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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OrfNER BUILDER DEII AI' NON I hdctt .rm undq Fuly of Fjlry lhr I 6 d.otl from lh. Cottr*lo6 Lic6E Lr* aor rhc followir8 rdst (56.'7011.5 &!ind id Piokbn Cod.): Any Cny or Couny rhtt r.q!r6 r Fmir lo .oi.rur. lhq. ilp.o\q ddrclBl or E .i ey !ru.rs., rior ro ils iquu.q .ls. r.quirB lh..pplicd for uch p6nil b fiI. i lisnd llalmd lhd b. or rn it licaEd puNlr,l ro tlE Frtb6 ot {r Co *rd r Lia..d L.* (Clucld 9. Co@ir8 snh S.(lir TuiO ol Dntion I of r& a6i6 .!d holdio Cod.) or fi.l lE o.3h. ! a@F rhcr.ftom !d lh. b6it tu rlE .lLr.d ddplioi Anyviohtionofs..lionT0ll tbyuy pli(sr lor. pdmi .utia'tt rlE sli.st ro . civil parhy olmt mE lb& fi\. hund.d &lb. ($m) l. s 6w of tc F.Frr. or ny anplord *nh q'!s6 D lh.ir $h onFdio., will6llE sut nd dE rMlG i ml ino'd.d q otrad fd r& (Sr 70{4. &si,B &d PlofBis ('6& T1E conr(oir Lt@ Llw da d +9lr ro d o*E of rh. FDFry wh) hil& or insrcE rtE@d .ld who {b6 och e* himclf or h+lf or 'hmlth hit or n6 oh dplo}t6 Fovi,.d thn nch itrFD\€rEa c d irdrd orotu 6r r]. l[ lns6s.llE hlildi't or idF$!r'd it $ld eihh m tE of$trlpldbl! tli O*c R]iUa si! h.E 0E hdo oaFoviig iht ,E d tE dn d hlu d niFoir lhc FoFr, tu rlE FrF* of I. s o*f,6 oftn Fopary, D.rcluiv.ly comrdi.s wirt licd.d conlrldon lo Ni!tud ilE Fljd (56 ,044, !6i.s -d PinbnnCo& Ih. Codr-ior. Licdr hw do6 mt rrtlr ro e.str of p.oFry *ho boildr o, 'ip6\6 rh66n, lnd sho co r*i] am such Foj.tir *iih . Coirdcro(r) lidBd F6@n ro rlE I e .rmF u!d6 Sdion ]}llAbr:8lgDlfrN]lnQn urq-l-8,!IlQr Frury or ofrh. lollowins d..hri ioG Ihtv.rxlwillrui.n.Ccrif..t.o((oentoSdllM.frrqld'6mFs.ion.sForli.dforbS<ln,lulxr.frlr llbo. Cod., for rh. Ffo.1@.. of rh. *orl fff *tich 'h. Fhn i! su.d I b!..nd sill roinr.in eork6 .onFslion rBffi.. a r.q!n. r70o .l rlE hbor co&. lor llE p6fol]11ld of lhc *orl lorr'hichlhnFm( B Gu.d Myrork6 corir .nd Brlic, nuflbo sc I diryrlld in fi. Flbtlm of rlE rort lor whkh rhk Fnn ir isr4l rlbx &r dlplo! {} Fs. in a} neE $ 6toh6oe$U6 o$.e @'ootEnsrio.l&! ofcllitomra od.Brlh.l if I sl$uld h..on. subjc(1 rrl8 erla' @EFs.rbn Fo6ioB olsqrion:!?m ofrh. ltt C.de I {dL bntrhh omPly *ilh rlhr FovnioB &bl.rt u oployd to (mel Fii6 !d .n'il fin6 up ro oE hun&.d lhoNnd &,lle (1100.0@). io.ddnnn lo $c of comFrE ion, d.Es6 s Fo\ 'd.d fo. $c Sdion :1076 of th. l,tor Cod.. inrq.d &d dionry ,.,", 6[rr( ft I fiab, tfm uida parlly of Fjury thc I e li.sr.d dda Fovirioi of Cn pr6 9 (sllttmci.g stn Sdbn ?000) of Divlion I ot 0E E€ilE @d Pto&ab6 Cod.. td my ltaE i! in tul foe tn.ftd B-l tl^ I h6tty.rlm undd Fdry olpajory $d ric b. o^rrudb. ladirB.8@y for llE pdftu otlh. wort hr siich lhi! Fnn it ierd (Sc. !O97, Civ. C.). Lodd.! N@. alfu(AtsLDECL6SAUqX I rEe* .flio un<16 F.lr, of Fjory om .r rE ,ollo*ir8 &.lDl ioG D.mhirn Pcrhe^rbdor Norifi..lion F.ddd R.suldioN {Ti|.40. Pe6) R.quiE llrlqolNoiiftriD I .drly rhd thc li(b.l rctluldi)N r.Srdin! a661o! ..mr il E ! +rlrlbL l., lha For6l I cqiiay rh.r I hrv. rad rhir .ppltlrior dd ,l. rhn thc .tsE 'nfomdio, a! .ondl I ere lo .onply $ nh rll C(y aod Counly odi..rc .d Srd. L.E ELi,{ ro hildilg cotgndiE rn lE Ly ldlbrir. r.F6ndn6 of rhi! ( n} !n Cour} lo onq l4oo 0E ab.r. mdron.d fmFr, lor nBpedn'nnAopll.trt o. Aral Skn.turc nmrrc nrmcrprrnrr: lV1 h t IAt+) ,",,6ftt f t+ 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 / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rouoh) Meter Release Rough Service Meter il FINAL z/<//t ,4Mt.l ,) Notes, Remarks, Etc r(ru.\unb.r ts41tAo I I I I I I I I I I I I I I I I