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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER DlJlLlrf,A DEITCARATION
<br />I h6ct, .Irm u.da Fulry otFjury tbr I m dnpr 6oi rh. Corfi.r@ Li.Cr L.v tor llE 6llo*ig ta$n (4c.7011.5
<br />Buh6t .d Profdion Cod.)r Ary cdy or Co! y whi.l, r.qur6 ! p6nn lo .o,(tucr, .tq. inFovc dcrclnh or EFn ey
<br />(tucruc. Fbr b n! isuu.e .lso rqunB $. lppli.Mr aor rucn p6nn b Iil. . tign d trdmr rh, ll or $c b licqBal piB.,r
<br />lo lh. FoviioB ot $. Conttu lq ! Lic.nt d tr* (Ch.fl6 9, CoolI,Ei.8 *irh Setioo 7000 of Diririo. I of E ABitB od
<br />h!tu irB Cod.) 6 rhr LddE ir a6!pr rls.6on d lh. b.sL tu rlE.lh.d adFbn. I] lbldio. ols.dD! 70]I 5 by ay
<br />+pli.d for r Fnn sbeB thc .rtli..d lo..i!il pdiy of dl tua U6 liv. hu.d.d dollr! llt(x))
<br />-1,
<br />6 oq6 ofth. FoFly. or my mployd wilh w.g6 a lh.n -L mnFsrion, *1ll rh tlE Eot !d lL $urE i! rcl
<br />intdrldl oroif6.d for.1.(Se To4l BqilB od P,DaBio ('odc Tfi. Conl[dol s l-i(.@ tiv do6 .or ppl, lo u os6 oa
<br />lhl Flpdry who hlilll c BFDy6llEEa erd wh. dc sh wrt hiNlf or hGllor lhrcush hi! or ha om 6'plor6,
<br />Fovildl rhr sh inlF*dlIa ft mr ida!.Ld d ofid.d rd el ll. hom!, dr &ililB d itq.utld i bn sihh tE ra
<br />ofcmpli,r itE O*G BuildE *ill hrc dE hrrb orFDris tr la or 3tE dn or hlJd d i,gDr! rh. FF, 6. E F,!c. of
<br />l, $ om6 ofrh. F,pdr. m.rcldiv.lt cotu(ins vnh IcoE d 6turcr.6 r..odtu.l rlE F.jd (sd 7044. BUn6
<br />s{r hrn .in Cod.: I hc ( onrtdol ! l,icdt. l.w do6 nor apply ro owns olpropgrywho build!or impmvGrh(@..
<br />rnd Bho rcflr&1t for sh pmixr! wirh. Conldo(r) ltcE d p!l!M' t. rlE (o,*r.ro* liN [s)
<br />-l
<br />a .Ia! u.ld Scli.,._. B a P C. krr lnt la[
<br />Irrr.: OrE:
<br />]Iqaf,!8f.Laullrsarll!
<br />![gdaar]Qts
<br />I hs.t y.mm m&r Fn, of FjuB orc of rh. follown{ d..!q{ioc
<br />_l h^. dn will di!|to. Cdafrd. ol CoMr lo Sdr'lE@ 6r srlo'@rFdi.(. FIdd fo, by sdbn l7m6f rlE
<br />tid Coda &r th. Ff(,ffi of $c *<d fd *nih lhc Frir i! i*Ed
<br />I h!v. lnd will n.inldi. wolk.n' co'ry.Nrtt'n iBur.nc., a r.q!trcd by Set b. r 700 .llfic Llhtr (.odc, fo, lhc psaon,lmc ol
<br />rh. \ork ru shrch ths rMnit i! i$u.d MJ- uo'k6r comDd$lbn inlurffi. cads ird p(nir:y numb.r o.
<br />I.dify thd in
<br />'h. Frf.rnmc. ofrh.*oik (rr *hich thi! D.rmn i! iseucd. I rhill.or dploy lny rr$n in my mdE
<br />{ a to t{.om. lubjdl x,
<br />'h.
<br />m*6'mmFudion b$ oa(..liaomi{ ad.gE rhd il I stFlld b.(on $8..1 to llE
<br />*!.t6' conDqsll ion ,mli'ioa olsdlhn lrm ofrh. t htr ( o&. I tEIl. fdh$ nfi omDly whh thor pmvtbB..
<br />WARNING Fotuc ro B@ *orld conFlaFn sres. Lr unh*ful. ud rh,ll tubj.< e d$lol6 lo oiniol Frii. ad(srl lii6 up ro oac hundr.n rhouen! dolh6 (tlq)
<br />'on. drrr36 6 Forl.d tu rrE
<br />s(ron 1076 0trh.lihx (bd. inrddsJr
<br />urt:}51:u(a:t&i(rl).8lllrl.l&r.ua!
<br />I hdrtt dlm und6 Fury 6f Fjuy ltr I B kqs.d u(b Flrton olor4io e (owins rnh sGr.n 7000) .l lrNBn. l
<br />ol rh. BGilB aryl PrefdDB Codc. d dy licoE n in tu ll foic. Ed.ltd
<br />d./
<br />COIiIAJ]CIIOIJ,EITIIC.AGEI(}
<br />I lElhy dlirm und.r FEly oI pdjury thr llE. i! . sdtu.lb. hdi.g rgd.y [r. lh. Ffoll1m.. oa rh. "ort tur *hkh lhis Fnn n
<br />isu.d (Se 1097. Cav (')
<br />AIII,IIAILDESdAAIII]!
<br />I hc6y .fiiin @dd p.nlhy ot Fju.y orc of tlr louo*,irs del{aioN
<br />rkLrhio. Pmhetub6rc tloritE.rion F.d6il R.8!hioN {Tn|.40. Pd6)
<br />-R.quncd
<br />L.lla of t$r'6ciir
<br />_l.dilyrhd th. LndJ r.8ularioru Euddins ah6kE ronovalu. nor.pplicibl. to rhG poj.(l
<br />I (sr'fyrh,I lEr. rc.d rhn.ppltnion,n rrdc tllr lh..hn. infotuion itcotrd Ilsletoonpt'*irhrllCny.Id(ou t
<br />ordemd drt sl,r.l.*! Ehrtr* ro ldrry (oldMio^ !n k.t'y ldl$riE rcrreri^ 6 o f lhn ( ily d Cou,q lo dld qnn llE
<br />tt{,r. 'EtrEd FDrd) ,it
<br />,\u,riunr rr rfi.nt sknr
<br />//
<br />Site-Work
<br />U ndergrou nd
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Si gns (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 Unrt
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilin gs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL lD z,r lr c I gte lot
<br />Pole Bases
<br />Notes, Remarks, Etc.
<br />_ErpiE: _
<br />lJidn r Add6._
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