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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWN ER AU ILDl:R DET.('ARATION
<br />I hc.r^ .fturn und6 Fuh' of rqjur) lhd I n croF liom lh. Co rn]loG liG l,r' for llE folloriry r.&. (tx 701 I t
<br />tlusin63 Md Protsion ('od.): Any Cn, o. (oonD $hkh r.qun6. p6,ni! r. (.dtud,.ha, imFo\q &mlirh or EFt m,
<br />lrrucrur.. F,or rD ir3 isuec. ab. i.qut6 rh. as'plic&r for luch Fmil to filc a sun d slst.1ffir ltd lE or nE n licds.d pMr
<br />b llE tm\irio6 ol rlE (_ontrrm'. l-i..Gn b$ l(-h,flo 9. (.m6ms $nh Sdion 7mo ol Dnilio, ! of
<br />'lE
<br />B6iK ad
<br />Profdbnr CoJ.) or fid lE or dk ir .rml, th6c6on a'd lh. bcir lor rh..ll+.d .rdFhn Any liobl i.n of S<lhn 70tl tbrDy
<br />appli..nl for ! lcmil subjRt! lh. .Fplic$l kr ! civil pmhy o f Bn moE r h& fiv. hlndr.d dollas (t5m)
<br />L d osG ofrh. F.p6!t. or sy .n'pLr6 enh r'.s6 6 $d hlc omtEdion. sil do rlE srr n{ dE rErE i mr
<br />ir dd.d or ofis.d tor sl. (Se 70t4, Burind and PmfdioN ( od. Tfi. ( o'{r!cloi! Lic* l,w dos rcl rylly lo u ow.s or
<br />rh. F.rdry *th hoild r rso\€ Eq -d rfio dE rh rr.L himlt or lEdror llmush hi! or lE orr @ployc.
<br />Fovir.d rhd *h i,qfr$d.cd -rod.d ootuld &r!t lL tn*6s, tlE b.Jdoe d in{.6aEr i nld rihi. ft }a
<br />ol coq*ria lh. O^n6 B{iEs sil h.\r tlE hrdar ot Forirg thd h. or !h. did ml hrild or ihFlw dE FtrFly ltr llt F,po* of
<br />l. do*rsotlhcFotrdy, mdclciv.ly.o rdinllwrh licaE d conhdoElo coldruci llE F!i..llsa. ?(x4, Bcrl6
<br />rnd PEa.ri.n( od.: Th. ( onrm.(r'r Lic. . k* d.6 oor apply ro M ovn6 of proF , who buil& or impbvd th66n.
<br />.nd [h. Fir.1r for a.h Foj.r$ snh . (otrE!.rdlr) lta6<r, FlEuln ro rh. ( orri<ru-! Li..e tr{ ,
<br />I rtr'.\cn,tr trn(1.' s((rr,'
<br />Ihl. Orn6
<br />\ron(rRs- coMpENs T(rN
<br />DSCI,AS6I]q!
<br />I n<l<rq rlttrf, u..rn Funt olFjur- on ur! lE folbs os d.cEc il6
<br />I hiv. Md will hainra'n ! ( olri(,r. oa(iJtudr kJ sclf l6uc ror workEl- .onFerio.. it Fovid.d lor b, s(lion l70o of rh.
<br />tihr' ( od.- lor lh. Ffo.lrlmc o t lh. *ort for *hich lh. pshn i NU.d
<br />Ih ciidNll rinri'n\orkd\'omr.nsark)n,nntrin..asr.trredh\Sdrionl7r().rrh.l.ilxtr(i r,forrh.ndtu1n.r.ol
<br />rhc r orl tu | h'(h rtis Ir nrn n ErucJ M\ $ ortcs' .otr,lMsn,.n 'nrurrirr .rF inkl Frl'r\ nu ttE r.
<br />A c-<
<br />I ltG c-ts 1'{ 6't t-Lt )-D
<br />I cdiay rhrl inrh. pdLrmn ..arh. sort aor *ni.h rhis pd n is i$u.d, | lhallnot arlor r.y FBon in rny mend
<br />{ a t( tEroft rubiEl to tlE so,t6 onFEr ior l!trt of Cnifomi( ud i*r thd it I shoukl tcoft !bj.<1 lo rl!
<br />rodd' @n'rEaeirr ForuF6 of s.dnn !700 otrlE lrv ( nlc I ddl. tolhsnh mtr4l) r.(h rho- Fotnn6
<br />WARNINGT rdibrc lo su. *0.16' omrEMhn .o\crq. ! unhsrll di Jrll eubjd s aDlols lo min l po.IE,rl
<br />cn n6 up lo orc hurt.d lho!$rl &116 (tll)0.(D01. i. d'rDn ro rh. cor of cotrrrENlior. ddug6 6 ForiH for lh.
<br />s(rkrn \,7. orrh.lrbr(i,tL inr6d uJ
<br />-,, ,r 'fql>> ^
<br />aEgd8arq!
<br />I ndl6t dlm !.da Fuly of Frlut $, I 6li6n d u.dd Forilioi ofch.plo 9 (o.rllftirg tr in Sdhn 70ur) of Divlrio.l
<br />of rn B6iB dd ProfBFa Co&. ai 6y lro& ! ! tutl ,.r& -d.lTel
<br />D.r. I
<br />A
<br />l11
<br />\ts t,f
<br />) 6 ( on,,.(tr
<br />coljlrf,uulaxrErDlxc.AcE!(I
<br />I hdltt.,Im uda Funt o f Fjury thn rlE i. c.rr3Mrioi Lidi.s.*ny for rlE Ffolruc. ol$. trtrl6r trtkh lhn Fni i!
<br />B!.d (s< 1o)7. Civ. (')
<br />APPI I('A'IT NE('I ARA'IION
<br />I h.d',v rfnnur.ld F.l't ofFruD oEof rlE follov'.9 dar dioB:
<br />D.mnrion Padn! Asb.i Nor'liorbr F.ddl R.suhrtuN flntl0. P!n6)
<br />R.{uircd t4rrd oahrt!,6.ta
<br />I cclial rhar r h. f.d6al r.auhlio6 EsEdin! ahdror roovll r. nor qll)licabk k, rhii projdl
<br />,N*r*u,lbn tn n . lhi rh. lto!. 'nfotuion ir cffi I r{E lo compb *nh .I ( ny !.d Coult
<br />ildr3 codddhn, Md ha.t5 i(lFru. rcprffi'dn6 of 'hnrnl mdCru y radd ulon rh.*T
<br />-> ^,,t/1 /rartn\. mflrhncn nopdy tor i
<br />9c 'f c.--.r 'DP1,o v
<br />Appli.r r or .,\tsr Si*n.x'rc
<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 />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 Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release a -zo J ) r{>a Eo
<br />Rough -\Service Meter
<br />FINAL C.5t,
<br />(g) ^.F.AtTAD
<br />Notes, Remarks, Etc
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