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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEf, BUILDET DETIARATION
<br />I hd.by rltm u!.1, Frh, of Fjury rh, Idq pr 6DE r,E Conrti6 Ltav Lry for rh. folbviry fd)n (5€.7031.,
<br />BBin* rd Proasio. Cod.): A., City or Couly whth rcqli6 3 rEnn to o ntucr aild, inFotc &ttolilh o. ,!p.! dy
<br />sud@ Ftrto irr M.. ilo rcquiB !rFplt&l fo.sh pani lo 6L. riSE d flsEl lhrlEortEili.qE d F rEr
<br />ro rlE Foyno6 of trE Codrslo i l-.o!.d Llv (Cll4ra 9, Comirs whfi S.nion 7000 of DIn6n I ol fi. Bu.!B ed
<br />PoliBlioG Cod.) or ltr lE or llE b .ropl rhrdrcn !d th. b.ri! for 0E rlle.d d@Fion Ary vioLlion ols.dbn 7011.5 by uy
<br />@pli6r fo. . Fni sbi4l! rrE .p?lkrd ro r.iril Frny ofm! mr.llu fiE iui<n d 611,6 (!500)
<br />l. B o\rE ot rh. FlFry. or my epb'6 vilh *.s6 6 rhci. $L onFMiotr will & dE $rrt dd tli ourG ! ml
<br />idorLd 6 orEd fm !t (Sd.704.1, BGi,6 6d Pr.l*bc ( cL TlE C6dr-oir Li@ L.* d,6 nol ryly lo E ow of
<br />rhc FrF!, wtE hil.L n imFrvd tlE@tr !d who do6 Mh wd( hiir.lf or h*lf or lhrcush hit ot tE oM 6Flor.6,
<br />p.ovi,.d lh.l tuct ioFoEErr c ml i{sn d morH 6r tt lt,lbr!€, r,E bildir d i!trp.trldtd L bld winh m )d
<br />of oryriie llE olffi B{iBs *r[ llE llE hr&! orFDvilB d!. L d rtt dn d bjid d !tp.or. rh. FDFy 6r t6. F F*ot
<br />l. so*G of rlE FoFr, m d.lutir.t, codr*rq uhh lkdE d codr..ro6 ro @ir4.t rlE FF (Sc 7044, &sir
<br />&vl a\okir Cod. Tnc Conxlcroit l-icdic l-!w &16 nor ipply ro m o$.a o f rop.n, wh6 h{ildr or inproB fidotr,
<br />ud gho o'nndt for 3u.h Foiar. snh ! Codfto(r) lkaE d Fl6ulr h rh. Co'frrroir LtoE kw)
<br />-l
<br />d .i.mfl od6 Sdrior-. B. & P.('. for lhi! t6on
<br />ra8[!Br(aMfE!!aIIl)XDEgiadIO!
<br />I hd.l,y amm o..ld FEh' of FJu}. oE of rh. folb$
<br />'nr
<br />d..luilFd
<br />I hrrc rn will middn ! Cariftd. of CoM ro Sclf-lllc lor srt6 onpaqbtr B FlviLd for by Sdiioo l7m of llE
<br />Lr!.. co<L. fc rh. F(.ffi. of E *qr b. *tri<t rlE Fmn . iN!.d.
<br />I h.v. &d will minltin rorl6 conFBdion iMuo a Gquir.d by SelFn l?m of 'lE
<br />unot Co&, tu llE Ffoffi. of
<br />lh $!rI fs whth lhi' Fnn ir is.d My *ql6 ooFBiitn ilBlrlt. cEi, ti poliy numba G
<br />Zl .dr'fy 'h! , ltr FLlr11.G of rh. mrt tu wh.h rhn Fnn ir is.d- I idl ml 6ploy &y F$n 6 @y lll.c
<br />$ a ro beom sbj{r ro dr slid' @npdtdion Ls olc.liforti!. .d !8c rh, it I rlbdd beom .uqd to th.
<br />$!tld'@nFB{irnFovirndols<ib.1700of$.LrbdC.delddlf.rtlvilion+lywillllb-Fovii,6
<br />WARNIiTG: F.ilur. ro su. worl6' comrE!.Iirn mvdsc B unlt*ful. Md rh.ll sbjdi M dphls to aihiNl Fdis 8d
<br />cilil fi!6 up to oE hu,l&d rlFu{nd &ll{! l!l00.000}. in &ldition ro rh..d of conFMior d.h.g6 ! Forij.d for
<br />'lESdircn 10?6 oflhc l,tor CoJc. int6d !d alkrm.y
<br />D*, dz/o 4/
<br />DECIJBAIIa!
<br />I ns.Uy altm u.& FEny of Fjq r- tht I m licqej u,xE F!\irio! otcnrllrd 9 (6t,llrain8 {nh Sdbtr 7mO) oa Di1 abn l
<br />of rh. Burins Md ProldioN Co&. dd ny ltcM is h 6lll foE di cficl
<br />Lic.McLs 2
<br />bt azt/o 6/ ZQ
<br />a
<br />cot\STtucrloi I mnfilc acENcY
<br />I hotby.tfm ui&. Futy of pdju.y $d ilE. i! r @lgMbn ladls.sdy ror llE Fftu. ol(E wrl 6. *tib rli Fni it
<br />i$udl (56. 1097. Ci C ).t n&'3N.m -
<br />AffLrcAILTICIdIAIIO!
<br />Ih.St!trEru.d6po y of FJury oR ol rlE fououin! (klrrl ioN
<br />D.mhion PdneAlhdtot Norifrlaon Fcdd! Rcgllllirc (Tnl. 40. P.n6)
<br />Rcquir.d La6olNdiftrioD
<br />I cdit fid th. f.d6.l rcgullri.N rBsding sbdro! movil e mr !9p!<ibl. o $n Fmjd!
<br />/2(cdit rhd I h6rc rtd $s .p?lic.rbi md nat. rhn th. .bov. inrod ion is conar I lsr lo onpl, wih all Cir, tnd Coudy
<br />odi46 Dd sbr. LrH Elri,S lo hrilding comcrhtr !d hd.6y surhorrt r(,.&ri,!6 of rnn Cny Md Cohly lo dlq !ro. 0r
<br />!bor. MtbcJ FoFr, for E di,r
<br />Appli.rnl or Aadl shnr(ure - rhaozfo<1: 2c.
<br />?.frne n n. tpdnq44,4 /!k-.oonfut-
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicatrons Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<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)
<br />Meler Release
<br />Rough
<br />Service Meter I
<br />FINAL (tl7'll2i D[r/I a ,*Yr
<br />Notes, Remarks, Etc.,t
<br />Rev 0B-07-2015
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