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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNEA BUll-DEN DALCAIATIOIY
<br />I tdrt, .lfim ui& ,a.Xy of Fruy rbi I o adlF nD6 l[. Coffid Lte L.w for llE foll,vios lqso (Sd 70ll 5
<br />BditB d P.olkb. Cod.). Ary Ciry or coudy whi.h r.qun6 ! Fnn lo codtu.r, iI6, i!rp.ov., darcbt ot E!.n d,
<br />tudue pturo tu igucq i&o Equn6 rhc Apli.rnr torsh F lo fiL.:i8iFd,rald thr lior S. i! Ii6.d Flud
<br />ro rh. prlviio6 of d. ContErol! LE@..d t * (Cll4ra I, Coffiha vnt Seion 7000 of Divilbi I oa dE a6iGt -d
<br />PrefBioN Cod.) n rh.r h. d rlE it da,F rhsdron Id rh. b.rir lo, rhc .lLg.d qatrprion Ary vioLrionofsalbn 70ll.J b, uy
<br />.Fplic&r lor r p6nn iubjd! rh. ippli.et to ! civil p.@ty of @r noG ths fiv. hun&cd dolld (S500).
<br />l. 6 @E oad'. FlFry, or D, dphlG win er86 B llEn eL ompqlrio( *ll & tlE tr!.r !d dE rnE@ i! ml
<br />ifldld.d or olIad for !.L (Se.?044. Buin6 sd P&rsiod Cod.: Tnc Cot rdors Lto4 tle do6.or +?ly b u ow of
<br />rh.FFry rrD hdl d ifrF€ thda! tn rh &d ian h* hi,Elf or h.Ilf or llmudr hir ( lE os dplo)q
<br />Fovij.d rtlr st imFtrrqrEtE
<br />'Er
<br />irqd.d nolH to r]. ll lsu6r. t E hriBnB d ioFbeqEn n sh vitnin on d
<br />olcotr'pttiotr llE ol,nq Buildd wiU hsv. lh. hrd6 ofFlvi'B tfii lt o. lrE da br hriu d inlrort lrE FoFy tr tE Fnloi or
<br />_ 1, s 0$16 of rh. Fopqry. m .r.lG,v.l, coddi.g *trh lrcded co relo. to ordrucr rlE FDJ<i (S< 704,1, Bt6rB
<br />sn Enfsir Cod.: ft. ( oddor'. Li..e t.w 66 mr .pply lo u owns oaFoFry uho burld. o. inprclB tha6o.
<br />srl who conlrrr! for tuch Fojds *nh . C!d6.ro(!) liaBcJ p@@r b rh. Cotudoir Lic€M L!w).
<br />-l
<br />@ .xdF udd sdb.-. a. & P.c. lor llli' l6n
<br />Drt. 0r!6:
<br />EA85Ef,I(AUITNAITOX
<br />DECLAITATION
<br />I hd.t, lmm !.d, Fut, of Flury om olrlE follosls d..l&tioE
<br />d will ruinra'n a ( dificlr. otcolKr h S.tllNuc f6 srk6 onFadion d Fril.d ror br S6rion 17m of lh.
<br />Ubor Cod.. rm lh. F6tll1m. of llE wl fq rnih lL Ftd 6 &.d
<br />I hrvc ed witl nai.trh *0116 .onFMion iBulme B r.qund by SBlb6 l7(ro of rE r,bor Co&, tu rlE Ffoffii of::-r'Et>wr_::::11**-
<br />I cdiry rhn in rlE pafotru. otdE worl tor *i!ah Oi! pqDi i! isa! I tull ml dploy Dy Fsn i! dy nffi t$ arobd.@.utidlorh.e 6 onFGdiotr bs ofcdifohi!. ed .sr thd if I rhould bcom lut er lo th.
<br />mrt6'omFu.lio,FlviriodolsaiirtrlT0oordELborCorL.lidl.f!6ltwii6'plrwihlbo-FlviioB..
<br />waRIlNG' Fnl!rc !. w. *o.ld @mFrdrn @vs.s. ilr uL*tul lrrt 3hdl $bj<r d a,ploF lo smlEl Fltl .Dd
<br />civil fin6 up to on. hun&.d lhou.d dollD (1100.000). in .ddirn ro th. coi ot.orr@diof,, d&r8d B FDvir.d 6r lh.
<br />L of rh. l,tnr C.d. hr6d Jrl
<br />Ul(!.!ll:l].!.(.)!
<br />I hott', .mm uodi pd.ty of Fjd, $d I 6 lieG.d lrdd Ftvirio. of Cn Fs 9 (@.tll:4i4 vin SdDn 7000) of Dirnbo l
<br />of 0E a6t6 di PmadbB Co& -d 6y ltae L h tull lbc .n .,t6l
<br />t6
<br />.r-'t /J.nEr(\u
<br />t1Z3 ZZy
<br />A?IUCABTDECIAAAITA!
<br />I hady lfm unds rE.lty ol Fjuy on. of lh. fouow,ns d{la!tion!:
<br />D.mohion Potit'-Asbdor Norificdion F.d6rl R*ul.lion! (Tnl. ,10, P,r6)
<br />-R.quir.d laro oaNorifr omn
<br />-l
<br />c€lit lh. rlE [.dd.l lt3lllbE rtsdl,3 .b.3o] ,!Bvd r. D{ SFlirbL lo lhb Fq.c.
<br />|/ !tr,-,
<br />"*,-,*
<br />qplidion.d,aG d'd dErt E i!6rErbn ir 6r.d. t.8E ro @qtyrin dr ct,.!d c.ud,
<br />ordffi6 rd S'.rc tA! ELitB 1.
<br />.bovc mdlion.d Dopsly ior iBp..1
<br />d hd.ty ,utlbria Ep.stdivd of thi! City ud Counly lo ats upon th.
<br />ADDli..nl or A16l Slrn.lur.JZ; L,L 1r1\
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor _t.l l
<br />Bonding / Grounding / UFER Slol?t{,il tb,,twa (r
<br />Transformers I
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners I li
<br />Roof Top Equipmenl /Slla r g5/*ro ttzttLW)5l
<br />Factory Wired Unit /
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />FINAL 415ltr?O Wlhr',e fd
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />calElauqlo!.rldDllclcEl(I
<br />I 6y rlTm undd Fr.ty of Fjury rhd th6. n . @lrntu rbn hnd{g !ga.y tu th. Ffoffi orllt *orl 6r wnEh lla Fni i
<br />i$ucd (se, 1097. civ. c ).
<br />tada r NtE.
<br />-Ilda 3 Adds:
<br />Rev.08-07-2015
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