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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLT'EA DELCARAIION
<br />I hd*t .rm u.&r Frrr of FJ!ry th. I m a.,!Cr toh . Clffi6 Li.!e t^ for rlE 6llorir3 ra). (Sc 70ll J
<br />truin6r .!d Pr.f6ion Cod.)r Ary Cny or ( ounly which r.quiB r Fni lo @ortu.l, iltc. iopnole rlrmlirh or Ep.n et
<br />t'tudd.. Fb to ru irusc .&o rcquic tn. rppltol to, ruch Fnnn ro filc. 4n d rla@l thr lE or i'. ir lac*.d Ae.!r,
<br />ro rt* Fleirn6 oldE Cor r*rq! Ii.c.d L.f, {clrF6 9, (tlffiins unh S..rnn 70m of Di6b.I .frlE BuilK.rd
<br />PNft3tionr codc)or rhd n o.llE i!.r@F rhd.ftor dd rh.b@6 for rh.llk8cdacrplio. any violr' ion of s.dbn 701l.J bymy
<br />.pplicur f.r r F6ni $bjql! lh. +plkol lo r .ivil p.Mll, of mt mE rhe liv. hurd,ld d.rll6 115001.
<br />l, a omd oarh! FoFnr, or my mrlorG *nh a.g6 a rh.ir ok frmFcdi.f,. *ill rlo tlE qst rd [E rnr16 i! mr
<br />i, od.d or olfdd fo. iL (Sr ?04,1, Bui.d ed PiDtabB Cod.: TIE Co,rdioi3 L{o* lr* 1106 mr.Cp],
<br />'o
<br />e orffi oa
<br />ilE p.nFrr sh. hill tr itrsoE Eqa nd f,tb dEut $.* hiNlf or lE*tf d lhDqhln q hq.s anphtc
<br />Foriil.d rhn rucfi ihFolqrEi' r mr id.d.d oromrd ro. sL t[ tb*!€. tlE buildi,B or inFD1llld ir rld rahh w ]a
<br />ofompLliotr lh. Ouns auilld siu hlE lhc hrdd' ofFwr\s dd lE s ih. dil dl txild or i,qort di. ltlrdly tf tlE pqh! oa
<br />L a ow.d of rh. popGry. d q.lNivcly cool,adior * irh lico&d .od'rro6 to odncl 'h Fojd (Se 7044, llGind
<br />rn Plofdrih C.rk I h. Codt-lorr l.ic.M h* rb6 mt.rr\ r. e owE of FoFtl $lF b{ilds or 6po\6 rh€@..
<br />dd rho co'..r1r ft, $chFoJGlr with r Colnr-rdl!) lrcr.d F,.ai t. rh.Cofurlo'r l-(e Lw)
<br />lmcr.m umtr Strnn . B & PC forlhn ra)n
<br />Drr. orn.
<br />wonx.iss' (irMP.r\isarroN
<br />DICUAAIIA!
<br />I h6.hy lmm uid6 tE lry of Fiur) oE of ik follo$ h! &.1-di)6
<br />I hrv..d *ill flidlin. CcrifErc of Con5r ro S.lf.l@ for Ertd srpolioe ! Fovit d fo. br S<iior l r00 orth.
<br />lior Cod.. fd dt Ffolll],e olrlE sri 6n uA.h rlE Fin . iscd
<br />I hslr &l *ill D'nl.in $ o.td .omn 6n ion iMrM.. s r.qrn.d by acl ior !?00 of lh. lnE, Co&, ftr lfi. FfonM.. oa
<br />'h.
<br />*ort for u hifi fiir mr u i$.n..*- 2rrnqft My uorl6 omFlEdi.n EUrs. cei, a'd lrlt j nurb.. &
<br />4t r {ttPo,(yNumb6 : tl097{b7_1 IL
<br />l.dft rhd inrlE Ffolrljre ol0E rorl fd rhich riB Fnd 6 is.d.l !h,llmr aIpb, Dy pd$n h Dt lffi
<br />$ a lo hdoft $t d to th. f,nr6 $rF.rd6. Ls of C.lifomir ud l3r lhd if I $ould tcor tubdl ro tL
<br />Ioit6'omFslioipmviriocofSc]1ionlT00oflhcuborCod..l{ull,lonhwilhc.nplywirhlhocpr.virioa
<br />$ARIIN(;: F.ilur. ro surc trlrtd' .omFuFn .ord.e. a u.llwlul. dd irrll lubjar M dploF ro mMd FEhB od
<br />.i!il lin.r up lo on. hundrol rhous of .omFNlion. d!tro96 6 rovild for rh.
<br />I hmby smrm Ed.r Fi,lry oa Fj!r, thd I m lr6!.d u.dd Flvniof, oachlprd 0 ($MftinB with S*li.D ?0Ol) of DrBo. :r
<br />of rh. ttBtrB rn Pmtu Fs cdd., .i 6r la.@ i. i tull f6r.. in.r<ra
<br />,,..^,.r',...
<br />^l6,,.,e ff+ln
<br />/--,",,,4 a
<br />Rt'|C24plD,tl$rodiuns
<br />(alratcrorLr;tDlti!_&GEr(r
<br />I hftby afltD und6 FnahydttEJury!h.! rh6. * ! coNn'cr$! knJ'n! asd.l a.r rh.IEaonn n.. olrhc $uk nn qhich rhG Fnrir 6
<br />'rlucd(S( r(r97. ( 'r C )
<br />artu(A!f!&g.Aaa!0!
<br />I h!rq/ r&n u.da Flht of Fjury om of rlE aollo*ins ilaldlr id
<br />r).nrlaD. P@nl^rb6r6 Mofr'l r. Fod..!l RcsulnFE ('I nt .m, Psro)
<br />Rcq!r.d tarE of No{,6.dbn
<br />I cd rfy lhd lhc f.d6d r.8u!ll 16 nsrdin8 Abcror rmoy.l r. nor qplEabl. lo lhs pioj.d
<br />I .dify rhd I hrrc G.d rhii 'nhmii'n ir (m..r l4Groondyrnh (ily. Coudr_
<br />orJmdnc6.rd Sd. lr*r EId$!hon/. rcF6dndN6 ofrhrr CnyDd Couit lo 6'o ul[n th.
<br />atIr. 6r ion.d pmp<ly fot
<br />Applicrnr or
<br />^q6r
<br />shn.r
<br />fitsnted
<br />8l+[rr
<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 />Communicatrons Cable
<br />Building
<br />Under Slab / 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 Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release lr u l-f /t '//,/rty
<br />Rough
<br />Service Meter tl .(/4Y
<br />FINAL l/l /u.q/
<br />Notes, Remarks, Etc
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