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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O$N'-R BUII,DER DELCARATION
<br />, natby lffm un& pa.lrt of Fjury lhn I h c@F &Di tlE GlIr-tN l,i.@ L& for rlE f.lbsi!8 l!&. (S< 7011 J
<br />S8I|6 -d Ptokioo Cod.): Aiy Cny or Cdn, rtah Fqui6 . Fni lo oiinEr- .Ia. itrp.ov.. d.rckl or l4.n ev
<br />3uucrBr. Fi,.ro iB iBure, .ro r.qui6llt 4rls{l for !.h Fni lo fL. tg!.d fiaEn $r lE o..rE a li.sed Frdan
<br />lo lh. provilioru ol dE Co.tEloir Lk6Ed Llw (OlaflB 9. Comtrins wih Sdion 70m of Divnion I of th. Buind lnd
<br />Flofaioc C.d.) or l[{ lEd {. b dqlcl llactoo -d tlE trsi 6r llt illce.d.raplhd Alv viohrion ot Salbn ?0! I 5 bt 6v
<br />.0pltd aor r Fni stiitrt rh. @lid lo r.ivil FElty orml tu,. $d fit. htn H &,Un (ttm)
<br />. l, 6 omo ofrh. FDFly. or ny dplo,6 wtlh w.g6 N rlEr $1. conPssdiotr. will & 0E worl &d $. snrir n mr
<br />nrdi.d q ofiqd 6r -L {Sa.ro,l.l, BdiB 6<t ProftsbE Co<lc TIE Co|rtdq r LiG L.s do€ @l {Pl, to & ow ot
<br />rlEFDFry rno hit! ( i!.!!€ r,Ee tn tho dE Bt sdi hi@ll or h.xlf or ltmusn ii. d lE ow aqbv6.
<br />rovit d thd t*n iolrorqd * d rnarLil d ofii,.d fr{ -L.l[ how. tl! tlilditB d 8ss@d i -ld *inh m vt
<br />ot$ntplcion {E Odrs Bdtls ui! h.w U. tuda ol F.vin8 rhr lE or tlE dil IDl hild or itr4.lw ln. p.lFiv aor lh. F poE of
<br />l.6o*Gofrh.Fopdy,eqchliElyo.-li.swnhli6.d.onrd6looi*ucllh.Foi.tt(Sc.7lX'1.Bti6
<br />ind A!lr&ot! Co&: Tt. Co.rGroi. Licd. Lw do€ not .ppty lo s ovE ofprcFr, who buil& or inptord lhcon
<br />.rd ",lb @nrxl! for Mi Foien $itt . ConBlorl!) li6.d P{,'6 to lb. Corff.roir La(!E Lw)
<br />I M.rmDi uar6 sm6tr .A & PC aor$s i@n.
<br />D.t.. or.d' \ '(rt(r ts' coMPrItsaTIoN
<br />DECT AIAftTttl
<br />I fid.by aflim undd p.r.hr of Fjury on. ot lh. tollowiis ddhrtrioB:
<br />I h.rr rn rill i, d. C.ni6..rc of CoMl lo Sdl'lBE 6r *qt4-6r4.sioG s ,hrid.d tut by Sarnn l7()0 of rh.
<br />Lrk" Coda a tlEFf-ltElof lh.srl fq xtih lh. Fnh i i$.d
<br />I hlw lrd will h.int.i, wott6 G.np.snhn inliJle.. B cluilld t, Sdkri 1700 of th. L.bor Co<h lor lh. Ftullr:ff. of
<br />rlE ruL fG utth fiir Fon i iqr.d M, wort6 oEFnr66 i$ltr. ffit -'d poliy.umbd G:
<br />Polry Nmh6r ' -- ErPi6
<br />-
<br />Ycare ru m rrrc pqlom orth. wo ror *hrch thn pdmit b qu.d. l nul rcr @ploy.ny Fen in v ooE
<br />6 L ro h<!( tut*s lo rh. sorr6' oEp@d.n hs ol CdrfoEE !i .dd lhd rl I rhould b( om lubjct ro rlE
<br />ert6' @nFdirr Fortis of ki,o ITOO of lh. Lrt . Codq l tltlL fmlsih otrdv wnh lhot FblnhE.
<br />\'VARNING: f.ilut.lo sG world' .onp6!.lion covdts. B uf,l.*tu|, dd Jull tubjel u 4PloF to (miml Frhi6 ild
<br />cilil am6 up ro oE hui&cd rhougd &,ue (tl0o.ooo). in ddirio. 10 lh. rci of .ooFMion. d!,us6 a F eid"l r'r 'i'SRlon 1076 sfrlE tltr* (ixL. idad dd*/(./>
<br />DlClJ8AIlq!
<br />t b6cl, .tIm utr& FlXy of Fiury rha I m licrE d ut!.la Foti'b. of G.it 9 {offii.s *ith Sdnn 7000) of Di\ bion l
<br />of lh. B6in< &d PmfsioB cod.. &d ny li.@ L in full foc !d cll*l
<br />[i(.e qLs
<br />-,,C*trt>
<br />(:olir8llc1llllJ[dD.IAc E!(I
<br />I hdiby atIrn !nd6 FrJly of pdjut, llla thq. i. . 66rucrbn LndnB .8try for ifi. Ffotrr@c of th. *otk for whj.h lni! pdmit i!
<br />i$.d (S€ l0)7, Civ (' )
<br />AIILISNI.ai(I.ASAITS!
<br />I hdrby lrm uid,r F.!ll, ot Fdjury or .arh. aolLwing dalslri!tu:
<br />D.mhirn Pdng^lbdrc NorifE.lior FcdE l R.suldi6N (Ihl.,l0. P&r6)
<br />Rcqurcd ltrl6olN.ri6c.ir
<br />I .diify ihr ltE tud.l r.suldiod EgEdiiE .th€1ot tmvd & hl .ppk.nL lo lhi! Foi6l
<br />I .di8 fin I e*. od rh! .lpladnn rd 3.1. lhr $. .tsi. inao rrn t .qrdr I tlra to otplv *ih . Cnv .!n ( oul}
<br />oijiEnc6 dd Sllrc Lr*r Elcrl8 r. boildins .oGrtudio'! ald l@by ulboruc EF6alniv6 o t thn Chv ud (.oult lo 6ts uPor th.
<br />!hr\.6li)En FNpsly fd
<br />,lpplionr or atdt Si'n.lor.
<br />,.4_
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER f,JullT ,/,/,4?(lr)
<br />Transformers lt
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release rnlzr l t7 .( /,/4rt
<br />Rouoh
<br />Service Meter
<br />FINAL r.rqln-4/Ld q0
<br />Notes, Remarks, Etc
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