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ELECTRICAL.INSPECTOR RECORD
<br />OWNER AUILDER T'ELCAR TION
<br />I h6.by .rm u.dd Fn.hy ol pgjury lhll I m ddfl &Dh thc (b.r..lo Ltoe Llw for lhc lollowiry rasn (54.703 L5
<br />Buind !d Prnfdio! Co&) Ary Ch, or Cordy shkh rcquiG . FEn lo ordnet dld. ioprov.. &elirh or i+., Dy
<br />tu!.lG Fnrro n! islllE..lo Equn6 $. +pli&l forshFDrlo 6Lrrb..dfia:d lhr lEdtt a ltoE d Ftuln
<br />lo lh. Frvibd ofll. Conr,srd! Li6r.d t * (Cll+r6 9, CoMinS *nh Sarbr 7000 of Oi6b. I of llE ABi.6 ild
<br />Prc&siod Cod!) or thd lE or !h. n adF tha.froh sd lh. b6a l lh. .lhe.d qdption. Any vi.lrrion ofSErFr 701 I J by ey
<br />rpplicar for ! p6ni objdh rh. r,rrplicor ro . civil p. llyolDol moElhd fiv. hundr.ddoll&(lt00)
<br />l. 6 o*Gofrh.Fopolr, dmldelotE*nns{6BllEnrkonFErDn.*lldo dt*dt.drh.tucumr
<br />!rd'd.d o, otf6.d lb. $L (Sa 704rt. &!i6 Dd PtlasioN Cod. TIE Colrr&ld! l.i.w t w &6 nor +ply b & o*E of
<br />rh. FDFry wn boil&or mpmErlE6G,!d who dGtuhwll hant.lror h@lf or0u.u8hfii or haow dph'l6.
<br />ptovidcd lhlr lucf imFloGn! e et - qd.d or oln+d iir nl. l( how6, tlE tuiliry or mFDwcd !, $ld trdb oG ,*
<br />or.onpldn( {E O*E Builb s'iu h.E lh. h,rld! ofFril8 ,r. lE d {E did d hild or i,!C.oE tlt P.oFly 6i dt F!po* of
<br />I. s osG olth. F.Fty, m.rcluiwl, conhcrins wnh licqB.3 cofiador to Nlno.l tlE For4l (Sd. ?044. A6hd
<br />tud Ptitosbn Cod.: TlE Conlr&tois l-ic6$ Llw do6 tul lrply lo e ownd oaprcFty who blild. or ihprovo lh6@r
<br />sd *'lF .!,tr|! lor r.h D1old. $nh. codr&o(r ltaed plltnu,r to llE Cod,-lor'3 Liq4 tr*).
<br />I @.roF ldd seri]n
<br />"ffi
<br />I hccbr.fi"m rnd6 Frnyof Fjuy o* of tlE 6lb*q dcclirbB
<br />_ -l hlwc.d willrui.t.in ! Corili.d.oaco.Etto S.ll-lnM for w d @apaliio!! 6 Fivitld 6r by Selion 3?00 ofth.
<br />trld Co& 6r rh. pqf.lrE. o t ln. rql fo. *trh th. Fnn a &r.d
<br />!(t * .a *itt .,4.,o * a oryqBdM uffiq s E$rcd b, Seri'n !7Oo orilE Lrbot cod.. 6. E Ffolllec ol
<br />aft "trr rd shih fiir Fn iqrdMr),tLd onFE b!NuJe.offildpolrymhbqE,* t1,+*.t*r/ ftrt* filsve-a*.- Lo.
<br />u,,,,,, *"ln arc of,or' 7<r'( t- -, ,*,^ ? f t lzt c'zz,
<br />I cdiry th.r in th. Ffon.ffic olrhc worl fo. shsh rhir pmil n itru.d. I dEll nol mploy oy !as. i. &y m&na
<br />$ 6 ro b.c.e iutid ro rh. hrl6' mnF6d6r Ls of Glifomir ald rsc dl, if I tlD,ld hcor sbi-l ro llE
<br />mrl6' comedsnbn 9royi.i,E of Selbn 1700 oldE ti'o. Cod4 I tlull 6tdvnh onpry snt $oi Fovnio6
<br />waRNlNC l;iilur.lo surc {ortm conrposaxon covoag. i! unlrw
<br />rivil li.B up lo or. hu tr.d th.ued doUm (1100,000). i. rddil n. denas6 a Fovxlcd fu
<br />'h.
<br />,,,,,. L lr. lzn2- a
<br />I @ rjlm u,xrr Fult, of Fjuy thi I m li€!.d
<br />of $c BBB !i PbfdbN cod., rn m, lk@ t
<br />i.! *nh sdbd ?ftD) of Dniron I
<br />o11LL24 91.. L1"l -rdo7(L
<br />- l- ,*" 7 f lc lL.ozt c-,-"ip1,2e,a- &4,s**-
<br />collrBllf,lqN.LElilaclcElcl
<br />I ha!6y .fm u,rdq Frlr' ot Fjury llti rtE ii.6.rn ib. lqldir tttry for llr F6mre of llE w.r fo, qtt! $ir FDi i
<br />i!a.d (S< 1097. civ. c.)
<br />arlucl$LDlgllAno!
<br />I ho+ a6in uodr pcn.hy oapojury on. of rh. fouowing d.(ls.lioN:
<br />D.molirior Pmils-tubGro! Nolific.lion !.d6d R.suhioN (Tiilc 40, P[16]
<br />R.quitld lrrs of Nor'6.!ih
<br />I cdify lhrt rh. f.ddll rcruhrioB (Bedr8 abcro! rdnold s. nol appltablc $ lhn poj<r
<br />-.k lr!n-'t rhd I h$c rud,hs.rpl' iiu46.rd Srdc t {s ELit ro
<br />n bcond l.*rr to comply n'irhall Ciryrnd Coul'
<br />.dlsE rFsrr n 6 of fiB Cnt !d Couq b 6ra upon dE
<br />aho\. Imrion n F.Fny for
<br />rt,Dli.rnl or '\!01 Sirn.lurr
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicatrons 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 />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meler Release
<br />Rough
<br />Service Meter I
<br />FINAL 1lt1 '/[y t\-'(yJI a,*87
<br />Notes, Remarks, Etc t,'i
<br />Rev. 0B-07-20'15
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<br />Irrb 3 A&t<
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