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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEIi'AR TION
<br />I hdcby .mrn uidd rE .lty of Fjury lh, I m ddF fmm ttE Co rtcloB' Li.G l.w aor llE followi4 la)n (Sd 7011 5
<br />adirs Jn Pr.f6ion Co&): A.y C y o, Couity *hrh r.qur6 r Fni ro ordNcl, !h6, inFor!, (bmllh or 'a?.r uy
<br />rrruduE. Fi.r ro ilr isudc. .Lo rc@i6 rhc rppli<d for sh Fnn to fik . r'si.d 3l|dGr lha h. n ltE it lkdE d Frsr
<br />lo ,E rmrii.N ol tlE ( onidG r Lt6s.d Llw (Ch.ri6 9, Conmfting wnh Sdion 7000 of Diviion I of th. auin4 6d
<br />ProfdbN ( o&) or rlEr lE c ,E i! d6rpr thd.Gom Dd rlE tinr for rh. .lkr.d ddiFn. Any ynbrionofs.dbn 7011.5 byoy
<br />applica for r Fftn euhJcri rh. rppli..nt lo. civil p.n.ltyolnol mor. the fivc hu.&.d doUB (t500)
<br />l. s oMr ofth. FoFny, or ny.mphr6 *irh wrs6 s lh.ir $k onFn$lion. *ill do rlr *st ttd tlE irulE it ml
<br />i,ndn d dof<.d f.r rl. tsd 7044, BsiB od PntBnB('o<t nE cbffid t Lkru try&6 m'.ppryro otrGof
<br />rn. rmpsly who tuil& or iilmv6 rhft)( sn wh .106 sh *s* hi@lf or h€*lf or rlmu8h li! or hs o*n mplols
<br />Fo\ rLd rhi $.n imp.orqlEt E Dl iidd.d d olItul lor nr lf, lrf,-s.llE hrildls ot mFotcr i! sld $inh m tr
<br />of conpldiol! th. O*!a Buik E will h!r. ih. hrdar of FowB lh, tE or slE di] Nl hlU or inp.o\! dE FmFrr- 6r llE FIFC ot
<br />l. 6 osE.lrh. FrEry, m.r.Gn.lr ro dms wnh lic6E n co.'1,&l6 ro oNtud !h. proj6l (sE 704{, &!16
<br />lxl Pi)ftsb. Co& Th. Conlreloi! Li.d. L.w &'6 (n q'pl! k, & o*nd of propql) s ho h{ildr 6. inpro\d rnsotr
<br />.nd $ho qrnEcl3 ts luch Foi,(3 *ith r (-odndo(r) lkdE d Fuu.l to lh. Cont6<1.as l.(.tr La* )
<br />I m crmrn ufljq S.clior
<br />\\of,rf,ns' comPFns{lloN
<br />IISJEAIQ!
<br />I h6.by amnn un&r Fuhy ol Fjury oE of rlE ,ollos !B .Ltls.li.B
<br />I hdr.,n *ill tuinr.in i C.nif.l. of coMr h S.lf-lM. fn uwi6 rciF6riotr B Forit d lor !, S€lbn !r00 of $.
<br />t h.r cod., for rlE pqfomuc. of lfic wo for $tich lh. lEnil i! isu.d
<br />D( rra* a"A *,rr or.ra, *..16- cohp.E tion in$Enc., 6 r.!ut d by scn.n ll70o orrh. t tDr ('od.. ror lh. pdfollre. or
<br />llE rql lor *hkn rhi! Fmn ir i*!d M, s'o*6 onpdairn i@rm. csit rn Flb nurba fr
<br />c*r '
<br />^lLcrirs.L
<br />Zuricr^
<br />,,*,n..oj,WCloq ootl Erpi6: - tvtl-eeeo
<br />l .dl'a, thd in tlE Ffoffi. of llE sor|o wh-h lha Fnn n ie.d. l 3h!ll ml dl,loy &y Fsn in my meE
<br />s s lo b..om. ubal lo rhc eitd omFsdion Lw ofc.iifomi( !d lsr lh, ill lrEuld b.<oru $UFl lo llE
<br />$.116 .of,{EE rion Forirird ot ssiior lT0o of rh. t E code l JEll. fonh*nn mn9ty wi$ rho. FDvitioB..
<br />WARNING: [tulur. ro su. *ort6 qnIpq.rlrcn covq4c i! unl,*fil. Md 3hall tubjct @plot6 t' dininal Fltb ed
<br />(i fn6 up r. or hui&.d thou$d &Ud (ll0o-0001. i. *lliion io th. cor of .onFelirn. d.n ea 6 FolA.d for th.
<br />Sdr ion :1076 of rh. l.abor ( od.. mlq.sl atrd allodEy , fd
<br />-z { (24at cl er
<br />u(]i)_l.tL(l)u&!(lllBD[!.lrl!trll0!
<br />I hat6y dTm ur&r Fdy of Fiury rhd I m lilE d unrld Fo\ thn ot ( trfld 9 (NtijlrBing xih Sdion 7000) of DNnn. l
<br />ol lh. ABind ed PofdioB Cod.. &d ny lkGe ir n tul f.re rd.lfa-r
<br />. r lb
<br />I tr.nr.( tas vL t\.n\.\utrrbn
<br />,,.,,, ,rz8'L6?o c-,-*.rt- /tV t nf 5 r 1.,(
<br />CANIAJJCIIA!.TENDIXG.EGEICI
<br />I hdoy. ittm ui<li Frxy ot tdrury th, rha! ir r o'dru.lbn bnhs ,e4, lor rh. Ffollrl4c otllE *oit hr $tth rhii Fni i!
<br />Lsu.d (56. 1097. Civ C )
<br />aPPr rc r\I DDcr {rLATloN
<br />I hErny .,tn ui<Lr F.ly oaFjury oE of lh. folowhS ddLdioB:
<br />O.mhbn P@ieAtt nd Noriftrbr Fc<b.l R.SuhbN (ThL ,lo, P[r6)
<br />R.quircd lllls of tloifi.rbn
<br />-
<br />I cdiit tha dE tdd.l i.BlldhG ESrdrB ahd6 lEmr.l @ 6i +plilbL b lhir Flill .
<br />Ol cc ry rll. I lN 'sd rhs wlith. .d nd. lh. rlE .tot! inft'rnrir. i' rmcr. I .sE ro olqt vnt ciry ad coudy
<br />ord'n,n.6 and srdr. LaNs ELtin8 ro hnldiry construcliotr ad r.pr.stdn6 of rhE cny rnd ( olnlrro 6ta uB)n llE
<br />ah.\. molfEn riQrEnt tu 6F1i)n
<br />^pprionr
<br />o. ^sdrslr lun N
<br />*-u--..,rn*,, K f)
<br />eanicluarqa>
<br />t ll( -Loto
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (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 (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lvleter
<br />FINAL
<br />Notes, Remarks, Etc
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