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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILDEN DEl'Ai T('N
<br />I tdty s,Isn uMt r DdElry of F jury rhlr I o qdfl io6 rh. ( oitr.l6 Lt@ L.w forlh. ro ovirg l.en (s<701It
<br />B6iB .d Protdih (-od.): An, Ciy or (.rdt shkh n{ui6 . Fir h onn.Bt. .!6, in9.oE dqmliir or r.F Ey
<br />rrrudurc, Fi.r to il3 is!ft.,.to r.qun6 $. +plic! lor sch Fiit ro fi!. ! li8ncd rld.lml rhdn or rh. i5licaEd puN&l
<br />ro rlE FutbB of dr Co .-rd! Lic.ilEl tr* (Clr.pia 9, Co{ll,tftirg wih Scriln ?0@ of Divirbn I of llr Blai&* tld
<br />Prof*io6 Cod.) or lhd lt d shc b .mt|l lhdcnom ud 0E h6i! tor ih. lllcg.d amplioi. Any viohion of Sction 701 Lt by !n,
<br />{lplrd fo, . Fnr oli6t rlE qlilnr ro. ci\ il FBhy of d mE rhd 6vc hoid.d dolLn (1t00)
<br />l, 6 0*6 of rlE p.oFtt, d my mphr6 *irh ql86 s llEir xrL onFErio[ si]l <b rlE {vt al rrr **r* " m I
<br />idarlal notu d fr,r rl. (56.704.1, B6ir ed PrciBi'd Co& Ihc (.ofltsid 3 LiEE lry &'6
<br />'ro( +ly l. & o*c of
<br />rh. FlFry wt hnl& o. inFDEllEM &d *tr <h6*h $qt hiNlf or h4lforrl[ u8n hir o.lE om dplo,6,
<br />ForiLd rhd sh ntFoEdtft br nadd doif@d 6. it l[, ho6!. tlE hildrB a irywEr h 5ld *rhh c rc
<br />ofonpkrhll. iE osE 8{ildq win hrE tE hrddr orF.viir lhd lE or dE did ml hiilt o. inv@E U'. trcFy 6r tlE purFE oa
<br />l. E o\E ofrlE FoFry. o.r.luiv.ly.o rdiis *hh li.@ed.6dNo6lo conrrud ll! Foi*l (Sc 7044. lluiB
<br />.n ho*sir co& Tt coddor'r Li(.E l,* 66 mt sly b e 016 of D.ooqry wls boildr or mrorc tlson.
<br />&d who $nFxt! for ru.h trnjc.r3 with r CDirddo(3) lrd$j pu6@r ro lh. Conlralor'' Licd* lrw).
<br />I dn.r.n u.dc s(ri('n
<br />D.r. Oiit
<br />rvoR( r'lts' ( ont rtiNsA rloN
<br />DECIIAAIIA!
<br />I lE.b' .flinn utrdd p<mlty of psJury on. ollhc rolkru B-( d(ld irrs
<br />I hrv. &xt *rll Mrilin . Cdifkdc of Conhr ro s.tl-lmr. tm s{rtd .ooFltirn. a Fori(hd tor by Ssi an lTql orlh.
<br />ldor ( de ro, i! pofolrr1,e olrlE $nt aor *hkh rlE Fnil i isu.d.
<br />I h.v. .rd $ ill m.int.in sork6! comFrs.tiotr rNu6rcc. 6 Equrdj hy sdion I7c\) .flhc lihor (ndc. tn lh. Ffomnn.. dr
<br />rlE *sl lor s htt rhi! !r.n{ . isrd Mv } orrd' codFd $n !,Ms. cffi rd Flry nuEbq r.
<br />,."* - 2rlfLch
<br />po,icyNumbd / !!0E74 C71 to :tt,wn, 4l ll It
<br />l.diryth.t in rhc pcror@n( olth. wort for *hi.h rhii Fmn L i$ucd, I shlll ml mploy loy pn$n in.nynend
<br />$ a kr b@ft $qd lo rh. rvt6' .omFlrion L*. o,C.l'toru r'<l .sE rhr if I t&uld b..oft $bal ro lh.
<br />\trrid' onFsrio. pmvlnN ot Scrion :1700 of rh. lr&r ( dde I .ltrll. fonn$In 6ndy wnh thor l,!iioB.
<br />WARNING rrll@ to ffi $mla' mmpasdion orE+. i unhwftl. 6d rh.ll sbFr D @phF lo ainiEl Ftrhi: dld
<br />(n1l adE up ro oE hu.dr.d rlFurd &lEt tilooJoo), i!.ddi6n to rl! cot ot (oDFlnioE drffga B FoviLd tor tlt
<br />sd.n 1076 ol rlE llt, C.dc i, 6d rdnmEy ,,f.6.
<br />D",..- lol3l l17 ^"M. ,,lic,ta$q f uvnte5.IICEISEO.CONIEACSIa
<br />D&ClrSArIOtr
<br />I hdrby .!Tm u!& pdllt, of Frury rh, I m lcan d lrrtd FrEbn or Ouptq }@nrlj6lts si!,' sd hn 7000, of tti irhn r
<br />oa rlF &!ilr md PrcfM ( o<le -d Er l*Cc 6 u tul! fo(c rd.lTd '
<br />a46 ,.,.eNunrE 8b75n'3
<br />aoltla *"*,.N/ aHD htre{j41lvf)t/.\
<br />glliIBl(.Illl!.LEdDI&AAGftA
<br />I had, rltm u.d6 FEt, of FFry thd lna i r .od.r.lbn ldd!$ .gfty lor th. FfollrrlE oarn mrl6r $
<br />iq.d (sd. 1097, civ. c.)
<br />APPI ICANT NE(I A|. TI(IN
<br />I ndby ,llm undd p6!hy oa Fjury orc of lh. followi.S d.rb.l hnrl
<br />t).mhnr Pdtu-A.b6rd Norifriion rab.l R.euhb.r(Tnk {0. Pd6)
<br />R.quiEd ldrcofNoaftrin
<br />I cdit rhdl rh. fcdd.l ..suhthB rsEdus &rtEn.i rmul m ml amla.hk b rhi! t oj.t
<br />infonD&lion is.onet. I lsc io .omply snh .ll Cnylhd (irrnlr
<br />.dl$r.,.sd. in6 ofrh! ci|di co! )io6rsurFrtlE
<br />I .diay rhd I tBv. @d rhir !ppli.,' ion .ri srtt
<br />Fu erles
<br />1.0llrlrz
<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 />Bu ilding
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)tl
<br />Meter Release ll L,,T1,L,qqCD
<br />Rough I
<br />Service Meter t(L t7,&d"c, @
<br />FINAL ul 1,r1 ,l/4s6
<br />Notes, Remarks, Etc
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