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<br />ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stc.'COMMENTS OWNEX BUILDF,R DELCARATION
<br />I ncby alrrn udrt p€dly ol psjuty lh, I h smF nom lh. Conlklnt Lic.M t w aor lt followirS len (Sq 70ll 5
<br />BBirB dd Proa63ion Cod.): Any Ciry o, CN!i, whth r.qliR r FEn ro otEru.t, .116, iDFivc damlitt or lF.r !ry
<br />r[de Fin to ilr lsua.. .lo ..qi6 thc @li..,n tor txt FEi lo fiL r tiSn d rrdara rhn lE or JE i lica!.d Felr
<br />lo $. Fori3io6 of dr Co.EErd'r l-@ir.d lrw l(tuI,6 9, CoMftinS wirh S<rion 7000 of Divi.iod ! of ln. EBit6 a.l
<br />Pmf.sbB Co&) d tha E q tlE b adF lnd!6om !'d rh. b6. for rlE.llq.d qaI8br A,y virlrior oasction 701l.J by uy
<br />,ppl'cul lor r Fni $Fs rlE r@!k ,l l. r .i!il Fr.hy of m| m,. rbr, fiv. lturi.d &lla! (ltoo)
<br />!,6NEoffi.FoFry,dsyalpLt6*'nts{6srlErrLoDFlrion.uilld,$.wt-dtlE{nnEirEt
<br />lrod.d 6 off6.d lor sL (58.704,1. B6iE ad Proi6{c Cod.: Th. co n.rd'3l,roe Ir* &€ d {?t to u 6qG of
<br />rh.Fopdy *hot Jd.d iqorq OiaEn.n *tn &s sh qrl h'lMlfor lE-lf or tlrousn hn dlE ou slqloyq
<br />Foy'd.d rhd Bh bFlrsdt F ml noi.d ( olH nr rl. lt lbM. tlE hoirlila iry6qd i. ild wihh oE )Eotor4ldi^ tlE o'rE e b wi! lIE rlE hr&r ol FriB $r lt u ,E dn er build d lrFor ttE FoFty t, tlr Fn .* ol
<br />-1.
<br />6 o*E of llE FoFrr, d qcluiEly mddht $nh h..6.d .odfum to colfu rlE Foj{xr (56 7014. &!nsin PtDtsin Co&: nE Cont..to. r l.ttu L.$ dG mr .rpl' ro e orE olFopaly * l[ hildr or inrrovB lhqorsd slE onds fm sch FDi(! qnh r (ornBro(t) lro!.d FG{r.r bdEcodr.dd r Ltoe lr*).
<br />-l
<br />cr pr unds Sdion
<br />w,, 11*?fuc 19*-&.furfu
<br />uDrg.dSaLlQi
<br />I h6.b) .lrm unJd p.ElO .f pdJU4 o . cl rh. lcll..* 5x J(LarsnB
<br />I h,!. md $ ill mainrain . Cdili.r. of(\rMt xr s.l NuE lor workd, conD.n!.!bn. B provid.d for by Sdtun l?m o t thc
<br />tibor Codc. hr lhc Ffome. ottn. wo* ror Rhich rh. p6nn ir isu.d
<br />-l
<br />havc and vill mainrain *orr.ru' comp.Nd io. iNuranc.. dr rqun.d by sd n n uoo of rh. Lab.r Cod., for rh. Ffomd.. ol
<br />lhc slrk ror u hi.h lnd Dsmil ir isuoi. My w{rkdr .omp6s.r ion Nursc. cmi< and Fli.y .umbd m:
<br />Icdiryihi in EFfolI'G!orfi!*ort t rhahlhBFmir ir igu.( I dEllnoraphyuyF*nio&yseE
<br />5 6lo baoE sqal to tlE $o 6 6nFud5n L*".fc.lihmr.. rd {.@ thd ill CDuld beoG $biet io tlErDrt6 onpdE Ihr F.ririrE ofsdi.n lT00 of rlE lrEr Code l iBlL fdllr*lth snlply [itl thof, poritioB
<br />\{Ai]tINC: Flilc !o s@ NrL6 onFBnFn cora{r. ! uL$tuI. Dd rlull $bi.* e oplorE lo cimiul FdE od
<br />civil ah6 up ro oE hu^&.d t[oqr.nl &,lln (!l(I).lr(I)). b lddnion ro llE co! of comFEtrior d.n s6 a Fovtu for rh.
<br />sdio. 1076 .l rh. l,tnr c.& i 6d 'nd.nm'r fd
<br />IZAP<.tu 11 ,.><<-,,,.A,L*rrffiprtr . {arror
<br />I hatbr lIIm uldd Frl' of Frury rhn I6 h.E .d '#s FlrEDr orcrrtrs e (rctll,lExus rrh Sd.n 7@o, olDr6b. !
<br />of rlE alls6 ed Profr$s6 ('o&, id ny l{o* ! fi tull lorr.n dtd
<br />ca!$alcrua-LlllllicJcElcr
<br />I hclby ,Jtm und6 FElly ot pgjury lhi llE i! ! mnrEdbn k dhS .sncy for lh. Ffomdc. of lhc srk aor *tricn lhi! rEnn i.
<br />i$u.d (S(. 1097. Cir. (').
<br />L.od.is Nah.
<br />A88IJ(A!L!ECI.A8AI]II!
<br />I ha$y tlin und6 pd.lly of rEjury o* ol lhc lolh*inr &(ler ioN
<br />(tmlilion Pmns-A3bdor Nolilicr'bn t.d6rl R.suhti.G(I lc40. Pd6)
<br />-R.quircd
<br />Lcll6 of Mriadioi
<br />I .qr,ry dlr rh. tcdn l r.gllrao6 ie.dds atdor robrd e lor eli:lL lo rhi! p.!F .
<br />J-9 *,it ,r,. r r*- ,-a ,r'i .Flillim -d d. rn E .b.E inrorn m ! .o,rqt I .ere ro orply *in dl c.y .!d codynlll&B &d 9r. LtB drrB ro hildi.a 6dhr4rb'l. rd lE.t/ l,hona r.FsuiE oiihir Ciy td Cou,ry ro ar6 l+on dr
<br />.bor. m'ion d FoFnt fd iBFlio.
<br />{ppli.rnr or ,ladr Sitn.rud
<br />(x Vi-' l*t -/Ie.un &*rer:a
<br />D... 12APil( l1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Ligh! Standards
<br />Spas, Pool, Fountains
<br />Signs (monument )
<br />Life Safety /Low Volta ge
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof T op Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />lQgilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />&ough -t/24f,I F/rkZ fn /al
<br />Service Meter
<br />FINAL q1w,t Fb/u(,'-/or'Notes, Remarks Etc
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<br />Cmit:
<br />_lrpiB _
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