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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNI.jR llUlIrER DI ,CAR TION
<br />I lErcby trffiirn oni.i lctrrliy oi trrlury rlur I .o ex.nu lrofl rlE Conr8cro* Lt..s. trw for rh. followitrg r.retr ls.c,?031.5
<br />Btrsj.cs ind Prdcssi')n cdc) Any City or Cnudv lhich ftqun s , I.rmn o c.n$rucr, .lts. rmprow. d.mlish or npan y
<br />$nBruE, pri(tr e, s isrnatuc. llso rcquiEs rh. rl)pltrtrr fo such ltmi t, fik a sis'rd srlr.trEnr rlur l. ot rlE is li!:'LEd Nrs'r
<br />ro rhc provkioff orrlI C.ntdofs l,ic.nscd lrw (ChaDrcr 9- C.rnmncing qirh Scclion 7( 0 of Divirhr 1ol rh. Businc$.nd
<br />Pmfesions Co<1.) or rhar lr or dp n denlr uefmDaDdrlEb€sisfo'(rsll+edercnUi(r irvioldiriDofS.dptrT0ll5byany
<br />.fl,licdn( Ior i r.nnn sobjab rht illlmnrlotrcivilp.mlryofnor,nor.thanfiv.hundr.ddollrK($500)
<br />_1. ^ o*if ol rlf, ,mrrny. .r ml.mIk'yccr eirh wa8cs.s thcn sb onnp.n$rion. silldo rlt *o&.nd rh. {du! i\ mr
<br />Dre'rld orolT.r.J rr sL (s{ ?lx.r. Brsin.s\ md PrcLsrnnN Cod.:llt Co m(r'! l.ic.nsc LN do.\ nor appl! ro M o*mr of
<br />(he pa{dy wli, t{ilds or in{Brv6 lleFn! dd wlr dB sEh wrt linl!.ll or lr6.lf o. rhtutsh his or het orn .nploy.es.
<br />Foyidcd riar sKh itnpnrvdftnk m mr id.ndca .r ofif.rl Ior sk ll. h.Ew- rlE hildiry or iq,nr*m t sld *ithi, oqrd
<br />ofconrpl(i.n, rlr ()wrEr Builder siu h{v. rlE burd.n .f prulnrp rh{ h. o. sh. 'jid rut buiu or iryrcvc lt. psFdy ftn rh. purB]* or
<br />_l- arown rordEpop.ny. r drclusn sly contd ins wnh lrltnsd conksb^ ro .on{nct rlE pnied ls.c 7(,l-l. 8usi,t.$
<br />, Pn)t*\i[Cql. rh.Cortrl.!tr 1Lr.nieLled,r\ nu.!l)I)l,k, u own.. of !rcrdy *ho huildr ot in,rn,v.s rhcron.
<br />nnd who .ontncrs nr .!ch ,tui.rs wirh a Co.rmcr,,ris) lieff.n pu6uor ro rti Contadofs Lkcn.c ll,).
<br />-l
<br />rn,.r.trd tr er Sec
<br />Mts[lBs:-e9rrtNt t!Q!
<br />DTCI4.BAIIoI{
<br />llrrcbyri,nnuNl.rNtrJkvof foNrt,r.!'lrlrhn[,*tr,!,l.dr ilnr
<br />-lh:veandwilln
<br />nrain a C.niliu. ol Cons.nr r. S.ltlNuE fo! wort s Nq).ErioD. a! Ftrvid.d for by S.crio, 1700 of rlE
<br />bhor codc, lor $c pcrlonrhcc oI rhc rort ,or *hi.h dt td n it isu.d.
<br />fLr.* .t ,,rr ,--"- *,,rt.u' ${nn nex n $$rarE., !s EquiEd l', Sdrion 3?m .r rh. bh., cod., ror rh. Il.lmEr. of
<br />rh. lol for qMhrld'rrcmr n,\! L Myco'16a an{E6rkn NurmE cimr dd lrlic} nunln a..
<br />.--., l. Ar,eri tuh zuf t(14
<br />t \
<br />I .cnllt rld r 11[ Itrfornrmc ,,r ilI work Ir thich rl'is llcrrxr i! isru.d, l slrll nol cnllot any |xBon m r y m ncr
<br />so a\ ro hc.om suhiccr ro rhc Mr[.ri confcnsato r kw\ofcdlihm ind {E ccrh! ial "nouu hcc x $b].d rorh.
<br />*o*cR' (,nrNri
<br />'otr |Io!tridtrs ol sar
<br />'otr
<br />]T0o of rlr ti$r Cod., I \lutll, fodheirh dnnply wirh rlbs DmvisidN
<br />WARNING: Frilu.. ro s.cu'. rorL.n comp.Nrbn .ov.tuB. ri unhwful, slrll subl.d an .nPloy.r ra dnninrl Pcnihis
<br />rivil li|Es ur (i on. h 'dr.d rlu$$d dolhs (S100.0O0). $ addnxnr b rlr con ot romF$rtion, drEt.s rs ptovdcd ntr rltr
<br />Sc.rion lr)16 olrhc ljhtr ((lr. 'n(r.j md. orB-)
<br />r,,,"\=-)c1-"c
<br />!lt!L ra!!ll!
<br />oI th.llurn.s I'mft$r$(nJ.. iul n'y lilcrt n i" n'llnndrDd.lic.r
<br />LC a -f ?){a,
<br />o"", Z'1 a
<br />EANIIBUE!9N-IEND$!.ASEXq
<br />I hcrby.lllfln(ndrr lan.lry.tpcrjuryrl,{ th.r. is a.on{rucri.n knnin8.!cmv lhr rh. Pdlirnmmc otrhc *.rr [ot shichthx rcrm( (
<br />i*ued 1S... llre?. ( n. C.).
<br />A!!UC ULIESL SAr!O!
<br />I lnt)) rlim, unlrr IUrhy oflcrjury onc olrhc n hqm!i!al{di,)ns:
<br />Dcnx,lition Pcrnirs^rlf,(.s Norfi(Nnr Fcdc.al Rcgulali.ns Onh 40, P 16)
<br />-Rcquncd
<br />L.rtcr ol Nori6.ad,n
<br />I cdiry thrt thc rcdsal rcguhrion. E8sdin8 i.bcsros rcm*l d. nor .ppl..bl ro lhn pmJ.rr
<br />YZzf cdir, tld I havc Ed lhir amlrcarion rnd irrc rlll (E aho!. inroduron is cn.cl. I ssrE lo onl0ly w h dl cir, md counry
<br />nrdi n.si J S1d. Lr(sr.l ln3n,I io8.onsructio.. ifll herchyaurhrriz. r.pr.$malivcs.t(his Cny and Counly kr cn(cr ul)otr $.
<br />ih\. nEnrio'. !rcE(y nr insDr(
<br />r2€441,\plliBntnr A[Hr Sirnarure
<br />I
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq i Groundino / UFER t)zl , >k^l)d-*Y1
<br />Transformers ll
<br />Torqueinq
<br />Sub-Panels
<br />Roof Top Equipmenl zlzst L.L,t D A<r" o L #81
<br />Factory Wired Unit ut-
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceillngs (T-Bar Rouqh)
<br />i\,4eter Release Aza '24)DA.^/)d , qtrI
<br />Ir
<br />Rough
<br />I n
<br />FINAL 7178 1,1 7 j2fn^n n fr-81
<br />Notes, Remarks, Etc.rl
<br />Air Conditioners
<br />Service lvleter
<br />t..r,J,, .N. r
<br />--14->nD'r r a.
<br />----+---
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<br />lr)v 08 i)7 20lf
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