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ELECTRICAL.INSPECTOR RECORD
<br />IDiSIG.COMMENTS OWNEf, BI]ILDER DETTARATION
<br />I lE-r- .ffm u.& FEIy of Fiury lhr I e BdF 6om iE cdrlddt lr@ tiw for llE follosing r<)n (sa 7011.5
<br />Bsin6 !n Pmfdih Cod.): &y C,r, or C@d, *fti Equn6 r Fna lo olnru.l. .t6. iop.oE damEn or lE.i ey
<br />*ucrue FDr ro il] isuE .ho r.qrnE rlr +plad fo, uh Fbn lo 6E . tBicd nrdrdn lnr lE or tE u l'.€!.d F&.n
<br />ro rh. FovirhB ot r,E Co,ur.cr6'r Li6E<l I.$ (Ch.Fd 9. Coffim3 *nh Salio. 70OO ol Divirion I of th. BBIB d
<br />Pmfdnu Cod.) or rh.r lE 6 rlE 6 aorr ta.6om .d rlE h.ri] aor lh. ilLs.d danFi.. Any vi'liid of Scrni 70ll t !y Dy
<br />rppltdt fo, . FrBi objd! tlE tpplic.nl lo . civ il pdhy ol ml rur. tho fiv. hundt.d dolLE (1500)
<br />L s owrqotln FoFny, or ny @plor6 wnh w!rr6 B rhcn $L conpoldtun, will & [E worl t d tE rruld; nol
<br />i.'rdri.d or ofaal lor sb (Sc.7044, Asilg ud Pmldiod Co<lc: Ti. conlr..toit l.r.N kE do6 nol
<br />'pply
<br />ro M ownd ol
<br />lh.FDpsry wts hil& o irqD\E tlE@ ,ld who &€ sh *ort hiNlf or h*lror lhbush hn 6r bd o*r 6lployd,
<br />Fovitcd rha Bh i$Fo6lE!ftd ina'd.d trotu tjrrt lt hsqs, rlr tlilili,B s !4.o\s!d abusriooEt-
<br />otqrpldna ri. ()*6 eiBc $iI h.E dE h!&! ot Fs\t lhi lr or slE <td @l tlild M ingDE lh. FUFrr- h. ttE F,Fc ot
<br />-1,
<br />so*E of tlE Frsrr. h dchlivcly cod,xlos snh ladE d.odd6 ro 6druc! tli Fljdr (sd 7(xl, &!llB
<br />!d hob.nnCorE'l'h. conr.dq r Li.ru lls rl'6 Nt.r?ly to e osnd of FoFrl stb boild! or iDpov6 rhad)..
<br />sd who .odd!t shFrjdlt *nh. (irir-rodo lacEdl Frsrln lo lh.codr.ddi L{de ls).
<br />I m.rmd unJ6 sErior . B & P ( for rhs l6.n
<br />Drrr: oind
<br />\lol.l*aRs' aoniiENs^lroN
<br />IIECIAAAIIgI
<br />I h6.bl,fin r trndd tmh) of Fjurr otr.otlhcnnh\'ry ddludiodr
<br />-l
<br />h.w.d *ill i! .n. Cdiftd. of CoEn h S.ll-lEm fd st6a Mro{lil\ - F\iLd 6r by SdM 1700 of rlE
<br />trbor Cda 6r lh. Ffolffi ofth. roit fit *tih llE FDa i! isEd
<br />-l h.\. !.rl will n.iru,, wolt6' .onFdion 'Mtr.. s Equi(d b! s.db. 17{)0 oarlE t tor Co<L, fot lh. Ffollffi. ot
<br />$. *oil td shah $! Frnn t isr.d. My 6kd of,Fsiion nsuJ . dit rn Flty nuib.r @:
<br />-l
<br />cdily rhd i. rh. FlolM. of llE *o* ror *hrh rhu rron i! is.( I ihlll mr 6ploy oy Fe. ir ry ttlM
<br />e s to bcec otiTr ro {r "dta ompau ion hs! ot ( niaoniL .!d +G t,l, if I ihoutl t*oft $bel to tlE
<br />w*d' otrq.E.lion FottioB ofs6lh! l700 ol E trbor Co<L,I $.rL 6dh{nh 6mdy f,nh fio* FoBbB
<br />\rARllrNG t.ihr. to ffi s*6' snFlrbn d,vd.s. n u.hstul. .!n drll st*( e drploF ro 6iBi.d FrlB..d.nil frd !p ro oE t6(H rholEn &lle ltlOO.(x)O). u tddiion to th. .o{ of c.BFBdD( dlDSd ! Fovd.d for llE
<br />Sdlion .1076 ofd.l:bo. Codc, ida.n Dd.nqrB r 16.
<br />u(};lllDiodrBAclaa
<br />ITEIIAAAIIAN
<br />I hd.6, irm u.d6 F[lry olFjury lhd I o lics!.d uodg Fo!i.6n ot (luliE 9 Gomm*ins *nh Sdhn 70(tr) ot Dn itDn I
<br />of rh. BurrB ad ProkioB Cod., sld my li@ it n tull tor€ !n.ittr
<br />(!)ISIBUCIII}N.LEdDINqAqIM;I
<br />Ihmby om lds poallyofFjury rh0l lh6. ir..{nnrudion Lndins !ldr! for fi. pdfonn ccoflh.work aor "tich lhn IEIril i!
<br />iss!.d(s4 l0i)7, civ (.)
<br />alfLllAll.lEclJaarlQ!
<br />I hsrl,y .trm un 6 t6!hy of Fjuy oG of llE blr,r i.s &cLrdit8
<br />Do@lirs. P.mil^rb€rG t{orilicnbn t.d6!l ReuLriont (I I.40. Pd6l
<br />R.qunal ld'6 ot t{olifi @bn
<br />-l
<br />cqlily rhdr lh. Ld6d r.sularioN r.8ddins sbdo, rdnovll s. .ol lpplr.bl. to rhit lrojcd
<br />I .ctiry rhd I lEv. rad lhir .pDlt lion dd nn. thd tlE .boG inforniion b cond I ixrc lo @nlply wilh dl Cn, t d (-nu y
<br />ordilm6 ai sln. t H ELiry ro bilduc co(rturh( -d ha*y.utlni,r EFerrs6 of fiir Ciy,!d Coltny lo o16 uFnllE
<br />rboE .db..d F!F, ft. E4arion F,FB
<br />appllcr or aadr Sl*dtnr
<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 <l \\ t1 /'(,11/,1@
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouoh)I
<br />Ivleter Release \r \11 tt"a4iq)
<br />/a,(h nk 6>\tqlB .{rtz.in
<br />Rough
<br />Service Meter ,l
<br />FINAL rattNn / 6?./
<br />Notes, Remarks, Etc q "r-{ -- r
<br />Lt (ilttl
<br />APPROVALS DATE
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