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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNET BUILDER DEI,CARATION
<br />I hocly .ltm u,<b Frlrt ol Fjlry rtn I m .r$F t!6 dr Cotcrt6 kce L& hr rh. folbwinS la'n (S<,ol L
<br />Burind ud Profdior Codc): Ary Cny or Cou y vhich (qun6 i Fmil ro conroci ilra, inFov., {tamlith or lF.t ey
<br />sr,\(tuc. Fir ro nt itn@!. .bo EslG tlE +lirr for sn Fnn lo 6k . tiBn d fiocl lhr b. ot JE i ltcu.d F,$d
<br />ro rh. FlvGioN oa lh. Conr,{toir Lkmkd Lrw (Cn!$d 9. CoMdrs *nh sclio. 7000 of Divilion I of th. BBi6 ua
<br />trct6lD6 Co&) d $r lE q dE b don6 $d!6om !d rlE bGi for tlE dLS.d daFai. Any vnLr.n ols<iih 701I 5 by oy
<br />.tplicer for ! potrit lubjdl' lhc lp?licdt lo i civn pdalty of rcr horc lh& fivc hun&.d dollc (lJoO).
<br />l. s ow ollh. FlFny, .r my mplorrd pirt w!96 a rhcn bh @o!a8!rio( sill & tlE wit Ed $. n rlE ir rot
<br />i dd.d dofrdrd 6. EL (Sa 70{4. B6itB od Protu ir6 Co<b TIE coffia r Li@ L:r &'6 dl4rlt lo o orc ol
<br />thcFDFry *ho trild or m,r!€ llEEtr d *tr &6 *h Flt hiMll or IE*lf or ftDqh hi, or hs om dploy!...
<br />Fovij.d rhd sh lrqorlcr! G &r nci.d dolErd 6r sla l( lr)*M. tlE hrildir a iryo€iBi! sU siho d )E
<br />ofcoi+rniol! E Oei6 B{ilib wil h.w lh. hda ofFlvirB tlr lE or !h. <ti, ful build o i!q!c $c FlFry fd 0r F,F* ol
<br />-,2i.60w of ltE FlFry. m qch!n.l)..ffine *nh lkaE d coffi6 ro @d,u.l rL FlF (s< 704., 86,6
<br />ard ftlbnn Co&: Thc Cod.sloat Li..e trs do€ mr .pply to e om6 oI Flpdly *lb hild! @ inpo€ fiq@tl
<br />sd who 6nldr for Mh For.dr vnh . Co,'rreIo(r) ltoB.d Fl6an lo rlE Cbdrdq r Lt t w).
<br />I m.r.m!, utrdd Sarn'n
<br />D.'., -l - tl-)_
<br />t)t:( t,,1R.\l l()N
<br />LF.by .mm und6 Fulrr of Frur,v oE otrh.
<br />, h.!. nd qill minr.h. CqrifElr. olcoMl ro S.l tleftr(,t@ omp6.ion. s ForiLd for bySa-lbn 1700ofllE
<br />l.bor C.dc ror lh€ psfotu otthc rort lq *ti<h th. pinn ! islod
<br />- I h.v. rd will tuu[in *o.td conFsrior iNllsc s r.qun.d by S6rio. a700 olllE tthor Cod., fo, rh. Ff6ll!e. of
<br />lh. Ert for whi.h rhi. pcnn i! isr.d. My worla conFMi.. iljw. ffiE !d polky nldbd e
<br />l.arifyrh in ih. pdn'lmft. olllk worl lor which lhi psnn i! 6eu.d, I duu ool @ploy my pqson in dy m&ng
<br />$ a to ba.r $bar ro lh. $!n6'oDFldE" hE of Ctllom4 dd .3G rhd ial rlDuE b6or $bd lo rh.
<br />u,ri6 omFeron pNvilioo of sdio. lT00 of lh. Lbor C.de l slEll. lonhwnh o,nply p'th llF. preeiioD .
<br />W RNINO: !nlB. lo B(. *dtd co rFMbn co*fta. is unLwtul, sd ns[ rubjel e aplord to 6imi..] FEhb and
<br />cni nn6 up ro o( hud.d rh.r*i &'lEs (llm,ooo)
<br />Sdrion 1076 of th. tlbor Cod.. int6l Md dlorEy s a6.
<br />rh. mn ot.oiF6.tF.. ddi+6 6 Frvi,.d fn rh.
<br />l.ll;(JJ8rl.l[D
<br />I lEq+ .lIm undq Frly or Fjury $i I @ Foviri.i of Cn!fls 9 GoffilB wilh Sdrioi 7000) of Drrnbn l
<br />or Ihc ll$in* Md Pref6Fn3 Codc, and my latu. L 'n
<br />foll1o...d .itdr.
<br />cqlslaliq:la!.lEulldc..cElcr
<br />I hGr6t dlm udE Ftrdry of pGjrry thd rhd ! ! @nntuclioi lndirS rSdy for rhc pcf.tuc. of th. w* n)r El'ich lh! pana a
<br />is.d {sc. 1097. cir c )
<br />Lada'r Nm..
<br />AIIj,ICANLDECIaSAIIO!
<br />I hrer.eE u.dd pa.ly of FiEy oE of tL fouowina &brnd:
<br />D.tukbtr Pmh!-Atbdd Norinc.rion r.d..l R.SddbB (Tillc .0. Pd6)
<br />-R.!ui..d
<br />t GolNoriftni,
<br />I .oliry Ihc rnc f.dod EglLrioE rEg.rding ab6ld mov.l dc mr epl6.U. lo Oit Foj4r.
<br />Vf.dlrry rha I hsvc @d rh! .rpli.d rcn o.l rtd. fi! th. !hov. infornldion ir corrtl. I !!E lo @ftpl, *iO all Cily 6d Cooly
<br />ordiffi6 &d Srd. L.s ElditB ro boildin8 6 ofrhn City&d Countyro drd rpo. dr
<br />ahovc mdxon.d Frop€ny fot
<br />Appli..nl or,t*.nl SiBn.llua.un:)/-/ b-2a-1-
<br />Site-Work
<br />Underqround
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter ),t A
<br />FINAL 2,1 t1/?1),,lX*1 ,l )
<br />Notes Remarks, Etc \-/
<br />Rev. 08-07-2015
<br />ID/SIG.
<br />o'',' -/- /6'e-c Lo
<br />Transformers
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