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ELECTRICAL.INSPECTOR RECORD
<br />O\t N tR BUI llrr:t DEITCAI{ATION
<br />I lE*t .rm utold Fuh, ol Frlury tht I m .r.rq frem th. ConrdoR La.* l^ hr llE folhqin8 rm. tlit ,0! I t
<br />AGIiB .,n Prof*ion Co&) An) Cnr or Couirr {hi.fi r.qui6 . Fni ro N'rr,ud. .hc, ,nForc damlih a EF!,o!
<br />rddue Fu'o ir3 iwc..lt r.q!n6lh. pplun for uh Fnn !o 6k r ri8i.n sddld rfidlEornr!!'(d.d prBd .
<br />ro rhc F.vBhB oa ilE Contrr.i. t-k6scd L.w (CtrPd 9. Connmhs wilh S.clioi ?0(, ol Diliion I of tlE llBrDN tnd '
<br />Phf.sio.t Cod.) or Ihd tE or !h. ii.rdpt lhmGon ud lh. tErn aor lhc 6llcs.d qftfltrn Any lioLrion of Sclion 7011 5 hy lny
<br />.pplic&r fo! ! pcnn bj6rt lh. .prl(Mr ro r civil p6ihyoter mor. rh& fiv. htndr.i d.llal (t500)
<br />l. n osF ofrh. proFr!. or iy dplorc vnh r.s6 6 $.n $E .onpanbn. $ill .h lh. wrl .d tlr ltn ie . n'r
<br />i aLd orofirlrd ad ej.(Sc 7(x4.ItuilB sd Pr.fdioB cod. TLCo rrrctLraBIedEdepb'ioao$Eof
<br />th. FlFry e ho hrild or inFD6 tlEEi. .n *tb d6 ndr srxl h,Mllor lErlf or rEourh hir d lE o5 dtprdlc,
<br />ForiLd rhr Mh inqorsErt n m{ ir.d.d q o,H 6r r.t lt ho*nq. rt tI .lry d i,gttqd it dd s'iti..m }t
<br />orotplrsr. tlr otrE tulk si! hl\r rlE hlnar of F.s,E tlt lE d d* dil d hild d !rgo( ,E poFty &r E F!FE6f
<br />l. sotr d.arh.FoFry, m .i.luiv.ly conhdin! snh li.ordj conrGlmto mtrrrucr rlr r,oj<t (s*. 7044. BNm6
<br />..d E!6sin Cod.: Th. Cont.eroi! l-i..uc Law <tod nor apply ro d.wnd ofp{.Fny sho nuild! or imp,ov6lhE@n.
<br />md uh. 6dE r lor !!.h F.j<r! {irn I Conireronr) li.a!.d pulu ro lh. Co ncroa. l-k.@ ks)
<br />I an.\d.i u jd S6'hn
<br />l).r. Oir6
<br />NORr$ lS (.onlPtsNSA-O\
<br />DICI,AAAIIAT
<br />I ho.hv rlljrn uml6 poalryof FJUn.n. olrh. follo\r'n! ddlarar(rns
<br />I h.v. ul will mintain r C61ificirc olcoogt ro S.lf'lcur. for $orl6s' .oflp<rdion. .r Flviri.d lor t'y Sd n'i u(x) o r rh.
<br />fn lh. p6fomdc. o t lh. sod for *hich lh. pcnit i! Bru.n
<br />*ill m.inlain $olt6' mmFNri.n icur.N.. B GtutGl hr Sclion 1700 olrh. l,t-r co&. for rtE FlorM. or
<br />u i$Ei My tr'sl6 mnqxMnn iM..N.ei, id Flf,v.udb.r i.:
<br />*,*@ttr@ tolLD\a
<br />l.difyrh,l if,lh. paformrE. ofln. wort for uhich rnn p.fln i! iriu.d,I sh.llnor npldr..yFM. inanyh&ns
<br />s a r(' t6n $q.d to rhr srtd .ompdEdion litr of (rlinhid. xd .3r th.l if I rlFuld tE ooc auti*l lo tlE
<br />tr$*d omFdion F.v6hN of Sdion 1700 of rlE lrhr (-o&, I nulL aonhvnh o'$ly snh rh$ Fo tirB
<br />\f,ARNINC ljllu. to Gdr *r"Id onip4dion .0!6+. 6 !.Lsful. dd idl $brd r aphF ro oinitd Frli6 t d
<br />ciril li.d up 16 oB hund rhonr.nl &'llE (tlm.ooo). in ..!dnion ro rh. cosl,t irn. &m.e6 a F.\'d.d for th.
<br />(-o:!.. nr€d lal dronE}
<br />I hd.by .rm und.r Frny ot Fjury lh, , m lic.N.d unrk FDyirioi ot Chlpld 9 (Nn.mi.g silh Sdi.n 7mO) ol lrivirrn I
<br />6l rh. BdN itd P6ldii.6 co&- in mt lkdE ii n! tull lore drl.fidl
<br />,,.",'..,'.'C4o,b,-"'lllrtl+
<br />( ()\sr Rt ( I x,\ r.r..:l!l:cr!!I),(_\-
<br />I hd!h, .frm undc FrXy ot Fjury thd rhr. l! . cointudbi Lrtrt .sny lor tlE F6drm. of llE mrk tur *tich rh6 Fnir i!
<br />is!.d tsa :t097. civ. c ).tdr&'rN@
<br />Lqrla r d&d:
<br />AEU(AtrLD!CIA8{Iq!
<br />I h.d,y ,l[m und6 pdalry of Fjury oG .a rh. tollo* inB d.(lod i6a:
<br />Dqnolition P.mnlAsb.]lor Norili..rnn t.daar Rcsllatioro (lnE40. Prd6)
<br />[cquna] krr6 of No(ia(ti{
<br />rt rhd lh. f.d.r.t rcBuLli'B ir{rdn8 at6lo. rm\ rl & n'l {DltatL ro lh! roF<
<br />It rhi I bu. r.!d rhi! rppl.di,. ii rd.lh, lh..R\( inn)flirio. is cMd I +rah.lnply trnh.ll C'rr rnd ( oudr
<br />&d s!!Ic L!*s E!ii4
<br />'o
<br />ln'ltl'os .o'riDcrira rd lE.tt EF6ainn 6 of
<br />'his
<br />Cny rnd Co! Iro ord ulon'rE
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL '1/KID s,t)1 5LLfr\+<(
<br />Notes, Remarks, Elc
<br />!r,t(SSd
<br />qNLT
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