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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS OTVNER BUILDER DEt-CARATION
<br />I hcrchy altirn und.r n nrlty ol lr4ury rh{ I .m c{cmpr f$m rh. (nnrhltF' l-i,cnc l,as litr ihc l{,llowin8 try,\ iS( 70rl 5
<br />Btr\ircs rl Pnni$Dn CdL)r Any Ciry or Coutrly whrh rcquircs { Ile mir t, connrurr, llrtr. 'mFtuv., dcmkh or'rcItlJ uy
<br />dturrurc. prin b ik nsurcc. alvr r.qutr irhc qDl'cahr t)r ruch Frn b l,k i s!rcd ndcmnl thll lEor sh. is li.cn\.,I pu6uanr
<br />i, rhc rrovtrbns ol ttr Coorra.lf's LiccnseJ L.* (Chaflcr 9. Commrnrint wirh S{non rO0{) .t DrvFion lt oi rh. Btrines mJ
<br />I'rtrIc$()n\ Codc) or rhir hc or she r .\cryr lh.rcfron i.d lh. hr{n lnr rhc ,llq.d .rcmpri,n Any vinrhn .l Ser$. r0-1 1 .5 iy my
<br />aprl'.rnr tur r Fmrr \ul,r..k rht rrth.a.r b , c,v,l l.ndlry ol ndr tur. rh.n tivc hundrcd d.ll. {S5(I))
<br />I. ds .wftr of th. I,l)tEny. or my cmpn'yecs wiih wa8.s .i thcn snc d'mllcn\ on. wiuJo rhc woll Mll rtr( rurcBnn
<br />icnlcJ.rontrcJtnrst(Se-'.?(H-l.Bu\imsatujPn,lcsionsOic:ThcConta(ktr'rL{.nccLa*&{smlamlyloanown.rol
<br />ihc pn,Fny wh, bu,I(ls dr impn'Es rh.BJn. ril ub dcs if,h q'* hinr.llor h.rcll o, ihou8h hr or h.r own.hpk]yc.s.
<br />pnrldcJ rhdr such ihln)md. e k idcnLd oroileiql ,or nk lt. howcw. rh.lDruing or iFfmkEnr t w,l(I wirhin,,tu )ta
<br />of(n{krbn, rtr Ow*r Buil.r wil halc llr hunLh of ptuvin! rhir h. or $. dk ftn to,ll or ur{mE rh. pn)pdt tu rlE puttttt ol
<br />l.r\o*ncr,lhepr,)lEny.rmcrrlu\i\cly$nrridin8*rhl(cn{'l.onkrnorb$n(nurhrtn'i.drS(.71}14.hNncs
<br />] Pn)t($hnCod.:IhcConir3r!tr'\t-r.n\.I-iwJ,rsnorrptlyk,xnown.r.ltr)n ywh,)hurllrorimprov.\rhcrcon.
<br />{nd Bho $ nnintr $ch l)n!.cB wnh ! Co.rB()n 9 kcnkl puruinrk,rhc(nirrrrtr'\ I.(cn{ Ilw)
<br />'.t',"'p)* /,Vni;Nl Rffil,\irr.\\r ' tr-----ffi----l II lrr!hy!lltrm(Mcr p.trilryol p(rru.yorc., rh. n,li,wrng Jeldrr!,n\
<br />-l
<br />harc atl will minrah . C.n ilrare of G,nrcnr ro Sclllnsurc rbr worr.^ ohp.nqrr)n. as lnrvd.d lnt by S..r ion l7(tr ol ih.
<br />Lllttr Colc. tur lhc p.domB! of lh. Btrt lor unEh thc Fml t nru.'1.
<br />_l hrt. rnd *,ll ha'nra'n workcB' (nll.hr.roh ,n\urak'.. ar r.qur.d hy Scrrrr 1700'n rh.lihor(tJ.. nnrhc ptrtum rof
<br />rhc krk l'tr vhrh rhis Ixmi r triu.d. My wDrk.r' conf.nrlhon ,n\ur rtuc .dEr !n tinEynunrncr arc
<br />Polry Numh.(_Erpirr:
<br />-
<br />_l.cnilyindmrhcperrorron..olrh.sorkktrqhi.hrhrll.rm n x\u.J. I shall nor .nnkry any p.ron hany m8.ncr
<br />b .s !, h.coft ruhicr lo lh. wortcii comp.ns.lmn lrws dfC.hlomB. 8nd rye rh.t i,l slu,ull llccom {'br.rr k, rh.
<br />wol*cr omt nsihdnl)ruvsbrsolSccrhnlT0oofthc Lrt Ci,,lc,I shall, tunhwih u.mply , irh r ho{ rrnJvisr)ns..
<br />.nl,Lltr to mmh.l Fnatas anl
<br />ion. dlmlfcs .x F)vdcd in rhc(nrl lrc\ | r) on. htrn,lr.J ihousrtrJ (ll'l[F l$llx,.ltlxr). nr rJ(lik)n h rh. .o( o, o
<br />S..rrr.1076 olrhc ljhtr(ixlc, d.rc{,nJ anorEy \ tiN
<br />A\"+ I t",.r l/r t
<br />ll!!.! 8r]-!]!^
<br />I hcrhy rlltrfrundcr p.ndtyol !.rjury rha( I i,n liccn{d uhdcr Fivrnrn ol (haflcr, (c(
<br />ot rlk Btrnncrsand Pn,l.\\xr\ Cirl.,.^l my lkcnsc 6 n tull tura ,nl cll.!r.
<br />tr,3 s h S..rnD rrlx)r!'l I)'\nn r
<br />l)rl€- Conln.lor:
<br />( oNsl Rti( l IoN t-uNolN(; ]\(;ENcl'
<br />hsud(Scc. ]09r, Cr C.).
<br />trnJ.a. \rnr _
<br />ATfLTCANLIECIASAIION
<br />I lrN'ny rfinnr u ndcr Fn,lty 01 Frjury onc ol lh. nrbwr.B ,lelar.t il)n!
<br />Dcnxn tr, P.rn nArb.{o. Ndific.rion F.ils.l R.Sulrlons (T c 4tr, Pd6)
<br />-RcquueJ
<br />l.(cr ol Nddlcarx'.
<br />l..n yrh rMI.J.rul'.fuhrnn\r.! in33\hcd.\rrn$v.'lxrcnoiruh.rhLr!rh'\[,r(r
<br />I (nrlr rhd I h{( rc.d lhsal'tliesnonlrnnar.rhd lhc rti mLrmi[]n r\.otrc.r l4rcbromply w hrllC y.tolCdunry
<br />oni0rn..( {,rl S(arc If,wrELrmp i. budlrry. n(rucrinr u rcbyiurhtrrc r.frcvrirrnc\or rh's ( ir!rnJCounrvh.Dr.r trttrnt
<br />3)>1)oAIrli.Nnl.r,\!(nl Sixtr"l .t
<br />C<.^'/tor .\'"^\e-,v
<br />Site-Work
<br />U nderground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Si gns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilin gs (Hard & Soff it Rough
<br />Ceilings (T-Bar Rough)
<br />lt4eter Release
<br />Rough
<br />Service Meter
<br />FINAL W5\q DJlc ro9
<br />Notes, Remarks, Etc.
<br />Air Conditioners
<br />WARNIN(; I..rl,trc r, {au. }o'k.'\ roNlxtr\lnotr ..rrrr. r! nnl.'trl,rl. trn'l nrll {ihE(r
<br />trnlc''t AJJrs
<br />xh,rr nf,nri{,rit F)Ir.ny l(tr n\r..notr
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