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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEI BIJII,l,EN DEII'ARATION
<br />I hfttry afiirm uids pcnalry of Fjut rha I @ .idF t m rh. Codrdm l-iw L& for rh. folhtrDs 16,. (s< 7u!l 5
<br />aulind sn Eoa6ion ('od.l An) Cnt or a.dt \hi<h E{!iB. Fni lo sn!ruc( !16, iip.ov., d.,nolbh or Epan uy
<br />srocrue Firro ilr isffi., abo rcquGrhcEplicMr for $ch nsE ro6L.nsncd d.6r rha lE or JE ir lEda.n Fmd
<br />to rh. F.virioG of dE Conkds r Li.rcl t u (Cbpld e, Comtri.s $ ilh S.clian ?0@ of Divilio. I of
<br />'h.
<br />aGiK ed
<br />PNlshN (bdc) or rhlr lE ot tlE b dhF lhdcftoh od rhc bdi! ror rh! rll.s.d .rdF ion. Any rirl.tiof, of S*i ion ?01 I 5 b' dn)
<br />.pplicd f.r ! Fmn 3ubjd! rh. .ppn.er ro ! ci\ rl Fnrltt of ml mrc rlun fir. hln&dj &llrs ( lJ00l
<br />l. N o$nd of th. Frp€ny. or ny npkJlG $nh \ts6 a lh.n &h codF6tio( rrll & r,E $rtt -d tlr rirluc a m'
<br />inci.d d olE d fd rl. (Sc 7044, BsiB od ftltdiod C6&: Th. Codfforr Lkru l.v &6 nol eply rc a o*no ot
<br />rh. FsFry who hiE or imFoE rhc6r dl who &6 *n w* hin*ltor lE*rtor rl, uBh ha d lE oe! arplolc
<br />troriLd thd s.h inF$fficd nai.d..ofiird 6i rl. l( tbr6c, !h. trildi,B o. lrp.o\oEr b nld vahi" oE )u
<br />ofconpktir.! rlr O*{n B!iE6 will hrw rlE h!d.n olFovins rhd lE or rrE dn d t!'ld d inlF.or fi. plrFty lor tlE F,FE or
<br />I. a o$ e of rh. pi.Fr), @ aclB'v.ly..tueir8 *ih licdb.d .o.!fuoR to otdrucl lh. Frj6l (S€ 7o,l.l.l,8o6
<br />&d Arklih Cod. 1 6. Conrr*ror'r l-icd.. trw doB tul rpplv lo ,. oMd .f lr.Fny *hd bo'l& or improB lhd6n.
<br />!.d wlb .odn<8 aor $.h p.trFI! snh . Condo(r) lt.cd Flld ro rh. Gnrrq t li.e t rJ
<br />I m.rrrpr xnd6 ]idn,n
<br />D.l. Oin-:
<br />lt or{(ERs' c(,r\! ifNsa loN
<br />DIUar8.AU
<br />I h6.h\ am,,n !n!6 pdalr\ ofpo)u^ nn.ofrh. n)llrq
<br />'ng
<br />d(ldlliL,f,s
<br />IhrcodwilldinrlhrCdrifr.ofcon9rros.lt-lB!r.lor*6116'comr..dioLaF.v.dnnbtSelion1700otrhc
<br />,-!hor Codq ad
<br />'h. Ffo'M. ol llE alrl ror rtth rh. Fhn ! Buel
<br />I hsv. .nd will mlinrrin sorkar' co'nFBario. ins!E., s r.qurtd by s€rhn 1r0o of rlE bb.. (id.. for lhc Ff(nM ol
<br />trE $srt for rhah fiir Fnn i ao.d My wdt6 onFanion i6ur&c..dir m, rnli.y.umt!6 d.
<br />Tx-qntr
<br />I cdilr rhd
<br />'n
<br />rh. Flolrw. of tlE mrk for $trih ihir Fnir is isu.!. I Jhlll ml 6.pLy !n, F$n in Dt mmM
<br />er B to b6o,E iut d ro rhc *od6l conFalrion lr*! o I Cilitodia. dd rsre rha if I shoold hcom iobid to llE
<br />*0*6 Nmrnsrir.prortirBols..!i l70oofor bl'or Code I !r!lL fdhlnhorlPl! $irt 'lE* FoGbB
<br />(;: tiilur. ro KuE $srl6' comrqbnion covmsc n unhwtul. rod rhdl !ub.r.d a cnplord ro aiffil Frl'i! a{
<br />up ro.R hun&.d rhoB,d &lhB (tl0l).o00), in .ddnnn h rh. con orcompagln'( d,o!6 N txovid.d tor rlErli!r.--.a- /t-*-
<br />I hd.t', afl,f, undd Frhr o f Fjort ihd I m li.*{ u*Lr For i!tu.(nda ,) t.onllrRiru r,nh Srri.n 70001 .a lr\ Air I
<br />of rlE D{iB !d PDf.gioN Code ,rxl my lic.e i! i! lull fod ard.lI<(
<br />4 . /e1/ 111r r i--i.. Numb(
<br />o J ,*"*.,7
<br />I h@b, .rm undd Fdry of Fiuy rll, rlE ir.ordtudirr hnit .s6y lor rlE Fti6l1t'E olrhc *vt 6r rtth rhi Frl i!
<br />ie.d (S<. l0)7, c'!. C )tdlq.!,{m.
<br />AIIU(ANLDESAEAI]qd
<br />I hort'y .rm un.ld tE al', o f Fjlry oE or rlE follo*rn3 d.rLrd io.r
<br />D.tuhrstr P@iti-Asb.nG Mirifk ion l;.dd.l R.suld b.i lTnl. .10, Pdt6)
<br />R.qu-!d L.il6of Nolif.rbo
<br />- . I diry rhr rlE ftdarl quhiE Er-dinr ah<6 lEmrrl E'rr dr.blc ro rh! FDFi
<br />4.1_
<br />a ,_V cdt'i, rhi I h.v. r6d rh! .Flrro !d nr. rli lh. .loE !6rnribn i .dEr I .gra lo orply wnh . Cily.ri Cou y
<br />rdBrR6 dSrar.I!*.rL,inxr.
<br />il{\ . md k'..ri nrordr nn inrEl
<br />rpplhirl or Aa6l slsn.lurc *
<br />rmrrc nrnetptnrt, )C
<br />.oNtudio,L ed h6.iy, hoD. rqx6drdir6 o t rhi3 ai y
<br />/ otl
<br />T#'il
<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 />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL .o -3 t11 LcTl
<br />Notes, Remarks, Etc.
<br />-:D
<br />Air Conditioners
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