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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNF,I BUILDER DE1-{jANATION
<br />I lEEhy rm.or unds rEnllry ol Fijury rhd I u d.r{n rDo rtt C.nrrd6 Lt.ne Lrw lor lh. folbwinS a$;. (S.. rol l ,
<br />Businc$ rn Proa.sri6n Codc) Any Cny or Counry whi.h rcquiFs ! ,E nrn lo Nn(rucr, rlrs. inprov.. dcdrirh nr EFn rny
<br />strudur. ri,r b irs issurrc, rls EquiEs thc +pli.M! for swh lEflrir ro lilc r sisrcd rl8r.dnr rhd lE oi ir ir lkcnsd n@ad
<br />to rlE Fvilttr of rlE Conr.toa! Lirn*d L.{ (Ctzrr.r 9, CdmtrE'.8 wilh Sclirn ,ux) .I Divish. I of rh. Burim$ nl
<br />P.ofc$io.r ('o<L) or rh,r lE or rh. n .knpr Ih.FrRlm .,n lh. hrir ror rrE .lk!.d crcqrn. A., vi,lrlion o, Sali.i 7011 5 hr..y
<br />.p?lkr.r rd r pc.mt subFB rh. .I,FltlntrordvilF lryof mr mrcrhr fiv. htndtd dolltrr (t5m).
<br />_1. .i rw*. ol !,E pmFnr, (r my .q,loyas *rn *r8.s &! lhe n w,h codp.ndron, will .,o rh. *.,t rri rh. ddE i! mt
<br />inrc,i.n or flOcr.d tor slc (Sc 7044. Businds md l-\ot (ii,n! CnL TtE C.nrkto Ltc.E I iw docs trol rpply lo !n o*mr or
<br />rh. rmFny sln hoilils or itrF,F tlEdi, dd wll, drB Bh wd him!.lf or hdslf or rhn,u8h hi! m ,u o*r cri{,luF6.
<br />pmvrldtrtul ruch inpow mdhrdd.noroltutqst lt h,EB. rtE hriEin! or iqmErnr 8 $ld Pirhin oE rrofd,r{,lri^ . o{ffi Builtr wil IEE 0E hlftLi ol F.vire tld lE m ilE dil ml hrild c itrIFE !. FmFry nt 0r FIFE of
<br />I. o$f, ol rhc proFny. ,n cr.lu\ivcly co retrg* h li.cn\cJ.otrt,rrn b $nnnd rh Jr,F_r (Scc 7(X!.ltu{B(
<br />3nd t\r/L\rni Codc Thc Cofi&ttr.s Liccnru l-0e do.{ nor oml} ro r..wncr oi prop.n y $ho huilds or impnvcs rhcr.on.
<br />lnd 'ho co r0(r\ tu such Dn,Fh wirt a C.trrracn,n 9 lif.nyil lr^o r trrh.C()hrn.ntr r l.Nn{ bw)
<br />I .ncrmpr ud.r S€.rinr
<br />It ttlIKERS', (lOIr PENSATIOTi
<br />DEt;ltIlaI!]N
<br />I hcrcby 6ll'rnr un(lcr pcnulry ol' p(rlury orc.lrh. tul!'*in8 J.clr8ti(in\
<br />_l hrw.rn will Binrlh. CdifErr. of Cotrhl ro S.lr-lNr ln wlsr on .6.rao.. rs Fovit d for b, S<'r'. ]7m olrlE
<br />Lrhd C6d.. f ll. pdrffi. ol rtE m* ld wtth rlE Fnn i iro.d
<br />_l l'!r! .nd *ill tuinrsi. worlc6 .omlrh\eil,n nruhr., 6 rcqlo.d h, Sd ion ]7(x, ol rh. Uhn Codc. n rlE Frfolrrw. of
<br />rhc wort t , shi.h rhk pdmi' is ksu.n My *orkln NnlEndion insururc catrtI lxl polt, numbcr 6c
<br />c**,, ' r1r2aF pncri.GJ :EFSl-.iaFr-^-
<br />,ol,l zozt')( r-rur S,89srt r l:\prc. !
<br />_l ccniry rh i'r rrE F.rrortu r .r rh. wor* rd *h(h rht pcrmi! i nsu.d. I shlll nor cn{,l't 6, Fmn i. !n, iMkr
<br />s ash trotr suhlcct ro thc worlcn ompcns iotr hs\ofcrli(mia. intl!3r.rh.r,r! sh l, lBom sut'Fl t' llE
<br />wo cn..nlEnrulion!'myhioncofSsriool7(JOolthclrlrnG)dc,I\t!'ll,runhwnhon{lywnhrtuspmvnn'nt
<br />tu1. .,n lrlll subFl u qtf'bFr ro din@l FEli6 rn
<br />ro rh. mr of onp.nerha d!m$i .r Folil.d lor th.civit lifti uI ro om hudRl tt !{rd dolLr! (31fl).q)0r. in r!
<br />S&riin 1076 ol rh. Lt r On . intcH .rn dtmry r ,er
<br />u*". ] ;zlttl2ot'H .J
<br />DtrI\t{\ o\
<br />I hEny .rrn u,'d.r FElry of rsh', thrr I u lnrnrJ liibl Fovi\bn oi CrEFd 9 {remrBin3 *nt Sdl ion 7(m) orrivirion ]
<br />of rlE auriBs !n PEf(ihtrt Codc, rn my li.B t in tull for rn cfiar
<br />,-""^..,^. ' C lO
<br />'tzlzzl*2"
<br />CTTBEIE!,]qI,INI.BIAGJGECI
<br />I h.Eby lntr undcr lrMlry ol Frrury lhd llEE n . on(Mrion bdins !s!ry lor rlx Froll1e. of d. work for wnih
<br />'hn Fml ir
<br />t\ucdtss :1097. civ. c ).
<br />AII,.IIANLDE(IASAIIII!
<br />Ihotbdimu .rncnlllyoiF Jur)oft of thcrolk,$in3&{bErirtri
<br />D.mlition P.rnns AslEinx Norifrcdrion F.i.hl R.Blhrhns Gnb 40, PM6,
<br />Rdu,rn lrnd.arhf.dnn
<br />I drly rh, tlE f.d.nl rguLrnB (glrding llYio1(turne ni +plrlbk to fih |'lrd
<br />&l o
<br />'ry
<br />rr'o r r,,* -o rr,tr lpnlr&rn un l!r. rhlr rrE sbove infomriDn n .omd I agid t, sml,ly with lll ciry rnd counry
<br />ordmlNc, ntrJ Sr.r. L!*s ELtrnS ro hrildins +ntodin sid hcEby.ulpri4 cp€rmdtiEr ofliir Cily.nd Cou.ly k,.trrs uron lrE
<br />rlHi)..rrba.
<br />^*-"))*,|,,*iJ'W mJ .- ".*,- n[zrl>,2-
<br />P.Eire mE rprrdr:DA *lt-t Had !
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Slandards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab i Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilinqs (T-Bar Rouoh)
<br />lVeter Release
<br />Rough
<br />Service Meter I
<br />FINAL t /7lh-,t ^/W 7rl
<br />Notes, Remarks, Etc /-- -v
<br />-+
<br />RFv 08-07-2nl5
<br />Ll1
<br />^ocH
<br />L.nd.rr Nrtu:-
<br />Air Conditioners
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