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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE l0/Sdr i ) <br />OWNER BUII,DER DELCATATIoN <br />I lFr.t'y.rm uftt, Fulry,rr F ro.y ll@ I m.r.nfl lNo rrE Co rrlN l-icnE lrr fttr l,E followi.S Elsn rs.c?0.115 <br />Busi6. .,i Pn'r.$iJn csL). An, Cily or G dy *h.h rcquiEr I Fot ro 6ncd. .lls. itrt ow. &mlnh ot Errir mv <br />srM(urc. ptur tu irr nrulrc. sl$ bqurci rh. 4't'licl,ll ntr such IE ni ro nk . siSmd (lr.ftnl rh tr or rh. n lkcn*d Nmlnl <br />1,, llr lFlnioni oa rl8 Co.h&lc\ l-iNtrEd l.* (Ct4r.r 9 ConBNinE sarh sdbn ,m0 ol l)aYhion I or tlE artiEs d <br />Prelc$ionr Cdicr or rhdr tE 'tr rllc i q.r?r ih.r.fion ml llE h$t ntr rlE rlk8.d .r.rqron Ary !r,,.rk!n of Sdi,i 701 I tty ..v <br />!mli.. loraFrmn rutj(k lht apFliclnr to rcivill,ctrulryuI rr nrclhan fivc hu.drd dollas(S5(r)) <br />-t. <br />$ ow, orttE FmFny. (tr ny cnuLFr *dh er!6.r llEn $E.$nitn{br *illd, lt w,t.,i llt dndE ir d <br />idcndd n of.r.d nx sb ISE 7(x,1, Burim$.nd Prof6ri,ni Cdc Th. codrrlr r Litc bw &B ml .rdr ro m o*F of <br />rh. F,,tny *h) t(ikk or irit oEs rtEon. rd *t$ deq.xh m,l himr.lfdr lE.Elfo. rhmugh hir o.lEr orn.mPloy..r. <br />Fovrt€i rh.! qh niimrmdrEdn.rndo.ofi.Glfttr!L llhrkE rh. hiEfu or i,pr.E E h$ld* indF! <br />ol6npLri.( E()*draniB.,rillruEltEhd.notFovi!rh.lrnnEdnr,hildriqmEtlrF{Eryl' EF FEol <br />-1. <br />.(.\'E ol rlE lr.Fdt. .m crctuitl' .o,rrrritr3 $irh litRn.o mtr ri, $nrMt rh. Frrrr lsd 70!. B6Gs <br />uj ttDi\\i,Cdj. Tlr G,nrnclor i l-kcnE l:s dra n .tplY ro tu ord of|'ro!.n y $lb boiHr or imPnrE\ rhrnr' <br />Md who conrrrl\ lor rurh F.j.$ w h a (rrrruclod n li.cn{d lli\unl ro rh. Conru.rtr s Li.cn\c l,* ) <br />-l ro.r.q'r mLr ssri'n <br />lbt. (r*rer <br />rtttrxrttsio\rm ts rtttt:t <br />lll;lll$arla! <br />Ihcrcfiytrlltr rutr(lcr |EMlryor pcrlur' r ..frlr hillostrrt (l..lJrnrirnr <br />thrE.,n*illri.irrCdir.!r.orconrnlloS.lf.lnljnrdktr6oryENrion.arF$viHforbr:Etbnl.,Orofir <br />. rd $illtrinl.in *orL.F Lo'qtNlran iniur.Nc. r r.lunrd bySd$n l?u) of tlE titrr Cod.. lor rlE F drN oa <br />uir !n Inlar.unirE Eth Aa^artcoAN <br />,,,,,,., ^,,,,,*'tA, Sl0?458S <br />l.dn!lh.r irrlEFrlo Mmofrh.wo lfi *hih rh( Fmi r i'\E j. I \&ll n crlllot anv p.r$n i. t.y m.F <br />g' as n, tEr,ft ruhFl k' th m.ls n'nvEnqri{ hu( of (-.lif ri. d 43ft rhd il I lho{ld lFo'E sbFcr ro th <br />wortn(.omFn\drlotrrn'vni,'nsofsdionlTlx,olrhcLitrtrCod.,l\h!lln,nhwirhconrPlrsirhrhiernririons <br />WAININ(;: F.'luE to su( eortc^ a'ntiNrr,n $!.nsc i! unhrrul. .d .h.ll ruhiri or?bF lo qinind Frta: r.d <br />rNil ftrr\ uD r' 'tr'c htrn,l'.,lrhru\r,kl,lollih r\l(xr.(r)or. tr, r.l(1 nr ro rh..'^r or.'nqrn,.. dlma.r is f.rorkldl for rh. <br />s.Lrk{' ii,7(,r,rrrElrhr(.rk''nrc,c{rinktr'r!'\n'.. <br />Dr!Lt8.\r-ur <br />I Er.t'y dtrm udd FExy .f F ,jr, lh, I !m tienrd lnLt Fovtr,n ot ClEr*d 9 (6o'Eming Bnh Sdi'. ,0mr ot Divi$n l <br />dr rh. BusirE$o Pn,fc$ionr (h{lc, id my liccn€ n i. tullroN ! clIsl <br />..." ,.. g <br />CONSTTII('TI(\N LT'\NINC A(:FN(:Y <br />I lErct'y llfrm urkr FEhy.l FFry rh.l ltEE ir r MrMbn Lidins lscry for dE Ff(ru. i,trh. Brt fot whih rhn P.ml a <br />isEd (sa lo9r, cir. c I <br />trndc''r Nlm <br />dlrulJullDll.LA3AulN <br />I hor.t\ irlim u'rh Irmh) olfarlr\ oN nfih. n)l!'q <br />'nS <br />d.ellritrN <br />l^\ knIk r Pcnn[\ A\hc{o\ Norifi.nri ljcdcol Rc!u11rtrtrtr rTirl. l(,. l'M6r <br />R.qut d lr(.. oft{ifrrrm <br />1,.'r'lrrhi rlr lidcrrlr(rull,'n\ '.!rriltr'! n({(L\ '. ttr 'lr, nLr xflil\ihl!'r, rh'\ lx'J..r <br />nt rhd I htr.rcrl rhi\innla.r <br />\ trnd Srarr ljsrNLrrryh lN <br />itn .,n d!t. th{ rh rnrvt innrtndb. i< dn(l I rytc rd d,q y wnh rI Ciry ln ('ounD <br />iklin8 con{ru.rntr. irt h.rc rlthni2r(Fsc .tirciofrhir(iytnd(i,unryt'crrduFnrlE <br />ih,vc nrnri,nql I'rl^-dy tur ir <br /> ppli(Nnl or \|l.nt \irnlr <br />a ',.,*l4l$ <br />Site-Work I <br />Underground <br />Pole Bases <br />Lioht Standards <br />Spas, Pool, Founlains <br />Sions (monument) <br />Lile Satety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bondinq / Groundinq / UFER t Z- 4-r9 <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouoh) <br />Ceilings (Hard & Solfit Rouqh <br />Ceilinqs (T-Bar Rouoh) <br />hrleter Release la-t-t 4 <br />Rouoh >!{t7-.1 -/9 <br />Service Meter <br />FINAL UL-14 9 <br />Notes, Remarks, Etc. <br />--+ <br />COMMENTS <br />( (rlc.,,r rhr ndlorn!tr'..ot rlk {r'k f(tr trhrh rh( |Ennir i\ airll <br />^,q*1fi <br />",1:iiyffi'b