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ELECTRICAL.INSPECTOR RECORD
<br />DATE rD/srG.COMMENTS OWNER BUIT,DER DELCARATION
<br />I h6.tt .t[m !i<ta pauny oaFj!,y rt, I @ da4l 6.fr th. G ,.crna Liccc L& for rh. hllosiig la$. (Sc:r!ll t
<br />a6ind &d Profdin Cod.) Any Cny or Coory wbth r.$iiB . Fni ro oinnrl, .nc. inE ot . dablih d l4.n -,rrudE Fixro nr islda o r.qlic tlE +plter fot *h Fni' t' 6Lr !C..d rnajd lhr lEor Jr ir licaE d F iEr
<br />ro rh. profili.N of ilE Conrncroir LianEd l,w (Ch.prd 9, Conmoci.r with Sdrion 7000 of Divilion I of 1n. BuiK ed
<br />PretsioE C.&) d 6r n q 3lr i, ddn9l tha.io6 dd rh. b6it for rlE .ll8.d a6nBiod. Ar, liolrion ots.<rbn 7031 5 by &y
<br />.rpl,cd 6.. FDn rqdr th. Slkd b r rilit Ffln, of mr mr.lh& fir. hutM doll-r ($m)
<br />-1.
<br />6 ovid of rhc FDFnr. o, oy .nl9lotG *nh w.gB s rh.t $1. .onFslhn, sill do tlE *vt td llE ,ere i rcl
<br />draldal o. ofr6.d for .L (Sc 704,1. tkiB ad Eoi6iod Co&r Tl, Cdidor'. La!& Lrs do< d +ply b E o*B oa
<br />rtE FoFtv s'tr h,!B q !+.€ thd@ rd *lb .lE rdr x* hilrlf or hc*lf or llmusi tn d hn orn .nPht6.
<br />ForiLd dd sh imF.\drd! e ml inqxLd sorsld td rl l( ho*c. tlE tnildiB d itF$sEr i sld vihin oE td
<br />ofcodpldiol! rlE oe,( Buiua *iI hav. E hdo' ofFovnu rlu lE or !h. di] ml hri! ( i,4itt lhc FlFlt for dE purpo& of
<br />-
<br />l. s o$E of th. Flpqly, m.r.Bn dy offxrinS trnh l(aaqt codrdoE lo odM tlE rrcjql (56 7044, rlllnB
<br />rnd ltoftsio. aod.: Th. ( oilricloa r l-ics. Lrw do6 nor .!ply ro d ownn o f Drop.ny who hlil{L or inprcvd lhas..
<br />.id rho corin.l3 td ru(h Fojcr. with . Codr*ro(, la.da.d FrBd ro th. ( onr.ci6 r Lt.e kw)
<br />I m crdr, utrds Salil
<br />$otalls:(oltrEltarla!
<br />DESJAAIIq!
<br />I h6.by amnn !n(k polhy olFjury on. oflhc rolb*i.g d(l&!rio6:
<br />-l
<br />hrlr nd *1llui!ll.i.. C.nif..r. of Co@t b gl-ltg. fd wt6 co0C6!t6[ B FoyiLd for b, Sditn t7m of lt.
<br />LEr Code tu rh. Ffclta. of th. udt fo, *nti lh. Fin a iecd
<br />_ I hav. and * ill nai.tan qoik.R c.nFMrirn iNur.ft., e rcqlt.d hy Sclhn 1700 otlh. ldor co&, tu th. Ff(nl]lm. ot
<br />conpd(nn ieitr cFi, rtd p.liy numba i.
<br />_l .dify thrr
<br />'n
<br />rhc FnrlMc. of th.rt for whkh rhis I'dnir i3 sruq! I shall .or @proy.ny p.Mn m uy mdF
<br />s s ro bcco'E sb,.cl lo rlE Klt6'ohFBdn,n bB ot( rlihmir. rsl +e rhd ial shuld tEo6. suu<l to lh.
<br />Nrt6' conrEE ll{ Frvtio6 ofs{dbn I7@ of $c L.Er Cod., I thll, fonn* hfi of,ply rilh lho* Forili.B
<br />\\.\RNIN(; lJ r,( n, {.tr'r so,l.'i..nrEn\ knr n onh*tuI. Dd sh.ll subjdl o EnaloF lo dimi..l FEtis and
<br />(N'l fines !p t,.n. hundr.n rhoutrd tlollm (rl in ddnion to rt con ot conp.rrioi, d&n46 d FodLd lor rh.
<br />sdrio.1076 dtrh.I:hx( od. id6d rxl
<br />DICISIAIJqB
<br />I hsrtt .Irm !n& FIty orFjury thr I m hcqE d uxta Ftrri3io! of( lutin 9 (@Mhe rnh S<lio! 7000) of Diyaion l
<br />of rh. Bains dd Phf..lioN Codc. .rd f,y lt.e i! in tull foR drd.llcl.
<br />'6,
<br />,
<br />(oaslaucuraJtllac-acllt}
<br />I hdby amro uida Fn lry ol pqury rhd lh4 i! a co.eodio. lodinS +ocy aor th. Ffotrrm. ol fi. worl for {ttich lhk FDil i
<br />isu.d (S( :1097.Civ ( ).
<br />attucall.rli(laSAlla!
<br />I h.rbr !trm unds p.n!l', ol pqury onc ollh. Iollou'ns d{l..rl iJn!
<br />D.mkion PdmirlArbdlot Notili.rrion t.darl R.BUldioB ( I nl..l0. Pln6)
<br />R.q,icd I!!d oar*irfdioo
<br />-l
<br />calily lhll ln f.d..il EsuldioN nliddin3 Bbdros rmn il ai nor applkabll L] lhi! poj.(
<br />I .diq rn, I h.\. r.i! rhi! .rpltd rn rd. Oi rh..hor. infotuF. a cqr6r l.{,6r.oDpl,*nh.[Cny&dCounly
<br />o.dork6a Sr .bssEIdtrtgro codruclioa E h(.by aurhorn! r.rr6drdiv6 df rhi{Jpny sd (.ouiy to ots uFn rlE
<br />.hv. manioEJ tmpd, fd
<br />appli.rnr or a*dr Signrrur.
<br />Lrr)co-z ^3/412
<br />Site-Work
<br />Underground
<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 />Torquerng
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough sh lR funl/oz
<br />Service Meter
<br />FINAL Q/qlto lY-dtt,6>
<br />Notes, Remarks, Etc
<br />APPROVALS
<br />,.,.. e/4t7
<br />L. ls rAdd*:-
<br />Sub-Panels
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