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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNf, R BUILDSR DEITARATION <br />I lEdr.- .llm un&r Flhy ol Firn thd I m aary non rlE (bffioE l.i!E l!$' for llE tolo$ins lt&rn (sd 70:r r 5 <br />Bdinar rnd Prof4io. Co&) Any ( hy or Coudy *hth rqui6 . Fi. ro odntu.r da, inFoye d.mlBh n, r.Fn E! <br />srd.lre,rior ro nr iisucc. rk r.trutd th..prlimr l$ructp.niiro filc ! !i8n.d ridmd lhrl h.or c i! licor.d p!r$. r <br />ro rh. rre\lEd.f rCb r-t6t l.i.o!.d lr* (Chrp.q 9, ( ommtrin8 nnh S.<lion 7000 of Dii3io.I ofth.86ins.nd <br />ftnf<ioB Co&) rhd tr d {r b 6dF thdlnon rd ilE h6it for tlE dhd crdnfl$n. Any v!l,lo. ofs<tbn 70:r I a b, !n! <br />qJpli.rnr li'r a Fhi lubjdll rh. .pglimnt lo r .ivil p.n!lt, of not frn. thu nvc huidr.d doll&! { t500) <br />l. e oqEof rlEFDFry, o.mtanphlG$nhsr!6arh.nskonFsFa*iU&rh.\qlrdrEnd4 a br <br />idatnl or of6.d fo. $l€ (Sd.?Ol,l, B$irc ed Prolsb6 Co&r tl. Codr..roa. Lrc@ k$ d.6 .d +!ly lo u owF ot <br />rhcIlspqry who t!il& or in!,ov6 thdei! nd wrF 66 Mh srt himrlf or h*lf or lluolsfi hn or ha oe mPlor6. <br />FoviLd th, uh imFsqlr* c mr iro'd.d ( otu tor sL la. norEE itt hriBir .r n+.\did i $ld sihh (E \q <br />olonplio( rlr (xG &iB6 xin ltE E h!dd! olFuirB fid lErtEdidmr h rd,l+.oE fi. FtFry ftt E lrrF*of <br />l- s ouE ottlE FoFi). d 6.lurn.lt conr-ll4 $nhladEd.on &16to6ldnd llE FiF (Sd 7ol-1. &6ds <br />dxl Pl tsih cod. 'rh. Coflr*iors Li.w l..f, &6 mi .!ply ro 6 o*'n6 orproFdt uho buldr or iBp..v6 thson. <br />dnd wh. cor{Ed! for rucn Fojd! wirh 6 Conrftto(, licdai pu6ud lo rh. (bntE lol! LicG L5w) <br />I 6 .rdF ui& Sdlion <br />na&ilxll(olltIlsAllo! <br />llll;ldBArlan <br />I n(.hr aillm untLr lHahy ol pdjury onc of lhc rolt'vr.8 ddl&Er(N: <br />IhI.-d*illri.hrcsrifEd.ofcoMnroSdr-lEu.&.srrrdorEdurbtl.aFrilcdtor1,Sdlbtr!r0ooflh. <br />lib.r ('ode lq rhc prforlM.c of th. *{ri for *hth [E Fnn ir is.d. <br />I h.E.trl x'ill minllin wo 6 cor{EBdion itBl,tt.. s 'qu,.d b, sdb.l7m of rn L.b.r Code for dt Ffolrre. of <br />*"1 M""r,* ^-.-aa2".f7 ffi id Frry numb6 rc,* :-kud{v 11,- / <br />Po,ic,Numbd ! BW9AUSSOSZ ,.,:- z- /'h' <br />-1.61,to rtrr in tlt Fforlllm.of th. *orl fM rtkh lhB Fmn ir ire.4 I Jdlrcl sqloy e, Fen in m, nmE <br />$ 6'obcore$tidtotlEso 6 onFEnir. h*! of( lifomi& rdCcrhr ill dhuld b6om 3uti6t rorlE <br />mr[6 conFMrion p$virioN of S.d ion ]700 of rfic Liu Co&,l J6l!. fonhwirh comply *hh it rprDvitioN. <br />IIARNINC: Filurc ro sui *rrld .o.rt M$..or6rt. i! unL$tu|. rd idl$br6l d ophrr ro @i l Fuli6 r <br />c'v,l lins up lo onc hunJr.d lhou$nd dollas (ll i..ddnion ro rh..oll ofcomrcMlion. d@!g6.i t ovid.d for rh. <br />se(io. 1076 0f !h. Irtsr(ttL -4-,' <br />1/. Z-/7 <br />I hdl6y .rm u[l.r Dodly.rrErJt) <br />ol lh. B6i,6 .rd Prof6rioN Cod. <br />thi I u liE .d utrb FDvirioi orct'.tt6 9 (@ffiiis wnh kDn 7c00, of Dlth. 1 <br />, &d hy lk.e is r tull forc. ,t .fk . <br />c70,.3a:2.F7 .""-; <br />t//: <br />ffi.2/O <br />1t <br />cqlfrBiJ(uot-uuuN!3tillll <br />I holtt' rflm u,{t6 Fultt ol Fj!r, rhn thd. n r odtudhn Lod,U +dy for tlE Ffol]1@. or !h. *ul ft,r $nkh rfii! Fn. i <br />ir$d (S(. 1097. ( iY. C ) <br />Attutaul.DEct aSalra! <br />I hortD .trrn ui& rFrhy ot Fjury oE of dE folb*irg dahrdionj <br />D.nolirhn Pmil]-AJh6rd Norin..non Fcddrl R.3ulil Fnr (Tirl. 40. Pdr6) <br />R.quiEd t n6 ofNd'f.rnn <br />I cditrhd th. f.ddalr.sublnrm Esedins &!b6tos rgrolaltrc nol q{,liclbkro rhf rojd <br />! trnh.ll (-n\ a.d (tunr) <br />y ad 6unD k 6rd urbn rlE <br />I cdr! lhn I hh. @d rfiu q,plral{,n ad nd.lhi tn. rhn. i.aormnrn i otd l.N,erocomd <br />ord'lu6 MJ srd.l!s:r.bqr r'hrlilm!iddtud'otr eldh6.h).dh, rr.FMHn6"f rh's(i! <br />ih\.nr6rnn.dpl n n' f.r 'nrndiolr'rF.c6, <br />^peridnr <br />or Asdr sh ro* / -2,^*. <br />*- Dr,. <br />P.mi,crrn.,prir,,: -' .4/.,C/a z -- f <br />,/l'z.t 7 <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety i 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 />(L/tFINAL t/h a- 7Y lU.ut+ 6r <br />Notes, Remarks, Etc <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I