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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER Ol]L('ARATION
<br />I h6.5y fim uid6 p.uhy ol poj!ry rhll I m .r@pl &om rh. cor r.cloE Lic6'* Llw for lhc tollowins rcen (se 701 I 5
<br />Acin* ,xl Eof*ion Cod.): Any Cn! or (tu y which raluic. Fnn ro co'dNct. .lrc. mp.otc, ddelah or tt,.n ey
<br />rlMuc prior to G isu.m.. .ko r.$ii6 fi. qDli&t for luch Fnn b 6L . sisrEd rid6r6l lhd lE or as it licdEd poM,r
<br />ro th. tiolBroB of rhc ContFtolr Lksldt lr* (Ch8pt6 9, Condocins vnh Sdhon 7000 of Dirniotr I of$. BBriB od
<br />PmlNiorr cod.) or rh.l tE or shc B Grdpr rhdcfrom dd $. b4rir lot rhc !11.8.{i .rmFiun. Any viololio. olsNlion 703t 5 by llly
<br />+pli..n! lor r Fhit $bj6l' lh. .pdicanr lo r cir ii pqulry of er Doc thd nv. huntol JoU.B ( lrm}
<br />L s ownr oflh. Iiopsry, or lny dplorc *il[ *,96 6 $@ sL comrdErion. will do rlE wort drd {E .urc u @r
<br />inrad.d or oftded lir sl€ (sc.7ol4. Buir6r Md PrcfeioB cod.: Ttr conr.doi! LiccM Liq doG nol lpply lo d om6 of
<br />rh. FlFny * ho liill or inFoE $c6( a,i *ho dG uh *nd nirull or lwlf or ltDuBh hs o ha on @pLrE€.
<br />Fovidol lhd su.h inFo\srsllr @ { .nod.d or otrEtd aq el. lt hotr6'q. rtt t!'ld'lB or irnp.ord ir sU silhb oE !@
<br />of.orpki.l! dE O' G Alihs will hlE lh. hDJ6 of Forins Ui h. d iE dd ml build or in+.t.
<br />'h.
<br />proFry 6r tlE F[poe ol
<br />-l.6
<br />o$na olrlE FoFrr, m d.lcn ry codn lira with li..rscd co'm&lNlo.on .ud tt For<r (sa. 1044. BGi6
<br />&rd Protsin C.&r Th. Conl6clorr Lic@ l,!w &E ml aply lo e 0{6 ofpFpdy $h. b{ildr or imprcvd lh6or
<br />ed who onrEl! for su.t prnjdr w r Co.rn lo(,lic.6q, pulwri lorh.Co! r.clois Li(!e tr*)
<br />I ffi.rdpr und6 SaIion
<br />llo8trE8E-COllrEdSA:IrO!
<br />IECLASAIO!
<br />I ho.l') ,4m und, Fulr' of Frury ok ofihc follo$ Er d.(l&abB'
<br />t.fhlv. !d *'ll m' lin . C6tfrdt. olcoMt b S€lf-lBuG lor @ta .omFsdion, d Flvid.d 6r by Sdli,tr ITOO of lh.
<br />ribor cod!, for li. p6forlr@. of rhc *orr aor wtich rhc Frir it isu.d.
<br />-t hl!. r.d sill mi.t.i. sort6 coDFrsllion iMrmq a Equir.d b, Scrln l?m of lh.l,bot Code for llE Fafolfuof
<br />rh. *ql for *tict rhir Fmh ir iqsd My sold oE dr6n ilullle. ..riE d polEy Dmbc lcl
<br />l.dni Ihai i. rhc pafornanc. olthcuo ( fnr *hich rhi IFmn is bsu.d. I shdl nol dnploy.ny pcsn i.3., 'nMndF s ro 6qomc suhjd lo rh. so*6' .omFMion hss ol( .lilomi& Dd lBe $!r il I 3hould b6o'rc suBal to lh.
<br />$oAd' onFs.r nn FrelisioB olsdion I7m orrh. t bor Code I slbll. lonhwith compb rnh lho* pmrBioB
<br />WARNING. Failur. to suc wort6'.omp.nsalon cordagc a un ed sn ll sublcl an snployB to
<br />cnil fin6 up ro oE hund..d thousd dolld (S100.00o)
<br />scron :1076 oflh.l,tor Codo mls.n &d dlod] 3 a6
<br />,l z-s ( z-a t,
<br />PECIJEAIIO!
<br />I hdrby .fiim u.dd Fdry of Fjury lh.l I d li.qE d urld Fovtbn of Clup(c 9 Gonntrirs rnh Sarb. 70001 of Di!i.io. l
<br />of rh.llusinslnd Prolsions Cod.. d nr' I'c($ 's
<br />in full fu.. a .trNr
<br />,r"," f l Lt
<br />lo{t,..
<br />s32(
<br />? 4 .-t-.-A
<br />cotsrtucrloN I FNDII{G acFNcY
<br />I hort, .llm undd Full, olFjlry $, lhcE ir . otr,ruclioi lodi8 .say l lt pqlollte. olfi. vut 6r *t.h lhb Fnl a
<br />iscd { sd. 1097. civ. c ).
<br />Landd t \u.
<br />AITLICANLDESJAATA!
<br />I lldttly .lfd ud6 po!h, oaFllry o.. of lh. aolLwins d*Lt!1iotu:
<br />D.mohnn P.mtu.Albdrd Noriiic.lt'r F.dd.l R.Sul.lioN (Tnb 40, Pan6)
<br />R.q0Ld Lats of Ndi[.dion
<br />4t roriry ra *t*"t,.e"LrbB Esddi.g rm)lal e .d $plElbk lo lhis proi..t
<br />,4.diry rhd I h.v.,.rd rns aprn.ar ion {d sr infomdion is.orer I llralo
<br />ordinanc6 utrd Srarc liss rchxnB ro hnldinr
<br />rboY. mahonal pmDqty lu Eri..1ion
<br />nppri-.r o ,rg-r S1n.ru*, I
<br />u*.,*-..,0",,,VL\ , Ldrt tt
<br />lrd Cou"ly to ald uP,n 0E
<br />!L241?4r-4
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (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)l0 (U >r*ffi
<br />Ceilinqs (Hard & Soffit Rouoh bH4K1 1
<br />Ceilinos (T-Bar Rouoh)\- l
<br />Meter Release
<br />Rouqh
<br />Service Meter I
<br />FINAL I q u De:*6 l
<br />Notes, Remarks, Etc 'I I
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