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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS (r\\i\rlr lll ll lrl.lt l,r r ( \R \ I lr)\
<br />I h6.by lmrm und6 pdahy of Fjury thn I o .i.nF fmm lh. Contrr.lo l.ic.nt liw tor rh. folhshs ,!&n (S< 70J I J
<br />Bsird !,n PrcfBbn Co&): Any Cilt or Counry untfi Eqund . lElni! lo snstu( ttd inprole d@lirh or rrFn uv
<br />iru.lurc Fior lo i8 is@cc. dlo r.qun6 rht +Plicml for tu.h Fmn t. fik ! .un d it.r@ar lh.l lE o. $. i! licsed p{8,,
<br />ro rhc F.rnD6 of ttE Conrtrctd r Lic.nEd l.* ((lupd 9, ( omfting wilh Sclion TUJo of Divtion I oalh. Bui,B 6d
<br />Prof*kJru Cod.) or rll.l h. tr ihc s q.ma lh4fron Dd lh. bdn for th. llLs.d .rdFi.n Anv riola'o.oas61io.70ll 5 bv mv
<br />alplicsr for ! pssil ubj4l! th. .pplic&l lo . ciril pann, of mt turc rho li!. hutdEd &ll&t {1500).
<br />-1.
<br />B ow oath. FlFly. or my mpb)G f,nh w.s6 6 rlEr $k NhFlrl$tr. *ill do E trot iid rlE rndw i! mr
<br />idatol or ollsoJ fd sL (Sd 704.1. BGiB Dd Prol6t'N Cod. TIE (-onlrrcld ! l-ic.e tr* &6 nol Tt t lo & o$G of
<br />lh. FoFiy *to toil& ltsrvdlhda rn *b ds rrnsd hm.laor lErlltorihmudr hn clE om.rnplovc
<br />Fovld.d rh.l sh 'n r.rdluB E d inei.d d olk n Et lf, ho*N ttt hodd,'s tr !i+.!!qd L dd *ahi6 oE )q
<br />ii""nptain L tX"i *,Uo *iI bw tlE h!rt, of FDwt fi. lE or tlE dd lbl huitl d ltsDc dE FDtEq 6r lt. F,Iff.f
<br />-1,
<br />s o*ffi of llE Fopdrt. d.r.lGivcly codrsrnis $nh lEdE d o'r,r1.8 i6 odn(l llE Ficr (sa ?o4'l &iiK
<br />axl Ptals-6 c6& Ifi. Conk..r6,'r Lic@ t.* &6 (x qrly lo d o{trd of FoFrv tho t{ild. ot inp@c rh66c
<br />dd slb corirrrt lq $.h Fnid3 wilh. contulo(r l.au.d p{run b dE co'rr.ct tln6elle)
<br />-l
<br />o ddtr 'Dd. SEtbo--- B. lt P C brlhir lg)n
<br />D.r.. OwE
<br />!lr86I;8LCO!l!E8SAIl9!DlCulAIlO!
<br />I hqltt dfim utuld FEny ol Fiury oc oftlE follo$itB &.ltai.N
<br />I h!r. rd siu ddl.nl. ('alifEa. otc6e:t to sdr-Iffi foi k tdr' omp.@rion ! Fi\ij.{ for b, s"61b' t7m orrh'
<br />t hor C.de fc rlE Fforlllct olrlE rnt fttr *tth rh. Fmn i i$.d
<br />{, *" - *r, *." *o oq6rb6 iElfte s 'qgi.d !, Seri'n r?oo orrE rrb' co&. ro. rt Ffulft. or
<br />rh. wsl for \hih rhi. FEn ir issl My wl6r comFsrrn 'ea.
<br />(TG-r['(1.\lQ (lJ
<br />-l
<br />c6liry thrr h rh. Ffolrlsc of rlE *orl fd *hth lhi! p6mit it 6u.d. I itdl ml mphv av F$n i! uv nr,E
<br />$ slo bcoft stitl b tlE m.rd'@'!F!!rion L*t otctlaou rd {E rfii il I tlbuld hEom tuti<l to dE
<br />mrl6'@nFlnbtFDrirbBofscrion1700ofrh.l,tInCod..IJdl fo.lhgnh saplt sirh 'lF* ForlirB
<br />wAnrlNC: f.ilu.lo suc $nrl6' onFNiDn co\6.s. 6 ffLu'tu1. ,rt Jdt sbF-t d drloF h sidd FriE !d
<br />.iil ah6 up ro oc hutxH llEu!.!d doll,B illm.ooo). i. dhbn r rh. cd of mn. &rus6 a preta.d for llt
<br />-,. 0'r I
<br />L,E)r ( od.. inrd ud !ndE, r rh
<br />0t
<br />DECIJSAIIA!
<br />I hd.nt .mm utdd Ddlhy of pcjury r[a I 6 licqEl undd FDvirio. ol(tuprd 9 Go@in8 *ilh Sdibn 7000) or Dirition 1
<br />ol d. B$ird ud PF(3ioB Cod.. rd ny lt.e ir in fuu fna drl cITdr
<br />.n-*.,* tt ['
<br />,"," 4\ (t5\ct
<br />t |{61
<br />011
<br />(0IIIBI]CUAIUJBDIIIi.A$IICX
<br />I hcby elfim udd!, Fnrlly of prjury lhar rhft i! ! cotrnrudion lcnding .86cv lor lh. ldn)roc. of lhc solt litr which lhn ,6mir t
<br />isu.d (56 1097. Civ C).
<br />AIIUqNLIECIASAIIO!
<br />I hd*y lfun undd pothy of psju) onc of lh. fotlowin* dalu.liou:
<br />Do.ol ito PmiB-A!b6!o. Norificrion F.ddil R.suldio.r (1nb 40, Ptno)
<br />-Ral0iEd
<br />L.lls of N.,r'ftdbn
<br />-l
<br />coriry $n dE f.dal t suLlio6 r.ttdirr Bldo. rdovrl e mr qtpl(lhk kt rhir Fot(
<br />Jl (din rhr I r4. rEd rh! tptkrhn !d fl . rhi tt .ho,. inrornrion s <ond
<br />;jlu6 dd $d. t,s ELq !o bu,ldlB odME( in hqdt dlltgE EFsr
<br />$orc MtDn d FoFr, tu !q.de( FrDG Zt-
<br />l ldG lo omdt *nh rllCnt ird (tu.ly
<br />!n6otrhtC(y,i Cou'nylo cna l4on t
<br />,\pplic r or.\Emr Slan.llr.
<br />H)
<br />orlslucrl
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liaht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER 6atWglro,rJ
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />^\lvleter Release s-2141 fr.Vf::i)
<br />Rough ,,.4,
<br />Service l\ileter 5vA{u V,YI.JA
<br />FINAL <-2X*"l
<br />,XW
<br />Notes, Remarks, Etc
<br />ln/1t /<o tj
<br />I.n'l.ir \!m.
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