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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OTf, NER BUIT-DEN DEL('AIL{TION
<br />I hdctry sffro uidr ,.nrlry of Fjory ill, I m .rmF nom th. Cornr&hs Lic.@ Lsw f.r lh. rolbwDE r.en (st.?0115
<br />&Bind dd Prol6ion Cod.l Any ( ny or Coudy *hth r.qur6 i prmn !o coNtM, !!la. EFov. &<h o. ie.r {t
<br />ittucru.. D.hr lo it! i$utucc d$ r.qoir6 rhe applicul hr 3uch pdmil lo frlc . si8n.d 3tlldnd lhll lE or dE ir licstr d prsel
<br />ro rh. FosioN ot dE co.tr.(ors t.td.d L{w (Ct.rl( 9. Cohm*inr {nh s<ion 7000 oI Dirbtrn I of ltc BBitK md
<br />I'mf6io6 ( o&) o. rhrr h. or rhc is .icnfl fid.trom tud th. b6rit for rh. sll.8.d .rdFion Anyviolflio.ofs.dion 70ll J hyany
<br />aDelic.nr lor , 0qbn $bjrr' tlE @ph.d ro . ci\ il p.Mhr of ml mrc !lu. lir. hun&.d doll6 (lJm)
<br />l. s om6 otlh. prordry- o, oy .nplo]6 *iti sta6 s rh.ir $k .onFBnio.. snl &, dE *61 .tl rlE ,nrlr i! el
<br />nro&j orord.d lor slc (56 7044. B$ins od Ptrrsh$ Cod.: ltcCt',nrtdor'! l-k.e l,w &Bnol4'Plyro o$n6nf
<br />rhc FoFry s ho hdl&.. iEFiv6lh6o|\ lld sh, doc uh qot nin*lf or fi@lf or druu8h hh or nd o*r ciplov€.
<br />Foy'd.{ t6r su.h 'n{nnaldr Gml nkxkdorolH tu 51 l[ ho"s6. tlE hliui'ls m unpr.va6n n$ld sahn!w ]d
<br />ol co'@lcrirn. lL Osrd l.tuildi wi[ h.t! ln. bu&n ofFrvi.g lhd lE or !h. dil nor burld o. infov. 6c F$Fly for lh. rylo* of
<br />- l. s o*d ofrh. FFty. o d.lBi!.ly.odE rins f,irh licqa.d c.drr(16 ro.odtud tlE ForEi (s( 70,14. a{trB
<br />rnd PrnfsiI Co.tci Tn. Conrrlclorr l-kdi. Lrw do6 nor ,pply ro m 0*.6 ofprop.n) who hrild! or tnprcld lhaNr.
<br />lnd Nho o at tu ruch Foj..$ *nh r Cor 6cio(rl licsMd puButrl lo rh. Codr.croat Li.@ t $1
<br />l ,e\(trrtn un(h S.di()n
<br />lhtc Own.r
<br />uiitrtrrxs:coutf!$rqN
<br />DICIASAIIA
<br />I hs<by afllm und( Fndty ot !dju4'on. ol th. follotr irs &.karioB
<br />I hivcddf,illnsinloinaCcnilk.l.ofcolBotlo Sclf-lBu,.fff Norl6 compdelio.. B Ftlid.d for by Sdion l70o oI rh.
<br />t$nr Codo for rh. Fforlle. of rh. wt fo, s'hich dr. Fmn it i6u.d
<br />I h.!. a.d rill h.int.in $ottd compoBrri.n i6l]le4 E rcqon.d by Selion 1?00 of fi. ttboi Cod.. aor rlE Faolrl@. of
<br />ih. $!rt .tr vhi.t rhn Fnn ir i$od Nty *0116' @mFMio, i6ore. csi, id Flay .ub6 e.
<br />I (dify rh.l in tlE Fifotu.otlh. sul for $hich lhn Fnn is isu.d.l3h!U nol orhy lny p@n h any manna
<br />$ s ro b.coft eubj.d ro rh. sorld .{mFr.lion L$s ofcrlif.mi.. !.d ,sc Inn rf I sbould b..orc $h€l lo lh.
<br />wort6 mmpderion rovilioB of s.d io. 1700 of rh. l,trr code I sn ll hnh\dh cor.tly rvith llx'* rrevieioB
<br />WARNINC l'ailor lo sur. uorlsa .onposriln co\ ddgc ir unla$ tul. ad thall subi.tr onrlotr lo ainlimlpoatbed
<br />.ieil n.6 !p lo orc hu.dr.d rhou$d &na (llooJoo). in ddnion con of .omFurio.. d! 86 6 Ford.d for $c
<br />56l')n 10r( oflhc l.ab.r (ndc, ir ft6r
<br />,,,,". /2.12 rc
<br />I h6.bt iiim undB pcndhy of pcju.y lhn I d lic&d undd Fol ilhn or Cn Bs 9 (.omft.cins q ith sel6n ,000) of Division l
<br />6l rn B,tiB dd P,ofsioG Co<,.. &d mr licos L in tull forc! ad.lfftr
<br />LictucCh$
<br />^* J/ t?_l,g
<br />(:oNsTnuclloi\ | rNDlNc a(:ENcl
<br />Inn byamrno.ddFn hyof p.rju.,! lha 1ft6. a. o'rctudion ldiine.$my tor lt Ffo,necof rh.*o fo. q'hth rhis Fmn i!
<br />i..u.d (sd. l0t?, ( i! c )
<br />AITIICANIIIECI.ASAIIAI
<br />I hddr .trnn unds t'6oll, orFjury oG olth. lolh*i.8 &.lrtl ioos:
<br />D.nolirion P6hit!-Arb6roJ Nori6c.lior F.ddal R.suhio( (Tiil. 40, PM6)
<br />R.qunal L.rr6 otMtifi.rion
<br />I cslrrr rhsr rh. Ldd!|..{nlario8 rcssdrns BtEsros rffo\ al a'. noi q'tl(dbl. h rhis pn!d.
<br />I c6ri6 rhd I h,\.rcad rfin.rtncaxon,rlsr.r.rhd th.6lu.rnlotun,n is.otr<l l asre lo .onllt \ irh rll ( yandcounrt
<br />o'dinanc6 and SEr. kss,.hlins l. tuildin! c.dn.lior erl hd.brourhorE r.trMlliiv6.arhi. ( nr" d aounry lo dl6 !I,on lh.
<br />!tF!. M'hrcd i,frFny f.r iJBe€^
<br />Appll...l oi gal Skuluie:
<br />P.mltr d0. (rrln0:^Llz-
<br />q'L2kt4
<br />I
<br />n-tz-!{
<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 / 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 />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)I
<br />Meter Release ,//1///4e r)
<br />Rough
<br />Service Meter I
<br />FINAL /l/t:t /trli z2 Xir t
<br />Notes, Remarks, Etc 'lj'
<br />DATE
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