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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER AUI.,l'Ef, DEII'ARATION <br />I h6.t, .ifm u.d6 Fr.h, of pdjury rhd I @ .r@F nrm rh. CDnrr.croo l.i.dc L.w lor rh. tollovin! r.sn lsd 70l l 5 <br />Butin6s .,rl Proa4n,n Cod.): Any Cil, or Counly shich r.qun6 o Ftnn to ensru(1. !hd. imFova d@olilh or EFt y <br />3rrudre Pri,r ro irs L!um.. d$ Equir6 lhc .pplicd loi 3u.h p.nnil ro ik r lti.rl sldmor lhll h. or shc L li.ard pcus, <br />ro rh. FllisioN of rlE (fofllIlcld t Liccikd t w (Chlrrd 9. Cohntrins wih S.crion ?000 of Diviiion I .a lh. Buti6 dd <br />Piot*iotrt Cod., or rh.t k or dr b 6opr thd.to6 &rd rhc bGat lor $. .lkg.d amFirn. An, voLtior of Sdtion 701, t b dy <br />!ppl,c.n for r Fmi iubjdR tlE Tplicdr ro r cilil F tr,olnor mErhs fit. hun&.d &rl!o.(t500). <br />-1. <br />.r own6 of lhc ImFnr. or ny .mploy.6 Enh sasB s lh.t sk comFaalo(. will th t vo,l oxl rlE irxle ir tul <br />i dd.d or otrdcd tu ul. (Sa.7044, B$iBi 6d EDi6lio.i (:od.: Th! Conli..loft Lkro trw do6 not lpply lo u oM6 ol <br />th.Flpdy *ho b{il& or mFocth6or.nd who.h6sct s fiirolf or hoElf or l}nusn nir or hc om mploy6, <br />Fdvid.d !h.r.u.h inForffi cd n|6i.ddofiad fr)r nL l[ tb$t€. t& hofil,s c lrp.trraEn ilell *tlxi oR td <br />.lotrgrdoE llr owna tt{ilr6 *ill hrE E t rddr olFbriry fii lr d !h. did d h t or inp.lE ln. Fopqry ror dE FtlF&of <br />-1. <br />N 0\6o of[. lropdry, d rrclulivcly .ontdinu virh li.ncn cont*bE lo coEtrucl lhc p(jd (St. ?0.lr.llGnd <br />!.d l,rrGsion Cod( Th. ('onhcror', l,ic.nrc Law do6 n{r lpply lo uowno ofFoFdy*ho buildr or improv6llENn. <br />Md {ho coortulr tr.u.h F.jd3 unh r (\nldo(, licax.d pc@r h rh. Conrrudois l-ic.e li*) <br />_l m .knF u..ls sdrt1z*lt <br />I ho.by lmm und( td!h, of pdjury oE ofrh. follo* in8 deled ios: <br />-l <br />hr* ed vill Mlnri. r Cdri6.1. oacolgr to s.lf-lBuE for wt6 .dr.oEri( - FrviLd for by Scrbtr:Um of rh. <br />lrbor coda for rlE pdfo,tre. of tlE $!,1 for *lud thc Fmn a ae.d <br />_l hav. and will hrinllin wulk.rs' conlFEittun i6uran.., s r.quir.d by S(l ion t700 oflhl l..ltr Codc. 16r rh. pafonMc. of <br />th. *ork aor whlch lhb pcnil ie isdl. My work6 comp.n srion idurMe cnia &d poliy nu'nhs &. <br />Pdno \umb.r <br />-l <br />rptr6 <br />- <br />-l <br />c.aify rhar in th. pdlormancc of rhc worl for which rhii rdnn is 6rucd, Lrll hol aryloy any pren in any mMnd <br />$ a o h..!tu. subjd $ rn wo.l6' $mp6!.lion bs olcrlifomi& ard !8c lhd il I slDuld b..o'tu subjcr to ih. <br />soil6.onFnsrio.pNtirioEofSdhn:r7fiioflh€lj&tr(i\,eIslEll.lonh\ilhonplysirhrrr&DFrieioN. <br />WARNINC. Fril@ h sur *{116 .omFMio. covn 8. s @|,$tul, Md rlEll rubi.rl e dployq lo dinjn.l Frti.! di <br />c'rn nn6 ut to on. hundr.d rh.Nnd dollffi (l 0., danusd a Fovil.d fot th. <br />S(r nn 1076 of rh. lih* Codc. i.rad and <br />ullt lalt!^ <br />I hd.lr)'o,lm und.r pdrll} of pdjory rhd I m li.d.d und6 Fortbn of Cnlt 6 9 t.ohffi'ns q'ln S.clion 7m)) o, Di\ irion l <br />of fic Busind ed Prot6io6 cod.. dd ny lic.G i! in full lorc and .ft6r. <br />tallralculllJ.llDlNli-aq[N.cr <br />I hftht safm u&r FMhy o f pdtury lhll thq. ir ! coElrudirn Lndins sstrl lor tt pqfoiljMc of lhc *orl for $'l'th thi! Fni i! <br />isucd{S< 3097. ( iv (') <br />AIIIICAITIJTE(jIJAAIIII! <br />Iholty!trrnundsp6.hyof pcriuryocof lh.followingdddllio : <br />D.mlnir. Pmic^.b.r6 irdifidbn F.d.6l R.arhioN (Tnt,m. hn6) <br />-l.qut.d <br />r-ald of Noifa{il. <br />I cdiry lhd lhc Ldsd r.ruLr io6 rqledins 6b6ros ra ovsl r. nor ar icihl.rd rhi pmldl <br />-l <br />.d rE thd I haE r.ad rhk apDlt.rion sd {.1.inlomdion Lrcor.<r Irgrero6nt'lt$nhr[Cny.ndColil! <br />lurrFri2. r.rr@nii6 olihir ( n, nn Counl) lo dld '4o. <br />rh. <br />!bo!. @rio..d prDFy for <br />\DDli.inr or A[.nr si[rrrn -.\\ro <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 Rough) <br />Meter Release <br />Rough q/7//,fu)MA /tf),, <br />Service [V'leter <br />FINAL lzlhl'l/a b.il k . M.tn/La/\) D6tu)fid,r,\ <br />Notes, Remarks, Etc J t s <br />-", r\\-:-r"\rA