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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\INET BI]ILDEt DELCAIATION
<br />I h6*t .lrm uldd Fr.lty of Fjuav 'hr I 5 qmpl fioE lhc Codrrlo6 tiae Lrs flr ih. f.lloeilts tet lsc.7oll 5
<br />B6rn6r rn Prcfdion Co<|.): Any Cny or C@dy *hrh r.qui6 ! lai ro odrud. !h6, inProE ddtulith o. ..Fir dy
<br />rbu(r., Fioi ro ir! isuD.G. rL. r.qui6 rh. .ppli(. for rrh Fsn ro 6k t 3isn d sr.rtur rhi h. or th ! li.6!.d plNd
<br />to rh. FovitioE of rlt Conk*ld! Lr.6.d t u ((-rrprd 9. Comfti.8 wth Sdion ,000 of Diyirion I of ri. BdiB rd
<br />PtufBi.s Cod.) 6llld lr or !h. ir dmF lha.6oD !d rlE t .ir lor tlI .lks.d crdlrioi Ai,y vi6liio. ofsdlbn r0ll.t b, Dy
<br />srplicd 6r . Fmn iubjel! lh. .r?li x lo . civil Funy otml mc lh& fiy. hu.(I,!n dollEr ($m)
<br />L 6 o*c of rlE FoFny, or mt mplorE wnh w.{6 6 rlEt $t otrp.t'!dn.. *ill&, it trnt.d tlE tuu. i! ml
<br />iildxLd M ofr6.d for sL (Sa.?04,1. BuriB !d PmfBn N Co&: rh. Cofir.ln'r L{.e r^ &6 ml ryly lo d o*nd of
<br />lh. FlFry *tx' hrird m irrlrd ttle .d Bho .iE sh sqt hi@lf or lErlf or lllou8t tir or lE o*t dnplotG.
<br />pro,ii.d thd such inp.o\Efu & mt i.id'.Ld orolEr.n for sL lf. fior6's.lll bildiry or inF.oErEI n $ld wilhin oi. !6ofotrptlm E (xc Builb $ill t6! fi. h,rt. 6f Fo\it dr h. or !h. dii mt tlild q rsoE dE FoFry 6r rlE F,FE of
<br />L B o*.d of rh. tn)pdy, m d.luiv.l, contradinrr rnh licard codrrcrod ro onlN(l rlE Fqd (sd ,0t4, B6ind
<br />!d hoE i.(o<t l1l. Coffdor'r Lk.M l-.u &E m! q?1, ro , owE of FoFlr $l$ huildr or iEpror6lh6@n.
<br />.nd *,iro .o rd! tor such pmjds wnh a ( oifi.lo(t) liGBqj punun ro rh. c.drkoi! LEru !*).
<br />I m .\.mpr und6 SErnrn
<br />Drlr Ornr \roRxr$ ao PrnaAriol\
<br />ulicLAS I]qN
<br />I ho.br".mrm undd n nalty oipgjulvoncoarhc aollowins dclerr'06
<br />I hnv. dd will nlinrrin r ('.nificitc of CoB6r ro S.l!l6u,c fo. wo*6 .oop6srion, a pm\ id.d for hr SEli.n I7(x) ol lh.
<br />L,tbr c.d., fd rh. Fftru. or rh. r$rt for rnin rlE Fmn . is!.d
<br />I h!\t ..d vill tuinl.i. srt6 olr.cdbn idtJjuq B rcquiEd bt kion !700 oldE lrbo. Coda l tlE Ff.rlE. of
<br />rh. $!rt lor *hth thi pcnh t! i$xd M, $odd mnFltion iBuft. .eir !n polky ru6bd e
<br />c-"f-
<br />I cdr8 tld in rlE FfolM. of lh. *'ort fd trhf,h fin Fnn a iaeE4 l3h!ll mr olPht r) FEr in rnt iec
<br />e s ro b..om rubjct to tlt wo 6 ompoliioi bs ofcrlif.mi& ud .sE lhd it I slDuld tEroi. ebjor lo llE
<br />$! 4 oEFr!.lnn DmriirB of scrion 1700 of rhc tit . code I thlL frnhqnh mngb *nh rhor provbitB
<br />*ARNIN(; Fi'lur. h m. {0116 omFndion 6+. i !f,1lsful !.d sllll $br.rr o snplols ro dih@l Frli: !d
<br />.nil ,in6 u, t'... hunlr.il rhoMd d.ll6 (ll in lddnioo lo rh. cos olcomrcMian, danrSd a Forid.d for th.
<br />sftrk)n 1076 of rlE trtor cGt . inr6.sr {d
<br />Dtr l. \k r t,rr\
<br />I hcB,r+ amr6 undd Fdlt of Flury lhd I m n.6B] u.dd Fllbion .l Ctqna 9 (condtr in{ s nh S..ri1n 7000} Df Divii.n ll
<br />oI rh. BuciK Dd Profdsd (-o&. rd dt li.6& i. tull
<br />lk.n\.(lN\ 'A
<br />*," /z//y'/E
<br />I ha*y .mm ui.rE Fdy of Fju, rh, tha. i r @.itu<rio. lcldiB .edy fot lh. psfoffi ollrt rol 6t $tkh rhit Fni ir
<br />is .d(SE.1097, Ci! C.).
<br />AIIIICANLDICIdSAIIA!
<br />I hod,y alfim und6 p.n.hy oI Fjury or of lhc followios dcLnrrcnt
<br />Dd*)lnio. Pmhl^rtBc t{olirrrior t.d6d i.suh irE (Tnl. ,l0. Prro)
<br />R.qurd lirs of N.aldir
<br />I cd
<br />'
<br />h rha rh. f<ld., RguhrrB r.rddint atrsror r .mr.l ec Rr rl'tlElbk l(! rhE pFlcd
<br />I edif\ ! hd I h.\. rc.d thB rppltrrioo !,'d srnr. rh:r rh. .hn c rnromd ion 6 .otrd I qrd ro ond) $ irn .ll Cil ! .d ('ount)
<br />nrJrninc6 Mdsr.r.l:{rEldrlBrn Sr'ld'ns cn[{rudhn. a nd.ht xnhorE. r.Fenrn - or ihi! cnr ed (-ouno n' d'q urnn rlE
<br />itt\. mdr!,n d rs.D.n! for rDd,6n DUr€
<br />*r- *u^,.--,* 17, -" ,22//Ze
<br />l,cm,,rn.nr(pr,n,,: 2J -r-l 4hl/e*
<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 SIab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<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)
<br />Rough tt"e-2'll-1o E.ILLT
<br />Service Meter \D
<br />FINAL 3-12-1.k.V,{tt
<br />Notes, Remarks, Etc v
<br />".,.,H2//{
<br />'-->-
<br />Meter Release
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