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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OIf, NTI BUTLDER DELCARATION
<br />I rErcby dItrn u.d.r I'.Mhy of pdj!ry lh.l I h.r.rpr frlm tlE Coitr!.loc lntrE ll* for llt folk-it l.un (Sd.7oll.J
<br />BsriGr rd Profcsion Cod.r Ary Cny m Cordy *hifi EqunB . Fni b @n'rntl- .!6, adpor. d.rlrh o' rpr, uy
<br />slrlchr. Fi,r to ir! isr!.d. ds riuiEl rh. +plbsr fo! ruch Fmi to nb r ligrrl nd.ngt ihi lE or nE h lim.d pu,rd
<br />b
<br />'lE F$vision. of rlE Col!trtd\ Lixnrd L.* (Ch.prd 9. Collwftht *nh Sdrbr 7@ 6f Divirb. I ol rl! Bu.n !r &d
<br />Ptuf.siln tuc) 6r rh.r lt E rlt i! .rcnpr 0E.noo ad rlE b6rar fo. lh. .lk!.d cr.nqrion Any vioblion of S..lion ?01L5 by uy
<br />$rli..n'lor.FmilrubJ.dslL.ppltlntrorcililrEBlroftulmEtlE fit lE'lllltd ddurr ( $@)
<br />-1.
<br />L\ owrcr of ltE pmFny, or hy.nploFi sith *186 r, th.tr sk e'r{EB.rbn. wi[{h dt wri.!n dE rnmn b br
<br />idsn d q dficrn ftr rL (Sd 70,{,1. Buih$ arl Prbrc$ions Cod. TtE Coirdois Lac@ L,w rt .i mt .prly ro a o*rcr ol
<br />thc nioFny ulh hilds o qmE rr...dwhodsuhe n'reror ERlf or thou8h hn d h.r ovnctrploF.!
<br />pftviLd.hd rkh arlpr.cank ft mt hdnal orotlird f6, qL. ll lb{E€, llE t iBha or in+FEmnr b f,lB wnhjn ntu F,of.rrpliiotr rlr OwM Builtr will hrE rlE hinJ.n or povinS drr lI m nr dd mt h,i! m ltFor r,. Frdy nr d. F,FE ol
<br />_1. rs owEr of dE rn,Fny, M .&turihly @nr,*rin8 *iri |i...*d .arntrroF t, .onir6 rlE poj.rr (se 71x4, suiEs
<br />snd hrt*ir Cod. Th. Conlrrto* Lic.ns kw dc! ml {,!ly to D osE ol prcFny,ho bcildt or mpreEr rlENn.
<br />.nd *lb 6lfu3 ror iBh FoFr eirh r c.dddl3) la.nrd puFutr h lh. c.drdol. LtcnE lrw)
<br />I am.rcmfl u lcr Sd.n
<br />D.l.: O'lE woqxr'[{ ( oMrfrs^r'rN
<br />DrcIdSdrI0!
<br />I herby rmrnr!.tlcr rcnshyofrcijuryorc oflnc rolL'*bs dc<brotioot:
<br />-l
<br />trE Ud *ill mindn ! Ccrrifrcir. of ConEnr ro S.rl.]w fr *(td @nrEar.rbtr r FviL.l [or hy S.di,. J7@ or th.
<br />Llho, Cd.. ftr lL Ff(tM of llE 6 fd *ntn dE rEhn ir isfd
<br />_l h,E rd will mintlm sort.R oq,crsrrn insnrcc. a EquiBd by Salion l70O ort L{hor C.&, tnrlh. pc.tum of
<br />th. vork for whrh thn Fmil is i*wd My vorks' srqEnohn intulec ffir rn Fh, nunhd E:
<br />.-*,_ 5_L\-- C*-1
<br />n orn".*,,- Q 2- \ 531'(
<br />-l
<br />enifyrhlt in rheI'crfor nccof rtu wort for whichrhis pcrnir ir i.s!.n,1!h!ll mr."qrloy Dy p.ro.
<br />'dmy @6
<br />$ 8 tu b.n,ft sulFd ro rlE h*d snFndbn lrei of Crliromir .rn t8c th.l il l nnuld kror $bFl lo llE
<br />wr*dJ.or{EnsliontmlirionsorS.clionlT0oolth.LborCod.,lsh.ll.fonhwnn$nl'Ily*ilhlhosFDvnionr
<br />ltARNIN(: l.ailu,c h, *ru'r r'.rt.F'c.nr{E.sri,{r $lcatu r\ utrli*Itr|. an(l \hrll \ubj!.r ,.mtl,,Fr n) inn'nal lf,Bhr\ rfrl
<br />.Nil ft$ up b oE hu (d rhouud Joll8r (tllx,.Ou)
<br />S(ir)n ]076 o, th( bhn C,xi., i.irft{ lnd dnrtut \ fe\
<br />a& ol .or{l.rrrr( &m3.s a FoviLd fo, rh.
<br />\ -\ 5-zr
<br />I hcEby !flnnu crFnaltyoltcUuryrhll I ! liuGj u Ire!^krn., Chrpr( 9 r.oarrd'n3 f, hSdrnnrmo)olDr^nh.l
<br />or rlE Bu\6t ]n Pof.$irs C.,&..,n my li n€ n in nrll foe.rn.lId
<br />Lkc.* CL\i-
<br />-- -o.,., {\ - t5 - Z\
<br />I h.eby lnm undd |inilry of Frlly rh,r rlEr L . 6n'cnrli,n hb! .$ay ror dE Fr(,rllN ol dE m* Gr rnih lh! Fnl i.
<br />ir*n (se. 3097. cit c )
<br />AIPIIIANI.IICL{AAIIQN
<br />I h6!t,atrmuqLr IEn yofp.,rryoBof r follovinS &.hd bnsl
<br />Dcmlnbr Pcrnns-A,t ros Ndirtdion Fcd.nl L.8.ld ionr {Tnk d0. Pd6)
<br />-R.auircd
<br />t n., of NorifElrien
<br />-l
<br />cd'f,
<br />'hd
<br />0E lcd.rl E3lkion\ E8!d,nB r(b.(k)s rcnrv.l u. Bn qdtlbk ro Ihn pmrcr
<br />ro corply qirh all Cny$d Cou.ry
<br />f thi Cily !,n Colt*y lo .nrd upon tlE
<br />.*',, 4 -t< -L\
<br />--.,/P.rn lc dmrp.lnl,: +-Czlr ,l 44
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />[,4eter Release
<br />Rough
<br />FINAL /,t('2/Z crs Ner'e9 tVU
<br />Notes, Bemarks, Etc
<br />Service Meter
<br />L.nd.ls AddE*
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<br />t
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