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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BIJtLDER DELCAR ITION
<br />I h6cby rlIm u.drr Frly ol Fjury ll'i I m adpl iDE llE ( oilt Gldt' Lk Le' tor ltE folb{in8 l6,n (sd 70l l 5
<br />BGi.s ed Pr.fcnn Co&) any Chy or Coun, *tih EquiE t Fni! ro olEnrt. .t6. @Forq dseld or lFt' rv
<br />llrucruq Fior lo ilr isuo... !&. iqui6lh. tpplicel aor uh pdrit lo 6L. !i8..d tr .lBr rhd t or dE i licd'd Fet'n
<br />ro rlt FnvalbN of dE Cont*d! Letu d L.q (Chltrd 9. Coffiirs wirh Sclior 7000 of Divni.n ! of $' &ai,r ud
<br />ProfdioN Co&) d llEr tt d dE L crdF lhd.fon rn 0E b3! tor llt tl8.d .rdFi,i. An, vbhion of Seti'n 701 I 5 bt &)
<br />.rplicrnr for . d,nii lobja-tr lhc @9li.mr to ! civ il p.uhy o r nol ntr rhe fiv. hun&.d &lldr ( 1500)
<br />-1.
<br />! wof E FDF!,. d my dpbJa wih 886 s lltt eL @mF!dbl! u'ill & .cct-ddEtuE'd
<br />fidrt d d offEld fd eL (sc.ro4.l, BGi6.d ltofdioc co&: Tt corin ld t LkaE Ls &6.o1itlv lo d ow of
<br />lh. FEFI, vln h!il&d tt9.!6tlEot! ad who d.6rrn s hitu.laor ha*lf or $b!eh hi!.t hs om @pLvG.
<br />Fo"uia ru ""<h imFDrqnd Gd -rdxLd dotu Ior slc l[ hos@,llE hrisiq d i4.s@r.ild wilit d ]a
<br />;f-,eldioo rl! O'"; e,I& wil hs llE h,,rh olFslrv lL tt d .lE dd E r hril! d hglE fi. FoFiv 6. dE FlpE ol
<br />-1.!NcolrlEF!Fy.m.rchsiv.tcondle*nh.qEdom-r6roodrudtLFlj.tr(Sd704i1.&riElrl hlkin Co&: Th. Codrcroa, Lic@ L.w do€ rcl .pply lo - omq of FtFrt lho bdil.L o, i69,orB ths@tl'
<br />&d who snlEl! for $ci !.ridt wirh . C.dt!.1o(tl li.d!.d p6uln ro th. Co' r.c,nt LicqE bw).
<br />_l m.r@F un&r Sa-1
<br />Drt. (hr.r
<br />\r'oRrif Rs (.otlPtlisal toN
<br />lrli(lrt&ljja!
<br />I herchyammunddpamlryofp6ruryon.ofrh.nnhsnud$lartrn'n3
<br />I h&c .d *nl nrint.h . Cdrifi.d. of co@{ to Sdf_llu. fd ssla' cdFulhn. d FoviLd h' bt Sclbo l70O o'tlE
<br />t hor Codc for rlE pdforlft. of lhc 6rr aor "{th rh. Fhn a isu.d
<br />-t h&G.d *ill Mirdn wo.l€r' onlpsEdior ilEuee s .cqui,td bl sdb.lT00 ollli t bor Co& ror th. Ffffi of
<br />rlE *dL ld shih rhi! FEn b i!rd. My s{trtd cott d!r.b. iElm. ffi !d Polkv tunba G
<br />Policy Nunb<'-ErPiB:
<br />--l
<br />cdiilhd in $. Ffo.rfu of llE trort lor ufith lhi Fnn . N.( I $dl mr otplov &v F&' in mvffi
<br />; d to b;m sbjat to tlt "tlrd' .o'pdlrion hB or c.liromi &d {r< rhl ir I rtlould bcom $qd lo ih'
<br />wo,L6' NnFBlbn ptovilioB oa S..rion 37OO of lh. ltt r Codc t slEU. ftdh*nh ompry wnh rtirs FlvnioB..
<br />wAR INC: tuLrc lo sE. *ut6 onqEEioo ot6.sc 6 @l$tul .d tull iuhFr u dphF ro oinid F rE trd
<br />civit lin6 up to on. hun&ql lho@d dolle (iloo,Ooo), in .ddit6n to lh. coi of comF lion. d@g6 s pr'vd'd for th'
<br />sdrFn 1076 ofth.Iib.. (ii., i acn i.d.ndq*.! 16
<br />A*laO v1
<br />llcllEarlo!
<br />I lE by jTm unta F,it or pqur.: rhd I & licqE d ldq Fo!6i.'n of Clqid 9 (comMItB * nh Sdion 7000] 'r Dn kirn r
<br />ot rh. BusiB dd PmfsioN Cod., 8d mt lic.e i! in aull lorc. tnd .ff6r.
<br />(--.a.\Ara;he,LJe*!
<br />(a!!IAJJ(I TN!EIDI.dIj.AGE8(I
<br />t ka .rm u,{tr D6!xt of Fq-_- llld @..odrudion loijtis t8trr. rot lh. Frollffi. otlh. sorl 6r *hth rhn Fni ir
<br />isn! (sc. l(]97,civ. c )t ndd rN!m.
<br />-A.ElllQlBLDl:s.38 rll)x
<br />I hdrlr 6trrh u*ld !.orr, ot Flor,- oR o( rhc f.ll,$ in! &(hrd rn!
<br />lt'nol trn Pdrnnr-AslEtos Nolifirdhn Fcddrl Rcsulrln'n! (Iirl.l0, P.n6)
<br />-R<q!nd!
<br />hr6 of ld.l'fttion
<br />I .dit rh.l lh. f.do.] r.8ultrioB r.sddins Bbetor rororal e nol tppli.abk lo rhi, pojcr
<br />-l
<br />coi'ry iht I h^r r..d lhi! q9lt.t6. ,n rd. thi rl! ,tFr. info.tndion . cod t .sE to coopl-t *th .[ Cny tri (-ount,
<br />d'v6 olrhn Cnyod Coumyro 6'6 r4'on tlEel ha.l1, allhoroc rqr.st
<br />\4"n
<br />ordrnan(6ud sr . tiE ELlrns ro ltildins conrrudion,
<br />!bot. ,mrnn d p..Dd' for lslqr'gn puFx/
<br />Apprd or^ld,sbu,u*
<br />^.a'\Y
<br />P@k*un.rprho: *l,rJr{,k)
<br />/,,/,,t"t
<br />Site-Work
<br />Underground
<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 />Bondinq / 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 />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh l/u1t1 5\r{
<br />Service Meter
<br />FINAL Y/c,7 .r*€.-
<br />Notes-Remarks, Erc. Z ' 1--,'
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