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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEX BUILI'ET DEI ( ARATION
<br />I hotB .rrs un& FBly of pdjury thd I d ddF tli rlE (bfialor- lile t s f6r thc follo$int r@n lsd 701 ! t
<br />&!i.B d [rof66n Co&): Any Cny or C@flt rhih .lqutrB . Fri ro o'irEt .116. if,Forq &mlah or rq.i e,
<br />tuE Fir b nr is.N. .15 E.iliG rlr adkd tor sh FEi lo tu . 3ici.d nn.iEd rhr lE ot nr i kqEd FEd
<br />ro E Fornir6 otdE Co.lrd . U.6.d r,* {(,r+6 9. cffiirs snh Stliln 7000 of Dirnio. I .f rlE EBi,B ad
<br />irotairtu Cod.) or rhd ll n tlE a dapl rhsdoi !d rlE b6a ror rh..lL!.d daptirn. Art rrhion of Sdion 70:l l.J by &y
<br />rpplicd tu . pdbi ltiar rlE @liqd io r.ivilFltt of mr mr. iho fiE hu(H &rUB (t5dJ)
<br />l.so*rcofth.FnFnr.orhydplolE$ilfi$lg6slh.ire'lccodFadion.\nldorlE$.rt&Illl*ddlu!in'l
<br />tnod.d or oiIr<d lor sl. (Sc 7044, BBinB od Prof{Fnr ( odc ]t. (bntdoi! Lic@ Lls do6 rot rs'ply lo tn o$nd ol
<br />lhcFop6iy wtu toil& or i,qrc6lh@G s'd who &6 $ch $! hiiklt dr har.lf or rhhush hit or hd otr n .,nrrnD 6,
<br />provid.d thd ruch imlnnvaml! e mr hrald.d or oftdd tunl.lt l$$da,lh. hildns or im',a\aFn i!r,Ll{ihinom}d
<br />olconpldio( lh. oend tt{ikid will h.E llE h,&n otFovms lhr h. ( !h. d! tor hlild or inln\. fi. tn rtly fttr lh. FnIrF ot
<br />-- l.6o*Eof rlr FlFry, e.rchli(lyollErlB $irh lica!.d.oriidoa ro odM rlE Fitrl tS( 7o,&. h!06
<br />in PlDtst ('od. Tn.Co' r-rolr Lk@ L.w &'6 mr .'pl' ro e ovE orFoFny *ho hlikt d imFo!6 rhc6r
<br />.nd sho onrIl! 6r Mh Fqcr! *nh . Contto(t, lkd.d p!6d h lh. Conmdoi3 Li.e ls)
<br />I m.loF u.dc. SalFn
<br />D.re Oiner
<br />1lla[l:Bli:gtl,lfl;tldflDt(Idaalla!
<br />I hs.h) am,n unJd rEr.Llr olrero,,\ on. ofrhc nnl(N nlll d(l{r!rklrs
<br />-l
<br />h!v.,rl *illroinrlin iCcnilicai.ofco.gr ro S.ll'lNur.lor " 0116' cohpaMrior. B pm\id.naorbyS6'i l7(xrorlh.
<br />Labor Cod., for th. p-fonn6c. oflh. worl for Etich th. pdmit i! i$u.d
<br />-l h.v. .nd lill h.inr.ifl $ortd comp@.rho iNurmq B r.quir.d ty s(lion 1700 of rlE Ldhor Q'd.. tor lh. Ff.llrec ot
<br />0E wrl fd whi<h fib Fdrir i' is.d My $ort@ conFlaon i6u@..rir nn Fbc, nunbd G:
<br />l .dliar thn in lh. Ffolr:m. of tlE *!rt l whkh'hkFmn n is.d.I +.llml dplo) ur F$tr ih.nt mME
<br />$ a ro b.$r $bj.rl h rlr f,odd' ooFE ionL*!of Cnirmiun +(lnd if I Cbuld b..oft $ti(l ro tlE
<br />w*6 ompsurirn pmvirioN olsarior lr00 ol th. LIlo Codq I tull, fonhnh ooply $nh rlbi F virioN
<br />luE k\ Ku. m.lm' comlardirn .de6.sc t u.l.wtul. $d shlll subj.<l d 6nph)d lo o'nitul tmli. @d
<br />on. hudr.d rhousnd &llN (ll0o.ll00). in .ddniof, nr ln co$ orcomF.Blliotr. d!'h!sd 4.8'vid.n for rh.
<br />h. lrhtr (\d., inr6d Md .troary r f6
<br />^cet-,,,
<br />(.{!lt a2"
<br />lclrstD.corraacrla
<br />DECI'8AITA
<br />I bcaty .fi'm ui& ,6.rt of Fiuy thr I M li6r.d urdd Flriiioi .rorpl6 9 (mi.8 snn Sdion 7l)@l of Dir !!bn l
<br />of llE Bui6 ni PrDf6iB Co&. id dy lioE a h tul n rc rn.ft.l
<br />.",,-",..( (".r;12.
<br />(9$rBu(r.lllll,ElDlaglcEr(r
<br />I hdby amnn ondd Fdly o f pdJury ih.t rh6c i! r .oirrud irn lmdi.ll .aocy (lr r hc pgroman.c of rh. *r I for s hi.h rhis Fhn is
<br />ilsu.d(s( :1097, civ (')
<br />I.nd6! \!m.
<br />AITUCAdLTECIJSAIIA!
<br />I hs6, .rfrn oxl, FLty of FI!r:. oc of ,E 6uo*ing rbbrbE:
<br />Daehior PsEnl^.b.nor l'aorifrrbn F.ddrl ilsuhbN (Tr1.40. Pd6l
<br />-i.qur.d
<br />t-arc of l,lc.ifi..bn
<br />I cdif, rhn rlt fqh,rl r.tlldioN r.Srdin8 ab.nor r6fr\ .l ir. frn +rliclbL to rhn p.oj..r
<br />l.El'fyrhor Ihovc 'cad rh* it)l)licdbn dd sr.r.rhd rh. dlu. innnndit is.otrdr.Iosrato.onrl!\,lhnll(\it"tl(i)unU
<br />6rdinanc6 dd srar. I r$ '!lir inr t\ buildins codntudion. dt rF.hr surhor i,. rq,6drlln 6 ofdrG ( il! md(,u ! ro r rd |pon rh.
<br />ahrr mq i.n.dfl rd1\ r,{ inf{-y:
<br />,
<br />Apprr..rr or^!6r shn.rur. I '1- , 'a '7?.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<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 />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough lP.!r-t+ylt!t\,4
<br />Service Meter ll.llt4'l.u\,\l t,l
<br />FINAL l4-l4 *twl I tlt
<br />Notes, Remarks, Etc r- l
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