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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS (}sa.Build.r Dch..,tion
<br />Ih6.6yrfrmundsF ky oi pojury rh( I o B.nrt foh rh. Conkrdon Lic.nE hw fo. rh. aollopinS ruon (E 701I t Butinat
<br />ud Prcf.rion Cod.) Ary Cny or C& y which r.{uiEr . D.mir to o,u@d, rlra, inp.or., d.mlirh or Erir My n^firc Fid ro irr
<br />itorE , tle r.quid rlE rpplidrr for scn ptDit @ 6h I tisn d fl.rnr .hr h. ( rlE i li.Ged p{@d ro rlE rbedos of E
<br />conl'dd! Liened lr- (Ch.fla 9. com.Ein8 eid Seri@ ?00o of Divien I of dE Buins .d [rDf6ti,o cod.) d rhll tr d
<br />Oc it MF fid.6o6.,i rlE brir for d. .ll.!.d ddFin An, viol.i6 of Sdid rol I t b, &y.pplio, for r pdtu lbjcdr d!
<br />rppliq,n to . civil p.ohy of d mr. rhu fiv. hui4d dolrsr (l5m)
<br />._ I, E osq oa'h. pEp.ny, or my.mproyd eith yra.r r rh.n pb cmFndior\ pill do .h. rcrl ]d rh. rtudw is nor inrddql
<br />or o,facd for sl. ( Sa 7041. Bulinsr ud Prea.ltioN Cod. TlE Co.ficrdt Lienr L.w d@r no{.ppl, to M oMd ofih. prcFrry
<br />who b{ildt or imprevs thd6l! !n who dM ud wdi hiE&lfor hell a ih.@!n hir o. hs om .oplor€. p.ovid.d th.t och
<br />ioproEfrcnt enori .id.d dof6.d for !1. l( howE, rlE boildiig dinp.owh. n rek }irhii oe yd of@mplaio\ rh.
<br />o',E-Bliila will h.w il! Urdcn ofprcvi.8 thr lE d iE d t ild d irp6E for rlE FrpoB 6fd.)
<br />l,&orGoftn Fopdry, D dcbnv.ly 6tui.A wih lic..*rl codlt@ !o @{rM d, Foj.<r ( S* ?tx.l, Euic. ud
<br />PDf.sion Cod. Th. Cskdd . Li@n. L.w d€ d .rply to 6 o*E ofprcFry wno boildt d inFlE rha&.. rd -iE
<br />@rhar for Dch p.ojdt wnh . Co.hdo(, li.6r.d p@.il to ln. ConElcto Lie.E Lrs )
<br />_I D .rmF ulrdd S.aion
<br />-B
<br />A P C for rl . !!&o
<br />D.t OsE:
<br />WOIXf RS COM?TNSANON DECI-AR TION
<br />t hd.by rmm undd p.ulty ofpdrury oE ofrh. followin8 dclr.rid
<br />I hlvc od will mrnlin r C.nifid. oaconEnt to Sclf-l@r.lor sit.n' @mp.utiorl & provid..l for by Sdion 1700 ofth.
<br />L.bor Cod., fd th. p.rfomMe of tl'. *.d for *,lnch lh. pshn ir is.d
<br />I h.vc !d -iU tuitui. Erto' onlPcNrion illrllle, ! ,.qut d bt S.dion ]?0o ortt t bq Cod., td t,r Ffcflle of rlE
<br />M.t fG vh'ch lnir Fh i. iEEd My wo*a ce?..srion in'lrc c&r .!n Fncy tunt€ r.
<br />Poli.yNunb.r__
<br />(Tltr t&1ior B.d mr h. @apld.n ifth. p.mn i! for Oe lllndr.d doue {!lml or lcB)
<br />I6ify tnr in $. Ffol e olrh. mrl ld *ii,! tti! Fni n ro.d,I idl d dploy uy FB ir..y ll.llE b s b
<br />6..rft e6jd ro ft mrtd @9.trr1m Lvt of Cd'fmir .,n rAE rn{ if I nBld b@E ohd b dE wl6
<br />6mpcut,o p.ovi,o ofsdion r?0o of E L.!d Cod.,I
<br />DL _Appli{r
<br />WARNING FnluE b @. wqkoa @npc .tion @v{.s. ir ulrs6rl. ud rh.ll pbld u.mploy6 b sini^rl F dri6.rt .ivil
<br />liftt up b oE lEn,r.d thegd dollB 6lm,00o),ii .ddnE ro dE d of cdnFuri.,! drm8d s FDvid.d fo. rl! Serion 1076 of
<br />tlt L,bor Cod., idsd .,!d .rdE . ld
<br />LI(ENSED CONTIACTOIS DICLANATIOII
<br />I h..dy.fntu und6 p..dry ofpsjury dd I m li@!.d urdq p6yi.aoi ofch+ts I (@nm.Ni!g wilh Sdion ?ooo) oaDivirio. I of
<br />th. Buuin.$ Ed Proa.rrioa Cod., Dd n, lic.e ir in tull forc. &d .trd
<br />COITSTNUCTION Lf NDING AG'NCV
<br />I h.tcby .ffm unda Fndry oipaiuy $.r lh4 i!. @ Euclid l.nd'nS rS.E1forrh. pdfod.e ofdE sorl for *htll di. D6hil t
<br />irru.d(Se 3097, civ C )
<br />arrLICA {T's pta.I,Al^TtoN
<br />DqElirior Phit'tub.ro. tldi6cdo t.d6l R.glLiim (rnL .o, Psr 6)
<br />_ R.quir.d Lrna of No.iforion
<br />_l dlif, tx tlE f.d{.1 r.gul 6r Esndint nD.nor .tmrd e iot .rplic.bl. [o rhir prorei.
<br />_ I 6dt rlu I tN. dd riir .rtliorad .rlll iL rn rrL rtoE i.lomri6 i. @rc I .aE @ cooCty ritl .]t City .tn Cqn y
<br />ddN'6 rnd Srd.116 rd.tng to borldrnt . d hd.5y erhd@ EF.*eri€ of itir Cny rn Coty b ard uponllE
<br />ri.* n.nnon d p.opdy for inqB
<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
<br />Transformers
<br />Torquing
<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 />ulzrThr <tt't44d_/
<br />Notes, Remarks, Etc tl\
<br />M \WP51\Psrhd lBr6ctron F -ln.pcdo R6@d (bc 03 31 06
<br />tD/stG.
<br />Rough
<br />Service Meter
<br />FINAL
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