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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILOER Dfi I'ARATION
<br />I hd.lry rffm ondd p.mny of pdju,] thd , m .rmpl iiom lh. Contruclo6 l,iccM La* for t. followi.g rcen (sc.7oll ,
<br />ts6in6s a,rl Prctsion Codc): Any Cily o! County *hich r.quiG . pqmn ro coBlrucl. dl6, iilrove &ioliih or q.ir ey
<br />rhcru., Fi,r ro its La!@cq alro Equn6 rh. rpplicsr for ruch Fmir lo frL d !'sidl $d.lMr thd lE ot !h. n lic.trt d pau.,
<br />lo rlE FovisioB of thc Conrrtrroai Ltd3.d lrw (Ch!9ld 9, Co.mflr8 wirh Setion ?mli of Divnion I of lh. BuiN 6d
<br />Pofs6nr Co&) or rh,t lE or !h. ! .rdpl $6.nom Md th. hdL for lhc .llcsql sdFion. An, viohlion ot Sdlion 70] L by uy
<br />op?licanr for a Fmil subjcds rh. arplicet lo . civil p.ralty 016r mDr. lhd fivc nuftlr.d doll&3 {1t00).
<br />l. a o\le ofrh. FFny. o o, .oplot6 wirh *.!6 d rh.t $1. .onp.E8lion, will {b llE Ndt dd lh. snl1c ! mr
<br />inldd.d d o,rdcd for sL (Sd ?044. BBinB ed ProasioB Cod. Tt Codracrois Li@ L6w do6 nol 4'91, ro e osa of
<br />rh. pmFty who hril& 6 ilpro\ 6llE@ dxl who &E 3xl wlr hitu.ll or h*lf or dmuah hit or ha own 601oy.6.
<br />p.olAd {hd $ch imFliffi e ml hlad.d GolIsrd for st. l[ fio*6s.llE h]ildiry or inlrocftd i! $6 *nh'n orc ra
<br />ofompLiDc tlE Orra B{ikl6 v hav.{E b(rd ofFnvigrlu h.orslE drd Fl tuB or unF$v.lh.pllFty forllEDwposot
<br />I. 6 olr@ 016. FoFry, m ar.l6iElr co,,'*ii.r with licdE d codrcloR ro orrrud rlt Fnjd (S< ?0{,1. &llllB
<br />.,rj PtDftsin CorL: Tn. Conrra]lois Li.d. Llw do6 mr lDply ro d ov.6 ofproFny sho boinl! or inpb6 rh6on.
<br />ad glD omd.r3 ao. s!.h Folrs *ih. Conrd6(r lkdsd ptr6M lo llE ao"dor'r Lt.M L!*).
<br />I d.r@F 0d6Serion
<br />raariEStr-cautENsArlatr
<br />DECI.ASAI]A!
<br />I h.r.t, amm und.r Fn.h, oaFlurr oE of rh. lollo*nB dehr.rioB
<br />-l
<br />h.rcedvill mill|{in. Cdrifi.,lcofco@r ro Sdfis@ for N a oDFEdi,n. a Fovi&d for bysdioi 1700oflh.
<br />t hoi Codc. atr th. Ffotrre. .f E*dt for *hi.tlt Fmn iriqcd.
<br />V2ir{ar rd will di ni rc*6'srpqBdi,6 irwarc s ,.qord bscli@ !700oftL lrlorco&, hrrlEFfdllldEof
<br />rhc *nt for whi.t fta DdDt i! is,..L M, Ell6 @Dp@.b. itrllj,rE nir ,n pok, iMh. c
<br />c,i*,Aw-\cfl < an 1<,ric,.Itltlz"t*"^n,\YC96qrt-t7
<br />_l cdrit ln'l in rh. FfolM! 6f th. $orl fc {nrh thn Fmn 'r Gu.d. I slsu nol ophy .ny pc$n in ay oen.
<br />$ shheorcsbjdlbthc*o B omFMion b*! olcalitomi!. a.d asxE rh{ ra l ilbuld bGom iut cl to llE
<br />wrl6 omp6E rioo provnioc ofsarion 1700 ofrh. t$.r Code I ihrtl. fodnsii .ondy *nh thor pmvtioa..
<br />wAR ING: fiturc lo ffi sor*6 (mFNdion sElcc it unlt$tu|. od !h.ll $bjcr e @pk F lo Cmtn l Fulb std'
<br />cMl fir6 up lo om hurtu lhoMd doll6 (1100.000). ir odd'tior lo lhc .oi oa cotrFMlion. dd.B6 6 FoviLd tor th.
<br />Scrion 1076 oflh. L*s Codc i.tsd danotEytf6
<br />-Q-2 a ( -Oa,r" I c t
<br />LlCIIi.tIiDI0Nll]:lll{]A
<br />oL(Ll&UlaN
<br />I tdEby ,l|im u.d.r porny olFjury Ihsr I M licols.d und6 Fovilaoi of Clupro 9 {comcinS wnh Sdlion 7000) ol lrirsion }
<br />of lh. Ausilld dd PDlsioE Co&. rd ny lic@ ir d tull ro@ &d .rEr
<br />.,*.,*,ei9
<br />o""f-.2.)co,,ooo. wi v { r.t (atcta
<br />co! tru(Irclr[lllltctclNcr
<br />I h!.by amm u.ds p.n.lry oa pdjury thd
<br />'h6.
<br />ir a .odrudion hding asdcy lor lhc lqfomec. ol$. {ort lor s hi(h rht Fmi! il
<br />issu.d (s{ 1097.ci!. c ).
<br />AIIIrcAITDECIJAAIIO!
<br />I hdtbylirmuida p6all, ofpdjury on.oalhc aollowinB d6le ionil
<br />D.roltion Pdit3-Asbelos Nolificarion Fcdaal R.8uh!ion. (Titlc 40, kn6)
<br />R.qotcd LdrdoaNdifidir
<br />I cdiry thar lh. f.ddrl r.sularios Es&diiB sb6los r.mvll &r not rppltahl. lo lhie pbj.<l.
<br />b-!4dit riar I l'r,. 6! rhs ,pplicarion ed si'r. rhd th. abov. inrolmrbn ir cotrdr. t i*rc ro .onrly * h sll cn, &d co!.ry
<br />odiDan B dd Slat. li* daliry lo buildins codruclio,! ot hd.by .!dx'ria rcF6.,lldiv6 of thlt Cny Md County lo dl6 uFr $.
<br />ahorc,noxond p(,p.dy for n,sp-1in pu4r,s
<br />.\ppli.rnr or a8enl Si3nrrurr
<br />Po.mire ncme (prin.: Oa.ni c t vC r of--S
<br />*LZ-b.=eqrq
<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 />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equrpment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />Rev.08-07-2011
<br />l9
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