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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\lXEn BUlr-DER DETTCARATION
<br />I hs.by illm unda p6.hy or psjlry lhi I e d.flfl froh th. Co,iturdt Lt.@ LI* for lh. follovi8 '@:r
<br />(s.. 7011 5
<br />86,n6 an PrcaBbn ('o&) Ary Cny or Couny *nih rcqutd . Fnr ro .odtucl. !]t6. nnp.ole dsmlth or qEir ry
<br />rtruclrc, prior lo iis i$!eq rt!. r.quic ihc rppli.r,n for iud Frnh ro 61. ! 3Ln.d ltdad rnd lE or rlE a licsa.d Fdd
<br />'o
<br />rh. Flai.d ol0E Cofrrd( r L,'6Ed rrw (Chrp(d 9. C.nlI]rCiIs *nh sdio. 7000 ol DiririoD I of lh. BBiB Dd
<br />PDlBiod Codc) or rhal lt or tlE b dmpr lh6.lioD !d rn b6i! aor rh. rll.s€d q6prion. Any violdt'n of s.dni 701 I 5 b, .ny
<br />.ppli.d lor . p6nt sbjdr tlE rppli.dt ro r civil Fd, olrr mE rhr, lir. h!.d!d d.,llr. (ltm)
<br />/:L.< o\n olrtl raqlr. $ ) mployg *nh *.s6 s rh.r skomrqurcn. tr I&'trE\Gtd rinxru..d4 dad.d orofir.d rq d((S* 7014. Bdu6 od EDl6iioE Cdg Tt conlr.cio.'r Li..M hs 66 nor @pl, to & ouM of
<br />th.FoFy wln hoild d !ry!6 E@ *l who dG sh Nrt lirelf or h6*lf or rlEou3h hir mlE ou! ol'plor6.
<br />Folid.d $,i $(h inF.vffiB G hr hod.d o, otrsd ftr ul.. r( bs6. rlE hildi.s or ilr{ftlrc[ i! skt *irhih orc ,6otmnpkbtr dE o*c &d(L. will h6E tlE hdor otFovrt rlt lE q iE dd mr hxld m irFoE tlE FDFry ft' d. F,Fi ot
<br />l. Bo*Eoath.FoFry. m dcl[iv.lycontdi4 enh [c@al.oitMo6 r. codrud rlE Fojel (Sa. ?0,u. BBin6
<br />an hlr*ih Co& l'h. ( d.r.dd r l.ico& l.w dr6 mr 4plr rou.*nq otFoFty*ho hlldr or inrmr6rhdotr
<br />sd sho odr&It lor tr!.h Foj.llr $irh. Contdo(r) li.asd puBwt lorn ( ontrrlor'r Ucc@ L!w)
<br />I m.\ori lndq S(rhn
<br />-" - 1/24jl ""*, Yr
<br />I hs.i,) lmnn lndd Ddrhy ol Dsiul orc rarh. follos ss r!..1,.rir6
<br />-l
<br />hav. !d will mi rh. Cdiftn. of CMr to Sdl.lEe for ut6a @"D.uri.l\ 6 EDrid.d for Ur Sdrio. 1700 ot0E
<br />L,try Co<k lm lb. FfollMa of th.6 for whict lh. Fmn ir iss.d
<br />_l hrv. dd will Eanui, wo d ..mFrdhn iaurMe a r.qutcd try s<lioo 1700 oalh. khor Cod.. tor rh. Ffommcc of
<br />rh. sorl tor * hth tha pcni it isld My mtqr' d,n4dlrirn icl]rle dr; !r1 Fla, ndbq ft
<br />Pol$ Nu6bq _l'r
<br />'-l4)ri,b rlld u ttE pqroffi or rh. wrl rq *hKh rh! FEn E .!.d- I .hrll
<br />7b 610bcoGsqertorlEso 6'@n9@!ioo L$6rc.l'r.lu ed lgErh,
<br />d @ph, e) Fa,. in 0, n6E
<br />ifl slEuld b.(om. suu(r tolhc
<br />s.rt6 .oh(Estion Foytr6 ot sdio. r?00 ol rh. Litsr Cdc I rhll. fodn{ nh ompl, $ rh rt F lr.vir&,N.
<br />WARNINGT Fsilurc lo su. Krt6' cohpa*dion co!.n3. ir unhwtul. dld ihJl {hjdl d nphtd lo ori,Bl Frti6.d
<br />ctril lin6 up ro oE hundql rhousn &ll'! (lto{.lxro). in .djnhn lo llE cor ot.oqEs.rs.. dm.g6 s Forii.d for iE
<br />I na!i, .fm unrr p6.iy o f Frur, thr I D li<q!.d u.dd Fovilbi of Or4r. 9 (Ntm'!a $nh S.dion ,0001 of Divithn l
<br />of rlE BuilB ad PDl6ioa Co<h. od ny lic@ ir in tuU for en cr.d
<br />Li.@ llutq
<br />q0!llBl]gla!.1[!Dl!glc!!!a
<br />I hd!6y dtm uda Frny ol Fi!.y rhr thd. it . @r*tudb. lEdi.s **y for it Fftu. ol Uc *!.t for *hin lhn Fd ir
<br />tru.d (s4 1097, civ c ).
<br />ATIUCAdLDEOJAAI,II]!
<br />I haq .trm u.& Frhr of tgjury oE of
<br />'lE
<br />folh$ in3 .L.ll!r nnr
<br />tkmoliri.n Pmir. !b6ro! Norifi.{io. F.ddrl R.luld bns (Inl. 40. Pd6l
<br />-R.quld
<br />kllq of No{ifi.iih
<br />y'1 t cant fid \\. l.'Edt r.tuhr,oN rlsEdins Ebdor ra6\ rl c mr .pplr.bk ro rh! prDJ6/ i.-k1l calily fir I hM rad Ln! lpplrcdron Ed dtr. rhd tlE lbovc intumnion ir corcr. I lrrc ro ond, *nn .ll Chy . Coun'y
<br />orilEr6 d! Srsrc Lls! Eliru to hild'.s lrE an lE(b,r lulhol',.F6dlnn6 of thir Cnt !i Co@r, ro ord urnn dr
<br />ah\. ,ndrion.d pniFny tur iNpdkrnxA|'|,licr l or At.nr Sigtrirorr
<br />I\nnirN i r.(Fi'n): K Jb
<br />-rhd/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 />Communications Cable
<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 />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL zlEl n t ;ars,wer,a 'e2-/
<br />Notes, Remarks, Etc.,t
<br />.l]. & P('Z.eE
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