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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Or}NER BUILDER DELCARAIION
<br />I hd.b rmm undE t6&lly of p.rjury lhd I d crftpr 6on lh. (bdr..ton' Li.ro L.w for lh. followin3 ra$n (56.70!l t
<br />Bc'nd rd Profdion Cod.). Ant Cny or C@dt which r.qot6 r pann ro connrud. !16, inpmve d.,mlih or E!.t uy
<br />sdEi Fn ro ir! iwc. .Lo cpnB llE Trl*el aor ruh Ff,n r. 6L. !g..n nimr rhr lE or tf, it lics!.d F,rEr
<br />ro rh. Fnri.io6 of iE Conb*rs'r l.iavd trq ((tupr6 9. ( omMirs \ nh S<tion 7000 of Drri.io. I of rlr BuilB ad
<br />ft.fdioN Cod.) or rhrt lE d sh. n .rdq lhalnom rd lh. tsn tu,ih. dLs.d aoFio. Ant\Fhrionofs.tlF.T0!1.5htuy
<br />sppliclnr lor ! pmn rubjet3 rhc lpplicinr ro ! civ
<br />'
<br />I p.mlr, of ool nor. rhM fi!. hundr.d dolle! (tr00)
<br />l, 6 o*c of E F$Fty. d Ey cnl,b!6 *nh *rs6 s llEn $E odFBrd. sn do dE rvr rn dE rffi a d
<br />iddxLd or ofid fn -L (Sc.7Or4. &!lE &d FtofdbE Cod. Tlt c6tr3- r Lilr t^ &'6 ml {ply lo d o*c or
<br />ttr FoFty glb hill. d mqor6 itaE.. rn rh &6 st w,i hrlelf or lE*lf or rk wh hB.r hd oM dqhy6.
<br />polidal th!! rlch imF!\sEfi m rol i s'd.d or o,[r.d aor sb ll. t6*.€. rh. txildiq or iqn6Ei ir sU wnhb onc ]6
<br />ofcoolhio'L {E o,m( B!il(|6 $i! h.v. rlE hr&n ofFo\rB th, lE or !h. dil ml hrild or itFovc lh< FlFry ft'r rlE F,Fc of
<br />l. N osE of rh. Il.n6i)'. m.tcluln.lt.odrrrnla *Ih h..B.d .odrdon ro $Nrud rrE ImF (s€ 7014, 8dllB
<br />rnj Pn,ftsi,n Cod.: l h. cont&t.ar Li.6s. Lr* do6 ml .pply n' u otr n6 ol rtropdy who burl& or impror 6 !h6o..
<br />and *ho conlmclr foi such p{oj6r! rirh, Conrocro(r lrd.d puBdr ro rn.(.nlfftois Li..M l,s)
<br />I m .rdF lnrla sdion
<br />D.r. o.n.r
<br />\\ o{x i-lls- coilPl. N.sa lioN
<br />DTCLASAIIOI
<br />I hc.l) amrmu.dd F.ah, ot[r4u^.n of rh. tull,N'ry ddt a.on<
<br />I hrv. rn sill mhtlin r CcnirE.k orcolMt t. Sdf,lec ror * 0,16 NnFdh.. a F.r id.d fm br S.( ion ITOO otlh.
<br />ti$r (nd., fo. th. Fqfommc. o arh. wo* for whicn lh. pnnit i! islldj
<br />I tur..ld {ill m.inl.h *0*6 .odrosdbn iM., s cqlt.d b-! s<rbn !?(x) of llF l,bor Co&. tor rt Flo.lj@. ol
<br />\t\ \$miEBdrn iBurffi..6ir ftj Flk umt< !.:
<br />*fitr?f:i, toiot,/tuPolicyNumb6, l/'z r50L
<br />l.cn't rhd in rh. Faolrlk. ofrh. $ott fM *hth rhn F.nn 'i su.( I lrsll tut onphy e, Fsn in My mm6
<br />s sro tl.om subjdi lo th. so.rd comrosdbr hu, ofctliromi!. .nd tsft thd if I sholld b..om $!i.n lo llE
<br />workcJ conpoer ion pmvisioN of S.dion 1700 of rt Llbor Cldi I rh!|,. aonhwnh onply wilfi lhor FNvnioN.r
<br />WARNING FotuE lo 6ft *sI6. @np.Mtr\.
<br />cn'l n.6 up ro oE hun<tr.d {hou{rl r!.llB Itlm
<br />6 !nL{ful. ad ndl ut r.l d o.r,h)t ro diminn Fda. ai
<br />SRr i. toro olrh.l.tn (tdc inrdd rnd
<br />".,. -p /IO/R ^
<br />). in ..tdnnn ro th. coi or codo.ilraon. d.,ne6 ! Forid 6r tlE\X_-*)r
<br />olcllaABo!
<br />I hoqrJ .rm unds F..h, of Frjury th.l I m licdel un& Forti'n orcn Fs I (onjl1@ing tr nh Sdnf, 70001 ol Diririon :r
<br />th. Bulii* erf PFldioN Codc, &d $y li.o* i! in lLll r.,.. md.ffar
<br />v ??sB>
<br />",:,::."'rl*t?astt?caxslaucrQtrlJtDllc_acEli(l
<br />I H! ilm udq Frty of F)ury lhd llEG 6 . mdru<rnn l.lid,R !sc) for rh. Ffffi. of lh. u{rt tur \trh lhit Fni ;
<br />i$ucl lsd !097. cN c.).
<br />I odo'r Nd.
<br />AIIIICAILDEOJAAIIA!
<br />t hdltry dfm unds Ftr.hy of p.rjury oG oa th. follo*in! delnil hn!:
<br />Domlirion PcBne^rb.ror llorific, Fn F.dGrl R.suLrio (Tirk40.Pd6)
<br />R.qut.d tr{lq ot tdi'fi.dnn
<br />I csiiry $!r lhc Ldd.l rcsuh ioM Eerdi.s abdror roo6l d. ior applkabk ro ihi! prejdt
<br />lzl .drry rhd I ln. r*l rhi! qplknir. rn r{. rni rh. !bo\. i.lorniio. i.6cr I .8relo onprr, s kh .ll Cnr_ .,i coud,
<br />y !i coudt
<br />'o
<br />6rs l+on i,rordmtrd ind sbr.116 Elline Lrr,,. {rl hd.ri hr,.relt.aon, ns.rrh'\( tr
<br />)tlrfu
<br />l,l lJgol
<br />ahnc nrork,..d pr.Fl\ f{!
<br />\Iplic{trr or \xMr \ixtrrt'
<br />eu
<br />t7 //0 //q
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<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 (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />.c.r)
<br />Rough bltblzo'J
<br />Service Meter t
<br />FINAL 6ltbllp'7i--'-rrr ,.d'!D)
<br />Notes, Remarks Etc
<br />0
<br />Pole Bases
<br />Siqns (monument)
<br />I
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