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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE COMMENTS O\r,l{II BU!LDEI DETTARATION I h6!ty fm u,rda FEXy of Fjury fir I n qontl 6Do rn Coffim Lkd Lrw for llE 6llowilg E an (]c'7orl5 Esi.s dt Prof6Fn Co<!.): Any Ciry oi Couny whah Equi6. Fhir ro @!tnru<r. .t6. imFoe <belbh or re.ir e, ]rtuclu.. p.i.r lo il. isuec, .bo r.q!i6 thc applicer tor !u.h pdni lo 61.. !ir".d llarmd 'hd tE or sh. i lica!.d purn@n ro rt! FDvnhB of E Codr-roir l-i.a!.d L.w (cllprs 9. CoMdcins wnh S.rrio, 7000 or Divniod I ol rh. BNind ed Pref<iou Cod.t o. tha lE o, !t b q.tp( rhd.Aon.r!d 0e bGi, lor tl'..lh.d ddptbo. Any rDLrbn olserbD 701Lt by &, .rplicd fo. . pahi tuqd rlE 4ltd lo ..ivil Fult of @t ItM thr nE h!.<H.bt t llrm) L a olE of dE FoFrt. o my atrphrs wnh w.gâ‚¬ 6 (hci. $L smF6liol\ "iI d. rlt *dt ,t ilE tuE i rr idod.d or oficGl as !.1. (Sa 7044. Builg ud Pr.fdioN Cod.r TlE Contr-ld ! La.e L.{ r,.6 ml.p?ly lo u o\E ol th. FoFty who hlil& or ioFrv6 tlEoc drd who d6 tan wlt hiro.tf or h*l f o.lhoush hn or hd o*n.nploy6. FsvkL<l lh.r rah ,tsoEErt e d nldr&l m olI6.d i, -L. ll ho6u. rrE hiBila m i,rt*-ard ir Dld pinin on. )dofs,rpka\ tlto*E ali!. sill llE EhldaofF$a{ ! lldtE.litd tlildor itrqDE llE r@F,6. rlEF F{oa l. Eo*Golrh.FoFry, mdcl6ilcly.o'rrxlIu wirh li.d6d.o rd6ro odru.r rlE Frql (Sa.7OrJ. &!!B .,rl Ptoftsid ( o&. Th. Contdor'r l-i..N. kw d.â‚¬ mr .pply ro e otr na o a proFiy sh. blild! .r improra thafttr lod who co,n6dr lor such I'$jdr! wirh . Conr..cio(, licaE d p6u!,{ ro thc Conn .ior'! t-icd. ljw) ^,'-22ff \ltBlitBtMf!]slljt12! llD(l/r&tuQ! I h@by amm undd !6ully of pgJury on. oflhc followins &(lealnrN I bovc !d will tru lh. Cdrifta. of CoM b S.la.llffi aor wt6 orpoEnioi- . Fovii.d &'r by Sâ‚¬l6n:l?00 of llE L.nor Code fq lh. FfnlEE of tlr e i fu ltth llEFnn ir isEd I hw..,xt $ill tulrii! *o.Id' .otrqddii. i.seq . Equ.d tr SerFn 1700 6alh. trb.r Co&. tu th pqfdna. of rh. *nt fd shi<h rh! Fnn ir isr.4 My *orla @mp6Brbn i!.ffi. 0,16 in Fli, mmb.r R: I cdit rhn 'n 0E p6folrlm of rlE *!it fd rtih rh6 Fnn n isu.d I $.ll ml @loy &, F$n i. ey od6$ a lo bcoG NbjGl to rb. krtd' .@F!ibn Ls or Cdifodi!" r.d .sc thr ia l 3houn b6o@ sbir b tll wort6 ofrFMion FrvirioN of sdrio. 3 7@ of rhc lrbo. Cod., I Jdl. fonh$nh onpl, whh dEr FoviioE.. WARNINC f-!,luE to su. *n ar'mmFBi6n .nrq*c b ulNful. !d ndl sbj6l 6 dDhF lo sil@l FullE od ro oft huidr.d rhou dolla I lo rll con of coEp.6dF.. dur.36 a Fnr d.d ror rlr I lElby lrm utr!6 pdrly oI Fjlry illi I m liâ‚¬E d ur& Fovisioi of CtrFE 9 (olMina unh Sclbn 7000) of Divilbn l of rlE &aiE !i Pbftsi'd Cod., -d ny li* i! i, tull li,G nd.lIEr CONIiTTITTTON I E\DIIIG AGI'{CY I harty .lrm 'rdE Frry of Fiuy tlii tbdr ir . @lj'dbtr bdns .aGt b, rb. Ffortta. ol0E wt tu *trt rllil F6i a i$.d (Sa. $e7. Civ. C. ). ATII&]AILDEOJAAUq! I lE*y lrEh unld Frht of Fiury or of E folhwi.S d6h.iml D.solhion Pdf,ne^rb6ior Ndifi..rio. F.da.l R.glhtbB (Tnb 40. Pd6) R.qun.d ldrof Noriiclrhn I .qrili th, rh. fdad ,rsuhrD6 r.s.rdi.s stdr$ l@r.l e nn q'prsbL ro fin p..if I cdi6 rh. I t6. ,al rhi! .lplrdi.n id id. thd th. .tn io. ir .md I .*rE ro mnply $nh dl Ciy rd ( oury o.diEm6 di Srd. L.$rEL tr{lo tr ldhorn. r.Ferdn'6 of rhir (ir y itn\c Mrionâ‚¬d F,!dy for Appllcrnt o. A3flr sittr.I o tt l)eHe- eJ.nuzi, dF,,rFn'h. frlry Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough Service Meter FINAL 7//u/tr /1,{t//#lr' Notes, Remarks, Etc ID/SIG. I I I I I