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. ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS O$NEn BUILDER DEIr(aR TION I hd.tt .frm u.&r Fur) df Fjur.. rhr I m qdl,l fmm rh. ( orrrdoR Lic.M t w for lh. follosins ra. (Sa.70l I 5 Ituind !d PmfGi.f, (_od.): Any cnr- or Coudt *hih rcqur6 a tEnir ro sn!tuct, ltn ioFov.. &ftlaih .r qrn dy ntuduq Firr to ilt iM.c. d!. ..rtut6lh. applic. for.uch Fmn 'o 61.. riBNd ndffi thd lE or tr it licdxd F,{d lo lh. provirioE of ih. Contdorr l-i.n!.d Il* ((tqid 9, (nin6o8 trnh s.dirn 70m ol Diraion ll of rh. 86,6 rid PrsfBnnt Cod.) d lhtt li d iE n d.nB thd.nor an fi. bdi! for rh. rlLg.d .r6Fi,n AntrilldionofsEli.n?011J by any +pli.!d for . Fnh subaB rlE @lkrd ro . ci\ il p.{lt v of mt moE the li\ I hu'dr.d dollur (1500} l.aorEotlh.rlpdry,orryGnploydunhu086arh.trskcomFNdion.trill&rlE*ritdrddEenrlwirm' int6&l or olro.d for sl. (Sc 7u4. &!iB dd Proa6lioB Codc rn Codr(oar l,iG l^'&E nor 4?ly ro d osE or llE rroFty $ h hil& or rpr.\B tlEb^ rn who &E sh *nA ninMll.r h€*lf or rh,lush hi. .r ha o*n .dtlo)!6. F.\ 'd.d rh.i .uch nFsrBrn! E mr iirod.d dolEtld nrr sk I( hoq66. tlE birilding or itr4.i\a'6i i! sld *irhin on. '6.f smpkinq llE OwrE B{iBE trdl hlvc $. hjdo orF.ii'g rh, h. or.h. dil bi hild d inFu! ii. FlFy tur rrE F Fx o, l. d o(c of rh. FFry, m.tcbn.t .onrdihs *ith liccG<l conrreroR ro onerucr tlE rmjc.r (S< 704,t. 86ffi &d EoEsir ( o!. th.(.nreroisLicms.L.edo6mrr0rlyrotuos.oofFoFdy$t b!il&.r in0m\6 rh66..ind {ho co. EclsforluchploJlcl!$nh.(t E ro(r lic.B.dr RrdrorlEcodrdG3l-t.El.nl lm.rdF un.L. s<rio. $a8f,lB5t(Ollfrrtaua! 0EctaSal]ll! I h6.6t amnn undr ,n6lry of pdrur.v o.. of rh. rollor ins d.LhratirE I h.i. in triU mi.rlhs(srifr.icoacolHr t. s.lfiNurc ld $or tdr' comD.Nrion. a D.!vid.d for bySdrion !700 ofrh. lru ( ode for trE Ff(xrmc. oalh. Brrk aor qtth rn. p6nil n isu.d I tr'. .nd * ill mrinidn $ o*d- .omF6d ir. iNunft.. a r.qur.n h sftr hn r7(x) of rh. t t$r ( o4.. for th. Ffolruc. of {hFndhn iBu.iftc rsid &d Flicv numhd r.:o lrr-f grat / t> I zoza(*,i"1",.* 11 AW Co-t(1+o/ I c.n'rt lhol in thc pgaormn( ofih. rork ad $hi.hrhii D.rmi i3 nsu.d. I mplo) lnt p.m. i.t.! nuF $ 6io b.$re 3ut ..r t. rh. s.rld mhFsrn h*r of(:rlif.mir. rnd igc rhd ifl rhuld tr(oG shiar ro rh. $orld omFMrl]nF\tb6 of sdi.n !7molrh.lrbor ( o&.I Jull. aonh$nh.omrly wirhrhos pr.vtioB WARNINC |{ihr.lo su. 10r!6 .{mn Gdhn..16+. i! unh$ful. ad stull rubrd u mploF lo mmotlFuhE rnd ciril lin6 ur lo onc hun&6j lhoMd dollm (tlrD.rxxr). i. rddnio. ro rh. cd of .omp.N'ion. dams6 B Fo\ir.d ror rlE sdion rl)T6ofrh.lrhncfrL middmdftolrE'rfa Y*<1/4124j-^ DECBAAItrIB I tcb, rrm undd Frhy of Fllry rhr I o li.q!.d ui&r Foliiior of Ch.lrc 9 l6n1lrEuU wih Selion 7000) of Diririon l ol 'lE &!iB Ed Pbbiod C6&. .n ny laa& i' i. tull lor.. in .II€r v.....,,".. C -2. <* "Vllt /2",2 Y-*-),4!**,-o-fl^+ calllaltcltolrEllrlctc[lcr I hs.by .mrm und.r F.Iy of Fjury lh. lhcc i . (rdruGlhn lqdi,s .s*! to. llE Ffo.lll*. of dt sd 6r enkh rhL Fmi ir isu.d (sG.1097, (_it c, attllcalfDrjgtaArra! I lErt r lfin un&r Ddrny of lciury oE ot tl! tollor in* d..brlhnr l}mhbn P.mne^rb6id llorinc.lion l.n nl R.3uh i.N tTnl. 4{,. Pd6) R.qon.n Ld'6 of Norifi.nin I .dif, rha dE f.dc.l rquhtioG agid,E 6!dro. tEm\.1 r. n, eda$L ro rhi! Foirr I cdlify rnd I h,\ . rad rni! !ppli..iio. rnd r!1. lhd rh. iht lnaotfuion i .Gr.(. I lBre lo orq,ly \ nh .[ Cny !d Court odinlnc6ddSr.tL$rr.hr'Broboildirsodtudbn.rnhr.t'rdlFrt..!.*dnn6ofrhisCiryrdCounrttoar6uFniE .bo\r ndion d FoFn) fn i,Eperb. FnFs $pprr.rir or ^rdr shnirur., ,g-rt-..r"rpa"l f'\nffi.Y-*llrfzrg Site-Work Underground Pole Bases Light Standards S pas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers To rqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Cejlings (T-Bar Rough) Meter Release Rough Service Meter FINAL tlrtlth f>vrr^"a,J-z-y) Notes, Remarks, Etc.r t- I at / tcZ ? o7? tr\"t tr''* \\.lA<