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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS OlT NEA BUILI'FI DEIT RATON
<br />I lF.b arm un& Fdty ot Fiury rhi I m Rmpi fr.h lh. Co,r1rl6 li.* L.* ior lh. fr'lhsrB r@n(S<70llJ
<br />Buin6 ud t ofdFn Co&): Any Cny or Cou y *6ah t.quc t Fm'i kl oarM. .n.. imFovq &mlilh or re.n ev
<br />3rruclu., Fb. ro irs isue.. lho r.qun< lh. 4pli.ml for such tEnnn lo 61. . rign.d .l.lm6l lhn h. or it. i licd&d luBurm
<br />lo rh. FovtioN ol UE Conlrtdois l-i.6!.d lj* (Ch.p. e. (-.mnctriiE wilh sdion ?0o0 of Divilio. I oafi' Buri's ud
<br />Fru,BrN Co&) d lhx tE or sh€ L q.t,l rhd.6om ild fi. tEn lor th. dLscn.rml,hi Arvvioltrionofs.tlion?01t t tv,nv
<br />rpph.di aor . Fmi st alr rh. .ppli.xr ro . cilil Fn hy of mt m'. rhs fi\ . tutu &llB (troo)
<br />L c Nc of rlE F.Fny. d my dDh,6 rdh $.86 6 llEn $L mrFMiotr $ill ,r dE *dl ed dE rME u @l
<br />inrad.d or of6.d f.r et. (Sd.?044, tlNilB 6d Pref6lioN Co<r. Ih. conrrdoi! l,i.e tt$ &6 r, Tplv lo e ow.f
<br />rhc lr[Fry vho lnil& or iqmE rfiqor rd who do6 Mh sd hiru.lt o, h@lf or rhF!8h hn or hd oq ddovc.
<br />provid.{ thal soch isFlEBn! E ml i.lod.d.r or.td aot sL l[ ho*6d. rh. hlildqg or inpltod n sB whhih om ]6
<br />;fompldio( dE OrE Builb *iU hlt llE hr(br ofF.ltg tl{ lE m !h. dn mi hild o. itrsDrt 0E FFry tu $. Frpo* of
<br />l. s oxG.f rh. F.tEly. E dch.i!.b .o d,8 wnh k.!d..ddoB ro o'dru.r
<br />'lE
<br />FDF (Sc 7044. &ffi
<br />.rn hrkis Co&: Tt. comdoir Ltd. Ltw do6 mt q'Dly ro x 0r'6 of FnFd, who boild! or imprord lh6oo.
<br />and who co Ecll fo. tuch Frjdr *th . Codtelo(r) licoed p6M lo th. Codrr<roi. Lhde ljw)
<br />I Mr.xdpl uDddsdln.
<br />D.r. ()ird
<br />tlol.xrRs' ( oslPflsarlol
<br />OECLl&lIIlll
<br />I hd.b!.inr und( F{.h r .I psjur} onc oa lhc fullo*nrr d(l d'.ns
<br />I hrv. !d will tui.hin ! Cdiar.l. of ( ongr b S.lf.l6urc f.r mrld c.npd$.lion. d Fovidqi fo. bv sction 1,(x) o f lh.
<br />td.r ( .de fo. t,E Ffolrlm. oadE *ott tor *tich llE Fan a iiru.d
<br />JIlI$.dwilttuurli.$. G rotrp.rEdhtr iEff. B Gt(iErl btk.n 17m of fi.l,bor co& forllE Ffolmof
<br />ttE $dt tq f,hkt rha Fnn a isEL My wd6 @tr{Esiir. iMm ffit .n poltt mEba r
<br />,,.,- Slola P,.,rnrL
<br />*r,., ^.,u' (?.\\0\tc U4LO
<br />I c6lib lhrl in rh. Ffolffi otllE *od i, *nkn rhir Fmi! s 6u.d. I sh.ll mr digby -v F$. i. Dv tuE
<br />$ c lo b<oft .ulid lo lh. *utd @nqEBrion Lx: of C.l'fonil .,n .88 lhi if I nhuB hdoE suh lo tE
<br />mda sn d6.li,n Fovi'ioN ofsdm !?()0 of$. ljbor Cod., I dtll. fonn* fi snlplr *th dor FtvLioB
<br />w/ttlNlN(; Fsilur. lo Guc *!rk6' ..mr.rdion .ov6!s. n unlirvtul. .fti lhflll rubjd 6 o.plors lo dii.d palnls Md
<br />civil frnd up ro oN hudt.d lhoued doll4 (tloo.oool in .ddnbn r rlE .or of conrsslIio,t d.,r.sB E ,roYid.d tu th'
<br />s6rFn 1076 of ih.I.Lr(o&i.ldt r drdr.t s fc
<br />o.*, \12-l Lo u
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<br />,\r9!o!l
<br />DOCI.AXATION
<br />I hdby arm und6 n nihy of p.rjury lid I m licEs.d undd Fivilio. ofchapld 9 (comtrin8 $ith S.(.lao. ?000) of DNlion ]
<br />{f rh. BGi.d ed PrctusioG Cod.. dd my li.ry i! h full forc dri.ildl
<br />b ro?o\.)-7
<br />,,.,. \ itlm
<br />CAIIIBUSUSNIEdDIIC.ACI!(}
<br />Ih. ry.nm !n& Frlyof Fjury rh. rlE ir t oldtudDi lddilB.S4) fq lh. F nr'lft. of lh. $vl h, rti.t thn Fni i
<br />s.d {sa 1097. cil (- )
<br />APPLIC lIT DE('LARATION
<br />I hndtrtrmu .r[q.t,of FjuryoE.IrlrlollowirB&(l&.lhn!
<br />Ixmh i'" Pmnl^rtBot r,lolifurion r'.d6d R.SuhhN I ri L {,. Pin6,
<br />Rcquir.d rntd ol l'{di6.nb,
<br />I .qlify lhd lh. t dd.l EgllalioB E{rdina Bb6los dorsl s nol +plic.bk lo rh! pojar'
<br />I .di$ rhr I h.\r rdd rhi! 4?liaion rn Jld. lhlr lh. rlnlc infoddirn ir cddl l .{rc lo oEglv sdh .ll Cilr !.d Co!, ,
<br />ordiB6 rrd SE. Ls! ELns lo t ildnr co'dfl.liotr.n lEtU).!rh.iz EFMrntr€ of lhs Ciy.d Cooilv lo dq l4on llE
<br />dn\. EE{nn d prop.n} for trq!.li,t p4F.6/i
<br />^ppo.ur
<br />or A.or strrl. - Yt --fi-'' n,fzleQ
<br />l'(rn,i(t nin. rprn',): Nr,4..xl l>-,O'lovt O
<br />Site-Work
<br />Underqround
<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 />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rough)
<br />Meter Release
<br />Rouqh
<br />Service Meter +./
<br />FINAL t\uY?c DAt).o sr "tr tl
<br />Notes, Remarks, Etc II
<br />DATE I ID/SIG. COMMENTS
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