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ELECTRICAL-INSPECTOR HECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER IUILDER DELCARATION
<br />I hcrb, .flnn u8L. F.rhy (, FrJury rh, I d.r.npr fmn rlE Codrxtod t{nr l.Y i$ rh. followu3 Eron (Sd 70ll 5
<br />Burims ur Ptuki.r'n Cd.): A.y C y o. Cd y *h.h Equir a a.ml r,' drn(er. rlrd. !ftpmvc. &nn(h or EFr &v
<br />nddm, Frtr to irr Fruu.. wi Equftr llE .Iltl*sr lor tuh Fml nr 6L r {3BJ {.l.trnr rh.r lt or rlE u l.q(r f@d
<br />nr rrE lros\r)nr of th. ConlL._.rq-l l-$.rdl trw (Ch.Bcr 9. CmeNtnS r h Sdr$h TUJO d Drvri,n I of rh' BUG!r xi
<br />Ptuf.$bn! CoL) q rh.r tt or ltr ! cr.nYi rHoh rnl rlE h$6 for llE ,!.S.il .r.q{rB Ary r$Lrbn 'l Sarln 701l '5 6v iv
<br />.nDlunr lor . Ix.mr ruhFk rh. q'rlrrnr b . drtl Frlly .l ml mc !h$ nv. hu 11! .loud (rvrD
<br />-1.
<br />.r {*Br of l,r FrFny, r, ny cd'{'htai * h "t!6 * rrrs sL Lnqhdrr. *dl,ll rlr krr ,n lh. {drm 6 n{
<br />id.rldl or ofi.FJ r,r {k (Sa ?(X.1. aurm$ r,rl Pitncslr CuL: TIF Codr*'q'! lrd{ trr dxur {0lv lo u oftr or
<br />rlE |'DrEny *to ln . o, nth)s lltch. ral rtr, rtr u'h ult himBla tr trMll.r rh^lulh hn r, h.r orn.trPIoy"t,
<br />I'mvrLJ thrr s!(h lrF,rB t ft ri d.ltLl { oll.rEl fM qb. lt hw rlr b 14 ({ uqmErd 6 rlti wnhin o* Fr
<br />of srpt{ia rlE Oerr su iLr *dl h.t rlE h,J.n o, Imtrs rh, lE or dr.ril mt l!'! d nthE 0r F)Fiv tu rlr FIFF or
<br />l. as owNr ol rh. nop.ny, rm . rclun!.ly !r,nrr&r u3 *rh IMn{d .or m.roR (' on{d.r lh. FrJ(.r (S.r ?O4''. Burtr(
<br />!81 Prii*sirn CixLr Th. conlrNror r l-rcnr. L.P d€3 rur rpPlr ro d owncr oI Pr)l d y who huildr .r rmtln,vct th.K)!.
<br />rd who .onrr(k lir chF,F.rt* h . CiJnrhdo(, h.nE,j plrMr n, thc Conrr.cr{, r l,&n( lf,*).
<br />I amcrcmpl lBlcr Scrrrn-. B. & P C.ltr rhs M(,n
<br />ItoRKFIIS', (:OirPr,\SATlOl\
<br />DECLANATION
<br />I h( rcby .lftrm u tuLr pculry ol lrrjnr y .F .l rh. nr (,e m8 'lturati,trs:
<br />-I
<br />hM .nl rrll drlu I C.,ilfr.c o, CbnEnr b S.lf-INtrc {d R{t6' [,qx.d$r rr lt)vtLd fitr b, Sat'n r7m 'f rh'
<br />Lilix Cuk. rd E lxrf,'lut ol tlr url ftn whth rlE Fmi B su<i
<br />I h.E .tn 'rll du.!6 btt.n cotrinurDn o.unB., ai Equft1r b, SttDn r'7(t) ol rh.l,htr Gr!. n rlE FrdrMt of
<br />trF s,t fn *h.h rhir F,rrn N KDj My,ott6' NnF rionullllll@(:mr!nPoL,Nn He
<br />ll-s Ke-
<br />FLAoJIbz-\ol Y/cl
<br />-I
<br />Lcdrlyrh.t orhc p.rtdmfr.ullh. wotk lrtr whihrhrFrm F i\sudJ I rhrll n.r .trDkrv any t'.ro. t. uy mdnFr
<br />$ t) h€lnm \o$Fr h rhc u)dcr' $.{xni.ron hwr ol CtlifomB ,rtl .!R rh, rl I \h'o t*r'tr rrhJ'crk'lh'
<br />woltcn $nvrnsrron pmvrir,tr! olS.dnn l7(,{rnl lh.Iihtr C l..I \h.ll nlnhwrh roill, wrrhllr)$ Pmvs(,N.
<br />\vARNlN(; Irlr.n'y..tr'.tr!rlLr\(a,t{n\,ikr(n\.1.'r.r!!nLNh'l rnd nil {'lrr\r'nr(r r, .fl xnlllrMllE\ !n,l
<br />flv'l nncs up t,' om honJdl rh,ulrtul ,l.llut (!1U1,000). in ad,l io. b rh..(
<br />Sc.rtr)n :l(t-6'n rlr lrhn(irl! .I.{ inJ {ofty
<br />! tErhy ,l]im uhlcr FMly ol rr,lry rh, I m u.tnr! uul.r lovarDn .l CluFn 9 (omms
<br />'nr
<br />e,h sdt,n ,0U,, or D'vntn
<br />of rtx Bu.i ( {rt Pttf.(r.r (irk, lrt ny lr.nc s n tull ,ort .!n .ff&r
<br />C-z.t-a/-H JZ.OAt*sz7
<br />IOIiISIJCI]ON.LENDIII;AgIETI
<br />I h(Nny rfltnunlcr Fnilry !t tx4ury rhrr rll.t tr r con{ruLri'n hftirS rSctuy ntr rhc p.tlorntrrt 'l rlr *ork
<br />'('
<br />wh'h rhn IEmn tr
<br />nsu.lt (sft .ro97, crv. c.)
<br />bndeis NiNr
<br />-
<br />L.BLr!A'lLlrcs:
<br />-
<br />AIIIICANLDTCIdEAITON
<br />I holr,y rliim ! ].r Fnrll y or Frrrry oft ol lh. n'lhw'nr d.cl,r{i,ns:
<br />D.m,t[ $n P.m ]A\h.{or Norrlrdtn F.&.rl R.8ulri6N ( Iak 40. Prn5)
<br />R.qumd lrn.rorMr'frr$
<br />I .dlfy rhr lh. tqi.ri FslLtr,nr r!.rih! .\lIrkx t mtv.l e ft, {rlr:6k h rh6 PoF.r
<br />I rd'ly rhc , h.E rc.]rhr rnillr&'n.tl (.r. rii rh..h.w rlblrur tr(,|Rr I rlN t' Lrn{ yvnh.llCr,rilCoudy
<br />onltutuc..rn Sur. llr!EU03t'
<br />.lb\t mnri'EJ nn,Fny i(, mr.ri
<br />.€lrdrE!.trhnC.y.LiCo! yrd..rsuFnrlE
<br />Appli.inl o. AA.nl SirNluE
<br />)
<br />{2r
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Founlains
<br />Siqns (monument)
<br />Lile Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Solf it Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouoh (/D/U qilMl TTL
<br />Service [/eter
<br />FINAL \-b/t-//.,2 a7*m(hz-
<br />Notes Remarks, Etc
<br />^,3 -21-/1
<br />,^3218'
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