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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG COMMENTS OWNER AUILDER DELCANATION
<br />I h6.b, lllm u i6 Fdry .t Fjury lhn I E .rmpr tom th. Coflr.crot l-icc.s Lrs for 0E folbving ,.&n (Sa 70] I 5
<br />Buin6r ]d Proadhn Codc) A.y Cily or Cour y which r.quiE r Fo, lo o.!tru.l. .lrq. iop.ov., &nDlbh or lE.n ey
<br />3rrucrm. S.ir
<br />'o
<br />it! irlieq .!o r.quir6 th. .p,lter ror ul Frl,r ro [L i !i8.cd edml thn lE or iE i licds.d plElr
<br />ro rlE Frvniod of rll co.u&d , L4cd L,w (ouBs 9, coMftDs wnh sdbo 7000 of Di!i.ir. I of rlE tluiB ed
<br />PmfBioN ( o&)or rld lr or {E i! s6r, tMrcm id th. b.rb for llE.lks.d aqr6ion. Any vioubn ots.6ion 7011., b, ey
<br />!ppli.6r tor.p6 n sbjrr. rh. ippla.d ro . dvil Frlry of mr mE rh@ 6!. hu&.d rL,Irs I lJm)
<br />-1,
<br />6 o*G of rlE FoFry. c mr.npht€ wnb *.96 6 ln.n $k onFsrbr will {tr tlt wi !d tE $\.tc ir br
<br />inr.d.d doiI6.n nn rl. (!ic.1044, AulB &d lruf66BCod.r TIE codrdd'3 LtoE t *docd4d,l.aowo,
<br />rlE FFry *tb hitl r n!..\€ dEEa an who dG sn dt hirelf or h.elf or tlmqr' fiir q lE o*t ond6)!a
<br />Forii.d rhd ul' lrrDrnErt E d i'nrd.d molH tr d. lr. ho*.6. tlE t ilding or iryssd i' -ld *ihi E )r
<br />ofolpldie ,E ()*c &rilda *ill ltE ft h,&! or F!\irB tlE lE d tE dn d hild d irFDr &. F!Ft, 6r dE F!r.- of
<br />L s oLffi of rlE FoFty, n cr.lGtr cl) condilrs snh lkc&d co'idt6 t6 oinnr.r rrE F.d (s< 704.1. &!!B
<br />.,i Atrarlo ('od. TIE ( onr-roar l-k.* r,* .k'6 Ni .!?lt ro e of,G otFoFry *ho build. or if,Fll€ rhdoc
<br />&d u,l$ o rrr! fr {ch FDj.tr. *nh. Con*ro(t) laq*d F4udr ro dE Co rr.ld r Lie Lry).
<br />-l
<br />u .tmF u!'& Scrbn
<br />\toxl(rrl(. co i?Erls{noN
<br />Ef4lJaArq!
<br />I hftby.flim undq Frry olFru,y oE otlh. tolb*lu &(lanhc:
<br />-l
<br />h.w rd *ill ridlh. Cdrift.l. of Coe{ lo S.ll-leE for wtar' 6mp.n!nin. s FlriLd tor by S.dion l70O of tla
<br />tlbor Cdla fs llx FftMc of llE est fo. snin ll. Fnn a is.d
<br />_l hrr. ind {ll niinr.in ro.Idi c6mFrudi6r ilBlrlm., B .a ir.d bt Sdion 1700 ofllE trbor Co&. tu ttE Ffm. of
<br />lrr wr* rft whrh rhi pdni b 6!d My mrl6 co'npolib. illsllm ffir td Flty nmhG r.:
<br />I cdify th{ !n rh. Frfom!@ of rh. mrl for *hth thi! psnir is i$uq! I sluu nol @ploy e, Fen in sy mbns
<br />F d to h.&mc ubi6r ro rlE wrto onDqNrion hs otc.lihnl& r.d ig@ rhd ial shuld beom bi6l lo lh.
<br />sortd' comp.rudnrn provirio orft(ion 1700 oflh. IrE, Cadc I $.1[ fonh$ih comply *ith ttDr pmvnioB.
<br />WARNINC ltilur. m Fu. k.kd' .om!.Bdb. cDva.B. ir onh$ful, Md lhall subjel u aploF lo difrind Ftrni5 mn
<br />riv,l nnd up b on. hu.d,.d ihous.l dollm (1100.0{D). in.ddition lo lh. con of comp.Mlion. &nBra B trovid.d for lh.
<br />Sdron 1076 otrh.lrhtrco&, 'm66r Md !ns*y r fd
<br />Appllont:_
<br />lrcEltED-codrta(roa
<br />ITCIASAIIO!
<br />I h6.by lrm onr!( p6rhy of Fjury lhd I e licdr*d und6 pmvbioi of Ch!$q 9 ko@d.inr *nn Sdbn 70(x)) of l)ivnhn l
<br />of rh. auino od Pr.adio6 Cod.. !d f,y lic* b in tull torr d,n .fr..l.
<br />Lic.* Cl^r.: Lic.r Nuba
<br />D.r.r CMl[ctor:
<br />CONiIAICfIOIJ.IIDI!!0.AGEICI
<br />I halr,y .fm uo& Frly of psru.y thr UEc b . @dD<rb. l@diB .eGt lor llr Ffol:rlte olllE Frt tur stf,h lh! FEi i
<br />isu.d (S<. 1097. Civ C.)
<br />atgJ(Atrf[fctlSalloli
<br />I hod, ltrmui& pa r of Fjury oEorllE rolb*in3 &.lIiioB
<br />Da&lirbn Panirl^.b.r.r tldili.diln F.d6rl R.gu!,rhB ( rnk 40. Prn6)
<br />-R.qun
<br />d ltila ol tldifi<im
<br />I .dit rhd rlr fak l EauLrioB rqrdi.8 at6rd rmrrl s. mr @lr.blc ro rhB Foj.fl
<br />-l
<br />cd'ry lhd I h.v. ,@l lha .pdtaio. ri d. $c tl8 .toE inf.tuioD t coFar I lgr lo 6np'rL wnh .I Ciy .,!d (-.udy
<br />ordi,led ud Srd. Lrs! dri* b tnlldos 6ontu rbr rit bn t', alhoaE cF6.drn6 of tht Cny d Counly lo drc r@n dr
<br />.bo!. tr6rb..d FoFry 6, Epalion F,pos
<br />Appli(rnl o. AIdr SiBn.lur.
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltase
<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 Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />Pole Bases
<br />I
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