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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS Ort1tEN BUILDET DEL('ARATION
<br />I h6.t', .ffm un<tr Fuiy ol Fiu,t rhr I m 6orEr lion rh. Cotrr.r6 lj..c Lr tor rlE 6llo\i!. ra[ (s€ 70l l J
<br />BNind ad Profdiof, Cod.): Any Cn, d Coudy *hkh ,.qui6 r Fnir to oMrud, .Ic. inprova 4tmlirh or l+.n ay
<br />llruclu. Ftu to nt isuee tlo rcqunB fi. +dhd f.r tu.h Fnir lo liL. r'gn d nn.f,ml $i lE or JE a licd*d FBa,i
<br />ro rh. Fwi'ioB of ilE Conb&1d 3 l-iq!.d Lt$ ((tqid 9. Coffiins $nh S(rion 7000 ot DNiion I ol rlE &riB id
<br />Pm6$i.B Cod.) M th.l lE or ri. n danF rha.&on &d rh. hGi! for rh..U.g.d q@Fioi Any vioLrio. ofs.di,n 70:l I 5 byDy
<br />!p9lic&l for r Fnn $bjal! lh. .pplicDl lo r ciril |EMIry of mt moE rtur fiv. hun&.d rlollB { 1500)
<br />l. 6 o$E ol'h. F.Fnt, or n, orlotG rnh *.96 B rh.i, $L comp.ntdr( $iX d. trE *qr !d $. irudG i! d
<br />i qd.d or o,ToGl am sl. (Sa 7014. Ituind &d Ela..rioB cod.r Thc ( onrrloir Lic.u l.*, rhd nol lpply lo e osc ol
<br />th.FrFry slbhliborin.D\s E6( id wlb d.6 i.i sslr hielror lErlf or llm!3h hn h6 om dpbrE
<br />Fo\ itrd rh.r och d'FDrrGd E mt irinGd dodcld 6r il lt ho*6q. llt ttrildiB or ,roEGr n $ld rihli m rt
<br />of.onpLrhn. lh. (\!q tlllitld viu h.y. rlE hlrdq oaF.virB tfii h. or !n did ml hrt or inFoE $. FDFIy for lh. FlrF of
<br />l. N ose of rh. FnFdry, @.rcl$i*l).6ntr&ri4 sirh li(m.d co'nndo6 ro Nirocr E Fjd (s6 7o{,1, Bumd
<br />ild P$keih Cod.r rh! Cot{r*lori LicmEL.* do6 ml.ptlrlo do*n6ofFopsly*hl boildror inprec lh6on.
<br />..d uhd s'n tr! rd lchFF! wirh. (ndE ro(r ltd.d plrq[n b$.Codr*rd'r Lilr lrw)
<br />I an.rmo unda Sdion
<br />Ylaf,E8li:l:llMrslIAllo!
<br />DECI AXATIOI\
<br />I h@tt .rm .nd6 pdrnt ofFru.y oG ot rh. bllo[ios &.hr.rb6:
<br />I h!r. &rd silltuirldin r Canifr.rr ofcoler ro Sdf-lue lor Erkd compcBdio'! 6 Flvid.d fo, by S6li,n l7m ot$.
<br />l,bq Codc 6. llE FlM. of llE $qt tut *tin llE Fhn i is!.d
<br />I hr!. .nd *ill mrinl.i. *ork6 conpcu.lio. irour.ftc. a r.qun.d by Sclirn l70O ofrh. Lrb6r cod., forlfi. FflmMc. ol
<br />E eut fd rhrfi llir mir ii i$.{ Mr r t6'6hEdm6u'8.ffiinmkvmnb6n,^. Aqt{,\ =4 a- ) =\l^"-^&, \ ?9- r -
<br />",,n",.to l2tf4 l(&o21!r::O ,,,* *1t+1
<br />I cdliay lh.t in lh. Faolrllm. of llE *ork 6r whi.h lhir Fmn n ku.d.l Jrllnot 6rphy ey Fsn in 6y l'[tG
<br />b a r( b@d otitr ro rh. wrd' oi!d!l6n Ls! of C.lithi. &d iE rhr if t 3buld bdft et*tr ro l[.
<br />s!.t6 coEoaudior Fvitaod ol sdion t700 of rlE lrhr C.dc. I J.ll. t rh$nh odpty wni rhor FlrtbE
<br />IIARI{ING: F.ilu. ro su. qorl6' o,rFsbn .o!ms. 6 Ml,\ tu|, !,rt lhrll sbFr r olphta ro aimin l FrtE ltd
<br />$il fir6 up !o onc hun.H lhousrd dolla (tloo.(x)0),d'rus6 s ,,r$ii.d f.r lhc
<br />t(,rI.
<br />I ,"-gll .rm lnda Frty ol p6JU'y 6i , o liqB d u,r& rF6ir ol ChrF? e {o.lll@itB {ih Sdin 70OO) or Urnion l
<br />of rh. Bsin4 ud Pnf6ioB Cod., tud fty ltce ir D tull lo.e en c[..t
<br />n , (Q
<br />C lo ;/-v;*,.o (61 2<>>1
<br />(:4,^+."( 7,-i)$ry,c-s
<br />(o!$ilrclraBiJaltlcac[!(a
<br />I hatb, dlm ui& Frt, ol Frry thr rlEr ir ! Ndtu.ln. bdil8 .Bdy lor E Faffi. otrh. Erl tu *nth fiir Fni i
<br />ecd (se 1097.ci!. c )
<br />arrucarlllioraaro!
<br />I ndb, ,trm utd6 pallry of p6ju, r. oc ot rh. aollo[ins dcclrn ioc
<br />D.mlltion Pdnn!-A$..ror Norifi.dbn [cd.r.l Rquhrions ( lnL 40. P!n6l
<br />R.quiEd lllsof flr(rtu 6
<br />I rdi! rhd th. f.dd.l quLl u6 EBinir sbdd rmn.l e. Rn qrlkrik ro rhis tn,,.(l
<br />lror,ltrharIhr\.rcktrlnsdmhrnrio.snl{dcrhatrh.ah,vc,nnnmrrk,nr.o'r.rr l.gr(hr,ndrtr hill(irvand(indt
<br />ffi:*:*:Y
<br />!dlrrr. r.F*nd n 6 .aihii Cnt
<br />P@lle n.m.lprhl):e*-4o fr<ebl*
<br />^;l;ff
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />f ire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundino / UFER
<br />Transformers
<br />To uetn
<br />Sub-Panels
<br />Air Conditioners
<br />Bopf Top Equipment
<br />Jactory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meler Release
<br />!ough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />APPROVALS
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