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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/srG.COMMENTS OWNER'Uttl,'I DEI,'AR NON
<br />I lEr.t'.mm u.& F!rr'of Fjtr' rhr I m aalpr fron rh. ('drIl6 Liu* t u fo, rlt fr,lbvi!3 tu (s<70tl J
<br />Bu'nd !'d Prol6nn Co&): Any Cnt or Cody rhih rcquc . Fmi to 6dtud, .xc. irFDve dmlilh c lF.! ey
<br />rrudEFttrotu iffi, rho EgriB llr Fli.d for sh Fnil lo 6L. tig..d fiffii fii llordE a lica!.d Frsar
<br />ro rh. FnebioB of rh coflr.rn,i l-t6t d Lr* (ch!Ir6 9. ftmftirE wirh sdbn 7(l()0 of Dirtio. I of rlr Buits md
<br />PblNh.i ('od.) or
<br />'hai
<br />lE or rlE n .ropt rhd.6on 8d $. bari! fo. th. dqcd dddion AryvioLlionofsEliorT0ll.5 ty.ny
<br />lpplicant for r p6nit subjdls lh. +plicdl lo ! civil p. liyofnol morclh5 firr hur&.d doller (1500).
<br />l. a o$c otrh. Fop.ny, or ny hployG wnh {.s6 a rh.n $b cooF(lniol! {ill do rlE *qr d E tuG i! br
<br />i sr&l or 6ff.rcd ad sL (Sc 7044. BBi,ld od PrDldioN Cod. TIE aoffid r Li.EE l^ rhc ml qd' lo - o$c oa
<br />rlEFoFll.U,itbo rsD!€rhd@n.d"tbrt6*hsahirocllorhaslf.rtllluBhit hd on aDplolc
<br />proviLd th, a.h UDF!\El6t n d nai.d ddk k" $L l( lb6s. tlE hrildilB or lrFsnEn i' $ld uihi G rq.fNnptlntr dE o'*@ A,l&. wiu hE E h!d6 olFwB trii lEc CE dd d hlld d ing$r.lh. FlFl,y 6r llE F,DE or
<br />l. adsndofrh.Fop<ir, o.rcllrie.lyconlr..ri.! w'rh li.ft.d coitklor to oNrucl th. Irojrt (Sc. ?04.4, DGIB
<br />nnl Eotosim Cod.: Thc Conltrroi! l-icc.r. l,sw do6 nol .rDly kr e own( olprcpcrly rho blild. or inD6v6 th6on.
<br />ud slb on6ct3 tor !u.h projdk *nh r c.dano(r) Iicd.d ,u6omr ro ih. Co.ltuoir l,i(.M b*}
<br />I tun.rdd und( S<rFn
<br />Drr. or.n
<br />uoRKFrs-4.(}[iiEnS,trroN
<br />DEclrtallo!
<br />I ha.b .mm unda Fodi, ol Fllry .n. or rh. aolbw'n{ drl&rrioN:
<br />I h.v.d w ill minrsi. r ( .nific.t. o f CoBmr Io S.lf- lnlurc for work6' comDas.rion, s nmvidcd for b, Serion l7(x) orrh.
<br />l$or ( {\i. lor rh. pql(fucc dfrh. {tlt for whi.h rnc p6iir ir is!.d
<br />I h.t..nt will mlinrii. eorl6 .omF6dion iGuEc s E{!n.d b, S.di.f, !?m or$. llbor Co{t . 6r lL Fftxffi. of
<br />llE $n* tn $hth rhi! Fri it isEt My sGl6 oopaEiion irurre ffiir .n pola' Nmbs e
<br />(m 'A,atrrzzel'A 6rr?U
<br />po,krNumb6. WCCqLelt ,.,,,^' ttf r f t1
<br />I cdit rhar in th. ldrolrr1e. orth. wod( Io. vhth th! p6m R !!dd. I sh.ll nor dphy iri p"rI ," -r .*"-
<br />$ a ro h<oe lxbjd io in $odd'.omFsrion hM olc.liaomi.. md l,E ihn itl .holld hd.'E srb,..l to tlE
<br />*ond 6mFuio. pmvirioB ot S..lion 3?00 of rlE L,bo. code I ltrll. 6nhe nh o,lPly wilt lh.* pm\irbd..
<br />*ARNINC f-.ihE ro sc *mk6 comFEiion mrals. ir unh$tu|. dd shall ,hirr 6 drt F ro oiminrl FrlB d
<br />$il t6 up ro oE hurH rhou.d d.tlLr! (ll0o.000). u rldiirn lo llt.oe of .onFBtrlotr desgd 6 Fo\iLd for tlE
<br />S.nnn 1076 oI rh. r.bor Codc ors<, bd dronEv'r fG
<br />".,., " t7f tl$y-
<br />I h.i.1,r amrn undd pcnalr, of Fjury th.l I m licas.d (con'n6cins *irh s..rio. 70Cr0) of l)Nibn 1
<br />ol rh. IlNindr dd PRJiBThN (id., dri m! lktu .
<br />'n
<br />full lnr..
<br />,**,,^ . Lro/z4L
<br />,.,. ! tzf tzf ls
<br />I
<br />,n*-o* *
<br />I hcty.mrmundd Fnalry of Fjrry rh.l rh*. irt
<br />'s.d isd 109?. civ. c.).
<br />lh. I,6fomMc. of thc work lor *nich lhn Fnil i
<br />AIIUCANLIISJSAIIA!
<br />I hddry inm !.do palhy ol Fjury on. of $. following dcle.tsn!
<br />D.oolnnrtr PmnsAihdro! Norificdioi t.dd.l Rcsuhriotrr (Tnlc 40, Pd6)
<br />RGpn d L,riaolNdif(din
<br />I (dit!
<br />'hd
<br />rh.lcdsllrBuhli.nr..3dq Bbcaos rtror.lac n! 4plcrbl.lo lnn F.F
<br />I6i8thdIh&.@drhi!.{'plidnnrdir.l.rhi0E 01. rnlornrFn ir cm.d t rsre lo mrqit *'irh .ll Cn-y.id c.cnry
<br />orduN6 rrd Srdc L$ Elritr3 ro hildirB coEru.rio( !d h6.1ry ldlFrt. r.F6diin 6 of rh8 Cny ed Coudy ro dio uFn rri
<br />rbor. Mrion.d pmpdy for iNFdhn O"l*.
<br />Appllc.nl or A86l SlSnrtur.:\q
<br />Ir.nl( ,((l*inl)i p€"'-. 6rh5 !/+/tr
<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 Slab / Floor
<br />Bonding / Grounding / UFER 7kt//c,.1 '//?(D
<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 Rouqh)
<br />Meter Release 7lt+tb ,.</./q69
<br />7a PPq ll.4 1/,ul,q.1/{^/4 iL,| .{.b,orf*/
<br />Rough (
<br />Servrce Meter
<br />FINAL tlrr\\1 .,t/q.t (n)
<br />Notes, Remarks, Etc
<br />*
<br />Transformers
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