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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNAR BUILDER DELCARATION
<br />I h6.ty rffm !nd6 ,adly of p€jury lhrl I m .xmpl &on rh. ContadoB Lic.@ t s fo, rhc lolloei.g ra). (sd 70.1 I 5
<br />BBi.d tud ltotrsior Cod.) Any Cily ot Counl, *hich rdtuic r F Ut ro coBlrud, .116, imFov., danotiih or la.t Mt
<br />fiud(( rior lo its isudc., also rcqut6 lh. applic.r aor sucfi p6mn lo 6h . siancd sl[ldor lh.l lE or JE is licged puGuut
<br />lo lhr EovirioN ol rlE Conrr.crolr Lic.n$d L.s (Ch.pG 9, Comdcing trirh Sdio. 70ilo ot Divilirn l! of rh. Bai.d md
<br />PolBirN Codc) or lhll h. or sh. is d.ftpl th6c6on drd th. hdi! for lh. alL!.d .xdption. Any ri.l iof, oasdlhn 70! I 5 t, lny
<br />.ptli..nl for 3 Fnn tubj6$ lhc .pplicer ro r civil p.oaly of.ot mE tha liv. hurdrcd &'lts (5500)
<br />L a osd oarh. Flprly. or my dplor6 eilh *rs6 a rh.n $L ompd.a6,! uill & llr lct s'd r& frlxlG a ol
<br />inldxLd oroFald for d. (Sa.704!, Buin6 ed PEf<ioacod.: Tn C6d-td! Lic@ t w &6 ml lpply ro M.trM of
<br />rh.F,Frr- vho hrild u i,4Nr6 tlE@\ td vho dG d' wt hiMlf or h6$llor thrcusn hn d lE oM oploy6.
<br />Fovilc<l lhlr tu.h iEFovqEi! E ot i a'.Ld off.rcd for st If. lr*6€. E hiildi,l8 tr ul{*-mr ir nld within or )-ofc.trpkiE llE O*E AriEd wiu h.E tlE h,rk ofFoviiBllli lEo.dE dit d, hild or i"prsr rnc,etfiy 61 0E F,Fr6f
<br />L a o*c ofth. tro?ory, d 6.h4ircly .odEcrins wnh IcdE d @tnrxroB ro @tdru.l rh. Fljar (Sa. 70,1.1. &!itr
<br />&'d Foi$i, (-od.: Tt Conrr-roa3 Lkffi tIw &6 @r 4Dly lo D om6 of FoFry who hilds or inpN6 rh@tr
<br />ed rho @irr-1! hr sh Flixr! sii r Cofi.cro(r lila.d pod!,n lo rh. Co r-rtr 3 l,iw l,$)
<br />I e crdF u.da Sd6n_ _
<br />NAAf,EEIIOTTIETSAIIA!
<br />DECIJSAIIA!
<br />I ha.St rmm u.dd Frty olp6idyor oltlE hlb*ds &d&rirE
<br />I I'rv. tn *ill oin.i.. Cdiftd. of Co@n lo Sdf-llw fn wt6 orlF!.ior B Ferd.d 60r by Scrioo.t700 olrlt
<br />t bor Co<L, 6. E Ffort!.c of !E ert b. *ti$ tL Fni ir isEd
<br />I lEr. rd sill n.i .i. Nort6 oqddi.tr ill.lJlec a cquir.d qs S.dnr 17@ oalh. Ld.r Co.t . lor rrE Fal,lljlE of
<br />lh. rnt ld rtrh rhit Fnn i! i$.d My rat6 onFarbn ill.lltr! @itr rn rolrt aumbn c
<br />I cdit rhd in th. Ffo,rrl.e of th. "ort fn *nan thir FEn n B!.d I thrll Dt aphy ey Feo i. ot ltlffi
<br />h 6 lo h.om shat lo llE wr6 @'!pcrbn hn olcdifomG .,n *r lhr if I iDuld taom $b6l lo l,E
<br />mrt6' o6Ft6ai,n Fo\Biod ofsaibn 1?@ orlE L.tr Code I filL forihnh orply $nh rlrE F.viDB
<br />iIARNING: FatuE b sft *vl6' compadio. ovdis. B unhstul. ,nd ihrll sbd e dpros 16 ainMl F!ii6 rnd
<br />.sil liB up ro oft hlndal fious ro tlE cor 6l od!06.rion. d.,!C6 c Fovli.d for th.
<br />DECTASAJION
<br />I h.rby .eb uda F.r, ot Firy rnr I d '"ri.d tbdd Foririh orftarc a {..Mir8 virt Scii,. ,0O) of Dn i]i,r !
<br />ot E B6iB &d PE&IiE Coda !d 6r ltoe i! in tuU 6c d.trr.r
<br />Gto 7z7r?tth"tn .
<br />calsrBqqllQllJdotrclcElct
<br />t holby !trm u,r& F&y 6f Fjuy lhr tk! i]. od'xlih taditrg .Sdy tu llE FfrtE. of dE wr tu wfth lhi Fdi i
<br />is!.d (Sc. 109?. Cie. C.)
<br />AIIIIGANLDECIdSAIIO!
<br />I hrrb, !f,n u.d. FBI, ofFjuD oc ol rh. followins drlsn 6d:
<br />Drmlni.n Pmi!-Arb6r6 Norificnion F.d6rl R.sul,rioB (TnL 40, Pm6)
<br />R.quircd tlrd oar,bdndion
<br />I cqrify lhlt rhc f.d65l rcsuhlioB r.gsdin8 6b6ros rmov.l e. rcr a0plic6bL lo thb projd
<br />I .diry rhnl I tw. .ad thir .p9ltdio. .dl rid. thn rh. aboe. inromrrio. a condr I .grc ro .omply *nh r[ Cnt .nd Coonl,
<br />ordiMc6 xd Srd. t 6Eldm!'o hrildi.g (odtugioa Ed I'ocby.u$orn rcF.slniv6 of thnCny&d Coonr,lo 6ta upondE
<br />!b.v. mrion.d Drcldv ro, iBodhn Dur*E6 / I
<br />o,,*-,-n.-,.,.-,,*( lV4fl-. -,,,7luln
<br />P.mhi mn. (prrno: ' \ABYI.JU rb5o$
<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 />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Cgilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />/A
<br />Rough ?-/l i,l7 .>r.vlvl
<br />Service Meler \x
<br />FINAL {-t7 NW,,\
<br />Notes, Remarks, Etc.v
<br />-,., 'tlal,t
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<br />Air Conditioners
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