ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCAIIATION
<br />I lE.t y rrm u.dd Funy of Fru.y rhi I d crdpt ltDi rt Cffi.rd'Lt6r lre fo, rh. folb*nB re. (Sd.70ll5
<br />B6itr* .,rj Prcfiskn Co&): An! Cily or Coon, $tih 'qun6 . Fnn lo odN<i. rl-. im!.otq &trlitlt d r4.n uy
<br />3litluc F, to ils isucq iLo cqui6 lh. .prlicel for ruch FEi lo 6L. liBn d snMl $r lE or tlE b li.a..d F&d
<br />lo lh. FDritbG of r Co' .el( r Lia .d t r (Cbpl6 L CoMinS vnh S<rion 7m0 ot lrrnior I of lh. BuilE ud
<br />ProldioaCon)drhrlror!h.iadprdEdmE&ddEbdbforrlE.&s.daaFbi.Auyrtrnnofsarir70tItb,d,
<br />q,plicat lor ! Fnn sbjfi! th. igpli.mr ro . civil poafty of nor norc rhr n!. hon&.d d.lld (ltm)
<br />L d o*.d of lh. FoFiy, or mr.mphr6 wnh $rs6 a rh.n $L conFsior qill.lo tlE *st dd tlE tuE i mr
<br />inod.d u ollq.d fo. 5L tsa.704,l, Buir od PrDlBird Co& TIE cdnds . l.i(g* lrw dii6 nor +pl, b u om6 oa
<br />lh.Fopcry wtn hik! or ilq.vB rlE@r !d wh &€ sh wl hilMlf or h6*lf or llmush hn d lE o*n .4lolt<
<br />F.vrd.d rh.! u.h imFo\lldl @ d dq!.t d q o(s!d tur 6L l( to*tq. rh. builtiig .. isFvqEn i! sE wilhin or Je
<br />orcomplrb( lk ()IE Brilda wi[ hw tlE hlrh of Fo\iB fii h. d tE dii d hrid m insDE dE proFy ij. dt FrFt ot
<br />_1. a oMd orrhc Frpdy. m.rduivdy.omodins *ilh l,.6rei &it.do6 ro odto<r l[. Fii{ (Ss 7ol,l, B6i6
<br />r,'d hDEiECo&: Ti. Co did r LkG L.wdcmt ip?ly ro dosn6of proFny*ho b!iH! or inpror6 thd@.,
<br />d sho @,1.!d. fo. 3u.h Frd. wnh . Colrn to(r) lila.d FB6r ro r co rdd'. L.ag L.$ )
<br />I &tr.\. t{ u*rld Sftt
<br />,,.,, /? - 6- /r
<br />DESAEAIII}X
<br />I h6.by omr m und6 polhy of pgjury onc otth. followin$ .L.l&!thB
<br />-l
<br />hsr. !d *ill Mint.b. CarifE r.of CoM to S.ll-lEU. fr wlo mF-rDn, B FrriLd for by S<rnn l70o olt,E
<br />Lltxr code ltr'n Ffollr:ft.oflh.Krl for strich rh. psmil ! eual.
<br />_I hr!. !d sill nainrli. wo .E c.np.tu ii.nioua..a Equrcl bt sdtion l70o of rh. t lor Co&, for llE Fftu. of
<br />rh. $ffl ad $hih thii Fmn ir iqr.d" My wld orqc.ir! aBllft..dir ,!d Flky numb6 rc:
<br />PohcyNumbd: [!pir6
<br />_l cdify rhar
<br />'n
<br />rh. trforl@.. of rh. solt ror *hrh $a Fnn B isuc( I 3hll@r opht u, Fmn in et M
<br />r 6
<br />'o
<br />bcor $bjd ro rlE mrt6 oEFMion LH of ctli6nq ..d .8G
<br />'hd
<br />if I drould b.(oD. bFl lolh.
<br />mrkd omFMlb. FDvnioE oasdthn l7m of E t!&r Coda I Cil. tdh"th 6npt rih tho* FlliriE
<br />\rARxtNC: ljtiturc ro tu s!ri6' ooFliion o\6.sc s urt u,rul, ud lrEll $bFt o dploF ro dimirul FEiir &d
<br />.i!il iln6 up ro om hu.rLql rholed .lolhr (1100.0{01, in.(tltnb. lo ttr.d of .oDFMion. d!rw6 - Foviicd for llE
<br />sarhn 1076.f rh. Lrb.r Cod., sr6., Md.t!rm]'t f6
<br />o.*.Q!{4ptnr
<br />lrtlrt&\llQ.\
<br />I hdtbr nrm u.dd FEI, of Fjury rhn I m lics!.d udq Folbi.i of (nr,rc 9 (omnMcinS whh Sal hn 7000) ol DivB{n l
<br />oa
<br />'h.
<br />ABi!B ltd PrefBtio6 Co&. rd Er ltde ! n tuI foc.!d.Ik r
<br />coNsTrtucTlori r rnnr G AG.Nca'
<br />I hoiby .lTm ud6 FuIy of Fjury lhi lh6. i r @drudiE Ldlls .stry tor llE Ffm ot dE *nl 6, {trh rhir Fna a
<br />irudl tsc. l(}r?. (-iv c )
<br />apPllc.rN'r o]'cr rRA'rroN
<br />I had, ltrm unda Frt, ot p6]ury on. of
<br />'h.
<br />follo{in8 d..ldrionll
<br />Ddhnnir. Pdmin-Arb<rc Ndifdi.n F6ddrl R.BULrioN (Tnb 40. Pd6)
<br />-R.q!n.d
<br />kilc of NdifE i.n
<br />-lcdrfrth.l
<br />lh. t &dr.rulalhB rcEadins rtEnos rdno\ al a. nol lpplic.hlc lo lhn pmjd
<br />I .6i4 rh"r I hav. rad rh! ltpt(.ron md srat. th,r lh. abyc ii ronlultun B cond I +rfr tu 6mrlt *dh .ll Cily .nd Counl!
<br />o Im6.,xr srd. uH Elii,le io hrildlns .otuior id hott,r.F.ddi!6 olrhi ('nydd Coutriy lo als qxr lh.
<br />atr!. 'ndroi8l lrropd, f(tr 6p..rtr,n
<br />.\t,tli.r r0' \sr rsi[,tr,r
<br />,"^n*,,-"r',r"r,fu .9
<br />,o*,/z-6-/8
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service [/eter ,..\
<br />FINAL 5-7"7J
<br />Notes, Remarks, Etc
<br />\-ifl-]4\
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