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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET A!ll,DI]I' DT,X-C,ARATTON
<br />I h.r.by lIfrn, unti.r F.nrhy of p.rFy thd I dr .r.tr)fl tonr rh. CnnrfrroD U€n$ ljw fq lh. follo*in! taen (5{.7011 5
<br />B$in.ss rd Pr.lt$hn C.dc), Any Ciry.r Cd y which ,cquncs a p.ymir o conqBct, alrq. i'ryrovc. d.mlirh oi top:n ry
<br />$rudurc, prxn b its tsuaru.. aln, Equirl rh. rmlrdr t|r su.h Fr.nr ro lih a siSEd sr.r.m!l rhrr h. or sh. n ICHMJ Nrsr
<br />h th. pmvisio$ or rlt C.nt..lofs ,-iccnscd Ir* rchaprcr 9. ComhcncinS *nh Sccri.n 7(r).r [rri.rn ] orth. BusiE$ md
<br />Ptuf.$nns CoGror Er lt or dp is .rdnu rher.fn,n $d rlE b3ir for tl* rlh3.d .r.mnri}tr. AnyvnLtioooISdrion7031.5 hyany
<br />irlliclnr forrpemir sxb].c( rlr trpplic!trtt.rcNilp.ndhyolnormErh.nfiv.hundrcddollrr(l5lxD.
<br />L 6 .!rcr or rh. ,roFny. o ny c'rybyccx *ifi *a8cs x rh.n v1h drnE nsdi.n, sill d) rh. *ot ad th. rmrm a m(
<br />inrcrd.tl or ofi?r.J fd {lr (S{.7U!. Busin.s\ and Pmrcsiotr\ Cotl.: Th. Contacror's Lic.n* L:r &tl nor apply ro d owEr of
<br />rlE ln{dy *ln tio'ldr or in{rows rlEHn\ a vlD dcr such tu* hrmclf or lPrsll o lBulh his or hd own..Pbyta,
<br />pr.lidcd fi.| luch nnpmwmirx m nn irr.nd! or,rldd tu slc. Il, lx'*cti Lrr b{ dirt3 G irqxowEd ix sld w in oe ra
<br />oi.onphr I rlE OwE. Buil&r wil hlE rh. bur,l.n of provng rhd h. or rh. did d bliltl Dr in!.ov. tlE pDFly lor rtE purF s o,
<br />l..r own.!oarhc Irep.ny,0m.rclusivcly.ontr{rin! *nh [(.n*d coitkrosro c.nntud rlE Flrr lSc. ?044. BusnEs
<br />dr.l P$kisbtr Cod., lh. Coftrctoi s l-icen\e Lr* dcs mt ipnly ro d D**r of llIopdy $ls builds or imrn,v.s rhqsn.
<br />and sho conkek lq och prorrk wnh a codtur,(r) li.cn$d pu(ud ro rrE (tJtudoas LiI.s La*)
<br />Ia d.h ! .,S.ch
<br />jtlrStrDEc.cautENArqd
<br />DECIAXAIg!
<br />I lx(by .ltuB undcr rcn.lty.I l.rtury om .f dr n b$inrdelmtions:
<br />I hav. lxl will nrrnrlh s C.d iltlr ol Cons..r t, S.lalnsur lor worlm corE tudon, .s Fnvid.d tor by Sdtio! 1700 ol rh.
<br />bhor Cod.. for rb. fdnn,lw. oa rh. rorl Id qhich ih. pcrnnl i! i$u.i
<br />ffi,r*rill Darriir worlt.r' cotrp.nsrlon ntruaN.. ,s r.quird hy S.cron 37m o, rlE Lali)r CoJ. for th. Frfonru'r. ol
<br />!,lnch rhh lErnnr r trucd. My' .:nnrJ-q,(lcra sra{rnvrtr,n'BU . rJlft, dltLl'!t nutr,b.' d.
<br />*Uca /L.Z/,
<br />_Ic.dilrrlLt dE trrfunutrcc of rlr work for ehrch$F pcrnir is i3surd.l shrll nn rq)loy dy n rsn r rny momr
<br />s ast b.cotrE subjcci r. rh. wo*clJ c.nlp.nsri.tr l{w\ ofcrlif.mh, dnd a8r.c Gx rfl sh.uld b.coE {ubJ.{t rotlr
<br />trortdi funlp..slDn pbvnons oI S.(DD 1700 ollh. Lbor Coi.. I r&]t fdhrirh .!.,ply wtrh rhos pmvsDtrs.
<br />WARNINC: Frlurc (o *.u'. !o,\.^
<br />civil fi .s uf n, oE hlMr.d rltr'usunJ
<br />cDnip.ns,rion.ovchs. ! unla*Iul, nl sh0ll subj.d an cmployct ro oiminul FEiE 3nd
<br />rlk cor of conF.rsriun, dcu8.r s nrovidcd fitr rh.
<br />k 4"-'
<br />!!!I!!E!)r!ttq&tcrctD!!L adMl!
<br />I lEEby aifuN unLr p.Mlly of p.rjury rlur I an 1..'Lql und.r p.ovilioo of chaprd c (coouEming sith S..tion ?m0) ot DivBion l
<br />6I rh. Busin.ss.nd Prcf.(iofl6 Co'1c..'rl ny lic.trE i\ inatrilfor€und.fi r
<br />Gt-fooYttl
<br />-t(1t
<br />l:a!$&ucu(}tlJNpaclcEUct
<br />I h.Eby rnnm undc' pcnlhy .l pcrjury fid rhm is , .oNDcthn Lndi.8 {cmy lor tlE lcrlomNc or $t *dl lor *hth rhb pdmir ir
<br />isiu.rl (sF. l$)7. civ. c.)
<br />4I!L!g4NLDEC!ABAI!O!
<br />Ilu.ty!nim'und$Fndryof pcrjuryoncof rhcn k*j.gdcl{arions
<br />D.tul(ion P.rnxts-Ashe{.. No!fi c!li{'n lcdcral RcSulariom (Tirlc 40, Pd6)
<br />Rcqtrnrl t-.l(r ol MiL{nr0r
<br />_l .eniry rhii rhc Ldcrar rcSul ioN rc3edi.3 .sb.sLs rcmvd m n t appltrhlc k rin phI.i.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / (ouflaini I Uf en -?-L20 2- Ct sNEPe >r'Zn
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soffit Flouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />I\rleter Release
<br />Rouqh
<br />Service lvleter 7-Gzo k Q-t =,Je,log
<br />c 7t7
<br />FINAL ?-o-zo P- c)gp rdt\ *\1
<br />Notes, Remarks, Etc.
<br />Rev. 08 07-2015
<br />Dcr.-
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