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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS rD/srG.COMMENTS OWNER AUILDER DEI,(ARATION
<br />I lEct' .rm u.& p6.fty orFrr, !i I o ddtrF tDh tlE (offioR Lt* b* lor dE folbvir* lKn (Sa Toll J
<br />&!ina and PmaBion Co<b)r Ary Cty or Couiy sti.h Eqund r pqni lo .on!tucr. .Id. improvc &Elnh or rqat dy
<br />,M@ FU'o hr iw...!r r.quiBtb.+ltd for Bh Foi lo 6L. risEd triqrEr $rlEn{Eitlic@.d Frur
<br />to rlE Fovniob of tlr Comr*ld! Ltd!.d Lrw (Cl'.Fs 9. C.tu*iry wnh S.crior 7000 oI Diviron I of rlE &!',B dd
<br />PmrdioB Co<L) o.lh.r tr tr rE n qolF !hq.f,.n ad 0e bdir to, rhc.lLScd 6@Fioi Anyvrt lio. or scrirJor I t ti.ni
<br />.rpli..,, for. Fni $bt$ llr @lic!, lo . cirrl Frh, of bt mErhd lil. huftn d rbUE (t50o)
<br />l. s ow ofllE Fopdry, or my atphyG rnt *.86 e ln.n ik omFErhn, *iI & llE f,vt td dr rru1E i! ml
<br />nftld d ofd.d br ilc (sc 7oatl. &ri6 -d Pl!t<rn6 Co& Irr Cortutr r t!t@ t^' .16 d .pd, ro s o\E of
<br />rh. FnFry vho hritt or inFD6 rha{i. rrd sho dc uh uqt li@ll or hG*lr or thftush hi. d hq om mDhy6.
<br />Fovirdi fi.I sh EFov.Efi E Dl idorLd s ol&!d tur sL l[ howa6. llE hl dirv d imFml t $ld *ino o( yd
<br />olollcb., tlt (}iG &ild. *in h.E 0E hrtbt ofFovla tlri l! d dE {nd 6r boild d int oE dr Flpary tr tlE FrFe o,
<br />l. aorEotrh.FiFiy, md(luiwlyodr-rB snh ltacd coddoEto otu EFlFISG ?os, &rlr
<br />!d A$n6in Cod.: Thc (.olllcror't Li.or. Lr* &B ml lrply ro 6 orE of FoFry *ho tuitb or iftFord rn6ar.
<br />Md sho onl.eir for luch F!Fr! rirh. Co trro(r ltasd p{EE lo rh. Codr*lm r Ltoe L.w).
<br />I m.rdF trndr sd'on
<br />D.r.: , Orrn:
<br />woR (.rsi coMPENaAllon
<br />D&CIA8AIIO!
<br />I ha.lrv imm oidd FEty oaFluy om oltb. follou'hg d-lrdiE
<br />I htv. a1 sill minl.i. ! CqliaErl. of CoBor rd S.lf- lEu. tor world .otrrFBllion. r F.vid.{ tor by Sclion l7O0 of lh.
<br />lrhd C.aa fd rh. Ffll'rrc o I rh. *dt 6r $ti'h rb. F6n a edt
<br />I hlrc .nd will nlint.in worl6 comp.$alion iBumtr., 8 r.qun d by Sal ior 1700 ot lh. l.bor (od., for lh. Ffodi@. oa
<br />rhc *vl rtr whth thit Frlil ir iri.d My $(t6 otrrposion iffi ffir 'd polty mnbs t.
<br />Poli.t Nunbd: Erpc
<br />U3 cd,t d tr
<br />'h. Froffi orrrr mrl ftr *hEh rh! Fsit B &al I cEI er dqr,y ey F$n r uy MF
<br />b ts ro t@om ubd ro rtE qrt6' ooFE rn hu! orcdifmn..d.rG $r ift dbuld b6on sttif,r 16 rh.
<br />ert6' @mFBllion psvirioN of Setion 1700 otrh. t$or Code I d[ll. fonhqirh cooply virh rho* provilioB
<br />\tARNlNCr F.ilurc ro cEc m*6'.onFMn,n mvn{. i! u.h*tuI, od ilull subrcfl x .D9lo}q lo nimiEl Frhis &d
<br />tnil lin6 up lo om ho.dr.d tlmusrd &U6 (tloo.om). i. r/dnio. b tn. cost of omFuliotr dur.e6 d pr.vil.d lor rh.
<br />\drn 10760trh.l,}rY
<br />fu-,. rvluti-l
<br />DTCLAR TION
<br />I @, .IIm n.dq F.rll, of Fiury ild I m lcqu.d rn& FDri.bn oachrgla 9 (N.ffiii{ wilh Sation 7m0) of Dn aion 1
<br />ot dE 6ui!B !n Prefdia Co&. -d oy lro& il i. tull 6N rd.llcr
<br />(.*b
<br />a*O<(o-tt -?
<br /><.ont,,"to, CttJi'' a G-ryv>,-ttzaJ- -*J\5\42
<br />AfILISAILDECIJAAIIO!
<br />I hody !trm unda p6.l', of Fjury oru of llE aollowing d(l,rdionr
<br />D.mhbn Pmir.Aih6roi Ndifrcaio. F.&..1 R.SuhioN (Tnk t0. Par6)
<br />R.tund td16or&nifrdnn
<br />-l
<br />.dit Ini 0E liddrl r.gu|.lbc tgd6s Btidc rdnd e Bn qrl..bh lo ln! F$rdr
<br />I cdify rhd I t6r 'ai lht eplk.iio. rd 31.t. thr $c !h*r inrotuion i .orc1 I !{E lo corply wnh all Cn, .nd coudv
<br />nli{m6 Dd Srd. ls ELila ro hlui.3 co'drcri,( dn hEttr rdhort. r.FE6ir*6 o, ti! Cn} .nd Counry lo dnd upon tl!
<br />ih'v. md nncd pNp.ny nn mFlnr pu,Fx6
<br />app6o orAr6t sisr.tlE2-u
<br />\P.mirF m.rprhr): c'P t o4nlry
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicatrons Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER x rlrl ,,|
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment x
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough \
<br />Ceilings (T-Bar Rough)I
<br />,l
<br />Meter Release $lrt14 Llv \tl
<br />Rough i
<br />Service Meter tlfi \
<br />FINAL It tls 5.'i),b
<br />Notes, Remarks, Etc.
<br />DATEI
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<br />*eNubd <bnbf
<br />qqllI&](;ItlllrElDllclGENly
<br />I h.!br .,Im u,!& Frly of Frur--- ll'i rhd. i' . o!*lrIbn ladn! .gdy tor rlE Ffotu olrll.wt h, x,ith $b Fhr !
<br />is.d {sa. 109?. ci c.).
<br />L.nd6 r NM.
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