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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CA RATION
<br />I h.r.ny .mrm und.r Fdty of Fr,'lr, lh.l I d cr.q, frDm rh. C.tud6 Li.ms t w for tlE folbw!'8 lwn ( Sa 701, 5
<br />Bu.i6s .d ProfB.nn Cod.): Any Cny or Counr, *hth ,qriB r Fi! ro oNM, itd. itrprore &mlish m EFi dy
<br />srMtu., ru ro irr irtw.. s Equic rlr qiplicdr ror sh Fd ro nt. siSEn rrdmnl ltr L or ni i! lk.n*d Pus.tr
<br />l. llE pmvirn'ns oi lh. ContEro* LiccnEd Llw tchaprcr 9, Cotrmftira wirh s<ri'n Tulo or Divishn I of th. Aurim$ ad
<br />|h{.ssbnt Cndc) 6 r,r.r t.i or rh ir d.,pi rhd.lrcm rnd rlE brL Lr ltE nk8.d .r.f,Bion. Any vi'hbn ol S.dni 7lll I 5 by tn,
<br />rpdrsrror.FniruhFBrtE.,plE.nlro.c'vilFrhrormrtlr4lh.rfit.hudcndo[,.litm).
<br />_1. ss ownDr of rh. f.|.ny. or ny cntloyes lirh wa8.s I rrrir bk con{Ensdion. will do llE H,rt 0 0tttnr-|E hrcr
<br />iflad or olld.d lu sk (Se.?04.t. BudE3. ud Pml6rhn! Cod.: TIE C.ffid ! Li..M Lrs d.' mi .ady b e ow6 or
<br />rrE FDIET, *lb tlild! q irqoB rhce rd *tn.ldr ri k t hiMlf o. h.r*llor.hmugn ht G ls o$.rrhF.r.
<br />provd.n lh.Bkh inFoffis e d hldrd.d d oit d fm xl.. ll tnlrc, tlt briU,s u inFnmn i, -! tanin m )a
<br />olotr{,lctior rlE O*ftr Buildd *ill hsr rlE hnL. ofpoqi8 dEr hc d dE dil ml h{ild or inpmk E poFly f{tr ltE FrtrE or
<br />_1. r owF o, rlE pn,rMr. m .ft,lt,Ely .o.r(in8 *irh lt.nGl conrdoF ro drnrnEl rh. IrnFr (Sd 7(lr,l. Boiirs
<br />&rr Ploft.rir Co&r Thc Conlrenn r Liccnsc tru dftr rorr,rplr ro (o*n.. orproFny who huildr or imtmws th.rcun,
<br />ud *lx, o.rtuk for \o.hptuFk wnh r Coddorlo lrcnsd pumMt to rh€ ConrElor'r Uc.ne tr*,
<br />I ocrcupr und.r Ssri'n .A & P C. for rhi E!$.
<br />tlst. ()*m.
<br />$oRKrrL(' ( (iilPr\\^i()ti
<br />Dl;tr.dxaual
<br />I rrerch) rrrirN unilcr F-tuh) olFquryom olrh. knk,*d8 &.lnrrrk'n\
<br />_l ,IrE d sill uindn r Clrlif.lic otconrnr 16 Scl nuE for srtd 6np.ndior, B Fovii.d for by S6aon l7@ of rlt
<br />tiEr Codq ad llE Fft]lffi of rh. * l for wtkh rlE Fnn b irqEd
<br />_l hov. iftl will minranr wortcB comrEnslrk,n insrEn.., !\ rcqun.d ht Sd io. .l7m ol rh. L.htr C<dc. tui lhe F,rornec of
<br />rhc *o nn wtihrhn pcrmir is i\nd My work(i .onllfr{rion insurlB..rir !n Flty nuntEr e.:
<br />-l
<br />cni(r rhlt itr rlr Frr.lfu olrlr worl ,6 lhth lhn Fror ir B,El. I Jlll m' .nphy.ny Fsn in.ny tuEr
<br />g, B 16 b.irc.ubF o rrE roitn onp.nqrDn L$orcrlifomir. lrn lgB rhrl ifI ouu lt<oft obFr rortE
<br />wrkda d,hp..s ion !r.vi.ion. ol s.crio. lr0l) ol rtF tlh'r C.nc, I shall. tonh*nh contly wnh ih{ psvirhn*
<br />l{aRNINc Fihr. ro Gm xrr.R on{Enr.rion oEEr ir uL*tul ]n fiI $bFr .nploF ro dniBl F tB ]n
<br />rivil fimr ur, to om hundr.d thou{,xl dolldr (1100,0001. in lddnion ro rlr .oi oI.orF.N'ion. dra8.r s povil.d fd lh
<br />sftrion 1076 of rh. bhtr Cod.. inr.rcn $d dt(my s tei.
<br /> ..ldr:
<br />LICEdSELQNITASUf,
<br />DECljTATOtr
<br />I lEEby .Irem !"d.r lE xy or Fri.y rh! I m lieN.d unL. FDvnion of Chlpl6 9loftmrinB wirh Serbn 7mo) ofDivnb. J
<br />of dE Au!i6'.Jd PErBioB Codc, an my [..e i. r tull to@ !i.!161.
<br />grBsIxucuo!.tEBIINlilGENtr.
<br />I hcEny tlfrr u,i.r Fn lr' oa F!ry rhd tlE E. @.rM,. Ldiry.!.ry fc llE Frfollll4_._c of rt* wt for wnih ihii Fmn i!
<br />usu.n (sc ,o97.cie. c )t n&ar NJnr:
<br />-
<br />AEEI.II]ABLIECI,ASAIIOB
<br />I horb, drm udq pcuhy ot Frrury oE ot rL ldlowin8 &< Lirbns:
<br />Ocmfuan Pdnnr-Arr.rror tldifElrnn FdLEl R.gul{irN (Tnk 40. P.n6)
<br />R.quircd Lrllcr ol Notiirllion
<br />_l cqrly ihrr rh. fdLill n8lLr.B Eg.rdmS rb.nor rn)rrl m ft,l q'i r.bL rr rh! proFr
<br />l.cnilyrh{ I h!rc rcud thisaptliclrionundar.th tlE &'v. i.ro,mr ion k.or(r. l rSr lo conply rnh lll Cny ud G,unty
<br />orJiflrcs.d Srdc b*r ELrmg rfl brildins conrddi& '!d h.rcb, rurtu@ EFeddiw! olrhi. Cily 8t'd Counrylo.nrd llbn rE
<br />ltnvc dnrbkn po|Eny f ituF.tion puFoe3
<br />\l,l,licrtrr o.,\xtnr SiHnnlurr
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER ,t\A+k 7
<br />Transformers 1I
<br />Torqueino
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment Z l.(7L .FrqJ+ I
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)Int{'tL Dffi8:vl
<br />Rough
<br />Service Meter
<br />FINAL v q 7)Dfttr,'7
<br />Notes, Remarks, Etc.!
<br />L.&r! AddEs'
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<br />Life Salety /Low Voltage
<br />It/eter Release
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