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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/stG.COMMENTS
<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 />Bu ilding
<br />Under Siab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)r7 -tr-.rq tuiJ la,
<br />Meter Release
<br />Rough
<br />Service Meter
<br />%FINAL k l'a r-2) Na,4 lr>
<br />Notes, Remarks, Etc
<br />,>
<br />I hd*t lrm udd Fndry oa pgjury rhn I E qdpr fmm rh. Conrrafin l.tte k* for rlE folloshg l6n (Sa 70ll.t
<br />Buin6r rrd Protdion Cod.) Ary Ciry or Couny shkn Equi6 . p6nn ro @dru.i. 6116, impmve dorotah or E an dy
<br />$Ncruq Fhrro irr a!@c...L6r.qliE0rappltdfniuchtEsirloEl..rtndisImdllhdLo.!t!.i!lic.dprlllel
<br />to rh. Forisioc of rh (onlr.clorr Lad!.d lir (Chqnq 9. ConEftins *nh Sdion 7000 of Diviriotr I ofllt BuiB ed
<br />Prnfdaoc Co&) d rtd lE n 3b. i ermF rh..tum r rh. h6s for rlE nLScl .Glqi6 Anr tiolrlion of S<r.n 701 1 5 b, ey
<br />.p?li.. f6r!Fmn$brdrrlE rrpli.d lo. citil F!n}olml mrclhr lir. hu.drd doll,b (ltm)
<br />I. B o\r@ of rh. FoIErr. or ny mplorE *nfi s!!6 s rlEr $k comFlE ion. * ltb tlE wolt sd dE sritl@ i! Dl
<br />inrddal or oitdrd for $1. (Sc 7044. Buiind md PlolsioN Cod. Th. Codrerof! Li(t@ Lrv &6 f,ot +pl, lo e osn6 of
<br />rh. FoFr) *h6 hil& o. inrF.q ihd6n. ii sho &6 sn sd hirolf or lE*laor llmush hi! or hd os ddolc
<br />Forii.d rul sh imrmisEns e &r ncn d or otrsld 6. rl. l( lnw, tlt hiilirE 6r nnc. tlld ir $ld winin.x )doforpki'( tlE Or'E B{ilda siu l$r llE tEdar olFornv tL lE tr CE {M ml h,'ld d i4..r! {E Ftpar, 6r lh. F,!o.. of
<br />L s olffi of th. FoFary. m dcluiikly Nm.rcring wnh licdr.d co alo6 b.otrrnd tlE Fojal (Sd ?04r. Ita[B
<br />alrl R$fr.*r cod. Ih€co.krcloar l,icd.l-!w do6 nol.pplyto sof,ns ofnloFlywho build! or irpovd lhd-f,,
<br />6nd who @nlEclr lor ruch FoJa$ wnh r Codrr.io(, ltrdB.d D6urd !o rh. c.tu.doai l-rd* r,wl
<br />I &.rdF urla Sdi{
<br />vaa6E8[ro!u[ds la!
<br />o[g.A.tarlox
<br />I ho.l,). amm und6 Fulrt of p-Ju_r or. of rh. follo* ins d.(ldsr ilN
<br />I h,\. ald *'ill Mor.d ! Cnrifrdc olco.$r ro s.lf-leE for "ort6 mmD.dioE B Foyid.d for by Sa&. !7m olth.
<br />l,bor Code ltr lh. pafoffi. of rrr sri fot trni.h lhc pdnn ! Bu.d
<br />I h!v. lnd $ ill oarr.'n \ orkd' c6np.Brr ion iBuronr.. I r.quftn by S(tn'n 17(x) of th. I iF^ir ( od.. for th. pdfomd(. of
<br />rh. s.ni nnshi.hrhBFmir i! iscd Mywort6 conFE lron iNurmc. cers rd p.licyoumb(!c:,* Tfvv,.\.r\\
<br />,.,,.,n** ?1LlC(4 Aeo JT ,,.,."-rufu fao
<br />I c.nify thar in th. p(fomlncc olrnc *'orl for sh'ch rhii p.rmir is isu.d. I rh.ll nor dplo, iny p6.n in lny fteF
<br />$ a r. b(oft lubjd h rn {ort6'snFMion bwr of c.lifomli sd ltsr rhlt irl rbould brodc tutii ro rlE
<br />snrl6 omFNrFn FDriioB ol Sd ior I700 of rhc lrtu (-.dc I CEIL lonh*nh Niply $nh lh.r FnrilioN.
<br />$ARNINC frilu. to su. *sld snrFdio. ord.s. 6 unb*tuI. r rhtll $hr.d 6 dnrloF lo dimi.,l Fotit and
<br />c'vrl fin6 !p ro orc hurdrcd thou{nd.toll6 (l!00,000).
<br />'n ldnion lo rh. (r of .onFElion. ddn.s6 6 p.otldal fo, $.
<br />(i{c. r'.arxtr(txiknr) s
<br />tllI.lS-Ur !4.]l!:!1lA.8DT(AE!II(I:
<br />, t€rtry .lfm uda Fuhy o f Flury rhd I m lic.B.d und- Fovtion of (nq,is I (sntrBrs *ih scdbn 7000) of Dn i3hn l
<br />of rh. B$in* od P,ofBnrB con , Md my lic.R ir in full fnrc dd .fi6l
<br />ct0
<br />s/t4
<br />-2
<br />.)3r+(lcl*.ulE <-
<br />calualJcralJErDllclcll(I
<br />I hdcN iftrm und( |Hrhv of Fjur' thd lhs. ia cotrrnrlFn k dins ardo n{ I hc rdlon.tnc. olrh. \ork ior {hi(h lhit lEnri! a
<br />'*u.dIsd 10s7-('[ ( l
<br />I o.L \ Nan'.
<br />APPLICANI NFCLAXATION
<br />I hcrbr'rfrim und, Fn.hy of Fjury oE of llE followins &(l&di)N:
<br />DomlnFn P6rn*Arhdor Norifi.d io. FcldrlR.guhhnr (InL.l0. Pd6,
<br />R6lrr.d Ldrd of Nd,6.dFn
<br />I c<rl ity lhal thc Ldarl i.sularioc r.stud'ns ab6ro. rdn al d. n.r applicahl. tr rhn poid
<br />Icdr'tt$iIhdcddrhuqplt.rioninnrr.lhdth..t\.infoMbntcor*lIlsrelos,q'lyrihdlcnt.d(ou v
<br />rrlturG ,rd Srd. I$! ..1fu8 16 hrldirB .odn.iirtr !d h<cbt rdhrn. EF.!. nd of lha ( ily !d Cooit
<br />'o
<br />orE oFn l,E
<br />.tF1. mrion.d Findy fm
<br />J*,,Fit t\tt)t c
<br />.B &P('fortharen
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