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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OIf NER BUILDER DEII'ARATION
<br />I h6d'' ,llm uid.! FJit of Frjuq th, I m ctmpt fron lh. (tflrr.ion l-kr@ t6{ fot rhc tollowm8 llun lst.7(rl l.,
<br />Ir6indr .rd Profanion Codc) Ary Ciry or Cruny trhth ,.qu!6 t Fnir ro odM, tlrd, iftFo\q dBslth oi qf,, r,
<br />nruduc pmr ro ir3 ise.. rha r.quir6 0r +plksr lor sh Fnni ro 6h. !i8xd rioMl lhn ri or !& n lica.d Frlld
<br />ro Ih. ttroriei.N oa lh. ( of,lr!.loir Li..r*d tj* (Ch!pr( 9. CoMcin* *nh S6tio. 70@ of l)ivilio. 3 ol rh. Ds;B dd
<br />Pmr*rnr Codc)orrnll hc or shr i..r.fupr rhE.6o'. ud rh. hert aor rh..ll.8.d .(@in'n Any violiionols.<rnn 7011 I b mv
<br />lpplrcr ror.Fs(3ubJ66rk.prh.rmk,rciyilpd.hyofnolmorclhDl'r\rhunrtr.ddollr.{1500)
<br />LsoscofrhcFoFry,orm!atrphtcshh"196s En sk coBFErir'! uiI(ll rlEq<,i. -d rrirtcior
<br />i.loulcd o. ofn.d for sL (Sd.r044, S$iru ud Ptotdiore Cod. Th codr*lor! Lkru lt* do.s Fi qPlr ro a ola o,
<br />lh. I,rrsry qho hril& or inF.r6 rh@n. Dd *lh d.6 ssh so,t hinclr ot hdllaor rlmu8t hn or ni o*n .nplo)6.
<br />tr.viral rhd $(h iqrolffi E r,r ricn d qofirld ft,r el. ll ho"6q. rlE hildi'{ r ltqleGn it rU ehhin onc rd
<br />orcutpl'iir tlE O$G &liua $i[ h.\r llE tu& of F.rrB $r lE c iE <ld nlr hlild ft intmE $. FDtdy 6r llE Fryd or
<br />l. s o$G ofrt rop61y. 6 .trbn.l, codr&rins $nh n.d!.d .o r.1oE lo coBlrucl lh. porBi (s( 7fi.1. tllBmd
<br />.d PNaBin(.i. Th. ( ontdor. Li(6x L^'&6 mr apolt lo & d*.6 ollrotEnt whl h)il& or imprord lhdhn,
<br />ed *ho o'rrocl! for ruch Fit$ whh r Cod6cr6(.) lad!.d pulld to tlE (onrrlu r lico* Lr*)
<br />lm.(mI, un& Sdkrn
<br />D.t.: _ Oi.d
<br />lroRl(r Rs conilENs rloN
<br />DlCld8AIrQ!
<br />I h.r.6,.mrmu..ldFElt).tFju4 oEotrh.lolloui,u &.1,,h :
<br />I h!v. ed *r ll roinr !i. ! ( dificot. of ConFr ro s.lf-lBu. aor $orlat compqsrion. d F.vid.d aor by S(tion l?({ o r tlE
<br />l,h, ( .&, f.r th. FfmMc. o f lhc *ort tor trnEh lh. tEin a isu.d
<br />Ihar.and{,ll .inrain \10r\6' ..nD.Bari.n iBurafr., a Rqun.d h! \<1 arTlx)ofrh.I
<br />rh. *ort ror s hrh rhii pnnir is isusl My u.r lds comr.rs i.n itrnn uc. cd 6 drl |sli.r nu
<br />' s"l. /- CrbQe,,9 eo\ Lr,^ r^n r .
<br />,,.,,(\\dn,h(, 723.t O0d 1.pn". '
<br />it ( o!., fu ih. Ffo'lr*---. of
<br />Pn"d6/alt?o
<br />I (dioihr inrh.Ffor'lle.of rhc u'orl fm *hrhlhi! psn B irn..t,l slull.or mploymrFer ir.ryhe6
<br />ar s ro tE .m. $bdr to th. nlrtd' NmFdi'n L*! oa('diinmq !d lgc lhi
<br />'I
<br />I sluld bco6 !!t'r<r b rlE
<br />wolt6 comp.N.lion 0rcvnio6 of salion lT0o of th. lrb.r (.J., l .ldl. fonhtr ith onplt {ilh ltn* F!!i!iod
<br />ItAlrNliic: F!'lu'. t, sur. wrt6 compsslrotr covcmrc il unh\lul. dd shlll sbjar M oDloF lo sihiill Frri6 and
<br />.nil fin6 ut k, om h!nd,.d thourEd dou6 (lloo.(xx,). In iddnDo r. ihc.or of omFNlioi. tlu46 6 r,ovid.d lo. rh.
<br />sd$n 1076 ofrh. llbd co&, inr6..r ad ilonEr-! a6
<br />".,., .tlf lt4 / 14
<br />a
<br />rr-LL-\R\rl1,\
<br />I ffit .rm undr Fnalr' of F.jury th.l I B [(qsi un& Ft!6n olctoFo 9 l6Mne wnh Saiio. 7000) ol l-anio. I
<br />of lh. Bai@ dd PofBioB CorL. rld my li* i! in tull fo... -d.lfc],l
<br />B Lic@.Numi*r: , 73 11 tL
<br />?ull(+l ti c-u-.-!r.mohnro*ud s'\1 l"A'
<br />CqIIIAIJI:UAN.LEIDIICTCE!(I
<br />I ffi, .fm !n kr Frty oa pqury fill rhd ir ! sNruclrn l6drs lsacy for rh. pafomdc. oallE wort t'r stich lhn Fmir ir
<br />isad (S< 1097, Ci\ c )
<br />arrucAtrfD}icld8auo!
<br />I ha*t lllm ufrld IB.ty of FJury oE orlh. tolk'*rry {k L$l6ni
<br />Damln 6n Pmn3-Arb.no. NdifE.rio. F.d.r.l Rc8uln ioN ( ht {o, P.d(,,
<br />R.q n.J kr6oaNorifical0n
<br />I cqth rhd rh. f.d.r!l Esul.IxrG ,+ddihs dfaros rm\ d .'. m' {9lErhl. h rhi! I',!Rl
<br />l.difyrhor I h,vc rc.d rhir ryl'lic.tion ond sl.l.lhal th.otn\. intonMion ii coEd I r{re ro cond} $nh.[ ( nt lnd (iuir
<br />ord'nar6.nd st.r.lrss i.!n,nt ro trildrng conqndion. Md hG.nv rulnori,c r$rMldn 6 olth$ Cny ud (-oum! ro 6tE utrr llt
<br />!b\. nmrNEJ Fnlqr! nr iNpelion
<br />'l[FGtr n L'd--- '
<br />ALi urg<kt;rr't?
<br />Applicnnl or A*€n( Sirnrltrre
<br />eomire nrmt lranrl, *
<br />r,"* 'll Iro I l1
<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 />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / 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 />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter I I lr I
<br />FINAL '4llnnfW)WoatVN i&
<br />Notes, Remarks, Etc rl
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