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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS OWNER BUII,Dl]R DI:LCARATION
<br />I hd..r( .mrn utuld l,alhy of p.rjury lhd I m .r.mpl 6om rh. ContrkroB- l-i..ro. Lt* aot th. followiry lEMr (5(.7011.5
<br />Buins rxl Profdioo ( ui.): Any ('ir,.r couiy shi.h r.qun6 a pdnir ro codrucr. ah6. inFole ddlah.r rcp.n My
<br />ituduq rior o ir! i!mc.. .L. rc9ui6 thc .p!li.er for 3urh pcmn lo fik . i'sn d statddr rh'l h. or JE is lica&d plNdl
<br />k, rh. liov{r,B oa rlr Conlricloir t,ic.n*d L!* (Ch,Od 9. ( om.kins with S.dion 7000 of Divilion I oaln. BBir* dd
<br />Prolalionr ( od.) or rhi lE or rh. is.t.mpr tlEcliom Ed th. t 6it for th. .ll.B.d .imF6n any tiohion of Sclbn 7031.5 by uy
<br />.pplicur lor i l)qnir lubjclt rh. rpgli.er 16 a civil p.@hy oa n.r nor. lho fiv. hun.!.3 &llas (1500)
<br />_1. s oMd of ih. FoFny, or my mplotc wirh w!36 s rh.t $k onpalrlio.. *iU d. t& *qt En dE ,rrdw a ml
<br />dcrLd or ofiE.rl for EI. tsd.7o.l.l, BNit6 ud lmfdmB Cod.: Th. cohl[dn'r Lk.M L* d.6 ml rpply to & orF of
<br />rh. FeFiy sho biLh or inF!6 lhaatr rd *h. d(E Mh m hiMlf ort c.laorttmugh h6othdoMdPlorq
<br />Fovri.d rh.r ruch mFo€Ea a d idoirt d or oflirrt ftlr sL lt !E$s6, E boildlu or i,qlEE n $B winin o* )a
<br />.acomp|dhr th. OsE lt{itb wiu hrw rlt hdln ol F.vms rh!. & or lrE did d hild or nrs.ow fi. FDFry tq th. F,F.. of
<br />& -.* *r**.*y.6 dctuiv.ly co r*rhg wnh kd.d conrro ro @re!.t fi. FtrJor (se. 7oaa. e!i6
<br />&d Ptoturb Cod.: 'rh. ( onk Llor r Lic@ L.* do€ ,or spply ro M own6 .f pmFly who build! or inlrorB iha@(
<br />Md vh. Nnrd. for Mh Ftrjd3 whh r C. doi!) ltss.d p{Mr to ik codrdd'! Lkru bw).
<br />-l
<br />u.rop! undq sc-r
<br />Y" 4.to'11
<br />![clASArIO!
<br />I n6.h, .mm undd Frlty of Frlry oE of rlE f.Uowiry &cb.rbB
<br />-l
<br />h.E otl sill ui.t.ir . Caliific of co@n ro sdf-lE@ ftr wtdl @dpdr64 a Fovit d tu b, S<doD lrm oirlE
<br />trt ( codq for rlE Ddftu ohlE ed.t &. $tir! 0E Dd6n a is!.d
<br />_lnrv..d*'llmrinr.inBo*.onFiEdbniEuu..-r.qrndbyS.dion17@of$.LrntCo&,aorrlEFfoffiof
<br />rlE srl f6 whth thb Fnk i! isr..t M, wqld' mmpaErion iBulu. 6it d ,olay o@bq e:
<br />Polky Nuobd:-EIpn6
<br />I cdilyrhd h rh. Fft,lffi of tlE *ort fm whkh lhir FEn n &.d.I lrurl mt dqkl, uy FeD ir ey!!l.e
<br />r, E to b<oG3ut*xr ro r *!it6'@np@rbn hs orcd'fomi d.gr$r if I nDuld baoE $tixr ro tlE
<br />*.rrd'onF6.rrnFor6irGorf,errtrlr0oolrlElrt r codq l til. ft'nhvith 6bply $nh Ubi FoBbd..
<br />\TARNINC: F,tuE ro srr r$rtd oflFBibn. nr*. s u.lr{ful. lrl rhdl sti.rl e onpr,rn to aioi..l P@ri6.d
<br />lo oc huh<t.{ rnorqrl &,lLE (tlm.ooo), in dlnhn ro rlE or of onDqt lror', &u36 E pmvii.d lor llE
<br />".Lrrn 1076 orrh. ljtnr Cd.. i 6rn ind (drEr't fc
<br />Y"."
<br />DECllIAIlqE
<br />I hdtt, .ffm !.dd ,oly of Fiuy tbr I a li..d 6.lr Fviti- of orpld 9 (odlj'Bir3 *irn Sdb! 7m0) of onirbr l
<br />ol rlE D{tiB .!d ,bbb6 Co<L. lil 6, lilr i! ir tull fo'E .n .lEd.
<br />coNsTrtuclon l {nll{c ^GEr'r(1'I lElnt .Irm un& Frly oaFiury $r lhar ir . @dru.iim bnins C.r9' ad th. Fl M. of fi. lql 6r wnit lha Foi it
<br />ir.r.dls< l097.Civ C)
<br />AIPTI(jAILDICIJAAIIA!
<br />I h.6y rftm un& Fdty of Fruy od or 0E roll|siry dtbll iod
<br />Daehio. Pmn!-Arb.not tlorifrdion F.darl R.AuLlioE {TnL 40, Pd6)
<br />-Rqu;.d
<br />ltrrq of Norif.iid
<br />I rsrlo @n ly wirn dl Cny.d Co!,ly
<br />div6 of lti! Cny &d Cordy ro d. r4otr dE
<br />| +l .di4 rhd rlE f.da.l rcrd.roE rlgrdus Etdor lqmrd E rcr 4,l..bL ro
<br />'{4..,,n,- ,"'. -,*.l'rrlion rd n.,.,h,h rb* m,.*Fr. ffi
<br />=ii{ls rd srd. t&r Eri! ro b'lln,B @.1rudbtr n, hd.lh dlbri ,qBd
<br />.tot. trH.Ed FDFI' lN la6rp/Frpcrt/ /
<br />: ro-r,-o..rpanr), 1rtS- -6d, heZ-X*,l-P.!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 />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 (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough 4td///4 H/f\ri.7*'//D.-'
<br />Service Meter
<br />FINAL flto/ts dnon /t---
<br />Notes, Remarks, Etc.rl
<br />)
<br />Communications Cable
<br />t/'m'n
<br />Lqn r'r Ad.t{'-
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