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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER'UII,DER DEITCARATION
<br />I h6.by arm !.dd FdD ol psjury th.l I m amt, noh rh. (1rdr.clon- LiccE tl* for tl'. 6llo$ing l@n (S€ 701 I 5
<br />aEi.6s r.d ProlBrion Cod.) Ary Cily D, Coutny u'hah r.quiE t FDn ro coldrucr, .lra. itrp.olq rbtuli.t or r.+u ay
<br />rrudw. Fi,r ro iB isffi.. .h. r.qliE iE lpplid lor !u(h Foi to fiL i !is..d ndoet tha h. or {E i! licd*d Fe.rrbrn FoviiioE of tt Co.lranst Lai!.d t ! ((1!116 9. Co'tu*i.s *'rh Saril.7000 of Diviion I oloE BuiEi. dd
<br />Prcfsi,B Codc) or lh.l lE w llE iE .rd,pl lHrom ,!d rh. hGi f.r fi. .lL!.d qanlion Ary vioblio. ofs<lion ?0! LJ by u)
<br />tlrlil]ll for ! Fnn ebj6l! lh. {l?licul to r ci it F lr, of mr mr. the fiE hui(H.tolh. (lJoo}
<br />l. a oqE of th. FFry, or my ftgLDG rih r!s6 ! llEn *k NmF.ldior lrll rto rr rst rn dr rn rG i! .
<br />itrod.d troffd.d ftf, rl.(SG.rO4l. tu.t!B &d ProadioDCod. Tt Cotu.rdiLic@Lsd.'€.ol@1,ronotrGof
<br />dE FrF!! $b hribrd iqior6rhr@( nn sh &Erxn x{i hiMlf or h-!.lfo, rhmur} hi! lE o*n dpb}c.
<br />ForiLd thd kh inqollGr! ft 'br iicnai qoiH nr * I( t *6q. rlE hiEiB d rssgd t ild \ilth m
<br />'cotorpLr-'! tlEOrE &ilb ui[ lEr! r hr&! olFEwB fii EorJE rlii d boid !'I or!ilEFlFty 6. EF FE.f
<br />I. a o*c of llE Fopdly. e qclu'r.b contury r ith lieE d .odr-oB
<br />'o
<br />.odtud rlr FoF {Sc 7O!1. BBi6rn PEEsinCod.: Ttc Codarort la.e tr* &E ml splyl. uowF ofrrorEny wn hoil&o. inpror6lhE@n.&d ufio N EI! 6r ru.h FoFr wnh . (-o do(r,l.q!.d FBvd ro irEcoddd s Lide t^J
<br />I c(opt undd S6!0i
<br />UI]XIiIaIIAITIEIIAIIO.N
<br />TKI,AAAIIAT
<br />I h6.hy tmm und6 Fuhy oaFjury on oflh. follo$ilrs dcl.dions
<br />I h.v. a.d will tunnain . Ccnificarc ol ( onHr to S.lr.lNUr. for $ orkd conp.Eotion. a pmvid.d for b, S<lion 1700 of rh.
<br />trbor Code aor lhc FfortMcc o I lhc "$d foi *hich lh. rrmn i tutral
<br />I hav..ndwill main'dn sork6' .oinp.N.tn'i i urrncc. $ rquir.d by S(r ii,n 1700 orrnc lnbor Cod!. fo, th. pdfotuc. ol
<br />th. Nort f.r whi.hlhisp.nnir i! ie.n My $nrld r' .o'npd$l nr insurm..cirio Erl r[licy nuibf e.:
<br />^ Acr-11oe4 ct * lr-'t. Lc
<br />,.,,,,".
<br />.Rts.-_C - i - L''r..ri.,^.,u.r-G! (eJ-t 1 eY \)
<br />- I cd'rylh.t r llE Ffot]ec. of lh. sod for $hth rht Fnn ir is.d, I rh.ll mr anplo, uy F$n b uymen6
<br />hatohan@rutitlrolh.e,t6onFadionL$ot(rlifomn.rd.Crridirlsnolldheom$bj.ntotlE.
<br />$ortd'NneeelbrgrovnDNofsdtunlT00ofrh.ljbo.(odel.lEll,ftmhsnhe'nplywilhtlr-Proviiio6. .
<br />*ARNI G: F.iluE !o sr. ${rtc ComFdFn o\6rs. a unhr'tur. lrl ihllr sbitl D dnphF ro o,tfll ,Errit &l
<br />cnil fiE up ro oE hun&.d tfious. j dolL^ (llm,fiDl, r ddnin b rlE .r! ol comFrBnio.. dmre6 6 Fid.d fo. tlE
<br />S6rhn 1076 of rl* Lltor Codq i d.n ud
<br />,.,"N-ZF-'9
<br />^
<br />I h€.t, .rm un&r Flht ol Flur] rhd I m I'Gel u ld Fn..n 9 (ohnft'ns *nhsdb.70m)of Diri.b.l
<br />ol lh. Bai6 rrd PrcfsioE ( od., in ny h.e n 6 tull forc !d.fr.d
<br />r,cens..ras LqY
<br />tlr,. - I/ -Zi-' 1
<br />q ttOl I
<br />I tE.b, smrm undd lEnahr.f p.rjuD rhd thd. is i.onrludion knd'nt qi., lor r
<br />issu.d(s( 1097. cn c)
<br />oarh. *o.t aor$hthrhGFmi ir
<br />taddt Ad&.$:
<br />ATIU(AtrLIIE]CI.ASAIIO!
<br />I h.*, lrm und6 Frlt, of Frjury o.. oalh. tollo*irB &(loil io6
<br />Dirclitior PmireArbd4 Norilicirion Fcdall R.ruldioE (1'nE40. P!n6)
<br />. R.qun.d kr6nr& ifrcdh.
<br />)<-\-Ycdrry rht llE f.ddll rcSuLhE Etrdrry .irdnr r Efrr il e. d +fl*.bL b rh6 Fnt(
<br />I cdily ltd I h!\r r.td thB aprlaal on ,rl nd. lhd rh. .h\ . 'nLmrFn k cffi I .8re
<br />'o
<br />(mdy
<br />r.F.ddn6 of rhn chy ed Coury ro ara l4o. dE
<br />il-zs-17
<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 />To uein s
<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 Rough)
<br />Rough
<br />Service Meter
<br />FINAL l-zt-zo Eld /ot
<br />Notes Remarks, Etc.
<br />Meter Release
<br />Il .( P( n,ih'rrar)n
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