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ELECTBICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS O}YNER BTIILDDR DU,(-ARA'IIoN
<br />IlErebyrfrn,u.rp.nrkyofp.rrr-vthar I m.r.nlpr IrutrrrlE Conh(u6'Lic.s. tiv ior rhc lolloring r $n lS{.7011.5
<br />Bu\in*s ind Pdassi.n G{c) Any Ciry n C.oDry which .cqtrncs a p.nnir to c.nnrud, ,hd. irpi.v.. d.n ish oi dpan y
<br />ntodm. Otur ro irs issu €. !h. Eqtr,Es rlE apdi.,nr hr *u.I Fmnr b 6l.a sis'rd nai.ftnr rlN lEDt sh. N lt rEd pur$anr
<br />ro rn 0ovi\ionr oi rh. Cnnradois l.ic.ns.d Ir* (Ch.flrr L Cobmcncins wnh Sccrion r(XD ol Divhhn I ol rhc Borincs md
<br />Proie$Nn1 Co&, or rlBI fu or nE is ere,U rlu.fro , tr'rl rlE br*B for (lE ullqed erenprinr Any vrl ion of S{r D. 703 1 .t by any
<br />arpli.rnr for r !.nnir subj.c(rh. npnllcrtrtbiovilpchrhyofnor,mr.lhunlivei! r.Jdolln(r50o)
<br />l.$ ouns ol rh ,)nrpcny. or nry . Ilo}tcs wnh wds.s is rh.n v)[ ..'n].Enr.rion. $ do rh. w.rt and rhc stur@ i mr
<br />iDl.trd.J or olT.r.d ntr srl. I S.r 7ol,l. Busifts ind Plsf.\$N C{d.: nr. Adri.tr{\ Lic.n\. b* dcs nor appll ru 3n ormr oI
<br />tlE |nllny wl$ ldlds or rt,ov.r rlrEnl ud wb {nrs such s,fi him.llor lE6.llor rhrclF[ hi\ orhsto!trenDk,ytd..
<br />pr.lidcd rhar luch irn[norqEDh . rn inknd.rl r(nturl ltr$L.,li lrucvci rlf, t{iunE.r irrpmvcrmd shklenhinorc }!r
<br />ofcon{bin\ [E O*rcr Build.r will hry. rh. bu,dln oI pnx rs rhd h. or $.
<br />'lLd
<br />nor h!i! or nr{,mE lh. pmpdry Id i ourp]*or
<br />_1.{so*n.rofrhernDeny,rhcrclurirel}conkr.ri!-!sirhlictredcont*b6n,lan{rucirlEpmjcctls.c?{l,l4.Buiim$
<br />uxl Pluf.ilbtr Cod. The Conr(ktr r Lr.n\. Lls &Ei not alll)ly b rn o*ftr of lfoltd, who hilds or inDhves thueDn.
<br />atu] rho .ontds Ltr ruch prDirls with a 6dmclo(n lkcnsd puruMr 1o rh. contacdk Lie.sc Law).
<br />-l
<br />krr.rnfl tr u Sedn,
<br />r.oB[!a gullNr iu!
<br />IEII4.BAII9NIlrnh!rlli'Dru o I]lDhv.f N,turyonc.rrh.ri'll,iringdrrl alnnN
<br />.2:llEv.anJtr,lln'r'nrurC.nrfi!.o,C'tr.nrn,s.ltlrluEfo.$ur*6s.otr{EMion,asltuviJ.dtorbySah,n3700ofrlE
<br />6ho!culc, rorrhcnslry'tuRc,ti\crlrk lo, !hrhrh.nfl nJI a h.u.J
<br />-I hav. .nJ *ill trri, rin wo,k.^ .onf.nsarnD nsuru]le, as ralu,ftd hy S.crur lr0o ot rh. ljl'or CL'd€. Io lE F fomuru. of
<br />rlE $.!k for which rlis If,r tr,ir E i*u.d My worklas' q'Irusri,,n nnurd.c cda drl li,licy nunh{ {c:
<br />-l..nilyrl'd
<br />iDrlr tf,rionnDcc olrlr work n wh'!hrhhr)c,nri 'rsurn.l n'illtror cr oyrtrylf,isor n rny manrr
<br />s as h b.com subjccl ro thc wo&.h ohp.nsdiotr llwr or C{lrroiri( .n'i {gree thd ir I \buld &cotu sblcd r. rL
<br />sorlqJ .onDcnsdlou lx)rnons o, S..rion l7U0 ol $c tjlx, Cotl., I $Ell. lodhwirh llolply wirh lhos pmvisio,s.
<br />WAIaNING Fa'luft ro sur. *orl.s !u'np.n$Lom!.tu3c rs uol.vlul. ind shlll suhjdt m ffplortr ro fiminulp.@hlvnd
<br />!'v'l tuk\ un r' i,tr. hutrdr.J rlurusdil Jollan (!lm,oibl. in rddnir ro E con of uonf.rErion, d u8.s a provid.d for rlt
<br />sruon :lo7o or lhc Lahor Ccl.. 'ntrcn a.d .hmv(l(s \:::2taluLT,M
<br />-.. DCENSEI'CONTRACTOR
<br />DUcLananoN
<br />I h.Eby alIrD und.' p.nah, of p.rju, rhat I atu licaMJ und.r pruvnFn ofch.pis 9 (conuENitrg *ith S(tion ,000) of DivNiotr 3
<br />or rhc BusiEs and lmfcsiiom Cod., and my lice6. is in lull lore nd .ff*r.
<br />c-zo /
<br />w., Z- 2 </. ?aZ ocdt
<br />laNnl3.Uerulll.INplNc-6lilNr}
<br />I hc..by alllrm undcr Fnaxy oI0.rju, r- rhd thc.c i\ acon{ructi,n knding.8.rcy nr thc p.ironnamc orthe rork hr *hichrhi pd'nir i\
<br />n$.d(Se. ll)r7. Cn ( )
<br />inF islrsrN romvd u. nor u,iicablc lo $n pni{L
<br />rl rfu lhtrc itrnxn'do, n.onc.r I {[rlcr'({U)l!wil,trll( [rrod ()utrr]
<br />this Ciry ard G)unry b ents upor tlr
<br />,n ", Z'2?2oza.borc trEnriotrcJ popd! ntr
<br />,lrpli.anr nr,lr0tSipnl(
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Buildinq
<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 />Ceilinos (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Ivleter Release
<br />Rough
<br />Service fvleter I
<br />FINAL 3/V/z D zN4
<br />Notes, Remarks, Etc.
<br />DATE
<br />aEEL!C4BUES!484.!A!
<br />I h*hy .ntur undcr pcnalty of pei(, onc of rtc ftnlo*in8 d.(lsarn,nr:
<br />DenElirion Pcm t-A!b.io6 Ndinc{bn Rd.rd Rc3uld|n'NGirlc40. Pd6)
<br />-R.quir.d
<br />lrtcr.iNori6orbo
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<br />Rev.08 07.2015
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