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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUILDB DELCARATIoN
<br />I lErcby omrm ldcr p.Bliy ot Fr,try rhdr I m cr.dpr loo rtr Co.rnn lr.nr bs lor llE roll*ing Een (S.! rl3l.,
<br />ausi..$ r l P.ot srion Cod.l Any Ciry or County qh.h EtuiEs a Fnnl ro .r,n{M1. alr6, itpot, dcmlish or EFn uy
<br />(rucrurc. ritrr, ns hsu!rec, alg, rcauiN rhc arplicdr Iorruch Frmir h fih! riS drdrctr.r lhll lEor sh is lienrd N*uinl
<br />ro lh. F,visi,nr ol0r Contu l,tr t t,ienEt L{w (Choflcr e, ConrcBin8 qilh S$rion 70oo oa Divirhn .l dr rh. BusiE* r.d
<br />PNf.$i,nr Cfli.r o. rh!' tr r \h. i\ .rcrpr rh6.rmn rnl rh. h6\ir ror 0E il.8.d .r.mplhn. Any vhhri,n of S.cinr 701 I 5 by rny
<br />.ptlarn' r,tr. F m subj.rk llE rl,lli.rnr r. rcivilFDlr,orml mE'te nvc hundEn dolld! li5{x,)
<br />l. as o*rrolrrr Fopcny. o ny c r'hFs *irh *o3c. r rlEr bk or{xnqrIn, *ill &, rtr *dt,r, rh. ide i! tr,
<br />inlsrl.n ,tr flcrcd for elc ( 56 ?orj. Bu\ir1r &d Pn tc$i,n\ Cr,. Th. con'B1or'r Lirnt t q &Es d{ llply lo M o,mr or
<br />rh. rniFny wh' ho ds o.,n{rN( EE,G an wtn &B lkh rclt himsclro. h.Rlf.r rlmosh ii\ or lE o*o cn{'loFr,
<br />prcvidcd rn.r $ch impDrft.bE , hrcnd.dorof.ril turuL If.t *rhr. th.t ruorS o. in{reEnE hsldwirhinorcF{
<br />ofcoq'ldi,n. rtr owN auihcr *illtuw tlr t{dcn of F,viry rlu lI or shc diii r, rnild or iqm,r dE lln,tEry ror rtE I'urF,s or
<br />_1. $ o*rr or rtr rrFny, m.rcturiEly coffiin8 rhh li.ncn.o.r-rB tu o.rel dE FlFl (S< ,O41. B6rs
<br />.d ftrE$ir CrL TlE Conrrtor l Li..ne trv &B mr rrtl! ro an o*B ol FoFn y *h. boildr or id0hEr rt-.on,
<br />and sh, Lnnrhcr! fs \Nh poF.-r\ *irh !Corurronn UlnEn puiMr btlE ('odrdrt ti.mr lrwl.
<br />I amcrcmnr unJcr Sccrion
<br />EI'8f,E8ITSIIIIEIAIIA!
<br />PEgdBAII.IN
<br />I hcrt'y.m,.und.r rEmhy ot FJUry orc ofrlr tdk,eo8.krbhrons:
<br />_l hf,lr ml will 'uinraia r Cmli.rrc nf Con$nr hr Sclf ln\or f,, wu*cN (onl|lnertun. 0. rflvidcJ Ln hy Sccriun .l7ttr oa rlL
<br />linr CoJc.lnr rtu pcrfortui.. l rhc woa f,tr whi.h rh. ltnn i\isucd
<br />h!!c ind *r ll nuinrain worL.^ comFn\lli.n in\ur rc. !\ nn!ftd by Scrr oh llU) df rh. trhtr (ii.. li,r rlE pdiinluh c ol
<br />*ort ntr r hih lhis IEmi n n\sj . My *orksr (.ttnqr i,n in\nrm. .dF !n B,lay numh.r s.
<br />E\-arrn {- P*- 5,
<br />p,,ricy*unra.-LC9 vc.,' lSl 1'7
<br />-t
<br />n*" L -'L I
<br />_l c.nityrhll in rh. F.rortuftr or rhc work ror whahrhi( F ni k irsEd,l lhlll rr cq'loy my Dcrq,n h.ny Mt,
<br />s .s ro tEn,nr suhj.rl lo ltt $rt6r'd,n'Fn$lhn lur .r Crlilomir ltl .3E rh,l il I srblld benm rubFr ro 'h.m*sr N,r{Enqtirn P'lvirh6 ol SRl ioo l7m ol llr Lllr Cod., I lrult lqlh}irh 6nply unh rhor I'R'vtrirB.
<br />('l o fo oylt1
<br />1-a41\e'1_,,
<br />coNiralJlfluNJaulli-&Gllsl
<br />I tFEb, lrlirm und.r FMlty ol Frju.y rhd rtgc n . mNrd.ti,n b.dins ls.Ey fo. rrr tBfo@ft. or llE wolr ror vhih llft Jsna ir
<br />hslcd (s(. l1D7, cir. c ).
<br />llnd.r! Ad.l,ts:
<br />-
<br />AIEIII:AITDESAEAITA!
<br />I hd.ny anm lbdcr Fn.xy or F.lury oft ul thc folh! rng d..ld.l ions:
<br />Dcnnnirn,n Pcrmil!.Astrsros Norirr.rri.nr ltdml Rcglbin'ns ('l irlc 40, Pid6)
<br />_R.qut.d Lrl.rorNdifr ir
<br />_l .d ir, ltlr dE f.rlcr.l rcSulan$ EB.di.8 arttitn rcB)v.l d mi +pla.bL tr rhi\ plnF
<br />I ed rfy lhrl I hlic rcad ln! lrplili[n !d \lrr. rld ltr rk tc inromri,n r .(fls! I .!ro ro cosPly ] i'h rtl Ci' y .nd Counry
<br />onlin!ft c' !D srrrc l:rra ElJlru r) nu'Lling condrucdr cby axrhrn (I,csnrd,v.i olrhh Cny.nl Counlylo.nlq !F'nlll
<br />rluc if,nr inkl tir utrny Iir iNl 7-4"L r
<br />Applic,nl or A*rnl Sigmlum a7oL
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor lr
<br />Bonding / Groundino i UFER ,1,l1 ?\DkwI'
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners I I
<br />Roof Top Equipmenl ?L \ft+Y,
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)I I
<br />Meter Release t DIIYb ,1
<br />Rough
<br />Service Meter I
<br />I
<br />FINAL ,L l1 vl r>ft#,ry
<br />Notes, Remarks, Etc
<br />)or I
<br />WARNINC tiilurc r. w wtrkF mnFn\.rbn ovms. B unLwfu,. r.d iirll rlbFr r .tr{,bF lo aihi l Fflla! nn
<br />ciyil ri..r up lo oN hundrd rholsrd dollffi (!l@,omr. in add 'o. ro rh. ttd ul omFN'i.'n. drmtlr ! I,oYilcd rot llE
<br />s(rh.:1076 irh( lrtbrCudr. r.Nd lnddr"By \ lfl.- ,11-4- 1 I Xr--'', ./ l,-.--Dtrr: L '' --' , Apgxor: { \
<br />LICE$ELCqNIAAC TA
<br />DEqldlAIIOB
<br />I H',.rrm !d.r p.n lr, of Ft]ry rh,r I d licm.d !h.l.r Fovubn olch.P'6 9l.oltrEiu $ h S.dioi 7@o, of Daa.-n l
<br />ol rtE Burims !,rt Pmf.srhB C.ilc, !,n my ltmE i! in tull fod on dr(r
<br />Communications Cable
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