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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS OWNER BUILDER DET,(AR TIOI\
<br />I h6.by lilm !n'jE po.ly oa psjury lhn I u €xmd noh lh. ContrxloD Ltce ltw for rh. following ra$n (S4. 70! I t
<br />Bo!6a .!d Prof6i,. Co&) Any Cny or Couriy *hah Equi6 . pdmi ro 6dM. .lo. inpi.ve &rElih or qlt ey
<br />!r'!.rc.. Fir to "r a'sl@q .L FqliE rlE @lid frr El' Fnn to nk ! si8r.d ridEn lhr lr or slt ir l'.68.d lEMar
<br />ro rh. FovirbE of E Cor xror! Li6!.d L.* (Ch.rra 9, Coffi'ns *nh Scridn ?mo ol Dnili.n t of rlE Auind rd
<br />PNlsioG Cod., or lhlt h. or $. i! ddpr rhftfmn &d rhc bd! fu lhc rll.8cd qon9lion. tuy viol.lion of S..1iotr 701 I 5 b, iny
<br />rpplicld for a Fon ilbj<l. lh. .p?licdl
<br />'o
<br />r .iv il p.uhy . f Nl mr. lhr livc hu.drcd &,lkE (1500)
<br />l.so*Eorrh.F.Fry.dnldtplo'6snh*rsBarhd$k@nFdi,trwill&rlE${t!ndrtu@irml
<br />ifldd.d or.nEid for nL (s6 7u4. &!iB ud Pr.fdir6 cod.r Tl'. Co moir l,i(G@ Lrw &6 iol @tly !o o o$E.l
<br />lhc F)tE y who hril& M irtr6v6 rh66[ d *ho do6 ruh m* him.laor h.rlfor thourh hir or ha os.drloy4
<br />provid.d llI.I sfi mFo€Er! e d iraiLd o, otu nn qt. l[ nog€c. dE hiild,g or ingD16rd it eld *ihn oc )a
<br />otNnptrir rlE (xc etub s ill l*! E hnldr otFrrB d. h.or rlE dil mr hild or in$oE ln. FlFry S, dE Flpeot
<br />l. u otrn( oflh. pmFry. u cicluri!.ly codrlcri.s wirh liGa.d co,th.roa ro <'trrtuct rh. F.j6t (Sd. ?04t. lr6n'6
<br />,,!d rblsi.Cod. rh.Comrbls ti(Nl-.w&s hl.rplyro 4 o$E olFop.ny who b{il& o.6prc\. rhn@tr
<br />url $lE o d! for sh rmrcr3 *nh r ( o rxro(r) lk6!.d porud ro tlt Conrtroa. Ladq tr*)
<br />I m.rcmpr unda Sclion
<br />troaf,E85:lO[IfEdSAIIO!
<br />DIIIASAIIO!
<br />I h6.ny rmm untl6 D.n llyofrqilryon. oftfi. followin{ &.lutioB:
<br />I t{. rl $ill midlh. colifrd. of CoMl b S.la-llu. 6r rst6 oBF!.bl! 6 Fo\id.d hr bt S<rbn lTtro of rh.
<br />trbor c.dc, fd E tEIorlll,G of rlE *ut ft" lnat E Fnir ir is.d
<br />I hav. lnd w'll
<br />'r.'nloin
<br />sorlor' conps$lln. 'nsurncc, B rcqun.d hy serion 17m of rh. Lh.r (-odc. ao. lh. pstomanc. of
<br />rhc $ ort lor * hi.h rhn Fhi n iqEd Mt so' ra .omFd ion iNurm.. .uir a*l Ir licy .umbs 6.
<br />I dit rhd '. fi. Ffolrx. of rh. Nrt fn f,hth rhn Fhh i! e.n. I nuu 6r dlloy.oy Fei in y t6E
<br />$ Bro tEw st 6r ro thc $Gld onrE!.nn hs! ofcdilomi &rl.AGild if I nsuE b..oft rti.rl lo lrE
<br />r!r(d' onFtsd ion prelBnN 6asdio. 1700 of rh. lihr ('od.. I ddl. fonhwnh omrly wirh rtFr Flvnna
<br />!|ARNING rrllur. ro c@ *.116' comp.nrnior 6!.r.x. ! unh*tu|. ud sr,.ll ruhF.r ! @rb)s io aimiMl psBti. t.d
<br />cnil arn6 up ro oE hundr.d rlFrsrd &116 (tl00.0oo). in \(i:,;;;ivtri*^Sdtun 10?6 of
<br />'h.l.bor
<br />Co&, m.d ed dhnErt l€
<br />r r&sur r r5l-n roiTlDttaBtIIa.L ) /
<br />I h6!by .rm undd Fiulry ol prjury Lh, I m I'cosl undd F.virion of(]rta 9 (commtrins {ilt S.dhn 7ot ) or Di\ Bsn :r
<br />of rtu BuinBt bd Pref*ioB ( odc. !d ny lamc i in ruu torcc ed.ITd
<br />gllElf,lctlQllJNDl!{iIc[lig
<br />I fid.6y .lIm lna€ FElr, of Fjury thn rh6. ir . 6dtu1nn la'din8 .**y for rh. Ftorocc of rli. Mir 6. stkh rhi. Fnir i!
<br />ir.!.n (s4. 1097, civ c.)
<br />AITIJCANLDECI,AMIIA!
<br />I h.+? .rrD !ftla F.6ll, of Fjur, oE of rlE follo$iq d..LrltioE:
<br />Ir.nolnr. Pd nr-Alb.ro! Notfrdio. F.dq.l i.!uhi'.r (TirL 40, Pd6)
<br />R.quir.d t tr6 of Notificnhn
<br />I (d'f) rhd th( Lrkral ktulnri'ns r+&d'q a{Bt\.d,k^ilare nfrqd{.bkn thstmld
<br />lLdi'Irharlh]'.r.0Ljrh6at,tl'(6rn,natdnd.rharrhcalrtr(inronnarr)n's(tr(r Ia$Eroco rulv]ihall('iryin (i,unr!
<br />, i. }i,,l.l-"1,-{,lr-" {rl hdrh\ arh{u.,.ftMhr'\6 nlrha t trr anJ r'uu.,. ! dr6 "tr 1'h.
<br />i:.:l#l;i:"'Yff/Uu),n/1 ",. !fl|,f'
<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 (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FI NAL qlrg/n .<,tz/ (,
<br />Notes, Remarks, Etc
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