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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I fiat, .rm un.ld Fdi, of Fir, lh, I m.r.'q from lh. (onrr tloE I-kEe 14 for lh. follo nts ,.&. {S<.701l1j
<br />t|6i.6r !d Protdion Codc): Any Cny o! ('ourry *trh r.qui.d ! Fni lo odtu<r. thd. imrmlq ddmlih or q.t dy
<br />3rudu.. Filr ro ir! isuft., dld ($n6 rh. edkar f.r 3ah Fni' r. nk. riSn d dn@d lh.I h. or dt a l!c6.d puun
<br />ro rlE Fovnbd of rlr ( onrr.dor'3 Ltctu d lrw (('h4ra 9. Coffiins *irh sdiotr 70lrc of Diririon I of llr Buir rd
<br />PolBhN ( od.) d rhlt lE or tlE a .r6nF rba.&.r ..a rlE b6i! aor th. dks.d .rsnFFr. Any vi,hrio. ol Sdi.n 701 I t bt m,
<br />.Fgliod for r Fhit lubjdR llE 4plk.nl lo !.ivil p.Elty ol Rn mrc lht fiv. hund.d .hlln (1500)
<br />L s o$.d of rh. FpFnt, or m, mplors u'irh \rs6 6 illcn sk.odpdsi... rill dr ih. *dr.n rlE rde it mt
<br />inrq'dd or oFcEd for sk (Sd 7lx,l, BuriB ed PmfshB Cod. th. Codrthi3 Lt* tl$.hd m' $ply lo e osE of
<br />rh. F.Ft, slr, hrikh.. !,For€rhdotr erl urs &E kh "i him.lfor t6*ltor llmu3h hs tr hd oq on hr6.
<br />ror iH rhal iuch inFo\qctu e mr idqd.d cofidld fd sL l[ houe.6, th. hl iilB or irTrDtEEl s $ld saho G t6
<br />ototrpk i,tr dE ()f,M aoitr si[ h.E tlE hda of poil{ ihd lE or !h. da rcl hdd d nqrnrt dE FtrF!] n E tirD(Eof
<br />l. s own6 ofrlE F{Ert. M qclBiv.ly.otu&rina *ih li.drat.odd6 to coddd rlE t !r.l (Sc 7Ol,{. &.i6
<br />!n Pbisa.c.& Th. contdorr Lk.e Lsq dc ml lpply h u 0\'6 otFoFry $h. builtt! or inPo6 lh6on.
<br />lnd sto codrxr! for ruch thrc.r3 *nh. Conn<lo,li) lto!.d puRuld rorlE Co r&loir l,tN L.s)
<br />I en .ictrrpl u&l< s.flnn
<br />Drr. Orn.r
<br />noRKrRs ( oMiE^isirr idN
<br />DEgdaAuo!
<br />I hd.bv .mrn' unla p.nan) of p6ru, j-' on. of dE ao lkrs in8 dcclu,ri.ni
<br />I hA. dd $ ill min[in r (-6ti6cdc oacoMr ro S.lf-lBuE aor *!.td ohpdlaion. a Frvi.!.d for by S6lhn 1700 of lh.
<br />L.lF, ( o<L. fa. 0E Ffmd. .aih. worl ao. *tltfi ilE Fnil i! i$.d
<br />Itu!..tuj$illmi rin $ o*B conp.Nl ion i6uru.. B r.,iun rt by Sd i.n l70O of lh. L.ho. ( od., for lh. Faoi]e. of
<br />rh. uo ror !,hih lhL pcrhi n isEi My *'ql6 onp.Bdion iNurft. cmi.r an Fky numb6 e:
<br />frr\e",r",n Zc, rit a
<br />r y7cloot (rc l3 tlfr/2.
<br />I cqrrty rhi i. rh. Frortuk. of rh. uorl lor *hich rhir pann ir isu.d.l !n!llrcl opk yo) pd$n i..., lMng
<br />r, c ro b.oft 3unjd ro rh. Mrt6'comFEiion b*s orC.lilomi( ud rsc rhd if I shuld b6om st'idl lo lh.
<br />*0116 comp.Bnion provirios or Sdrirn 17m of rh. lrbr ('(l., I Jbil. adhsnh oma,ly with rhrr Flr;ioB
<br />WARNING F.ilu( ro s6. $orld' NnFs.iion ora.8. !s unLsfrl ad ehrll rubj.d d dphF t. sini l FEiil rn
<br />.nil ,lnd up ro 6r hu.&al rhu!.nd &llG (tl0o.00o), in .4lni.n ro rh. con ot codp.rB riol\ daue6 6 pr.rll.d for th.
<br />S.ni'n 1076 ofrh. t b.. Cod., ima.r lld dlorrEy r t€
<br />o"., -/l -tq- lq 't Danial /araoa>
<br />r rifilFifo.rl t riin -
<br />lJlj(1!$,\llQl
<br />f
<br />I hatl,, .rm uix!6 ,6aliy of Fjury lhi I m lic.n .d urd.r Fovin. of ( 1uF6 9 (.onlt14i.g wilh Sdb" 7000) of Divi3bn l
<br />of rhc Bui.s rd PhfsirN cod.. !d my ltm i h tull fore !,'d crld
<br />ck>.a7\1tQ
<br />.lz-lq- (ar ,"",..",.. l- Oan,r\ VOtf2q S
<br />cax algtoNrfdDlxcl(i!!(I
<br />I n@bv amnn undd Fnahr o f pcjury rhd thq. ir t s.nrud Fn Lndins ,rd) ntr !h. pdforll1e. o I rhc u otk for tni.h lhc pomn .
<br />tsu.d (s( :r097. cil c.)
<br />I mdo \ \rm.
<br />AIIU(ANLDECTASAIIAT
<br />I hclt'y ,Irm und( rsah) of Frrry oft of rh. folh*ing del- io.r:
<br />D.moliln'n Pmil]-AstEros Norilicdio. l.d6.l RcauhnoN (Iirl. t0. Pd6)
<br />fu'
<br />- R.quird Ldla orNoiftiio.
<br />I .dit rhr lh. tucr.l r.suLriod rq.ditE abdor lErcrd e lbl +?lr.bL b rha pojer
<br />cEri! rh. I le! Ed rh! .pdt.lion rn 3ln. ll)r r,E .bor. inh.nriio. i! .oEd. I .gc lo ondy wnh dl Cit, ..d Coorny
<br />odiMft6 md sr,r. l,s s Eld inrr ro $uildinr connrud 'oc ial hq.t )Mdn6 ofihi! (irr md Courry ro otq urxr rlr
<br />rIn nmr6n.l troFny fd itr<atrlhn W4U!Applic.nl or .\E6l shn.l,r. )(r
<br />PcmirNnrni.tprrnr): t(-.OanicI
<br />lz-h-14
<br />Site-Work
<br />Underground
<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 / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Wails (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Ir4eter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />D
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