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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.OWNTT BUII,DER DEI,( ARATION <br />I h@t, .lle unttcr pqdly ol Fjury lhn I e .r@pl nln lh. ( odr*loE Lkqg t4 f.r rlE folloe6g @n ISe ?0.11.5 <br />Brird dd Prcft$iJn Cod.): Art ('ty o, Cody shth r.quiE . Fnn ro coinrud. rlrs. nr{r.ve &mlirh or t+.n -y <br />nrud@ Frrb nr Lw.. !k EquiE thc +lkor forshpdmh'o nL.!Ui.dnndd thd lEor 3lE i li<o!.d FE5r <br />to llE Fvi.ioB of E Cofirrlo! Lko!.d L.s. (Ouprs 0, ( oMins rnh SErion 7(x)o of Dririon I oa th. B6iK rirl <br />PmfsioN Co&) - rh.r lE m CE i! s@F rlE.6om Dd rlt hBir fo. rlr .lLscd .rdrFion Any viohbn of S<rb6 ?0! I t by dy <br />.!pli.d for . F6t $bjaf3 rlE iprli.&r ro . oril Frny ol mr mr. rh.n fiv. tu,xlEd rblls tt500, <br />I. s oeE orlh. FtrFly. d n, anpb)c snh $ls6 o lllr $L @ft!6!iion. *i[ & th. *ut.n dE *rdE ir mr : <br />lrsrdd d otu frlr rk (56.7044, Bui6 a.l PrtrfBnB co&: T1a Codrxrq'i Lile tls d6 tut {pty lo m o\G of <br />rh.roFty wh. hrn& d iryB6 E4 rn rio d6 un wl h!rulf or lE*lror tllDI3h hir rlE o{r olployE <br />F.!ir.d rht *h i,VortrEg G bl ndd.d q olH 5. rl. l( hoEG, d: h'ldlB d ilFlrqd it sld witr G )totwlpldbr llE olM BuiliE wi! lrw tlE hd.! otFDrt $. lE @tlE dn d huild o irgoE dE Fqdty tr dE F ro*of <br />I. a o*nd oldE FoFry. e Bctu$d!, codrdi,u s nh licdBdl codftd ro codM tlr Fi..t (s< <br />dn PDk inCo& ItcConrtuor'3Lk.G tr*rkE@r q?h <br />sd uho oidr ror $ch Foj€lr unn r Col,rro(3r lid!.d <br />pc.ahy of pqturr on. oarh. fol <br />I h,!. ad will tuinr@ a Cdtificllc of CoMr ro s.la.lBoi. tu. rorld .omFM tun, s Fn\ nH for b, sErio. I700 ofrh. <br />l,bor Co<t . for thc Ffor]rr4c o I th. s.d fo. $ hich th. F-ni ii (tu.,] <br />Iha\.,.dwill'n!i.lai.s! 6 cdnp.Earnrn insurrncc. &\ r.qr,.d hy S(t ion 1700 of rh. lrh.r cod.. aor ifi. pcfo,rm.. of <br />rh. s.rl lor which this ponn i3 isu.d. My*orksi conll{nklion itrlurM( crrid dd Brlicr nunbd ft <br />Poli.yNumbd: <br />I cdi! Ihal in lh. pdfonnancc ofrh. uorl nr shrh rhn Fm is su.rl.Irhrlln.r dllllor, lny pq$n r rnyndnd <br />r a ro bdoc llbjet ro thc *uhd' co69..8dior L$ ol ( tlitomi( od .gr rh! if I rhoutd bdom rber ro rlE <br />mrt6 ong@dir. Fovi3ioN ol salion :r?00 of rh. lr&r ( o<L. I !t!ll. fonh*irh orply qith lhor FovtioB <br />W RNINO l-rilurc to su. *ort6' <br /><r'il nn6 up lo oE tu.d.cd lhou$.d <br />t2 <br />I h@by .tfm mda p@jry or pqjurt fir I e lirlcd un& Imvibr of (]rds e loffii'B wnt SErion 70@) or Dn irion l <br />or llE BuiIB !n ProrBn6 Cod., .d my ltox 6 h tull Lrc !'d .rd <br />(oNsrqfia'TmN LrinrN(: aGEN(1' <br />I hRq- sffm undq F hyof Fjury lhd rlE. t r codru.ib. bilu lgsy for tlE Ff()ll]e. of $. @rt 6r stih tnt p6oi a <br />nsu.d tsd 1097. civ c) <br />AIIII(IXLDICIABAIIO! <br />I ho!6r arm lndd Fidll, oapdjury on. ofrh. aollowin* d(lu!t,o$: <br />Dmolition P66ns-A.hdtos Notilicarion F.i(il ReuhtioN ( l'nl. 40, Pd() <br />R.qun.d Lcll6 of Nolifkolion <br />I .di8 rha rh. f.d6al r.gulal ions .cSsdES <br />I cql ify rhd I har c ied <br />'his <br />rprlrd Fn I r*ia lo (onpl, wnh dl City and County <br />ord'Mn.6 rnd Slrr. lj{r Eh ins ro 6 olrhlr (1ry md Comrtro <br />.bov. Mri,ncd p.op.(y for <br />Apt,li.rn! or Asq( 5i*nrttrr. <br />4 <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life S afety /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 Rouoh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter n <br />FINAL '.r --Na t1 <br />Notes, Remarks Etc /7 7 __Tr <br />COMMENTS <br />.7 <br />4- <br />I (.@ Nrmf.r <br />Site-Work