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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/stG.COMMENTS OWNER BUILDER DEII'ARATION
<br />I hdcby lmnn unds F6.lly of Fjury thal I m .xdF from r h. ('onrrdnF l k.M t a$ lor rh. lollowinS r6n tsa ?0l l t
<br />Iiuiind lrrl ltoaeion (ixt): Any Cily or Co!d, trhrh rcqu!6 . Fni k, (odrucl. !lrs, 'nFor[. &tulEh or rqe iny
<br />ntudrc Fitrio ir3 6le.. reo rc$lr6 rh. +il.er torr(hFnnh 6k..l8i.dnd.t6t rhr lE or nE a I..G.n Ftlsd
<br />ro rh. FovirDB df E Codrdoa! Li.dr.d Lru (( lu,lln 9, ( omnfti.S wdh Sdion 7ffX) olDivBirn I oftrE &ainB bd
<br />n o Lsio.r CoJ.) or rh.r h. or shl i! .r.nDl th€.6on Md th. tisi! lo. lh. all.gdl ctdFion. Any violali.n of S*lion ,01 I 5 by any
<br />applical nr ! Fnn subjdlr rh. Epplicdol to . ci! rl p..!hy of mr no.. the fir. hun<lr.d &lld {tt00)
<br />l. a o$E orth. FlFry, or mr mplor€ unh *+6 a ih.i $L 6nFMhn. $iI & rlE $f,t rn'll rdE ir d
<br />inl6'<kd orollGd for !.L tsc. 104,1. Buli.s Md PRrldiod Cod.: Inc Co r.cloit Lkde uv do6 ml rtply lo d owr of
<br />r. Fopaly $ho hril& or inpr.v6 tlsan, Ed wh' ttr6$ch m hrru.lf or h.elf or ltmu8h hi! or h6 oM mploy6.
<br />Foed.d rh rucn inFlrqn i! & 6r iiolr.d .r oll(ld 6r sk ll h]\6r, r,E Iniui'€ or i,r$. aEr i 5ld sinin nk ]-
<br />of mdpldiotr llE O.E &r ds ri[ lE\. tll hda oaFrviry rht lr d dE dn d hild e if,F..w $. F!FD- fti E F p....f
<br />l,6o{f,6olrn porEiy. m crcbrnc! conlrxli.B eirh li.mcd odmcl.6kr consrucl lrE Foj.cl (56 7044. Aao6
<br />.,i Ptblsrh c.d.: Th. co.kdo l.a.MLls do6 br,rrl) lo otrnd of FoFiy$lF buil& M mFov6tnddn.
<br />Dd wlb oddsf rEh FDiilr $nh r Coffionr)ltaE d Fllsld'orh.Co r*t(rlioEt tr)
<br />I dnrrcnr und6Sr.li,'n
<br />trrt. (ri.d
<br />IllrBlifat(anlfElsAtl0nDt(Ldaal]a!
<br />I hd.by arlirn, ndr rEElry o I tsju'y on. ol rhc foll(N 'nr d(l.rar$ns
<br />I h,\c!d$'ll@, tu r (-.n'frd. orc.Ilal ro s.lr-lBr. r trnl6 NmFi6tion, s Fovt d ror b sdhn 17mof r
<br />ljhor Co<L. fo, rh. F o,rlrm. .f lh. u ort lor * hKt rrE p6nr a Ku.d
<br />fh,* ""1 * ,rr ."i"o* * 116' ! rnp.Ear6n 'nrur.h.., s rqnrcd by sdon .1700 orrh. kbor cod., frr th. paromdc. or
<br />"ilE {oA lor *hrh rh6 pin 6 isEl M} s'oit6' comr.@o.6u,m. (tffi rdFlk! numbd m
<br />,*a<s,tct-rtZ %ft4.C [qa,\o rx4 Co,ln ep"9
<br />*u**,.o Q6{E3JvaSozozL c' ,,,"J t- r- Li
<br />a*l.gi,6 'hd '. ih. FL.Mk. olrh. *.rt f *hrhrhBFnn B isal I rn.ll mi 6ploy sy F$n inuylffi_L' c !o tEom. ubi{ !o
<br />'h.
<br />tro*6'mmFsion Lq! otc iaomir. ud.gErhl if I should tE oresbal lolh.
<br />Rtrkd' .orIp.fls.l ion pmvilioN ofsdtn'n 1100 of th. l,bor Cod.. I !h!!1. forlhf,il h mmply rilh lfioF provi3ioc.
<br />\aAR ntc: [ilc b su. *0116 omFBibn rnn4. s r&\f"r. .{ .h.rt *txo - onpbrs b 6nin l Frli! .nd
<br />unil .66 up ro oE hu.dr..t thoM.d .bll6 (troo.omr. in ,gd/*I"
<br />'1. t', "t -.p.-r'oa dn!t6 B provid.d ror rlE
<br />sRrion ro,o rl rh. L.L.r ('.te inr6d Md dlorno i fd l, I I I
<br />u.r., l-u-Zo ^*** L-l#t-"*HHffi*Ih@byrrrr!trdnpa,ofFjuryrhdIenli.ds.nuddF.virionofch.pr6I(commd.ingwilhSdlior?00OlofDivisionl
<br />dl rh. BritB m<l Prof<h6 Cod.. dd my lt.B 6 d tuU lorc eld.fi..i
<br />t,9,Llb '23.,01'1
<br />D.,. l-3t-eI r.':tnclec&e+'
<br />g) ilalrllallrlulli-acl;lcr
<br />I h.rb! amnn trndd rdrhv ofpftju.y rhd lnd. ir r cddrudhn kndin[ rgfty ny th. paaoln6.. ofrh.*ort [rr shich rhir pditrir ir
<br />'(u.it (Sr 10e7, Cir ('l
<br />AITLI(AILDESJEAIIII!
<br />I hdtt rnim uidd radr) of tE ury dc of ihC folb$ '.s &.|& ion!
<br />llnohion Pcrntu-AsbdlG Norilic.rF. F.d6al R.3ubt ions t tnL 40. Psl6l
<br />Rcquiltd t .rrs ot l,rd'fi.,rii
<br />I cdia, rh.! rh. LJ6.l r+ll,riom n!os Bnov.l r,. nor dl,tliclbl. ro lhis poFd
<br />*rr;g:l;rt I h.\. r..{ rhn lpplk3ri.. dn onaordhn L(Eci lalrato.omplr Nnh illCny{d ('osly
<br />6r. t$3 Elrt$ ro hrild'.8 r.F.sri!6 . f rhir Cny lld ( .!nly lo 6rs l4on rlr
<br />itl\ . rmrion<<i l'.rEn, lor ftFdhn
<br />,\|l|)li.rnlor,\r$r Sisnnlur.ur.4 1\a<a;1
<br />n"" I - Q-20
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />Service Meter
<br />FINAL ?-8 -zo fL c-ts pr at o-z *21
<br />Notes, Remarks, Etc.
<br />Meter Release
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