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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DETTARATION
<br />I h6.by .llm ondq Fn Xy ol Fjury lhr I 6 q.o{t &oe t ao.rdr6' Ir.cE lry fo. rlE bllowiDg ren (Sc 70ll ,
<br />t]lsiB .,n ftotgbn C.d.), Alt Cny or C.!dy *tih r.guB r FEr lo cors,E!. .la. i'rpro.t &Elirh tr lE.n ev
<br />rlruc1e. r0 lo ir! suee. !ti. rrquiE lhc sppltel fo, 3uch paoil ro 6L . rkncd rtrlcGl $r tE or JE a licdlcd Frud
<br />to rlE Frviriod of dE Conterdi Li@.!.d t * (Cll.pla 9. Cot!!!ffiEs wnh sdion ?000 or DiYnb. ! ol fi. BGuE rd
<br />ProfBiou cod.) $ rhd lE or stE n qdpl lhalfoh lrd th. bc6 aor th. rlLscd .rdFio.. Aoy violrion of sdrno ?01 I t bv ev
<br />6ppli. r lor ! Finn subjdr! dE ipplicer ro , ovil F yofmt mE ltd fi!. hoit&ld d.'Iir {1500)
<br />l. 6 of,nd of th. FnFrr. o my dploFG *ilh wagd d lhct $L snFEJion. will do tlt rod ald rlE lnrrE t ml
<br />i od.d or oftd.d f eL (sd ?04,t. BuilB od ProtdaoB cod. Tn< ( odrr.lfl r l-a.* ts do6 d Dlv lo d otrE 6f
<br />rlE EoFry who h, d or rFD€ rlEoG.n ElD dG tldr wtl hi4lf o.lE*lfor tl@ush h! o ha oM mph'6,
<br />rovd.d rh,l 3u.h hrPr.vddtu e @l idai,.d or olrdEd nn $]., lf, lD*dd, lhc Llildi,s or inF!!ffi| ! 5B *nhh on.
<br />'cofonpldioi- tlt (,*6 E{il& siu lIE tlE h,rtor ofFritE $. lE d dE.lil d h d n liFot lh.IDFy 6.llE Flpc oa
<br />-1.
<br />s o*G ottlE FoFlr. m dclBirlly conr-rds rrth lGs.d 6 rdc b o8lD.l rrE FsF (Sc ?044. R6|tB
<br />,n PE6.inCo& Tt. Co.r6(d'r Lic.M L.w d6 mr tprly ro d os6 o f pr.psly $ho build! or mPbvd rh6on
<br />.od who @nrtr! tor .u.h F.j6lt wnh ! Coorsro(t) lanlr.d F6un lo lh. (odt.dr ! LtqB L.w).
<br />I h.rdd u.Jd s(ton .n &PC fnrrhsr@n
<br />thl. Orrd:
<br />lr{rtu<r:ri. cdirpiNs^TtOn
<br />Il&cta8auQ!
<br />I lE*r{ .fiirft unda pdrly ot FJury o( 6arlE lollo$ in8 d*ld.ri,B:
<br />-l
<br />hlvc !d will Minl.in. Cdrifsl. of ( (,@! b S.lf-lre fn wld orp..dioil s FDviLd lo, b, sdhn l?00 of th.
<br />Libd Codc tx tlE Ff lrr of lh. rqt br *tit lt FDir ! iqcd
<br />-r
<br />h!r. and rill nlinl.in xo*..' .obFsrh. iBure.. B r.quiEl by ariio. l?m of rlE L.bor Cod., lot tlE Ffd'l$. of
<br />th. nrl fo. whih thir Dqmn a isr.d" M, wul6t omFudiof, iEum. cerir rn policy.unbq ft:
<br />fu,a,tt ta t^+,, wt,tu. orrh. *o'r ror *hEfi fiir FEn ir isu.d. I shtll mr oployuy rd&n in Dv muM- e . ro bq!ft !b!er lo rh. mlt6'comrE{pn h*! ofc.liaomia rn.ar lhr il I {huld b6otr $br..! lo r&
<br />wltd 6op@dion FDvilio6 ol s.dion lT@ oflE t.h* c.& l tElL lontvith @ndt *nh $or Fotirba .
<br />WARNTNC tlilft ro w. *Drkd' Fmp.dion orars. it unhntul, .,!d .h.ll bJd s otplotq
<br />'o
<br />anlEl FEIB &d
<br />.i!il fnE up ro onc hudrcd lho@d dolls (t100.000), r sddnion lo rh. con of conFMlion. dand!6 B Fovid.d fo, lh.
<br />Sdk,n 1076 ofrh.l,bor(-o& intsBl..d.(*E... fc
<br />x,.,.
<br />I ts.by amro undd p.n6hy o r Fjur,_ lhat I m l(.tu d undd rrolbion orchlpts t (.ondd.ing $nh S*lhn ?0O0) of Dillion l
<br />of rlE BsilB rd Pmf6ird Cod., &n my lk* i n ,ull tora !d clIdt
<br />K,,"*cl0 lr.@Nunbs 1b7z o3
<br />z/c)9/ 20/? ,.",,.",., Qt *pG N&^^l€
<br />ca!ffall(I:lulil.EBDac.Acllsr
<br />I hadD' .ftm ui&r FDh) o f Fiury rhn E. is..lldrudn. bdlllg.gtr! tor rlE Ff(irre. of rlE {orl for *lrh lhir Fni a
<br />islal {sd !097, civ c.).
<br />LdJd r adda
<br />-
<br />AfIUCAILITECIJSAIIO!
<br />I E t y .Iftin !nd6 Fn.lly of Fjury .N of rlE follo$ing d.<Lr, ioN
<br />ttrml(ion Pdnne^ibdG NorifK.lion F.dq.l R.suhioB ( hL,{0, Pd6}
<br />RGtui..d ld6 ol Nolifr:rhn
<br />l.drfr rhd lh.l.{dsl rlsulinoB Fgtnn.S sbdtos rm\al d. ml al,Ii(.bhn,rhirF.Fd
<br />fuca6 tt t*v ra rt! 4pl(rrhn nl !t!r. rhd th. lbovc haom,ion n cord I lsra ro mn l! {nh tll cily ed Counrv
<br />-dd@r6 &ki srE bH Elauu lo boru'ns olt,ru.rE( dd hr.6y aulhoriz rqterrn6 olrnn Cnv !d Cou, v lo 6ra uPon iE
<br />.lEv. MrFnoj roFrt for !E{6
<br />Arflk.ol or Atal Shrtur: _
<br />/-rrZl
<br />/vG {AJ
<br />AJ 7tr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<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 (Rouoh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh A-).Wld
<br />Service Meler
<br />FINAL 2-l 1 .\.u4.tu
<br />Notes, Remarks, Etc.
<br />'l-l'l u '/N
<br />?-lt
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