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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BUTLDER DELCARATION <br />I hd.tr .llm und6 Frly olFJu.y thi I m daq( nlo E Codn.rrt Lk.u t * for rlE 6lLu a lg)n (Sc 7011 J <br />BBi!B .!n Prof66r Co&) Any Cny or Coury whih r.quiE r Fnr ro ol(n!1, .lra. irFova dselan or lE.i dy <br />il{.r@, Fbr to ir, isue.. a&o rcqon6 lh. lppli@r tor luch Fdn ro 6lc i 3is..i srdmar $.r b. or O. ir lic.nr.d puall| <br />ro rlE FuitbB of dE Co.rdd r l.dr*d l.* (Cllprs 9, Comtrirg xnh Sdion 7000 ot Divnio. I of rlE tl8ilB dd <br />ProfdioB Co&) d rhr L d CE L d.tr'F rh6.fron.,d rlE b6ir for rh. nh.d adFiE Any rrldbn otsddr 70-r 1.5 by By <br />lppli.anr for a p6nn 3ubiet! rhc rptllic&r ro . civil pdllry of nor mrc rhd livc hun<tr.d {toUd { lr00). <br />_1,6o*cofrlEFFiy,troyddo'6wnh*!s66rlEt$konFEdio(r'll{brlr*ql-d0Enrdftrbr <br />i, dd.d or ofidal for $l. (s6.70r4, ariB md Pbf6&6 Cod. Th. Conli.cloit l-i.e tr* iL'6 nol +p!, to d oM6 of <br />lnc Frrgry wlD tnil& c insrE thGa !d qls dc sn sn hihr.lf or h*lf or lhmu8h hn o. h6 om dplo,.d. <br />FollLd thd Nh mFordEt ft @r darLd q oilrqJ tor sL lf.lBw. ilE hddilB 6 ir+6qE ir hU sil, m <br />'-oforiprdbfi UE O*G &ddd wil h.E rh. hr&r orFerilB r1ldlEorr&dn bl hlld s ltryDE ln. FDFry tu th,r,Dc6r <br />_I. 6 o*E of dE FoFry. d d.lutir.ly colrr-rirls \ at liG!.d conrrroE ro 6'rnru.r rlE rhixl (Sd 7(}{rl. &!!B <br />!d PDto ih Cod.r Tnc Conl[doa, Licdc t,w {to6 nor @ly r. D 0$!6 of Fop.n, wlb buil& or inprot6llFmn. <br />sd who col!r..]! for luch Foj.dt wth ! Cointcbrtt) licoa.d plBu.nr ro rh.Conxrcioa! LtoE rlw) <br />_l d .r@F u,& Sdb! . B lt P.C. tu rlti! l<li <br />D.l.r Or.q: <br />$aSaESSi0uIjllAIlq![lcldSarla! <br />I hehy amnn undd p.nrlry olpajury on. ofrh.ldlowinS deltrarnrN <br />-l <br />h.v.,'d u'ill dinr.n r Ccrif.r. of Coer ro Sdf-lEe rG wld CsFsrih, 6 Fo*t d li,r b, Sern.l7m ord. <br />t,!or Codc lor lh. psfo,lMe of lhc wrt fq wnth lh. Fnn i! bu.d. <br />I h.\..nd sill m.int.ir worl6 comFMir. 'luc.. 6 r.quirn br sdion l?m of rlE l,t{r Cod., for ttc Ff(!]lltr. or <br />lh. wo for *ni.h th6 Fm i! irEl My wk6r onqtuion iMffi. .6ir rn F lty nuniE e: <br />Policy Nur.bd _ <br />Icdr&fid hilEFfolmor!&$od n rhichthi3Foi i! iB.d. I nu mrapb}ur_Fsni.oynle <br />F 6 ro b..!tu rubrdl ro rlr *o.ld Nnpqliirn L*! of Crlifom( od Cc rhd if I Jbuld !..oft et*q io dr <br />wortd'codFntionrtuvirioBolsc.rionlT(r0ofrh.l,b.rCodelihrll.tnhwnhcodplywirlrrtocpovilioE <br />$ARNINC la'lur.lo *-rc {orls\' romp.neton c.!!d lhdl subjct d dr*) <br />I hd.t'y.lfm !rj6 Frlry of p6ju.' lhn I e licdE d ut&r Ftrtiioi ofch.pla 9 Gomltwi.B trnh S..rDn 7000) or DiraiJn 1 <br />of rh. B6ind Md PmadioN Cod.. ad ny lic@ i! in tull ao(. ed.lTEr <br />6 <br />(OMIf,ICUO!I.!!II!C.AGEM:I <br />I noda .fm un& pa.ht ol FjrO rh, dE! ir . 6iHnaro. lad'n* !g*) aor rlE Ffrnrre. of rh. *ml 6r $trh lhir Fna i <br />isuci (se 1097, civ c ) <br />AIIII(AALDECIdAAIIO! <br />I hod',rtrrDu.& F h! olFjuryo* ofrlE folb$i.g &rLrdioN: <br />D.molnion P6mlt3'Asbdro! Norilic.xoo F.d6.l icguht hd (TnL 40. Prn6) <br />R.quir.d tnl6 of !io.i6.ris <br />-l <br />(difyrhd thc i.dsal r.xulalion3 rdno\al dc nor q'plicibk lo lhn proj{r <br />l(drfrrht I h$. Md lhit.ppl <br />ordi.atu6 dsln.lraftb|msto <br />rbvc Mriuql pn'psry for iaF.r <br />rlr ibv. i.aonn ion a ..nd I .3rc ro omply s nfi rll ch, .rn ( oury <br />.\ppli..nr or ,\aut sttr.rurc <br />mJ hodrtltrrh.ri,r 'qrrHnartr6 of ""'HJd'l <br />11 <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Founlains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />UnQqS-Stat / Floor <br />Fondge/GrounOing / UFE R nw:(iu;rtr- <br />Yr5'insformers <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 Rouoh <br />Ce ilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL 1/ e/n z{,{tq1 7D <br />Notes, Remarks, Etc.