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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWNET BUILDER DELCARATION
<br />I lE cby rfiirn !.d( |teh, or D.rllry thlr I m .r.mfl 6nm rh€ C.nlatc Li.lnc Li! fo. rlE frllowi.S Ea)n 15.< 7ol | ,
<br />Buti6\ [n Proldrsn Cd.) Ary C y or Cd y *hth rlluiB ! F nir ro oNm. rlrd, impmr, d.mliih or Ep.tr uy
<br />stNcrlrc, rior to n3 issurc.. !t€ rquiEs rlE lppli.a ru iuch Fmi h nk r ngEd ltdcrnt rnn lE or sli i liln*rl rrqu,r
<br />ro rrE Foviti,nr of rlE ConErn t l-icned L.* ICl.rFg 9. Co.fttinr *nh s(rion 7mo ol Div i'n I of llE BusiE3s ed
<br />Pn,lc$iunr C{rr.) o, thai lE orthc i! crcmpr rh.Efromond rh. h.ris tu E llLsld cxcmFion Anyv.Lri,norsd-,.7oll56y.ny
<br />.I)plia.r ror . Ftur NbFrr rh. tpplic.nr ro . civil Frhy of tur tuE th., nv. hunl,rd .rolliE (l5m)
<br />_1.s owEr orrlE FDFny, or my.trpb)E wirhv.xsssllri$Lonrxodi,n.wildoOEw*.,nl,letifui!ml
<br />i, drd.d or o,Isd lor eL {Sc 7(x4, Au,ielr d Prordmns Cd.: TIE Conlr..rtr'r lir* Lr* do.. hr t9pl, b d 0,6 or
<br />ltE FoFny vL hril& ( idT.DE 0Elga .d *to d6 qsn s,i hirel, or lEr-lr or $mu8i ht r ls of,n crphr.d.
<br />provit d rh.r iEh irymsmnlr m mr i .Bi.n m oflccl rc sb. ll how.llE hoildfu q inprftdd n ib *rth d ,worMDtrio 0EOrB Bu rr, wiu h.E dE hlrld 6f F,virB rh. trniEdn rx hrld.r rrrcw dE FDrEl, tuilt qDEof
<br />_l- &!oeftrotrhc ptuFny. m.rcluriwly.o rdin8 wnh lieasn codMoE ro @n'dnd iL F)Fr (sd.7o{4, BBES
<br />,n hdi<ri.Co&: Th. Co.r,rror'r l,t.rE tr*.io.: rcr +ply ro ouftr ofproFny*ho builds or nr{'rcrcs tlrrmn.
<br />r.d who d,ntuk ro. lEh proJL$ *irh r C!n',a-iods) ,iusd p!.wrr ro rlE CodErn\ LirE l,w).
<br />, nmcxcnrpi untlcr Sdlnn
<br />I)rl. ()*n.r
<br />woRxi'.lls caMiFNs^1](tN
<br />DIiII.AIAII!J}i
<br />I turchy rfinn uid$ tf,tulry ol lrqury orE ol rhc n'lb*rg dc.Ltr i,nN,
<br />-l
<br />hrrc an wiu @iflin . C.d ia.,rc ol (-onsnt ro S.lfiBue ior mrkas' omrENrlion. $ Fbvii{ ro. by Sdritn lTmo(rrE
<br />tikr Cod., ld llr Fiflm ol rlt sni ror $ith rli ,amir a iriu.d
<br />I hlw id srll nintrin so.lc6 .ongEnqrb. intu
<br />lh. wrk forwhthrhisF nir ! issal My*nl.F c.
<br />rEq a Eqrild 5, Serb.l?m of UE lnrr C.d., for llE Ffofrre. of
<br />rrFnllbn rn\ultr.ffi!d!olt, rumt rcrOrer*p
<br />WARNINC hiluE lo KUr. work !i' co'\Tnrdion ovcnB. ii unt vhrl. rnl shdl subtt .n ctr{lhFr
<br />'o
<br />sinirl Fniir !n
<br />cflil firc. up lo om tundrd ltoue,n &,llu! (tl00.(x{), in ttt D. ru tlE .os ol comtENrion, d.m3.s 6 rrovidcd for llE
<br />Sc(ri, r l07n ulrhotrtrn Cdu. inr.
<br />",,". - +l tolw Appllonl: !(zalt€ll T &t<2.UIINSEDTANI3AIIAB
<br />DIIIIaA.III]N
<br />I hd6y .llrm unLr F dry ol F.iury thd I M lirtrcd urd.r Fovnbn of chrfld I (onmsin8 *i$ Sd hn ,00o) or oivln'n 3
<br />ot rhc Burin.$ rrd Pn,fc*irtrr Cod., .nd {y la.n$ i. in tull foN rn clI6'.
<br />:;:"?fr ; l',,,.",,".,,, ;"" "i)-f tW,-- -
<br />coNsTIl lL-TloN I ENnNC ,r(:FII(Y
<br />I h.Ehy .lfrm undcr lrMlty oI lErjury lhul fift ix a cnnntoclion Lidhi .8!cy lo, rlE FrrolrlIftc or E mrl fot *nth thit pdrDi it
<br />ntfn tse 1097. civ (: ,
<br />kndcis Num
<br />-
<br />AIELICANI.DECI,AXAIIII!
<br />I lEd'y afm ud.a Fndlty ot Frjo,y oE ot llt roldeins dcL.natul
<br />D.r,lilion Pcrmil'.A.tr(6! f{din .lbn rt d R.8ul,1i.n5 (T k1l{l, PM6)
<br />R.qui,!d btr.ror Nodirlbn
<br />._l cqtily rh.r rh.l.ncrd EsxrLrbN EssdD8 ab.nosFmv.ld d applErbl.!o lhnImJ.cl
<br />f,-Or,* ,t* * '* rpriltdnn rn (.rc rhd ur $ow info@raon !t cotr(l.I agB loomplywilhrl cnylnd Counly
<br />.rdmrcs ad Sr.r. Li*s Ehrry ro i!ildi4 n Dq .d lr,.5y .u,brix rFc*.rri6 ol rhir Cn y !n Coury to cn'6 uFn dE
<br />stblc tr.nri,ftd I}nrIEny for in\pcrli(,n puIF
<br />I ^pprl*nr
<br />or,ternr sumrun {
<br />,,cd,Rntrn,c(., ,:,< ?OCZA-T D ut t 4|ql,,
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor t1
<br />Bonding / Grounding / UFER 7/ll lr t ,tfr.w ,{
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouoh)
<br />Itileter Release +et.a{eu4 },f41\
<br />Rough ^l ,<A+v dt &M16 ryRU
<br />FINAL +at'31 Abz/t te@/
<br />Notes, Remarks, Etc
<br />-)
<br />Translormers
<br />Service Meter
<br />_l ccnifrrhlr i.rhc pdror@ftc ot rrx work ftr wh.h thlr lErm k n<wd,I .ll mr .rl'k)r.n, Fb. i( r., tuB
<br />- s ro b.oft sur'Ft
<br />'o
<br />tlE *ort6r mn{Eridirn L*r of Crlitohi. rnd +rc th{ if I sbuld heom rubj.ll lo l,E
<br />*orks' 6mFcns0tion pmvisioN ol Selion l?qj of ll! LIht Co&. I rh.ll rdhwnh Nml'lt wnh llD: Fov!io6.
<br />I
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