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ELECTRICAL-INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS OWNER BUI!,DER DELC)II IION
<br />I h.rchy alilrm und.! pcnally .'f Pt jury lhar I d cxcn{'l ahm ri. Conrdo6 l-imnE trr ror ih. rolhvin8 @vrtr (Scc.7ol l .J
<br />Blrifts sd Prcf.si,n Codc) Any Cn, o. Colnry whth Equiftr . IEm, ro onrrucl, rh6. iqmw, &mlish oi EFr u,
<br />rielrft, tff ro iB n\l!m. dr, EluiE rh. {rlaTr ror ruh Fmir k, rilc. rkEd {.l.r lnd l! or lrE i lkc.*d prqrn
<br />r{, r,E rrnvnioni or rh. Conrrroai l-ilnrd l.w (Ct+rcr 9. O'n@rin8 *trh Sda. 7(ru of Drvnen l of rlt Bu!m$ .rd
<br />Ptur.lrion! Cod.) d
<br />'h!r
<br />tE or {h. n .r.mpt Emfrom r
<br />'h.
<br />h(n for th€ glk8.n cxcmFion An, vioLii). oI S(rbn 70.1L hy tn,
<br />aplhdo for o p.rnril .ubj.cls tlE ltTlic.trl ro 0civilpcEllyoffrll mrcrhm fit nlrdtcd r,ollrs (Sr00)
<br />ll)8f,EIN:g,DlfidtAIIqN
<br />DECIJAA.IIIN
<br />I h.Eh, dfirm u ls |EMlryofFrriryoE o1rlE folhwin3 &rhnrnN
<br />_lhDk nnd will nu inrai'l n Cun iltdc ol C{)n*nr k)Scllln{tr. Lr *orkrn (onrrEn\alin[!\ nnvid.d nlr hrSc.rn,. ]7(X)ofrhc
<br />Ijtrn Grlc, ntr rh. FrfonE . of rh. $oll r(tr shi.h rhc I.nn[ n tr$cd
<br />_l hrft rnd f,,ll rErnrri. worlcr' .on+.Nt,. rNuffi.. f,r r1]unt1j by ssrnn 1700 oa rh. ljhor CrxL, for ilt ltrlt 'rm. of
<br />rr. work fo, *ha.h rhN Fmir il is(al. My world mqEnui'n rnsumc mrid sn Flty numlE rc
<br />I e(niryrhr' 1n rhc t'.rfoirMnc. ollhc wo,k ttr which rhnJannrr n n\ucd,I \l'all nor cn'tk,, unt p.rvr' !' utry n',nN!
<br />!, rrl,,ttTonr shr.llo lht *orlc^' con,Il.nvr ii,n lr*solCllinxn( and rSrc rhdr ril \h,ukl tE om ruhr(rrorlE
<br />r.rlr(' .o,Dlrn$rtr,n nsr nln ol Ss..ii,n tr(x I .r rh. Lrhn ( ,rL. I rlEll, l,f hr I h (nn0ll r h llDe F,vtrions
<br />ING' Farhe h sR w .k F'mmn nrdnn.otrm!. r unh*nrl d shall{bFr dn cmpk r{t to dmiBl FEiax.ri
<br />rcs up ro nrc hundEd rk,ussnd dollus (S1ft.000). nr "ddirion
<br />ro rh. cod or.onp.nrdrion. d!m8* !s providcd for th.
<br />1076 of rh. I itrtr Cod.. irl.
<br />t-[s-- z \
<br />DF(II ARATION
<br />I lEEby .fltm undcr FBhy ol F.jury thd I !h lirnr.d uniLr Fnvirbn o, Cltrflc, 9 (.omftftinr with serb. 7u)0) of Divnbn l
<br />ol rlE Busm* .!n Pbf6rbn( clrL..nl my lam B m tull aora.rn cfiNi
<br />B Ct()I o L 19((((
<br />/S-- z\ c.r.*..I
<br />glllrBlJcuoulJdDllclcExlJ
<br />I h.El,y !flirn undcr Fnclry ol F.,ju!y rh, rh.rc ir r co.ek! irn Lnding s!.fty for rh. Fdnrnrrc nl rli *Mt for whi;h rhi{ Fidir ir
<br />irsEd (s.< 3()9?. civ c )
<br />AIg.I{:A!LDEI!JEAI!A
<br />I hd*', rtrm unLr Fdtry or FrJUry m of rlE roltrvin3 d..L6l bnr:
<br />O.nditDn Pcrmilt AstEsros fiorirKrrb, &d.rul RcgrhrionrtIirk a0. Pan6)
<br />_RCAUiEd Lrrt.i of f*rifEriin
<br />I .dil,
<br />'hd
<br />r lE fc<bEl Esultlhnr Easdina .rltrror r.d,vsl r mr {d.rbk ro rh$ Ft'I.l
<br />l.d'tll.v rhrr Il'xv. rcllIhi\ rj,t,l'c ion {xrcrhd rhcrh,!. tr,lonr[i( 'nrNt.IUkt r)innlly wihrllCnyri,l(-, y
<br />onltrutr(.\ rnd SIrk lr'tr\ rcL,rd! k, t'!ild on(rurii( n,i h.rchy :urtFi/.trkrivc\ olrhis Ciry Uxl (',,rnry o.nrd uB,n rtr
<br />lhnr.E ioEd pR,,Eny for iN
<br />Appll.sl or Atdl SlrMluE
<br />Pemllfr Em.Iprlrl,:
<br />- a f -" \
<br />C L4 se/.rro^qJ
<br />r.I,,
<br />1J
<br />*,"1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communrcations Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />l\/eter Release
<br />Rouqh
<br />Service Meter
<br />FINAL 3-/ -2t lLL,s AJ F4+1 -- Z7
<br />Notes, Remarks, Etc
<br />Air Conditioners
<br />_1, .. owr .f rlE FDp6ly. d ny .rylo)er rnh w.rq u lLt $lc @tFn!.ri,tr wU rr, dE wt .d llr ridE 6 d
<br />hrcid.d d ofrcrn ld slc (Sd.7lx,l, EBic$ .l PrDlcsioB C..L TrE C..!tut LiEr trw lb.t ml .pply lo u oeM of
<br />lh. pmFny *ho ttri(r m irp.lB tlE'l@ arn *tn d6 sh k t himclf or h6Elf or lhn,urh ht d h.r 6wn.nrplor*3,
<br />pbvid.n 0!t su.h i"tprcw r e mr idrn!.d r ofldd for {L. ll how.w, lh. bildhg m iqrcrEnl ir D! *ntin m Frolotrprlin da OwE AnI& eitl,rE llE hnl'{.tFortrts $r rE d.tE dil M b{i! or iqmw dE FoFy ta tlE rt rxEof
<br />_1, d! ow*r olrh. FmFny. m.x.lusivcly..nrdi,S wnh lanrn (nrxroF ro.ocurr l,r pFlH ls(. 7{x4. BuiE$
<br />s'n Pdlasion Cod.: Thc Conlrlcrof. Lic.n.c Lrw d@!.ol lptly ro un ow.d 6lproFny who hlildror ihpi.rvcs lncBrn.
<br />dd who 6tut! rM shh F)r<r with . Codrdonn liu€d puurl l. llE Co rdq : tirN Us)
<br />I m.rcmr, urnd Salbn- B. A P C foron Bsn
<br />Dll. O*n.r'
<br />r
<br />Rf'v o8-o7 2ol5
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