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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNUR BUILI'Ei DEI-rARATION
<br />I hot6, rlrm lnda,a.h, of Fjury rhi I h da,B tor $. Cofferd Li.@ t * for tll folL*i,3 rei (sa turl !
<br />Bur@ ad Prof.sDn (nd.): Any Cn, or c@riy whih r.quna . Fnil lo onnrud. !hq. dPrclc, (beli.h or rp.r uy
<br />lrruduq Fior ro nr inuu., .!o rcquiE rh. epli.dr lor luch Fnir ro fik . r'gi.d !tdm61 lh,l h. or rh! a licae{ puEuu'l
<br />lo rh. FnirioE ol dE (ortrlo! LicctE d L.w (Ctu t6 9. Conhtrins wilh S..lion 7000 of Divniot I of lh. BBi.d od
<br />arolsirnr Co&) or rhr lE q tlE i ddnF Od.noE tud rh. b.s ror rh. .lLs.d BdDFi'. tu, vbldbn ofsdrirn 70!r 5ltr rnr"
<br />qplod for. pdDn sbj<r. rlE @li.d ro ..i!il pa.nl olbt mE rhe lii. hund.d &!lhB (t5o0l
<br />l. B o*F oftlE FlFny. or ny opk t!6 vnh wrs6 6 rlEn sk .o"pdrio.. qill & iE sut .n llE !rudre ! mr
<br />intad.d orolIa.d aor sL (SE.7044. BuriB ud PmfdioB Cod.:llE ColElctoir l.rcM t wd.6rcl+?lyto oM6oI
<br />th. F,Fry Eho hrild or in!.!6 $co[ ct *ho dc srh mrt hiN.lf or lE*lr or thmud ni] or hd oF 6plorG,
<br />Fovilol rhd kh iEF!ffi e d irs'.t d o,Ed ft, il. lf, hon6E 0t b iins or i,+8od ir 5ld $inh onc )aof(irphrn ft Osc tliritla I llw tlE hlda of FrilB $r lEdtE dn 'd h,'ld o urpntt d. FoFry i, tlE tup(Eof
<br />I. 6 o*nd oa(h. FoFry. u .rchsiv.ly cor .rr iry *nfi li..$<d coirrxroB ro .o.!ntu( tlE Fojd (Sd 70,4a, B6in6
<br />ad ltDfibn Cod.:'rhc Conrrrcloas Lic@. hw do6 nor.prlyro u 0*.6 ofrop.ny who buildr or ihrturc! ih6dn.
<br />sd who .o kr for 3!.h Frjcrs *nh . Co' r&1o(r) ltaE d pEu!, ro rh. Codndoa! Li.os l,w)
<br />I e.rdF Bxb Sclbn-.ll &P( turrhrr.en
<br />D.t. _()'.6. -woru<Ins'coniPf\sartoN
<br />DEC|dSAIIO!
<br />I h6.by lmrm undE F ltyofpaju.yon. ofrh.lolk'wins d.(l5r.lioro:
<br />I h^. rn {iU Eirrrh. Cdifrdc orco.&n r. S.lt-ler. tq m*d @6FE n.. 6 ForiLd for b, S.dbn l7O0 otrlt
<br />L. * C6&. tu t,E Ffr'lrffi. olrlE rsl tn stih tlE Fhi ir i$.d
<br />. I h.v. md will mlindn wortd &dF!.tion iButec s r.quNrl hy kion 1710 olth.l,bor Co&, tor llE Ffol1re. ol
<br />rh. KrL tor {hr[lh6,6i' B it&.d M]*orto ompss'o. 'Bu, .. ceid !d,oli.ynuEbq e.,* 'z$t?/u,'*.. *-:\1dfu4b7110 ,.,* .41 I I 1r
<br />I cqlrry rhd io th. Ffolmn.. of th. wo for wnkh lhi! Fmn i! isc( I 3h!ll 6l dphy 6y Fen in uy meE
<br />$ d lo b*om rubjcr ro rh. mitd' conpdldion hB ofclltomir. ud rge rhd if I 3tFlld h..om ruqd lo tlE
<br />ert6' omFsrioo piovahN of SdionlT0Oof rh. t bor Codq l.ltrll. forlfiwnh.ohrlr *ilnlh.* prtsio
<br />& @phrq ro ami..l pdriis an
<br />.n,l fn6 up ro oE huen.d thoL-.d &llxr (ioi! d.,!,s6 d Ford.d ,or rh.
<br />\arrr n176,,lrtr Llr,r{
<br />,,.!.: fl4(\7
<br />DrL-ur^Tl()N
<br />t h.rty dfm u!.lr F.hy of Fr!.y drr I d lic@..d @dr Flvirb. of CLBa I {oIlffids sth S<rion 7000) of Di\ irion !
<br />of rlE Buir Dd PrDfsb6 Co<t . -d 6y lia* ir i! ftU foN .d .f..l,
<br />(a!$$(ratr.LlxDtxc-acE!(r
<br />I het y .mrm uffls po.ty of polury rhar lhd. n ! .onntudbo Lndns .gfty aor rh. Ffoffic ollhc sort tor *ni.h rhi. Fnir ir
<br />isu.J (s( 1097, civ c )
<br />t ftld.! Nrn.
<br />AIIUCAULDESJAAIIAB
<br />I hdri,yafim und6 poalry ofFjury on.ofrt aolkt*ios deltd ionr
<br />D6'ohion PmileArb6r6 Norili.dio. Fcda.l R.suhrir4 (Tnl. a0, P!n6)
<br />R.qun.d &116 of }ror'frr6
<br />I (d ri rhd $. f.&r.l r.I|ul.rioa E*Edrns Bb6tos romr.l {. mr q?lt,hl. r. rhs pNj.{
<br />l.ol,lrrMr I hzv. rcrd (lnr locornply*1hrll('iy d(otrnry
<br />trht Cny md ( ou.ryro ors uFnilEordiMncc and Sr.r. tlr3Eldiqrro
<br />r&n. nFr6.cd p.oFry n\
<br />.tpplicrnr or.\Eot Sk..ru..Jal< tt-z
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release il 7/t7 *L(I EE )
<br />Rough
<br />Service Meter l(?/t7./0{,4 q (t t)
<br />FINAL lt I t'7 ,,L{4s)o
<br />Notes, Remarks, Etc \,
<br />,."..,,.. - , c+b -r,d.Ndd,E gLlr*
<br />D.. fl4lrt' .-'{ qApfil@$-
<br />fu1/n{e:
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