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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/srG.OWNER BUILDF-N DELCARA ION
<br />I lE.l, rrm undd Frlrt ot Frury rhd I d dmpt fin rlE Codrric l.t@ llB tor rh. folhsins 16)0 (s( mll t
<br />Buind arl Ptofdhn Cod.) Any Cily or Coudr whth ..q!i6 , Fni r. conetu.t. .16, impoe daelLh dr RFr mlt
<br />iructr.. FFr
<br />'o "3 igu'N. &a ..quir6 rh. appli!fl aor .ucn Frnn h frk . rtfl.d crl.lrml thn lE or !h. i lics.d p,l@ '
<br />ro lh. ForiraN of dE ( onlr-lor'r Li(srd L.* ((tupr6 9. Co"llrfti.s r ah S..lio. 7000 of lrraion I o, $. BuilB Dd
<br />Prcls$n. Co&) o. lnrt h. or !h. i! .roF rhd!fiom Md rh. h..ii for rh. .lksal adFirn. Any vhhlion of Sdb.70.rl.t by o)
<br />.policad aor . Fmit subtel, th. lrplic.nl lo i civil p.EIy .f mt moE tha, ,irc hun&nl doll6 ( Itm)
<br />\t. ". n"* orrlc pnp"ny, or ny mplolB nnh *r*6 6 rhci. sl. onFetun, $ill & tlE $ut ad $. nirr@ ! mi
<br />i ;d.d orolI*d aor sl. (Sc ?0&. Bri.a ed PtoadioN Co& th.(nntftktrrLic@Llvdo6ml!ppl,losotrcof
<br />th.IloFry rtn h,ild d rFor6llEonJd r dEexn *!Ii hnMror hd*lf nrtlmuBl' hi! ( lE osr.ltplolc
<br />Fotid.n rhd su(h a'!!ffiEd h.rlaldofiftd tusk.l[ hor6s. rt lxildlB m,Fe61d i',ld*irti. c rd
<br />olconplriorl $. Otr d tr1jildd wi[ lEv. fi. !Ind' ol provi.B lhd h. or !h. did ml lxild or iqmr. 6. popdty for rh. F,pE or
<br />l. ao$cotrh.FoFry, m6.hsn lycotudin8 wth li.6B d.onlracloE x' Nnsrrucr rlE Fojdr (Sd.70{4, B6rB
<br />. Erkim Codc: rh. (onlrroat l-ic63c lrv &E mr q!9ly to m o$n6 orFoFrt who hil& or implold th66n,
<br />.nd qh. offi3fo, kh FEFr{nt. (.oftl.l.(r li(dEd FlDd roll!(biErre'.litE l._)
<br />tc t ,gr4le,,I tun.rdnrr undd S.rlion
<br />-;7
<br />-to-25.fi :r-
<br />DECIAf,AIIO!
<br />I lE.b .mm un.Lr FMlry of p-Jury oE ofrlE folbf,ir8 rL(lsabB
<br />I h.y. ad tr ill @in!.h ! Cd ifkd. of ('.Mr h scrf-lBur. aor qotld- .onnsEdhn. B rovij.d ,or by Scrio. 1700 of rh.
<br />tlb ( odi tu 0r Ff({r!l'K olr lr Nrt for *|lkn rlE pdmn i! isu.d,
<br />Iliit. ud $ 'll m nhin { orl$' compcslr ion rNur&cc. &r rcqut.d hy Sd ion ]T(]O ol $c t bo, Codc, lor rh. ps,oruc. offi. $i{l ls shrh rhL Fh ir srd M, *ort6' mnpqu$n rEUItr. cllE ad Fl(' nuhd G
<br />Ll cdtify ih, in th. FfoiM.. of lh. sorl fu whkh rhn Foir ir Bu.(I. I sh.ll nol onproy uy pa$n o &y n@d
<br />s 6 h broR olin !o rlE rvt6'omFErirn lts olc.l'lomi( .nd +r lhr af I srhuld bcoc $t*( ro tlE
<br />"0*6'NmFNrionFovsioNolScrionlTmofrh.tltor(irl..l!h.ll.todil'irnomply*nhino-F.vLioB
<br />\'}ARNING h urc ro s@ *rd6 dnFdir. r.16+. u u.k{ful. di $rll eb<' !r dupkr!6 io minrl FdE ed
<br />cnil nn6 up x\ de hundEd rhousd &rllm (tlou,lno). in .ddr ro rfic coi ol conp(Blion- dd g6 6 Fold.d for rh.
<br />s{rion:1076 olih. t htr( od., inrd.sl Md dtuftr. s lc
<br />'1-5.1<v-
<br />DECIASA[!]!
<br />I fiftb, .rrn !n& Frlly of FJUr' lhd I m lis!.d u'r& rDrtion orcll4.s 9 {@njllEnB r nh sdio. 7m0) of Ditkion 1
<br />of rh. BNind .nd Prof*ioN ( od., dd my lkc@ a in tutl forc€ dx, c,T<r.
<br />callraucuaLr.Edlllclg!!(}
<br />I hqtt'! 1116 und6 Fdy ol FJuD $t rhd. ir. @dBri]. lardi.g .g*, lor tlE Ffr'l]rl4. ot llE tro* 6r r'l h rha Fna .
<br />isurd lsa.I09?, civ. c )
<br />afrucAxrjl[ctlSalla!
<br />I hd*Jy lfftn und6 p6ih y olFjlq- on. or lh. lollotr iis &.ldd nrn!,
<br />oanohir Pmis-AsbdM Nolinc,liod !od.r.l R.ruLrioB ( I nb 40. Pd6)
<br />R<qut.i l.a16 of Norin.ann
<br />, I cql4lD. rlr fGja.l qul,DE r.*rdrs dr<irt 'ffr !l m d +pl*.bk !o rhi FU,ar
<br />U46 id I tB* ftr,t thits pntrcd rcn lri rdc rhd rh..h'v( inrom'rion is.or*r Lsr6 ro complr *nh.ll(.lty sd (i,u.ry
<br />odiMM6ddSrd. t {3 EidnrR t,, hoildi.r nn. sn hd.hHurhnu. rqrsndn6 |rrhis ( 'rr,xl (ind\ h ord ur$. rtE
<br />2-' "" 1>'25'la
<br />nbor.ndrond Fntd) nn iftFdkJ.
<br />Applk.nl or Aadl Shn.l{r.: +
<br />,"-'r.. ""-" r,.4,,, *E Zo. l -.--.--.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<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 />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />Service Meter -6-11 Lh.lr
<br />FINAL rt-6--ll 6.h.cta
<br />Notes, Remarks, Etc
<br />-+
<br />COMMENTS
<br />Meter Release
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