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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET EUILDER DELCIRATION
<br />I hcGhy arrm u'ds pc lly of pcrjury lhll I a .r.n nom ll. Codar6 Lt.ds Lrs ,or tlE rolbehr E&n (S...?oll.5
<br />alriB! .,i Phr<r6. CaLr Ary Ciry o. Co y rnth 'quiH . pqmi ro odnd. tlrd, ir9ror. d.mlirh or E .n ey
<br />rlrdrc, Fir ro irr irffi. rLa ,qriE rlr {rltul for sn Fd lo 6L r .i!n d !td..d rhd lE or iE ir lle.id ,Eud
<br />lo lh. tmvi(hnr or dE ContBlor's LirrEd Lrw (C'hrpr.r 9, co@ftire eirt Serio.70(D of t ilhion I of tl! Euliftr xd
<br />Pmfcarions Cod.) or rhrr lE or rlE i! c&npr rlrrcfrom !d rlE t{sis for tlE dlc8.n .r.f,Ftion. Ary vi,Ltion ol s.dbn 70:t I 5 h, &,
<br />{Dladr for ! Frdn slbjdr tlE +plic.nr ro . .ivil FMhy of mr eE rhrn nv. h{idEd &,lbr (1500).
<br />_1. a dwr orrL prerE ry. or mr.mpl,F.r wi$ u86 ( tlEt slc.rn{En!.lion. wi[ d,0E Bd.n iE rnrre i mt
<br />inloncd orofrcEd ror sh (s(.7x4, Bulirc$ ond Prcfcsi.tri Codc: Th. Co rdd!l-iccNtrwdcmromlyroeoyFof
<br />ttE FoI6y *lb toildr6r ur$oB 0Fo Jn eho dcsh wL hirerlor h.clror rouSh hir or h.r o*n.npbFd,
<br />FlliLd lh.r *t llv.rffi G d ardddldoftd tu rt.lf.lDlw. dE txiSir a in!.!eEr t s! rrnirm Frof.riipErin! [r o|rE BuiLls wiu lrE tli hlrkdorF.vi't 0 lt ( rlr itn.Dt b.ild or inProE UE Flrdr, ra dE Frro,.ol
<br />_1. !r owd or rlE FDFnt. m .ktuiEl, conrrriq *ith li(trEd co.rrEtoE to olllM tlE F$j.ct (Se. 7u4. Euitus
<br />.,ri PhkinCdl.: Th. Co rror! Lirn{ L,r &Er er.pply b do*M orFDFny *h6 buildr or idpDB dE@tr
<br />Dd *ho o.rElr fn sh ImFs wnh r Cofronr li.r,u.d rn)fur ro rlEc.nrdc t lire L.q).
<br />I mBr.nrrr uftl.r Serion
<br />Drre o'rr tron(rR\,c-(l rp!]tsAnoN
<br />Dlrtaxalla!
<br />I hrrcby uffi.nrnd.r tr tulr) or NUUryo'E olrhc tullo$i.r d.!lu!rk)nr
<br />-l
<br />hrE an *'ll oi.tri. r C..ria.r. of C.'6d ro S.r.llM ld rdt6 6np.di,( s FoviLd 60r ty Serih ]TOO ortE
<br />trh, Cod.. 16 rlE FforlllE ofrlr est fc qhi.[ trE Fhir is i!3u.d.
<br />_l h.E rnd sall mi.Lin wolt6r conp.Mrion iEulft., s EquiE{ by Seri,n l7O0 6t rlt L,bor Co&. fo. ltr FfolrllE oa
<br />rlE wt fd rh.h ri{ FrI, ! u{.d My sqt6' otrp.M.n trlffi ffi !d Fhy En$d c
<br />PbltyNutrt r: 7
<br />-l..nifydd
<br />inllE FnormN. or E *o.i ro. *hit ftis F nd i! i$En I nrll ndrl,loyryF$nin.ny.sN
<br />$ r! ro b.6ft 3!bFr ro rlE h sJ on{Fndion h*r orcrliromi.. !,n r8ft rh.r if I ilEuld t comsbirr hrL
<br />worL6.on{Ed 'i,n,evntuNofsrrion:l7mofIh.L.tMCod..Isl l, fMhwiih coq)ly wirh ih. ptuvliionr
<br />wAtNlNG FlituE ro M *dtft otr!.ndir qnm3. h unltstul u'd ddl $bFt u 6y?bF b diml pdrtir rnd
<br />citil lims up lo om huidr.d
<br />'houn
<br />d dou& (ll00,U{)), in nhn b rh. o{ of.onqEnsrion, dtm!.r n Fotitcd rd rlE:'::6W ocN Jtr{lrnonry \ lrc\
<br />lt
<br />pn'vs( ol (h,|ncr()($ nrf,iri',8 wirh S.di(tr' Tlxx)) oaDivi\tr .1
<br />(f oNsrltrarr(N LFYnTNG acFrtcv
<br />I lEchy rrfum und.r Fnclly ol F+ry $,r lhr. is r 6drErb6 Ldhs .r.Ey for tlE FfolN of tlE Err lor l|rit rhir Fe, i
<br />iri!.d (Sd. l@r, Ci!.C.).
<br />argJgttNr.lEcttt aIIl!
<br />I dty rlrm u,ibr Fdhy ol Frury or of E follo*in8 dc(hntioni
<br />Dcm'lili,n P.rmik-Ash.nos N.tinc.lidn Rd.rrl Rcxubliotrt (Tilk 40. Pd6)
<br />-R.qoiEd
<br />Ldl.ror NorifErin
<br />-l
<br />Erlqlg OE Horr E8lhrioN Eg]din8 .$csror Emv.r E mr .r,plarbL to I
<br />_l c..rif, dfi I trE E d rhit .p?li(arir !d d.rc dur dE rDoE infortulion ir car..r. I {E io o,ply ,in d Ci, {d Coud,
<br />iB of $jr Ciy ..d Cd.ry ro d6 uFi ,r
<br />eb.-alz
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meter I
<br />FINAL hln\'7,1 D\,**l
<br />Notes Bemarks, Etc I
<br />Air Conditioners
<br />Meter Release
<br />(7
<br />I lIrrhy.lIrDtrtrdrr t^.. rlryoltxrjor]rhri I rn' li.cnBl
<br />or llE sBiB r,!d Pr.f*bB Co<L. !n my liN ir in tull lm d.fl.d
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