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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/srG.COMMENTS OWNER BUILDER DEI,I('ARATION <br />I ha.t'y rrrn undq Futy of Fiury t[i I m .r6qx to6 llE Conrrr.c Lk.g L,* for rh. t lloviny ta)i (Sc.]011.5 <br />Burici an Phadion Co&, A.y Cny or CiMt "hkh Eqoi6 r Fmi ro odrud, dla, inqroE ddtuli\q rqn u} <br />slru(ue Fi)r to irs irBu&c.. .&o EquirB th. .pplic&r for suh Fmir ro iL ! 3isn.d !ra@r rhd h. or rh. ! licd!.d puB!.,r <br />b rlr FrvbioB of E ( o.nxlGi Li6..d L.* (Ch.F6 0, CoMin8 Bnh Sclhn 7OO0 of Divtbn ! ollh. BBi!4 dd <br />PmfdioB Co<!, d rh, lE d tlE . annF rlEd,oh..d rh. tGa tor dr rlh.d a6Fio. Ant liohion ol sdih 70!1.5 by o, <br />lrpli(mtfor.pcmhrubjGlrth..p?lic!.llo!civilpanhrofnormEthafiEhu(nddoua{t500). <br />l. 6 o$c.fth.FoFiy,oroldpht6wihs.s6drhd $L@,rF!.iotr "r[do tlErslndtlt$dEi!d <br />idarLd n otro.d fd rl. (Sd.r0{4, BuiH ad PrsftsioG ('.&: Tn C.dr*1m'j LicGv l,w &,6 rcl +pb lo u ow of <br />th. FaFn) *hr hril& or slovd rhosa dd *ho &6 lch rFlt hns.lf or h@lf or rhough hi! or lE oM f,plord, <br />prorid.{ rlln ((t ir!F!\{1!t e d irarLd or ofisd frr sL lf. hosBs. tlE hrild,| o. uqmEld i' bld wirrr m )a <br />of(nlPldhtr tlr orE hiltr *il ME lh. h,&r olFotnB rhr lE M iE .,il d hid n inFoE ln. FlFty 6. rlE F po..o[ <br />l. Eo*E ofrh. F.Ft!. d.r.l6nc! c.d.rri.g tr h liGed conln<l.E ro 6rrd.i llt F.r6l (Sd ?O!1, &!!B <br />ond hoke ( od. -rn. ( onrrrror! LicG Lrtr &6 mr q:ply ro s o*.8 of FoFr) *ho t{rldr or 6pror6 lhao.. <br />lrd who odnd. for ruch Fjd3 *irh ! codrelo(q li.dE d pnBUd ro rh. Codrdoi3 Liels) <br />I dn.r6nF undd Sdio. <br />D.r. orn.r <br />laBtrE&t(l)llrE!$tlat <br />DICjrI&!IIAI <br />I h6.h! rmrfl und6 Fn.hr ofanruD o.e of rh. follo$ !4 d..LrinoB <br />Ihrv.!i*illNi.nr!Cdif.rr.ofcoefllos.lf-llBaforrnrl6'onpd(a'..aFir!.Lnfo,b,SarirnlrTmoldE <br />r.rv Co<|.. td lh. Fftu of lh. *vt fd *nah lh. rEnn a isrd <br />-{f,i. uu,: " ,tr ,nuinro,n " "rld t' comn<Bar n,n ,Nu' anc.. s r.q!ir.d h! S(rion :17m .trh. I rlxn aod., ror rh. !drolM.. o r <br />rha-*.rl lo, qn'(hrhE nsnn s Baaj Vr {0,16 crmr$4.t,,Nuu.( \ F nrlFlr\ nuf,hn m <br />,.-- P12iE2"Ea> f2d " z"'S , ./ . <br />n,,,*7o o,<)o ?/Sa/ ,.,,- /o/17/-z-a <br />I carilrrhd in rlE FforM.. olrhc wort for whi.h rhn po rir i! issu.{. I.hdl ml dploy r.y F6on if,.nyheE <br />F a <br />'o <br />bEom sbre1 to llx so d 6nF.rim Lrt of C.lifomq ad {E thd il I dDuld b6oft st,in o tu , <br />$..t6 comFdbn FlyiiioB olsdbn !7tro of rlE l.t r Code I trll, frnt* nh snpt * ilh lho- Foui'io6 . <br />WARNING: !!ilu,. ro su. \.rtd codrradFn co\6!s. n uiL*tuL md null rubi< m onploF <br />'o <br />6inin l Frltis sd <br />.irrl nn6 ull ro oc huid.<l itbuod d.lld (tlo0,0(tr1, in ..ld nn ro ilE .d of .onp6dio.. &rB6 a prorik aor tlE <br />??App[oar: <br />ut-Lr!l!l].Ll-B.!!rra <br />ll!(-t,la,].tlaf <br />I hcby lllm unda lsdty of eajury lhi I m U.qE d urxt r !.!vitio. oI OrDls 9 (commftins *ilh Sarion 7000) of Dilitht I <br />of llE BGiEs .d PrcftsbE Co&, rn n' lk@ ir i. tull aor rn dL( <br />?2d-T2a//2 ,"",;., <br />oa-725= <br />glrilBu(ara!-lEdDtlc-Acflct <br />I ^-r* .m n u.d, FuIy of p.rtury thd rh6c a..odnl1k. knding agfty aor lh. Ffoffi. of tn. pml for whi.h lhis Fmil ir <br />t$cd {sd .r0,)7,civ c ) <br />ATILI(AILDE(IAEd]1II! <br />I h6dy rltm undd F.lry ofFrjury omof rhc follo*ins d.rleilionr <br />Ddhlnion Pcmne^rh..lor Noxli.rr ion Fn dll Rcguh DG I I nl. ,10. Pd6) <br />R.quEn l.116oaf.lolificiirn <br />I di6 rhd rh. f.n r.l rqubtniN r.8idnr 6tErt . r.m\ .l r'. mr 4rl{.blc to rhn F.F <br />r.dify rhd I hf,. r.d rhi. aptlftri6n Md $dr.rhd rhc !tbr. infomdio. i!..8d. I .8ra <br />ordin.nc6,nd $n. L!$! clninB !o tirilding codtucri.n lrl ha@r(.urhoriz r.F6ddi!6 o <br />.hr. ffiinn J FoFll rq !4.s!!rj,r- <br />Appll(inl or s.nl Sknrru.. <br />;,,*"...,0n",,, /?rlq 7-/c.---. z.i e <br />!o conlPlyenh illCilyand Cou y <br />Irhir( nyMd (tunD lo ora yrn rlE <br />,.,, p/s//2 <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 />ment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL ')-?-zD 2-Ct9 ilr'lo\ v2? <br />Notes, Remarks, Etc