ui& pa.i, ot Fjlrr lhd I E li.d.d ur& Fovii'n of OrFq 9 (olllffiing *'nh Salb. 7000) of Dilnion l of rlE BBi,E od Plof6.io6 Co&. !n o, ltag b io tull loc td.EEt' ,**r*'C / Q --,. o51////7 I hortr t'rm uda Fdy of Fjlry thn $ft n . @dtu rbi lsdinS .3try 60r thc FIo,rffi. of lh. rut 6r uni.h lhir Fhi i! isu.l (sa 1097.civ. c ) AfTIJCAILDECIJAAT9! I h.rbt.fin u.dd Fdy ol Fju.y oe of dE folb*ins d..hdbo: Dqbhbn Pmi&A$.trd Ndiliciih t d6.l R.auhbN fihlc ao. tbr6l Rcqq@d tars of Norif.rn I cdif, ln, rh. loldd r.suhrioE esr{f8 6b6to3 lff\.| @ n{ +dr.bL ro tha Foj.tl I c6ri!- rhtr I 6..c 6d rhi! qrl i.lior,'d sIs. lhi llE.toE infonn ion 6 c(ffi I.sra ro ordy snh !I Cny.nd (nudy odn@6 ind Srd. tr*! ddrl*igE Ed fid.t! rudnria rcF6drdiv6 of lhn Cny ud Counry !o rrd orDn tlr abovc tmrion.{ pmp<ny fot Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Groundino / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinos (Hard & Soffit Rouqh Ceilings (T-Bar Rough)... /ln, , Meter Release t,t//,4//7 llilll'7 Rough Service Meter UfiqH (ftVk4 FINAL 7'lzq'lE /Y\VI1E Notes, Remarks, Etc APPROVALS DATE 1/' I I I I I I I I