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<br />ELECTRICAL.INSPECTOR RECORD
<br />tD/stG.COMMENTS OWNER BUILDER DELCAR TION
<br />I hd.5y .rm u,r& Friy of Fj!.y thr I i aoEpl 6!i rhc Conr-to Liae t * frr rlE folb*.r8 r@ (58.7011 t-
<br />BdIB !n Profai,n Co&): Any Ci, or Coudy *h.h ..qoiB. Fni to odrud. .i6. i,qorc daihl6h or it .i .o,
<br />litudq!. Ft,ro hr illtmc. .lo r.qun6lfi. eli.ul for ech Fri lo 61.. ri8icd ndaMr thd lE or !h. i. licm*d rrN.,n
<br />lo ft FovishB ot tlE CoikEl4! LEdEcd t w (Ch!pl6 9. Comocbs *nh Scdion ,000 ol Divaio. I of
<br />'h.
<br />BBin{ .d
<br />Pr.ft-iodC.d.)orlhn lEdtlE L ddrF thaE6or rd llE b-i fs rr.lk8.d 6dnFio. Any vbLtirn oasdN. 70! I t ht xy
<br />+plicir for . FDir sbjet' rhc .ppli.ur ro . civil p. ny of eimc th6 firG hu.&.d &116 (t5m).
<br />L s o$@ of ilE FDFi, d m, 6trpbt6 whh *.86 d Eir ik mnFEdi,n. yill & tlt wI al ih. rde i! mr
<br />indnLd qotrqd 6. d. (Sc 7044. &ri6.rd Prordnd C.rL TlE ( onmoir Lilt l* &G mi +1"r- ro n orE ol
<br />tt FoFry wh hil(l G i!FDB rhatu td vrb dG $h *nrt hi.elaor hd*lf or llmur! rit q I's oi, mI,r,t6,
<br />provi.kl lhd sh i'I'.lvaBlr E irx i 6d.d fr olb.d tu $l.. l[ howd. tlE buildirt ot iIp.ovdE i! sld wilhh oic ]6
<br />of.dplrb{r,E OrG EdUr wiu h.\t dE hlnor ofForar thr hctE dn td hlld q inFo.lrr trcF Si rlE F4o,.or
<br />- . I, s omd of $. FoFry, @ 6(luiv.l, snlr.ding *ilh li.d.d odE loE lo codrucl lh. pr.jdl (sr 704,1, BdiIB
<br />!d PrDE ir Cod.: Tn. Co.lmoir Lkry L.r d6 ml .pply lo 6 6*E ol FFry r'tn hild! ot inprcvd lt66n.
<br />..d stb ollr-lr for uh FDj.{r wit . co no(r) lta!.d Fl.ur lo llE Co,nrtror'r LrN t$ |
<br />lm€(dpt und.r Sclion
<br />-
<br />.ll & PC forrhs l!s.
<br />D.r. ()16
<br />*oRl(iil; coliPE s,inoii
<br />DECINRA'IION
<br />I hs.by ,ltm ur& Fulty olFiury oE onlE followi.g delrdioE
<br />I hlvr srj f,ill mlinl.in ! CdifEd. ofco.6t ro S.lf-l6uE for $ o*d snp.$di.i, B Fo\ idcd tor br Sd io. 1700 ofth.
<br />tlbor Code for thc FfolMa ot lh. worl lor *tich lh. FE( i! illual
<br />I h.v...d $ill miidrin {.116- comFMbn Mffi.. a rqriEd hr Sarbn um otlh< t.bor G&. for rlE Ff(ffi of
<br />ion iBure..end rnd Flrr.umb.r e.
<br />0<)FEc /ls .,
<br />'.,,,,. to/zz./r1ea??? /78
<br />I csri8 rhr in rh.Frolrle.!fr& $ork lor *hrh rhir Fmi s ir$dl I th.ll mr olphy uy F$n in m! nuE
<br />i !rob6c$bixrro r wrs'onpqErion lt$! of (.lifomr. dd rs6 thr ill lrEukl bcom lobid iotlE
<br />mrl6' .onFndio. pmvnioB ol Sdlion l70o ollhc L.hor Co&, I 3lllll fonhwilh comply wirh lho- Flvisionr .
<br />\ ARNI G r.,h,. ro su. $0116 onFMrn o\..sc is unLr'aul !d JUU tubiet E oph
<br />h on. hu.drd rhoNnd dotls ttloo.mo), in.ddnion lo lh..oi of .DmF@!
<br />sRlion 1076 oarh. Lbor (bd.. hl66l ud axom.y t f6
<br />/.I
<br />I ha.t'y .Irm u'xld F!X, ot Fjury l[i I m LG!.d
<br />ol !t BBind Dd Prcfdb6 Codc. !n my lt.e i!
<br />of OEFg 9(offiin8 unh s.(En 7mo)o
<br />I-'Gnk(lrs 6
<br />*,. //. 2r.16 -"*,*^
<br />I nc.by amin undd Fn.lrtotpqjury th.t Ih6. no
<br />rsu.d (s( l()l)7. Civ ( l
<br />6sd.y lor rh.Faomd.. oarh. *ort lu rhrch thL Foil b
<br />AITLICAtrLPICIISAITA!
<br />I hdtly !tran uida Fn.hy of Fjury on. of rh. followilg &.l.,rionr:
<br />l}mlhior P@nlAlbdro! Noliftdhtr F.da.l R.Bul{ioB (Thk40, Pd6)
<br />i.quicd l-dla of thifr.ri,
<br />I .6iiry rhd
<br />'h.
<br />f.n 6l r.BddtuN ..gEdin, 6tEro! .an ul a. ml E pltrbl. ro rhn ,,D).d
<br />I cdlify tld I h.v. r6d thi! 4plicr nln!.di!r.rhd th.rhr. ihfom,ibn 6.Dnd I llrcloNn l! $irh lllCilr tnd Couxy
<br />dirB oarhis Cny Md (tunry k' ftrq uFn rh.
<br />//
<br />ordiMn.6 mdsllrc Lo*r rcl,rru lo buildins connrd ioo. Md hscby
<br />t
<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 />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter 1"..\
<br />FINAL (o-\\ -10 \)$k\\\
<br />Notes, Remarks, Etc
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<br />APPROVALS DATE
<br />Communications Cable
<br />/t
<br />abor. Mrion n propdy for
<br />Applionr or Aror SiE..lur.33
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