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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER
<br />'UIII,EA
<br />DE1I ARATION
<br />I lE by lmm u.da p6.!, oa pqrury rhd I 6 .i6F tln rh. (bdraron LkaE tr* for th. aollowing ,Esn (Sc 7011.5
<br />lluird .,i Profdion Cod.): tuy Cny or C.ury eni.h EquiE r rEnil lo oldrud, rtl6, irp.!vc, ddtulnh.or np.i oy
<br />3Eucruc Fior ro il! iB@cc .bo r.qun6 $. .p?ltdr aor lch Fni b fiL . rui.d nnffir rhr lE or rlE i li.dB d Flasr
<br />ro ifi. F$irioN of tlE Conrtrrd! Ltas.d Lw ((]rF6 9, co@i.g qnh s6rbn 70m of DiltFn I ot dE Bdod r.d
<br />Fmf*bB Co&) or rhtl lE tr rh. ir ddrpr thactln dd rlE b.!a for rlE .lk .d dqrdion Any rniudof S<ttn 70ll t bymy
<br />+d!..,! hr i F6n sbi*b tlE lrplica' to . oqlp@lrt ot@r mr. tha n* h!,'d,.d &lL8 (!50o).
<br />I. a ouG of thc FFry. n E, mpt !6 $nh $'36 r rlEir FL FmFdbr *ill & iE svt rn $. lrrldE i ml
<br />inldrLd M olldd fd sL (Sc.?04,1, Bulir ed PiDfBioE codr TIE (-onr-ld r llg& L.* dc [tl Tpl' lo e otrG oa
<br />rtrFF9 *ho hill d i,4.o€ oEe rn *t. dE nxn x,r hllell nr hdrlf( lhrolth h! ( lE osr.nph,6.
<br />ForlLd 'hi uh inqo\qld! E d rro'd.d m o,Iq.d &r ik l( hr6q. rlE triBlB d irsorqGr i' $ld *dn @ Jd
<br />olotrplair tlt ()l,G BuiLld *ilt ll€ tlE h,rb of FDtirB $. E 6r tE dn d tlig r ltFD\r tlE FoFrt- 6r dr FIFE oa
<br />l, - @c of rlE F!Ft!. n dclu'r.ly rcnes8 r itt lieEcl conr(on ki Nnlrru.1 ll! FeF (Sc 7o{.1, &.!B
<br />!i Prokin cod.: Th. contd6.r Lk@ tre rlE mi Fply ro e orE.fFopdr *h. tuilik or inForB lh6@n.
<br />..d $ho dffir! rd kh FDFr sth . Coe.lo(3) ladB.d Flrd io rlE co'rddi tt@ r^,)
<br />I m.rdpr u,&r sdi,. ,B &Pc forri. r.af,
<br />Owtrd
<br />naasEaa.caut[ltaro!
<br />Dfg.d&ulax
<br />I hd.b!.mm un<ld Darny of Fiq- oru ofrh. folLsi.* d.(ls{68
<br />I n !.!,n$ill mintain. C61iff,ltc oacolgr lo S.lf-lM aor qorl6 comFro.rioo.6 prcvd.d fo' byscrio. r70ooarh.
<br />Libor Codc fd th. Ffomuc. of rh. $!.t for which lh. Fnn i! isu.rl
<br />I h6vr and q ill mainrsin Bork6 compcMr io. iflrrrncc. s rc{ut.d hy Sd nrr 17u) o f rhc l,h, ( od., for rh. FfomMc. of
<br />lhc sorl fo. q hich lhis p.mil is GsE! Mywort4 conrFtunron iNuruc.cuis edFl'cynuhbd e:, ",- ncSl+b7?r0
<br />,," . -g^,r(it-+(r (tr
<br />l.diry rhar in rh. Ffonmn.. olrh€ "or[ aor sh'.h rhis tEnrir 'r ns .n. I snall m' anrlo! dnr F$n in rny n]inn6
<br />$ &ct,E+orncsubldtothcno*6 co'Dpsurnnh\sof(alifon !.r 3{r rh!! ir I slrrld tnom. strh).tr h rh.
<br />\orl€l coni!.rernn pro\isiosof Sdtun 17(,Ootrh.l.,hor ( odc.l:l[ll. fodhsih cofrply *irh rhlr !ro\iiFn
<br />WARNINC failur. lo sm trorkc s,npsMlFn coror. 6 unbtr ful. ud durl d dploF ro cinin,l FMli6 8nd
<br />cn'l nn6 up lo orc hu.&.d lhouend dollc ttl ol.ermn. &nag6 B Fo\iLd foi ifi.
<br />sdrk'n 1076 0lrhalitnr
<br />-,. "- gl+l r7
<br />DECUAAIIO!IhalbrdImur&F y orFjury rh.. I e Uc€!.d ur& FovrioE ot (trpla,lonrffiq r'th Sqrnn ?qDl or Dirthn r
<br />of lh. BBiB -l PFftliJE Co& .n mr liaE L h tull lor td.lI.(
<br />C46 ;^f< qarF,{-[1trr*h.rer1
<br />coltrf,u(]lolj.rlDtaclcE!(t
<br />I nq.b, .rm undd pduhy oaFJury thr tha. i . @ruo.rioi brlin3 .gtry tu llE Faolrre. of rlE mrt tu rtth rhB Fda ir
<br />(q4d (sd. 1097. civ c.)
<br />artu{:A!Ll}!cLA8a[Q!
<br />I hd!ryalrmo.(l3 Fnahy ofFriury on ofrh. following d6l,rdn.r
<br />Dmolirio. P@ils-A3baror Norifi.rtio. F.{drl R.sulri ioa {'l irl. a0, Pon6)
<br />R.qun.d ktd of Nori6calion
<br />I cd ily rhd rh. f.daal r.8uLtioB r.gedinE ab.rh rmn al e. Rn 6tplr6hlc t' rht p$ld
<br />l.dii thar I Mv. rad lhu applicd tun ald rrar. rhd r infonndio. !(r<l l ura ro comply w,th lll Cil,.nd (nunrt
<br />ordinlncB and Stalc Las,s Ehling &tlrrlnc Grr6orntr 6 of rhir ( iry&d Coudyro nr. upon rh.
<br />ah)\c,mlion.d prepsly lor
<br />Appli.itrl or AI6l Sigmiure
<br />ft€'ntos
<br />8 ["{ [tt
<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 />Bondin g/Grounding/UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />I\,4eter Release rlzlt-7 -/,{4/tl1-
<br />Rough
<br />Service ltrleter ulut-7 *{/4a>I
<br />FINAL tulwltl ,tq4b
<br />Notes Remarks, Etc.
<br />APPROVALS
<br />"^Un-,,0"^/
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