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ELECTRICAL.INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.OWNEI'UILDEX DCLCARATION
<br />I h.r.by rmrn uidcr Fnllry or lEiur, lhd I m cx.q)r rhn rtf, (.('n'Br'n Litn€ bw ntr llE lolhwinS E $n (Sft 7l).ll 5
<br />Bunms id Profcstun Codcl Any Cil, or arrnly *hth r.quiFr r Fmil lo sn{Ml. .h6. invrcw. rlctulih or EFn sy
<br />{elnE. Fir b ik iirljtN, rlqi Bl]n.! r,E tfl td roi uh Fni' ro liL. tkrd dnft rh! lr or \rE t lk.nr.d trtud
<br />n' rhc nn'vniotrr ofllr ConrE lors Licrns.d lrw (Ch,rl.r 9. (\mtrmin8 rilh Sccriotr ,uD of l)ivision I of rh. Bxsinc* lnd
<br />Pn,f.$i,nl Cud.ror rht! lE fr rli ir.rrn!* rh.rdroh rrd rh. h.!k ior rlE n![.J cr.n!{ir. Aryrirlrbn.tS.cli,.70.!l5by.ny
<br />r!'plkud for ! Fdmi luhFcu
<br />'h€
<br />.m,licd ro ! civil p. liyorft)' mr. rhan nvc hundr.n dollsr(ts(rrr
<br />!. * ouB or rh FrFny. m my.fpk,)r.r rirh *!t.! !r rh.tr s,h d lEn{rrn. snl &r rrr rst.tn llt !ru1N a ml
<br />irrc.di or ofi.rcd for sl. ( Se.?044. Busin.ss lnd Pn'r.(ionr ( onc TlE G'nrrrcroir l,icen$ h, do$ nor lptly ro !n owN or
<br />rh Fllxny *b birrr or tnvnrE! dEtu,.. !n *h &B rh f,lnl him(ror td<lf rhNuth hit c lE o*n.rf't'Fd.
<br />pn,vidcd rh!' such inlmEmdt G m' irqrdcl,, ofi.Erl ftr sL. lt h,rrf. rh. hiltB oi iqn&ftd r $U *ihin or ti,
<br />olontlkli,n. trr (rwmr BuilLr will bE llr tod.tr ol In vinS rhil h. or ihc dil lxn ttrild or inrrov.li. pnrEiy fir rrE nrF,s ot
<br />l. r\ of,kr ol rh. lnlltd y, rnr .x.lonv.ly .ontturin8 qirh li..tred Nnrr(6 i. onrrud rrE FoFl ( Sn.- ?rrl1. Bu\ im*
<br />rd Eofci(mC'rd. Th.(ontr('or\l.E.nrl,*df,rmrrnplylo.no*nc.orI,orE ! $lr, ho'Lk o mnnttr rhd.on-
<br />rtr slh.onrrcklnruchtn,Fr\*irhd(i,irekl(irltcn*d!!r\umrbrhrContd.rolrl.rcnslrw).
<br />,.,:-r;ir4k,"'
<br />I lEr.l', .rnrn uftld n Mlly oa F,jurv ox of rlE dlos[3 d.(rrr.rbns
<br />-lhrEud
<br />willmi lin . Ccn iftarc or Cons.r h S.lll nrurc fitr Hnlcn .ompcndbn- rr rrudLr, ror hy sNliln lrm or rh.
<br />L.hr (i!j.. fo. rrr rE flm or E sil rd *hth
<br />'rr F n'n ir irswrl
<br />I hak rd *ill nuinrrin *orl.r! .oqrnrd i,n ih\udc. ,qond by S(r ion l7(l) of tlF l$.r Gi.. tu rlE F (,.mB! .(
<br />rh. h rirrhih rhk Fnir N irnrcd M! *116 $r!Ens!x)n inrunrc clnr dl F,lty nln*Er k
<br />l .cdrlr rh,!
<br />'n
<br />rhc Frforftftc rf rlE wdk ntr shth rhii lf,rnir h ilud. I \h!ll n cmfk,y .ny F.R,n in iny mrnrcr
<br />r, !i ro trsm sul,i.l b rtE qd6'.mE Mi'n hw. of crrbmia. rnl.iN
<br />'nat
<br />il I lh.utl r(oE ttrbr.r t, rrt
<br />uort6 $n ENri,n pn'yFio.r of S&1rin ll(n of rrE I rttr ( r .. I rhll, lonhwirh m.r!'ly * h rinc rmvirhn\
<br />t.ll {ihFr ,m mlnl,,\n !, (rtr mrl Fruhs xl
<br />I .o'nn n\urn)n rh D!c\ \ In'vtrill nn rhc(tril ,nn\ trn ni,tr'c htr '1r.d rliiMn'i,1,'ll ( rr\l(x).rri)r. r,r1(lI
<br />S..t;'n 1076 olrh lnhn oxlc
<br />,r,e wlt4t*
<br />I hcRhv rllnm tr'xlcr !tNhyof IrrJrrr- rhrr I rtr,I'en n,lcr nnrnn[,,lCl |rr( 9 r!ontr'rktr'! trrh 5(ri(nr ]lxxrr"lI)Lri\xri l
<br />of llr BusiFi!d Pmr$crn. Codc. rn my lf,cne F m rulr r,,a.,n.fat
<br />C(INSTRULTI(TN LENI}ING A(;ENCY
<br />I ltrchy dfrm uftlcr Fn.lt y.a pcrrrry lhal ihcrc r. mneMi,n lndinr r8.r) ln rh. pc.fornrm ofrh. $nrk tu rhrh thf Ff,n i\
<br />h\ud(Sd :ltr97,(-iv C )
<br />a.ttLlllrll)EclAlallt D
<br />I h.rd,, !fiim uRL, Fnrll y of F !r, o'E of
<br />'h nnhunrS &.Lrr hnr
<br />I).nslilion P.rnnr A\h.nos Nolrficdi,n lr.d.rsl Rcgubrt,n\ l'rIh4l], I,id6)
<br />-R.qur.d
<br />Ir d 6f Milr.dr,.
<br />-l..nify rh.r rlE fcrlc!.1 rcrubr i)N E!{din8 !{Bio( rcmr.lN r qT,li.hL b rhii FIFr
<br />l.dnyrh.r I harr rrd thF afi r.ri ,h,v.inrolmrr,.irroftr l.xreh$lmlyrirh.llCnrlndCornrr
<br />ordrD'Nr rnd Srrrc lr*1r.h lrkhy rurhtrizc r.tEcnr.htr.l r
<br />,'rc nrirRnrd Pnrr.dy ntr
<br />Vtttrauvtc
<br />*',"';-i;)ff""'^'-
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Iloo!
<br />Bonding I Qou6oin? I ufen Vt/za Pr-'u
<br />I ranslormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilin gs (Hard & Soff it Rouqh
<br />Ceilings (T-Bar Rouoh)?-e.7-22 tZcz-'I
<br />Meter Release
<br />Rough
<br />Servrce lvleler 7s/eo k.ts,.e,u> 7t)
<br />FINAL a-/-za /-L C.5 ,\./ , ..-a:5 21
<br />Notes, Remarks, Etc
<br />COMMENTS
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