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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Sile-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />lvleter Belease
<br />Rouqh
<br />Service ltrleter /r
<br />FINAL 6-56-zl >a$0 I
<br />Notes, Remarks, Etc.
<br />OWNER BUILDEX DELCARATION
<br />I n Eby rmrm ud.r rEMlry of Frrury rhlt I m cr.trpr film rlE Contrdm Lidr t * ror rL fotowi,i! aen (SE 701 I J
<br />auli6r jn ProrNDn Cod.) An, Ciiy or Coudy ehih Equ6 r Fd 'o
<br />6dM. rhd, ir?mE, d.mlirh or rt?.n uy
<br />nturuE, Irior ro ils i$wc. .l$ rquirc! rlE rFpltur for !!ch ltmn lo lilc a rit*d ratcm rhl ll or JE n li..nqd ,'a$er
<br />to ilE FDBi,N ol E Conhbt LEn-n L* {Chrprd 9, CoIftxi.S wnh Sarbn ?m0 ol Dvirbn I of llE ButiEst .d
<br />PDi.riiors Codc) or rnat lE or {E n.knlprrlElfrom s'd rlE tE!i! for r,E dLs.d crqrio, tuy violari,n of S<rbo 7011.5 byoy
<br />{,plt! rd r Fmn sbFB rlE r@li.mr ro r.ivil Fn lryormr mE (n., fiw hldEi.rolLB (3Jm,
<br />-I.
<br />ar *E ol ttE I'DFny, d ny crlpbF.i with *r&s a! rh.r st 6trt N!ri... wiI dr 0E eul an 0E *rEe h br
<br />iidd d ofr.nd fd !l (S<.7O*t, BuiEs .rld Phr.sk'B C.d.: Th. C.dd-! Lite L.* d,.r mr r|?ly ro u orc o,
<br />rlE F)tEr, *tb hrildr d in!ft6 ttti!^ !n rh, r!.6 str wt hirelf or h.rElf or llEuth tit d hr orn crpbFi
<br />prcvij.d rhd Mh ntT.owd! G d irod.d n otu d 6i sl. ll lnrlE, lll tlitdilr q ttF)ltrrr !' Dld *ahn' c r.r
<br />dlonplti,l. 0E O*B Blitb wil lnE tlE tutlcn ol lflii8 dbr h. d rh dn ml hold o, itrp.m d* FbFry 6r rlE F FEof
<br />L a ovffi of rlI F pdty. m.r.b.iwry olldhS *irh li$Ed .(fu16 b od.Li rlE FoFl (S<. ,odr, AclE
<br />rd hDft.rih Codc: Th. Co.trarol. Licc.E hw d.Ei mr .ppl, ro & o*M ol FoFny eho bualds o, inptuB lh...on,
<br />.nd wll' odd. rd rEh F)Fr ei.n. C.ffidt,lirlEd Frlrd h E C.tu-rr'r li!tr{ L.r)
<br />I u cr.mlr un&. Sd'irn
<br />Drt: __ __._ OrE_ _worxpiiiiiruprrrEi-iitw
<br />DECtrJSAUq!
<br />I hcEby .fiiro u.d.r F.{lly ol If,rIry oe oI rh. fdlo*in8 d.cLnlio..:
<br />-l
<br />haE rn * ill flinr.in . C.nal$tc of CoB to Sclf-luu. f6, work6 $r{Eodion. $ pmv!Ld lor bt Serion]r?00orlh.
<br />t Dq Cod., fu tlE Ddf(Ifu of dr EI fd *hi.h rli Dsnn it irid.
<br />_I bt. td *ill tui.r.in k lc6 onp.Mrird in!ur., E EquiEd b, s.dbn l?cl) 6rrh. Lrhor Co&. Ior th Ffm of
<br />rh. wdk fd whi.h thir Fmil i! i{rhl. My wortd onp.trdio. i.sum tri. !i Iblicy ,urlllr R:
<br />-l
<br />ccnify rhll i. lh. FrlbrmN. oI tlE *ort for vhat lhi Frmi t nru.d. I ihlll ml .nph, oy Faql ifl dy MM
<br />r' at ro baift .!bjF! ro rtE mrt6 6qoeli,n hk or Ci,romii .Ji r8E rhd ,r I rhouli heom sbF o rlr
<br />qort.u d'np.Mirn tm*6nr or s&rirn 17@ ol rlE lllr* C!d.. I {E[ ldh*irh snply eirh rh. pruvniiN..
<br />tE LhffCd. hrd rd[LiJL, ^,
<br />(
<br />I tErchy .mrm unkr rEMlly of psrury ln r I m lienrn u ',mvni'n of Chrprs 9 (onrmrcins wirh S.rtinn 7000) ot rriviion l
<br />of th. BuliE$ rd Pmf..i.tu CGL, .d my 1i...$ i. in rull foRr .nl .f,dr
<br />frfu.;;s<I:]t
<br />I lEEby rrrft udd FMlly of F.jury $.r rlE. n . o rEiion ldir, i3.Ey for rlE Fforu. otllE wi for *nth rh! p..ml it
<br />i*wd tse 1097, civ c.).
<br />AIILICAIII.DESJAAIII!
<br />I hdd,rtrmun&. F Iyof Frllrym of rlE folb,int &.h.rbns:
<br />O.mlhion Pmit-ArtBro. Norifi.riioD tu nl R.tahrio.r {Tirt. 40. Pu6)
<br />-Rcquir.d
<br />tlE of t{oifdion
<br />-l
<br />dily rhr llE f.n d E8lhrion! ESrdinS Blxsos Eml6l E ml lpplt.bt h lnn pmFcl
<br />_ I cni{y rhd I hrv. Erd rhiJ rmlidn 6{rl n.rc rhd rhc.tnr infornE ion i.comr.I r8Br. on{,ly wilntllCilylnd Counr,
<br />orJiEBs !i sr.r. tr*r rllrB ro hiildlB 6nirEri,( !n lEiny rdn ri& EF-d{iB olrhis cny.,n coudt ro tu 'gh dE
<br />lhrc rnrio d pmFny ror isperpn I'u,rrf.l
<br />^*,*, - ^,-,'*^^* Z j<luz- llu
<br />p.n,r.m.(Drlro: r' MilZs,a il,uuy
<br />-,,,u1?412t
<br />I
<br />IrI
<br />DATE
<br />WARNINC: F.ituE
<br />'o
<br />s@ qit n'orrEn lDn oEnrc n unLwtul. .tn rh.ll subFl u.!r"bF ro sirarl Fdir .,n
<br />civil nn€r up to or tudEd rlxl8o,n dollas (al0().001)). in eldnion tD rh. @r of.otrrFidi.n. drn!3.r ! ,rodl.d to, rrs
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