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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS ()$tt:R Bl ll.t)l:R t)ul.( \RlIt()l <br />I hcrby .ilm {.d6 pa.ny olDaju.y <br />'hrl <br />I d .r.npr 6om th. ao rrror' Lk.@ tfl ft'r llE lollowi.s rd]n (Sd n)]l.5 <br />tu ioa &d P.of.gior Cod.): Any Cily or Counly which r.qui6 ! Fmi ro o^rtud, .t6. ihprorq d.ielsh or i+.i uy <br />rDdue Fir io n! i.umcc. dlo r.quir6 rh. @plicer for !!ch Fnir ro fih . iBftd eiolM rh, rr o. dE i licdE d Fsrri <br />lo llE Fovkiou of {E Co E lmi Licoed Lre (Cb9l6 9. Co@ir8 *nh S.di,n 7000 of DilLhtr I ortlr BNird .!d <br />Pmfeiod Cod.) or tlln lE or dE n qdpt thclnon d rlE b.ii! ao. <br />'h. <br />.llr.d aoigio. Any vioLri.,n ols6ibr ?0! I t b, Dt <br />$9!i.mi to.. Fni 3ubjcl! rlE rpplican ro r ciril FEhy otmt mr. $e lil. hun&d &rlbr (t5@). <br />l. a NE ol ll! FDFly. or d, dplo,6 *nh $+s a lh.i sL mnpdiiotr triI & UE $dr nd in rME. ! not <br />idad.d d or.,.d for .L (Sc 7lxrl, BoiB &d Pbfsi,B Cod.: Tl! Conr.r.loa! Lic.e tiw do6 mr @ply ro u o*E of <br />rnc rdFly who hril& or ihF!6llEEE Dd who .b6 sh md him!.lt or h@lf or $rc!3h hi! d hc osn .rlPhr6, <br />provid.d lhI tuch ihp..!qc !elbl i a!d.d motu 6.rl.l[ h.s.a. rlE hrildi.s d i4.6!cr i!$ldrinnmrt <br />ofotrpkb.. dE O*G &iba will liG tli hrda ofFDrrf, rl! lt n rlE dil d hlild d in!.o\r E FnFr, (trrlEFn *or <br />._ _1. 6 ouE ofrlE p.oFly. o.rclNiv.ly colnrdinl *ith lic.a!.d coilr!.loB ro @l<tu.l lhc pFj6i (Se 7Or4. Add6 <br />rrxl PDtair Cod.r Tnc Conrr&roar Lictuc tiw do6 ml .pply ro u osn6 or Fopdy { ho hlildi or impror6 th?on. <br />dd eho colnEft for ru.h Fn .dr sirn . coffi.(.) lt6ed puRqr ro rlE ( bdrard'r Li.@ t!$) <br />I m .r@p! un& Sdlim <br />thl.: _ Oitr6: <br />woRl(Fns'(oitPE sanoN <br />DECllf,AIlq! <br />I hd.by .ltm uid. Fuly orFjury oE olrlE tolbula d..hrnioc' <br />I hrv. ii sill 6anl']r . Cdrifrrl. ol( on5t ro S.lalBor. for wrld comFuiotr s Forr& ()r by Sdhn 1r0o of tn. <br />t bor Cod.. rot lhc pdforoc. o f lh. mlt for $tid <br />'h. Fmir i ie.d <br />I h.v..nd will m.inhin $.rt6 .omFlxion i6ueq 6 Gqut.d b) Sdion 1700 oltlE llhrr ( ort . lor rh. Ffotucc of <br />lh. tr ort rq c hkh lhi' Fn,*,1b,**i t ileid Mtudl6 .!"iFar.ion ieru.ceiEeipoli.ynurhs el <br />3 ZLtT*,,.,^,.o LJA0006tr20 Z <br />!.drifylh.l in llE Ffotru. of lh. worl ftr whth lhit FEn ir i$.d. I JEll rcl @ploy uy pdsn i. uy menr <br />5 Blo b..or $qd rort sda o,rFldion hu otc.lihmai. ud.sErharlf I.hould b.ratu sbjdr lo rrr*odd' compaslion ptuvnioB ol Sarion I70o of th. Lrt r Codc. I Ju!1, 6nn*ih @nply { nh lhor ForiroB . <br />WARNING: F.ilu.lo sa. workd' comp.,adion ovsls. t url.{tul. ud rh.ll subjcl e dnploF h min.l Frlb !n <br />ciil fn6 op ro dc hund.d rho@d doll6 (tl0o,00o), in .ddnhn ro th. cod of .onFMhiL & 86 rt Forn.d 6r llr <br />Sd'bn J076 ofrh.t tor Cod., d6rn d ilorEr'r lG <br />utENs@-cotrrBAcraa <br />Df{;1484IlO! <br />I hcby .rm und6 l,odr, df Fju.y rhn I d lid!.d un<Lr Folirbn of Cn fls 9 (mffiiry * nt Ssr ion 7olior ot Dn irbn I <br />of rh. Bulin* Md PrcfdioE Cod.. rn my lk# i! in tull loN d.rfrr <br />e@ <br />7-\ <br />c36 7aq t? o <br />IL tb <br />( oNsTtrr(-1'toN r rnnt cAGFll(1 <br />I hdlty .rlm !f,da paulry oarajory rhd rhft i! . ointudbi latdiis .g*y tu rlE Flbrnlle of rl* wl tur ${rich rh! Fii i <br />i!$.d (s* 1097. civ. c ) <br />AITIICANfTiCIJ8AIIO! <br />I ho*y .trm urdd pa.hy of Fjury o@ of rh. follo*ing &.I&.liou: <br />Darlnirn P@t}Albdor llorifEn bn F.da.l RcsuLr ioB { Ink 40. P.n6l <br />R.qun d Lr(d of r,loriftrin <br />I cd'ry lht $. f.ddd r.alLrhB EradinS a!6r6 rmr.l r. d qrpli.bL ro rhi! phr..t <br />l.qliry rhn I hry. 'ad rha.pplt,lion &t rtn. rhlr rh. rbovc rntoiMrhn ie cotr.d I asre ro orlply wnh rll (n' lnd ( oudyodi:46.,i St.Ic t wr rchi.g ro boildi.s connrucr ior !d hs.t, rurhoiz qisnair6 orrtL Cnr &d Coo yro ars uponrlE <br />6bov. mBrnrn d prcrdly for Bp.drcn <br />^ppric.nr <br />or ,rrdr shul <br />c{r t141e,az <br />rz- ?( tc <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 />Bondi ng/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 Ro ush) <br />Ceilin S (Hard & Soffit Rough <br />Ce ilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter \ll It^ t .- al/ <br />FINAL a l'qat0 ff<ttm ul 00 <br />I No-lres, Remarks, Etc <br />L.rd.r't Aid6: _ __