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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.OWNEN BUILT'ER DELCARATION <br />I h.r.tr lrm undcr Dai.,try of lEjury tht I n 6.n$ 6!i rh. Gnd6 liE* L.* foi rh. fr)lbriB r6)n lsa 7011 5 <br />Boli"B di Pro66ion Co&I Ary ( ily or Cou'ny which rcqund . Fnil lo co.!tucr. dr6, imEove dqmlBh or EFir s! <br />ntudue Fior lo ilr isu!tr.. lho Equt6 lh. .pplkMi fd !u.h Fnn b 6l. a .AEl in.rE thi It or iE i li.aed ,iNln <br />ro rlE Forliod of rE C.dr-ln! l.t6*d I.s (Ch.S. e. ( nffiins *ilh Sclion 7000 .f Dirnion lr of $c auind dd <br />Ptui6ionr cod.) or lhil h. or th. n .r.mpl rn6.nom .nd ifi. tct for lhc tll.s.d .rmFbn Any vblnionof sdbn 70!15 ttu) <br />.pplic..r lor ! Fnn {bj6r. rh. .rpliGil lo ! civil FEh} of d cE rh, fir. fiu t.d dolha ( ttm) <br />I, s osc of rh. FoFly. or my dploltd sirh s.Cd s rlEi, nL onFsii... si[ (tt fi. rcl in llE nidc i mr <br />id6&l or ofdd fd * {Se ?04{, aGin4 ud fr.f6sioN Cod.: lic C.flrdorr l,icd. L,w &,6 rcl +plr ro u of,E of <br />$.I'lpqry vth tlikl d in+.!r€ rtElE !d *no dB srn *r,t him.lf ot hcrltor ll@ush hir n lE om at9h,6 <br />Forid.n lh! st inFersErt! ft mr aidi.d dofrdgi fr'. sL lf.lF*q'd.llt txilding o. in4rordBn L sld *irl'in n. <br />'dof comddbn.llE o$c B{iBd vill ho. r h,rb oaFot'irB rni lE.r dE dn d hiH d ing.\t fi. FtF} tu rr. F Fc.f <br />l. s o$E of rh. FrFt, m .Kl6nrl) coirxli.s u (h lic6!.d ..fr&16 lo cotrrrud llt Fi.d (S*. 704'1. Bdi.e <br />lid Pintsh. cod.: Tn. C.nlr*loi! l-icolc L!$ do6 mr ltplt lo e ou n( ol FoFnI *ho boild! or iip.or6 rhdon. <br />.nd sno snrxl! fd sh FoF] { nt . ConEiorlt) lto*d Fdsr b ilE Co t-l(tLtagLr*) <br />I m.\orpl und6 s<r[n <br />D.t. o.rd <br />\vORKitRS (OlltPlNSAiI(lN <br />Dact -rRA l'lo|l <br />lh6chr amrm utrd6 p<ntlrv orFju!v onc.flh.loll(N <br />'n3 <br />dclararn,ns <br />I hA c rxi siu rurr,in ! ( difr!1. of coMrl ro s.ll' lBur. ror (.dd' comr.B.l ro.. B lnorid.i for bv Sdl ion 1700 orih. <br />t:hor ( ode for rh. Ffotrfuc .f rlE $ o.I lor *nich <br />',E Fnil a iriu.d <br />I ho{.rnd*nInri .i. world conp.ulhn idudt., s rcqrn.d b S€rnn 17(ro of th. t.bor ( o&. lor lrt Ffffi. of <br />rhc Nrr ld *hth rhL Fmn i i$.d My $0116 ohip.rsio. iMrec. cdi6 &d D.li., nrmbd stgo,<e Co up' '-9 z sg5oY- <o'l) <br />l.dr[ il m rh. Ffolmft..l$. uo* tu uhan lhit Fii ir isu.d.I slllllml orl.t.n] p6e. i. anv mond <br />e s lo bccoft .ubjd ro rh. Nort6' comp. axon lr$a of (_alinrmi!. a.d tsd lha ir I 3irold t (om. sb<l ro rlE <br />$ori6 codF*rhn Fn\ irhN of S.rli.n l?O0 of lh. lrhr ('o&. l slull. lcihu <br />'rh <br />comply $irn rlrr For irioG <br />wARNtN(; I;.i[r. to su. *.116' conp.fldion s\ms. it unhsful. d.l3hrll !ot!d e dl,h]t ro min l Ful6.nd <br />.nI fin6 ur r. oft nu.&.<t lhouq.d d.llt6 (lr{x).ou <br />s(rn)n:r(176 oath.lib.rCod., inrod rnd dro.Ey r fG <br />)). i. .ddirin n, !h. !.!io.. dM46 I provid.d for rh. <br />t lz</4>I <br />DECIISAIIO! <br />I hd.ty ilItr undd Fdry or Fjuty $a I m licq!.d lndd Forihn of Clqic a (6mnBiru *ih SGrbn 7000.) 'r Dn nhn 1 <br />of llE B618 &d PmtsshN Cod., rd hy la.e a in full forc. xd.fldt. <br />,c.*.(s B ,,c@Numb.r'/o(zo na <br />.t(gdqes 3 <br />C(TNS ]RU('T(IN L9NDINC A(;EN(A <br />I hd.br imi,n und6 D.n.h! o f p.rjuD- rhd rh*. i! . odrudnn Endins +ft, for ih. Ffortl]m. of rh. s.rl f.r shth lhB pamn i! <br />!su.dls( 1097, ('i\' ( ) <br />AIT!.I(ANLDElIASAIIAN <br />I hcd'y drm unds rEnllry ot pctury o.. of rh. aollowrB d.(hra on3 <br />D.m D. P.mn$tuhdlor N{'lific.lhn F.rt ril R.8!ldhn! ( rnk.,0. P!n6) <br />R.quir.d td!6 olNoli6ciD. <br />!.<l'f}rhd Iha.rddrfin.pplicnrn,ns.r.rhdrh.rto\.intumnnn 6rdd lqG'om <br />ordintrNs anJ Srar.lr$3Eblire n, hoitding coNtudion. and hdch\ 0uthniz. rqtrenahs oflhis <br />ih)!. nolnrn.d Dn,p.ny lor iBFdion pulBrg <br />,\Illicntrr o' lsdrSiA rr r( <br />r"..ir* nr."tpano, )L km <br />mpl\ \irh.ll(-ir\ and (tunr\ <br />,",?;-iu-* <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 />Bonding / Grounding / UFER <br />Transformers <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouoh) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL O*a /o\ <br />Noteq, Rgmarlp , Elp. ,.t <br />h<r <br />-+ <br />COMMENTS <br />I cat it lhd rh. L<kral r.guld ioE r.ardb8 BtBlq r.mvd r. nd lrliobk lo rhir FoFl <br />v// ?/9 /./Hh/./, - 841