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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS OATE ID/SIG.COMMENTS OWNET BUIDER DEII'ARATION
<br />I IEG!, .llm undd pcrXy of Frury rhr I r d.qr nlb tb. Co ncr@' U..M t^ for rlE ftrllowins 16,! (S< 70lJ 5
<br />86uB rn Proldbn Co<L): ADy Cny or Co!!r-v *hth 'quiB . FrDt to 6l.nEl, d6. i,r+@rt dnmliiD rF., at
<br />.!McFsroi3 isBq tlo Equc rlE +drd for sri Fni lo nb. t'sn d nroE{ rnrlEordEilE6.d F,i-r
<br />h rlE Fsri'hN of rlE Cor{4hi r-'a.r.d Lr* ((t+td 9. Coffins snh Sdlio. 70@ ol Ditititn I ol llE Bdi.6.td
<br />Pnfdnd Co<lc) o, rh{ lE 6 JE ir a.f,9i tlEdlh lrd llE h6i' ror d8.lL8.d dariitn Atry rbkbo of sdirn r0!1 5 ht &}
<br />rpplicd 6r . Fnn $bjd3 tlE .rql'cdt to . civil pqllry ofrct mE rha lic. hu.d,!d dour! (t500)
<br />l. B of,E of0E Fsp.nr, or ny 6pkiy6 Bhh w46 c rh.t sL smrns.loq sill &r tlE wod &d ltE sfid@ i! fr
<br />i dd.d or o,Id.d ao. $L ( Sc.7044. BuriB ud ProfdioB Cod.: Tn. (onlr.lor't lidc Llw &6 nol lpply ro d o*ra ot
<br />lh. rtpdly vlD hoil& or rE DE tlEEi. .,i *lb do6 $ch sorl hiru.lf or h6.llor rhmu8h hi! o. ha om dployd
<br />provd.d ihx $.h rn!.ovdEi! E rul inlad.d or otrqld ror st l[ ls*.G, ft boild!'s or iqbrqrEr ir bld wntin onc ,r
<br />orcngtrbl\ iE o\*@ Buil& will h.w tlE hr&r ofllsiry ltd lE or dE dn d t!i! or !tp.ov.lh. FDpdt,6r tlE plrot or
<br />-1.
<br />- dc of rh. FnFry. o qclBn ly .o'r.*ri,s vnh [.d.d .o EloE kr srdru.t lh. F)]r (sd ,ol,l, hllB
<br />,n Protuin Co&: Thc conrdoir Lk.e llq do6 mr $ly lo e orc of FoFr' $ to h{ildr or imFot6 rhdon.
<br />{d $ho 6ffis fn sh FDrcIr *'nh . Conrrrdl, '.4i.d Farr h lL ( odr.dr't Lid& I,f,)
<br />a
<br />-l
<br />n qaF u(L. S<riop . B. & P.C. 6. thit tz,n
<br />D.t.: Or!d:
<br />lloBtrIi8l:glutElllAl]Qx
<br />DSCI ASA TX
<br />I nrd,, nmrrn und{ rEdry{rrEJUryon.olrh. aollosing d(l&dnrN:
<br />-l
<br />h!\. &d f, ill Mini.in s CorilE.r. o f ( on6r ro s.la-ler. for sorkfr co.rp..onon, s rDvid€d aor ty S..hn 171x) o f rh.
<br />Ffol:ffi. of rh. woll for whit lh. p6nn a is.n
<br />will m.im.r wqtsr' conp.erx'n '6iJluq s EqaiEn hr liclion 1700 olrti t$or Codq f.r lh. Fbrlla. ol
<br />M, wdl6' .omFsion iNm..rc nn FIkt.unbd r.:
<br />€1/0
<br />I cslifu lnlr in rh. Faor.1ft. oarh. f,ork aor *hich this pqnil ir !$u.n. I rhdllfr, 6pkry uy pdsrn in my muE
<br />$ B ro b..on. iubict to rh. {on6' codD.6d bd hws of Caliaomir. dd lsE lhd if I lhould beon ruu.cl lo lhc
<br />w.ltd compdtionpmviliouotSdion lr0oolthc t bor Cod..l J!ll, fonh*i h onplr *ilh lhos PmvLioN..
<br />WARNINCT rnluc lo 5u. etd' .{npqsdhn ov6.8. n ubwtul. t
<br />'d
<br />shrll $bj.!i D dploF lo oimi.d Fdtb .!d
<br />cEil fu6 up ro oE hu'rL.d r,D($rd &ll,E {lloo.()0o), in .ddiloi lo $c .od ol conlFBdiolr &nu86 d Fova.d tu th.
<br />s.rri,n !076 oarlr t bor Codc orE< lrd (drE' r fc
<br />llcElslo-coauacloa
<br />DECBAAIXA
<br />I fi&ny.rmu.dr Frny of Fjury lhr I u I'c€lodu.<t Fosbiolcn Fs9(on1lj@i.g $itt Sdbn ?&r0) of Dirili,n ]
<br />of rt! BulilB dd Pml6irs Cod!. dd m, lke i in tuU aorc. !n .ft cl
<br />b
<br />t
<br />co!slar(;no!..Il!!l!q.Aq!!cr
<br />I bdrb, drm urld F!!, of Fi'ry lhd dE ii . @..tu<rbn lndirg .tcy for it FforM. of tb. ssl tu r'ttt lllb Fni ir
<br />ntu€d {SG 1097- Ci!. C )
<br />ATTIICAII.DECI.AsAIIOB
<br />I hE$y iftm u.do p.nally of Fjury on€ of lh. follo*ios dclarlio.r
<br />D.moltn'n Pmils-Asb6lor Ndti6..l ion f.da.l Rq.ul.l iom {'rnE 40, Prn6)
<br />-R.rtuncn
<br />Ltlld ol Noifi.dion
<br />.sre ro @dply witfi dl Cly !d Coudy
<br />[E ofrhn cny -d Cody ro ons l4oo dE
<br />Appllonr or Ag I Slgnrl
<br />\K
<br />,.,.+\-{ \'i
<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 />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / 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 />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />FINAL cl4lt 4 P,yra\{d pw Grorr.. hYar
<br />Notes, Remarks, Etc
<br />Communications Cable
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<br />Meter Release
<br />Service Meter
<br />In t:a l4
<br />l,.nd.ar A&ts
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