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APPROVALS DATE ID/SIG.COMMENTS o*d-B{itda D..t dion
<br />I lE.br .mrn o.dd Fnhy ot Frury th.r l o d.f,F aori th. Co^tr.cloo Lrc.nr !r, for th. follo*'ns rsDn (E 70] 1 ., Bui.6!
<br />.nd Pr.l{iod Cod.): lt., clry o. (l'unly *hi.h Equn6 r Fhir ro oBrM. tn6. mF!t.. d.mlit or t!r.t lry 3kElc. Fb. ro n!i!rle., .lto i.quird dr.!pli@r lor luch p.mir lo fil.. rirEd 3rrr@nl rhd h. or rhc i! lic.ed p@u.r $ OG povilioN oath.(.nhd* s Lrc.6.d rtw (ClIDrd e. Cohn@'hs wnt S..ro rmo of DltuE., of rlr 86UE. ]n P,ofdbE C6d.t or { lEd
<br />. ir cr.mpt ltn fioh rDd lh. b.!it for ih. ruq.n cr.oplior .Any liohli)n oa S..l bn '701 I 5 by e, .9pli6t for r p.mh Nbj.d rlr
<br />.!rlo! ro ..tr il Fsty of mr tur rlr firr hunr.d dola (1500)
<br />_I. ! ov6 of rlE FoFr, o. n, corhla *ith wl3d ! rl.n .L @dp.8r.rio!. will do rlE *ort .,d rtE lrru.rw i mr int@d.<l
<br />or oif6.d lor sL ( Sr 70aa, 866r r Prof*.B Co& TIF Comdd r Lm llr do6 d.ptl, roe otr of rlE Fpqr,
<br />*ho b{ild! or inDmc tf.@L .id *ho do6 .Et {o hirullor hd.lf or rheuth hn or tE @6 mploy6, trovid.d itd rEtimFoffi E ml ir..ddl or ofr<ld Id ..h l( t *.€. llE hriuila d idFoGEn ir olt *nbin oE )r of @qkrba &.
<br />()wE-Brildd wll n|r. lh. bEd.. ol Drevin8 rh.l hc or .hc @r hlild o, ioprcvc 6r tu purpo* of d.)
<br />I d.rdpi u&r S.dion _-,4. A P C. aor lh. tun
<br />lo8f,EBlla!4IEElAuA!.-DrCl48A.Ila!
<br />I hscby rmm uids pcuty or p.rj!r,'oE of rlE aouo*ine .L.Ldi.B
<br />I h.t..d wil! oid.i!. Cdrirr.rc of Co*n lo Sdf-|e,. 6. wt6 @r!p.r-r!( u For'd.d fo, h, SdEn r70o of $.
<br />t tor Cod.. fot 0E !66tuc of llE sort for wlich lh. prrnh n Lred.
<br />\tlv.rid*rll nh'imAGu ohr.BrorrEunrcqr rcqu,.d t, S.crF. ,7oO oa ft. l.bor Code torllE Ffo.mE ofrlE
<br />W';;A "Z;;,44t t\---
<br />?.ti"yN^e,. l4f *22
<br />I Tlir Gl bn r.n mr b. of,Dld.d if tb. D66i a3
<br />1 o<)/_(-
<br />I cdiry rhd in rh Ffolrl4. oarlE rorl 6r *hih thi! Fmi b Bu.d. I
<br />taloontulFuts.d(irilfG up to or ndd..<l tto6.rd doll6 l3l m.000),i. ddnin lo rll orl of cotrrFurio.. d.,!r6 ! pmvid.d aor llE Sciior 1076 ol
<br />rh. tlbor Cod.. id6dr.id.nqrri lc
<br />LICT:lSED COIIiTRACrORS OE(I-ARATIOI{
<br />I hd.by rflinn !.dn p h, or p.trury lh,l I .m I'co!.d lnds pmvEion of Ch.pl6 q (colM6c ms * rh Sdion t0o0l o f Drli,bn .1 of
<br />'rr BuiE..d PEft-iZY. ed E::/-b7y lk.e n in tull lo!.. tdl.lT.(r
<br />,artt."".K
<br />1!\ l!t! ! Il!\t r \r,\c.\!,1}! t
<br />I hddr .rm un r p.Ety olFiEy rhx rt-. ir r.orEldi(r Lidi.a {.ay br lh.
<br />i$u.d (sc. 1097. civ. c.)
<br />otrhc "orl for trh'.h rl,is !'.rnrit i!
<br />AIILISAdIjT.OECIASAIIAX
<br />D.mlnbn Pmnr-tu!.nd Ndifi.rio. F.rlr.l Rctul.,tiE (Titl,l0. Pfi 6)
<br />R.quircd lnrn oaNorilicrion
<br />I c.ni0 lhd tli tuml EtlLriod EtrdtrB Eb.b r@i.l r. Fr +rlk.bk to thit Foitr
<br />I ccn't dri I hrr. r.i rhE .mlk.r i.lomrb. i @r..r I .ac ro 6119l, wnh .ll Cny !n Courry
<br />ordruflcB ind St.t. lrss i.l.xnr tr.by luho.ia Eprddn.ri!4 of rh! Cirt .d
<br />rborc ftDtilBil Fop.ny for
<br />I
<br />P@ rc Mft(prior)
<br />,/tt
<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 />Nileter Release
<br />Rough
<br />Service Meler
<br />FINAL Jha/tr =sl(Clr--6) t
<br />Notes, Remarks, Etc.
<br />MlWP51\P6miUBpdnon FomB\Eleckrcallnlpeclro. R&o.d doc 03 31.06
<br />ELECTRICAL-INSPECTOR RECORD
<br />.I.aowHorrh.rroFny.16cr.lBivcly@nldcrt{wnhli..Erlonrrdo.'o@BrMrh.Fo).(156 1x4.ouim irl
<br />Pofdbn Co&: Tt Co.trdoar LeM l,* dc d +ply !o r o*n{ or prop<ty *fio buldr o rprovd thq6. , rnd *ho
<br />co^!.cB aor ruch FoFrt *ih. CodndeG) lrcar.d ponud ro rlr Connrdor'r Ls'g Le ,
<br />7-\_
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