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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDF,B DEtT('ARATION
<br />I fid.t, rrm !.& Fully ot pdJu,- rhi I d dmF 6nm rh. ( o d6 l,i.e l.t lo. ih. f.llof,iB rd)n (St 70.! I 5
<br />Auti. nd hof*ion ( od., Any cdy or cmnty uhkh t.qu,6 r Fnt to 6dd. .hc, mPro\e dtmlirh or EFr mt
<br />lrtunnB rior t. irs isuffi., abo ,.wn6 rhc lppli(sl for su.h Fnir to nl. . risn.d sl.lmol lnal hc or dr L licd.d puBld
<br />ro rh. rrcvnirN or rh GmBrors l-i.r*J LN (Chl d9.(irftnftrB*nhSdi'nr(xnoIDnnhn!of lh. Bsitrd Dd
<br />ProtG*,N Cod.) n. th.r lE or shc n.topl lh<ciod &n llE bd! lor rh..lk8.d doFbn An) reLlbnolsdhn 7011t b 8,
<br />lDplic.nrforol.mntlbj<trrh..ptli(0nrtoncivilp.n.hyoftrol'nor.lhefivchu.dtddollEr(t5m)
<br />l. s of, E ofrfi. FoFnr. r i) dnplotc $hh $+d d dEi $L omFsr ior. { ill d, tlE $rrt tn rlr rnnR 6 r'r
<br />rla'd.d m ond.d tor sL ls< 7o{4. Buiru od Prof*hE Cod.: rll. Conri.ln ! Li.@ L.w &6 ml 4?ly lo e o*d of
<br />rhc FrFrr els hlild or irrror6 lhda( !d $h drd kh *trt him.lf or t c.ltor thoush hn or hd oM cmpLyc.
<br />ForrLi rhd sh ingol/dlut ed nqn d motuol6rsL lf. hsd, rlEbuildnB ( in$. sEr irdd virhin ok ]d
<br />olcoipl':rir iE()f,c B{itL will h.E tlE hrrla olForil{ lli rE or lrE tH d hild !lp.!wllE FDpdy ft' rtE F,F6. of
<br />L s o$E olrh. Eoo.ttt. o dclurNcly cofierhs f, itl li.du.rlorhdoR lo ott{rucl lli FoFl (s< 7ol,l, &!116
<br />dd PnE.ih ( od.r Th. ('ontdo.i l-icdk 1..* do6 frt .r,gly kr d o\ ns 6 f p.opdt *ho buildr or inror d iinon.
<br />&d who co r.cis tot ruct Fojcdr sirh ! ft,.r6cro(!) lkaE d p{BMr to lhc Conlr.cloa! l-ic@ l,w)
<br />I d .rdF un.lcr Sclion
<br />.s!f,f,l85louffllarlo!
<br />t ltgJaarlaN
<br />I h6.h) .mrm !nd.r p6!hr otrFiuryon..lrhr ldlo(ins d(lsr.rions:
<br />I hr\. ,n s rtl minlo r C..rif(.r. of Coe{ to sdf.leE fo. rMlG conFrdFn. 6 F\ri.d fo. b! SdFn !7o0 of rli
<br />l,abor Cod.. for rh.FIommc. oflh. No lor$hichlh.Fni n i$u.d.
<br />I h.\..ftItr'ill f,rinr.in so*6 (oftFer.i ie6rc. ! EqltEd hr !hl6n lTlxl otlh.llh co&. fr'.1h. F(w. ot
<br />th. qnd for)hKhthBFmn ! e.d v) t..td onpdMnn 'erffi. cmE ,rd pnlt, numts r.
<br />.-- J +o+? (. w{2
<br />.r*r*,.* {s\}!t 19 *0r., ({8-oh
<br />I cfi'b rnd in rh. Fao'lffi..rllE sorl fr rhrfi lnn Fi( 't is!.d. I !h!llmr dplo) !n) F$n i. mr" nuE
<br />$ s ro bcoft .ubj.rl ro rh. sort6' .of,p.tudhn h{r of cJifomr !d er lha if I {Duld tt.om sbidt lo llt
<br />*olt6 conrEstion prorilio6 of s<rion :r7m ol lh. I thor (hd.,lJtrll. ft)nhs'nh conDry *nnihos Proviln,N
<br />(
<br />F
<br />WARNING: rrrlnr. ro Km \{rt6' conFFnFn c.td*c E unlNtul. ind 3h.ll iohr.d m 4plo}t r. (miml FEhis od,
<br />.nil fin.. up ro on. hu6&.d thousd dolls (ll0o.00l)), in addilnin ro th. ..d ol comP.ulion. dlmasd a Proid.d for rh.
<br />S..rion 1076 ol th. llb.i c6d.. inrdd i.d dl.rE'3 tG
<br />(D.,. ?-)o -(n n"o,-,,, llpt ? k& ,
<br />uc[!$DrqduacraElr(.lrSarta!
<br />I h*t', rltm unrl6 Fsh) af triury rht I m licds.d of,dd pro\ nion of(.rurxs 9 i coffiiq s nh Sdi,n 70001 of Dililion 1
<br />of ih. BusiBr ud PmfdiioB Cod.. d ny li..g i! in full forc .nd .iIel
<br />[:
<br />( ,\i cro1-lo-rq
<br />411LLr
<br />Solne OTlirzrnt'n
<br />(AliIf,l](IIANl.l:UDNIilliE!(}
<br />I hod'! rlTtrn und.r Frl! of FjuD lhri trEc E ! slaruclio. latnB.8trt 6r llr Ft('lrra. olrh. *.rt tu nhrh rhis Fra a
<br />issu.d i s6. 1097. CP. ( ,
<br />IPPLI('ANT Df,CI AXATION
<br />I rEur*lrmu kr Fuhy!fF{jorr on. of lh. f.lh\ in8 d.(ls!l xrro
<br />Dmolirio.Pdmirr-Asb6ro!Norific ionFcldil R.Suldions(Tirl.,r0. P$6)
<br />R.qui.d l-drd of I'Liifrinn
<br />I I (din rhd rh. LJ@l'.*uhrIB (E&drnc 6b6!.rrdn.\dldG mr.ml(!hk ro rhr lFl.d
<br />[ ,.-'n,nr,"'.-r*s.nphci,nn!d{!r(,hdrh.'h.\.i.n\mdioni'.otrdl.scr.$f,d}snh.llc}.nd(-ou.r)
<br />Jr'lmM(dmdsl!r.l,ssrcldmdrohu'l'jins("nrrucrk'n.a.dhn.bt.urhori,.r.?rMr.lir6ofrhirCnymd(ounrylodlEuponth.hrrtnr. nhri'n.d DFtEi! f 6p(di'n rr!(6
<br />Ier*-'-n.-,,**.., l/tale k?'--" -,, 1-30-11
<br />["-n-....,0n.,,' Nrc]ralrg t<*vt"l5
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Metqr/ /-F|NAL 6/(//1 r74u.',L /0/
<br />Notes, Remarks, Etc
<br />Sub-Panels
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