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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNgR BUILDER DELCARATION
<br />I @y lrm urd6 FEhy of FJury lhd I m d.!'pl 6;,t. Coa,*l* Lt* r.* tor lL folhwin3 rc?'n ls{-7) Lttlai.a dd P,olBbn Co&l: An, Cny or Colnt Fhrh r.qsc r lfni lo ointud. .na. inFovc ddmlih or Gp.ir er
<br />rrud@. Fio( ro irt inl@a rlo F$rn6 E @l.d fo, .rn F6i ro 6L . t'8r.d riaEr th, lt or dE i li€E d t'{lxd
<br />b rlE Fovirbd of tlE Codr*rd r LiGB.d t * l( tu86 9. ( oltffitrB {'nh Scrbr 7000 ol DNirsn I ot rh. ttai6 ud
<br />Prcf i6u Co&) or tlld lE 6 {E a aarF( rhd.fioh rn rl. tG! for rL dLs.d dqerbi. Any enhb. ofs.(irn 7o!l ! b dt
<br />.lplkd for . Fnn $bjd llE .!9lkol ro . cirn Frx! df Dr mc rh& nr. h!..bcd dolh. (trm)
<br />l. a osG 6f $. Frp6rr. d ry angtr)6 *nh s.s6 6 rhs nL onpqlrrn. sdl do E$utinrErMfti!m'
<br />irrarLd ofrad fr d.lS< 7044. &!iB ed Eolb.ioN C6d. TIE Cffiddi Liw b*.b< ml +pb lo o ouE or
<br />llE FnFq $,in bill d inFort tlEEr drl wh &E un rst fiiEllor h€*lf q rl@ql' hir c tE 06 o$hrG.
<br />Fovild 'hd
<br />*h inE Dfficd -idrLd dofidd ir -t l[ rbEs. rlE hrildn* n,rpN{ld it $ld rinr ffi ]6
<br />of c.rpHin tlE O*€ Bdlda *iI t6! 0!c hda orFug dir tE d JE dn Dl hild o. itr4..r! tlE FoFy &'r tlt F,FB oa
<br />l,6.$r(ofth. FoFl. m.r.l6trcl, (onlrldin* wdh lkaBd co"rdoc ro.odrucr rtE Fri.rr (S( 7ol.l.llunBr
<br />.ar ltobsa. Co& T1'. ConlEroir L'co* l,$ do6 ml .Ir'ly lo u or 16 o lpropqly sho buildt or improvd rhd('n,
<br />lnd $ho .onlds for sucnliojds wnh, (nm6donr l(dr.d p!6Mr lo rh.('o.tracior'r Lic.G t *,
<br />lan er.nF und..s.crion
<br />lrrre ()no.r
<br />LLlil:&r]loffftr ttgt
<br />Dr(I.dxd[Qr
<br />I hr.h\ rllirr unds poall) oflqur).ft.t1h. nnlN\ rt ddltu.rn)nr
<br />I lw. rd *ill Nirl.h . Cdifrn. olcoMr ro sdf-ltuG ad s{.la' oopadion. a FDriLd for b, S.dion !700 ofrh.
<br />tr&x ( od.. for tlE Ffollt'E of tlE (dt to. *hth r prni a iscd
<br />I h.!. r'd q ill ruirnlin uo*6 comrE slrion IUu.. s rtqurd h! Sdion 1?@ of rh.l,t[r Cod.. lor llE Fr{'lrr@. of
<br />rh. h orl lor s hrh thB 'ETh u &Et,* = z,l,vtctt-
<br />My wsld @nFsM iltllfu dir td poli) [dbq ft:
<br />,.,,." ".,or- Y',1 99f{ b1 7 l0 .*;11!1!8
<br />, cdiry lhll in th. FfolMc ortk wo.l lm ntEh rhB Fmil s Eucd. I Jull &l onpb, .ny F&n in o! iME
<br />r aro b6om $t d ro rh. Dsrd emFsrn ldt of Crlifomr Md.SE'h, if I should t ..d $b€l lo llE
<br />y!lt6 mnFNdion provirioN ofselion !r00or r lrhd Co<le l JdL fonhwilh @mr,y wilh lho. Fovirio6..
<br />\lARNlN(; tailuE b su. trorlda.onrlhsnroi (fr.r8c n uilauful. dd sh.ll dploF kr airriMl psukis M'l
<br />ro o.. hun&al rhousd dolla (tl0o,uro). in *ld ion ro $. .os' oa.o ion. drnu{6 N provid.d tor lh.
<br />DI&JAAUq!
<br />I hd.!ry .II,m $d. p.,rny o f FF r* rhd I o l,.a!r.d un&r FoluFi of Ctf,la 9 (olnrr@ins eith S.<tio. ,uJo) ., Dn irhn !
<br />of rlE BditB,!d PFtdioB Co&, !d dy laos ir h rull tor &d.[a.r
<br />.kruchc C+6
<br />D.l.
<br />lt9?2,*K qAr e5
<br />CONSrTUCNON LE{nl]IG AGTN(Y
<br />I nqlt' .Itm u(h p@lty of Fruy $r( rlE a . oiir8rion bnirg .say hr rlE Frrlje. ottlE *ul Lr *nih
<br />'hE Fni ir
<br />aqrcd(sr 1097, civ c.).
<br />artu(arllll]udaallo!
<br />I holny.trm lndq p6.hyoap€jury.n. ofrh. followin* d<knrioN:
<br />Domlni.n P.mtu-Alt-ro! Ndii.dlnrn F.ddrl R.xul.rohi l'l flc.l0. Pan6)
<br />R.!rn d tlld of Notifrcdl'n
<br />I cdiry tn3l th. f.d€al r.EuhtioE reEdins .rtBnx idn\ nl d. nor q'plic.bk !o rhis prcJd
<br />IcdiayrhdIhe'crodrnnqrli..rrnndn.rhdrh<rt{\.i.lorndri6.otr<rI.sdrosnpl}snhrllcny..d(ounr,
<br />odidr6 rrrl sd. t *! Elnine ro tnildina .oGrru.r-d hqdyldrsd.GF4rin6 olrha Cnydrl ( ounr,ro 6rs u,F. E
<br />I fut r:]iei
<br />sl+ltt
<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
<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 Rouqh)
<br />Meter Release /o aq
<br />// ,/ oE.
<br />Rough 'e--
<br />Service Meter ,H
<br />FINAL to 't1 l1 .,tMrtlf D
<br />Notes, Remarks, Etc
<br />iernn r(116 0f rh. Ldor { M.. dad dtt nna'116/r*", tl+ll7 n,,,-"I
<br />.h\. mrxrn d FDpcn) ror
<br />^prli.rnror,r!6rsk..rur.
<br />I
<br />I
<br />I
<br />,5.
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