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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O*NER BUILDER DEII'ARATION
<br />I lE.Sr .llrm un<tar F!h, ol Fj!ry 'hn
<br />I d a@,l ftoo th. c.draroB' l-i.@ lt* aor rh. foll6*in{ la)n (Sd.70! I 5
<br />Bain< .,'d Profdion ('o<h) Ary Cny or Coudy rtkh r.9un6 r FBn io md d. .hq. ioForq &tutieh or rq.n ey
<br />tudu( rh. ro ir. itlea .rio GI'n6 tlE @lien hr sch Fhn to [E . r'BBd xrd@r tnr h. or .lE it licd.d Frur
<br />ro rh. FlrBioE ot rti cod6.ioa. l-i6!.d Lrs. loEFa c. connl*irs u'rn s<rhn 7n00 or Divirih I of rlE Buir id
<br />PmfdoN Cod.l dr $d lE Jr i! aanF Od.fom &d,E bdi! fo. rrE .llcg.d .ioptbn Arr rblnbn ofsdion 70ll tbrn,
<br />.rplker lor . Fhil rt crr th. Eli(d ro . civil F hy ormt mE fid li\. hun&d d.ll6 ($m)
<br />I. a 0$6 olihc FtElt, d n! anpb\6 vnh *rs6 a $ci hL conFn s6. sil & {r trdt nn rh. tuG i! d
<br />indrt d orolI6d lor r]. (Sc 7044.8Ei6 md PbftlioB Cod.: Tn (-offidrLt.@t wrh.!mrFlybDo$Gof
<br />rh. FlFry sls tlikl or !rFD\6llE6r -d DdBshw ti'Ml,or lE*llorll@u8f h!dh66woploytq
<br />F.ovidel th.l ruch imFoffi E d idcd.d or olfq.d 6r rl.. l[ hqn., tlE boildn{ or irs!\qEn i] $ld *ihn w }s
<br />oa..,pldill\ iE OsE 8lilda $iU h.rt UE hlrt ofFoyiis lhi lrortEdd rd lnild or riFDE tlE FoFty 6rft F,ro*of
<br />l,6oqn6oarh. pn{Ely. an rrcl$ir.lyconr.dinS $nh li.m.d.oita.ri6 k, ('tr(tud lh. t'oj(r lsa. 70.14. Bcm6
<br />Md Pllisri,n Co&: I h. ( .ntr.l(tr-s I -i..m. Ldw d.6 nol apply ro M o* n6 rr prcI).n v sho build! 6r i6pr.vB rhdon,
<br />and who.onnncBlorluchprojdtr*ilhaConldto(slltc.druBuMrtrrh.(ontradoisl-icNL.v)
<br />I an.\or undd Sdnr , B & P( forthb r6on
<br />,hle Ornd
<br />$ oRI(ERS', aOrrPi:NSA rOi\
<br />![odSalla!
<br />I h(.s\ aflirm unds Fuh r . f FJ(e on. ot lh. aolhtr o* d<lJd tr,N
<br />I h.\r rn ull tuidlin. ( orifrcr. ofcoElr ro S.lf-l,Ee frr srt6 sm!d!iu. 6 F$rxLd for tr S.6i,.1700 otrlE
<br />L$q Co<E rm lh. Fti'rm. of llE *(t for $nth llE pasn i is.d
<br />\I h.r. rid *nl mifl.ii trorid onFu.lion ill3llllfte s Equn.d r,, Scrrn l?OO of dr kb.r Co&. to. rlE Ffollll,e of
<br />rhr s.'L f.n shhh rl,a 'r,n r tr A\Nl \tr
<br />,.- S+."Lf"J $ort6 omFsion iNiucc c.,E rn Fnay nunlE ,.
<br />qfu1fzo4o3Ltt s 6-
<br />2l cdilr rhd ii rh. Fntrmin...lrh. !.rk for *hich rhB Fnit is Nu.rl, l ihrlr nor dddy my rd$n in mymdffi
<br />s ee to tE(otr'c s'bjd n' lh. workoj (ompasiion l.*s oa caliromir, and +E r ld if I fi)uld h.(om. $tt at L thc
<br />*o.km' .orrFflral io. p$vriotri ol S6t ion l?00 of th. tjbo. (i'&. I &\611, fonhtri h cohply sith lhor Dn'vlsions..
<br />WARNIN(; FriluE r. Ku. *ort6 comFMion sr-a8. B u.l6*tu1, !d trh.ll .uhJd M mplord ro ainin l FMhi, md
<br />.nil nn6 o, ro .n. hundr.n rh.(qnd {hlld (1100.000). in rddnion k th. ..r ul.omFeiio.. d&Eg6 6 Folid.d for rh.
<br />Sdrion 1076 Dtrh.litb. (irl. irr6d d*l dhrE! s 46.
<br />DEC|IAAIIA!
<br />I heb, r,In u,ib FuIy otFjEy thr I @ li.q!.d @(b FDriiih of Cr!.9ro 9 (onl!,E'.a wit Setbtr 7000) of Dnirbn !
<br />ot rh. BlBi!6 !d ttoid.i6 codr. id m) lios t in tu[ 6R rn.ft(!
<br />(tns.('.I\\ 15*" vlz f 11
<br />Ss1a4 6
<br />NeX.rs e uAl {t *^t
<br />corirBuquqNllrlDlxc.AcEd(I
<br />I hd.f,y rmm un(k pftrhy ol p.rl!ry rhd rh6. t , oalEdion kndinx isnc, lnr rh. pdh@n<. of rh. erk ft)r rii.h
<br />'hi!
<br />p6'ni a
<br />tsucd (56 llr97, ( iv. C )
<br />AIILICANLDESJX TAX
<br />I h.rr'! !flinund6 F!.lr) (fFjury orolrh. tolhtrrs &.lu irE
<br />Dsrchio. Pmnl^rbdor fJorili.dnn F.d.r.l R.suLrhE { rnk &. P.n6)
<br />R.quircd I .(q oa t*riftrir
<br />I .drat rhd rrE Ii+..1hBlhbE l+dinB c!6r lge\ilr. hr ,mrk.bk k' rhs F.,.d
<br />I.dia, rhd I h$. rad rhi rrrlr.tioi orl $dc rh $..trr inlomdn h 6 cor.d I .src to .omplt snh rll Cn, Dd Cornry
<br />.rdinu.6 lnd Si.t. I j{r dd'ry t, l{'ldrn8 codrucl{(h6.tv au!n,u. rcl,Mtrh\6 {)f rht (itt Dd ( du.r) ro 6rd utDn llx
<br />t&\. m.Thom! pfl)ndlt nn
<br />'nstEr
<br />tr)n l)u,
<br />\ rli. r r rxor\i,ltrritr
<br />L;6ta1-
<br />nlzltl
<br />Site-Work
<br />Un derground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<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 ll4l?o 1l VZtlttCt-zr)
<br />Transformers U I
<br />a--
<br />To rqueing
<br />Sub-Panels t/4/b 1%4)
<br />Air Conditioners t
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough),lqlP 114 ,4)UL
<br />Rough
<br />Service Meler
<br />FINAL U4lZe IV/1W u4r4 )
<br />Noles Remarks, Etc.
<br />",,.,L|n./t1 ._(-) ar l-.-
<br />.rl
<br />vl1,r"fl:
<br />Meter Release ,XYr*tLtJ
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