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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DEtd'ARATION
<br />I hd.b omrm und6 poaly ol pdjur, thar I m dmF fmm rh. Colr!.lod L'.oc li$ aor rh. follo*nu rrun (S€.7O.rl!.
<br />B6ind rnd PrcfBio. Cod.): Ary Cily or Cou y *hkh i.qun6 ! F lo @Ntud. dt6, inpr.ve &nolah or cp.t s,
<br />sto.tue Fior to ils isece !tso tqui6llE @plret for 3!<h tErni to nh a risncd natul thn lt or nE it licd.d Puern
<br />ro rh. Foli.ioB 6arh. Cofllrlclq t Liccnt d Llv (('lErrq I, Comnmin* wnh Sdbn ,Ulo of Uvnior 1 orrh. adins dd
<br />PFa*ioN Cod.) or rh.l lEq slr B cr@pt rhq.6om..d E hdi. aor lh. dke.d dal9lion Any vold i.n of Sa:lhn ?0ll I thtu,
<br />apphcdt for i pdnn tubje8 rfi. F?licdnl to . civil p.Mlty ol ml mo'. rhe fivc hun.t.rl d.llu (ltoo )
<br />-1.
<br />6 ow olrlE p(oFny, or my @pk'r6 *th wl36 d lh.ir nL str'poflil( will & rh. *dl td dE rrlE 6 rul
<br />idoi.d o, ofi6a, fo. sh (5-.7044. BuiE ud Prcf*ioB Co<!.: TIE Conlr.dd't li.e tiw &6 ml nply $ @ o$c of
<br />rh. Fopdty who tlill N ilrsrE tlt@! !d vno dd kh *on hielf or hdlf o, ltrcush hi. or ha om.nPhy6.
<br />Fovit d thd $.h in4.lvgEr. @ tDl ida!.t d qotu 6r -t lt ha66, ih. trtldls q lqssEr L 5ld dir ok !d
<br />orcorEldr..llE O*€ B{ilk wil hlw tlE hrh orFo\ilB,rr lE or lhc rtn d to& ot imF!\t {E FFly lol,E F FEot
<br />-L
<br />6 ore of r,E FoFry. e .rclGiv.ty codrxlins {ilh ticdE d .odralos ro .onhd rlr p.!j61 (Sc 7O4{, &!6
<br />sn AoEixCo&r Tt. conrdd 3 Lic@ t $.L'c mt rp?ltl. aou6otFoFty{rF ltuild! ot inPrc16 fis6l!
<br />ed r'lh @tu. for sb Fljlxl3 wnh . Corffio(!) ltd!.d p!r!d to lh. (odrrcir'r LtoE liw)
<br />-l
<br />u .rdF u.d6 SElbp . B. & P.C. hr rh6 ia,.
<br />1!!B !tsl_Qi1&:tul!)lDlll,l&lua.l
<br />I h6rta rmm un&. FtrIy of Fjury ot of lh. rolo$irs &chdio6
<br />-l
<br />h.r. -d sill Mitun. Cqliftll. of CoE@llo S.lll6e hr mtsr .ohF..asq s FsriLd lf b, s<ri,D l7m olllE
<br />Llt$ Coda fo tlE Ffdlrm of llE f,vl fr rti[ llE FEn a is{.d
<br />I h,* !d will minrlh wdtn. onp<Edhn iB{lGi s rcqui.d b, S€lsn l70O ofi,E lrbo Co&. tu lk Ff(fu. of
<br />rlE rnt fd *nih thir FDn a an 6d My sntd oDrd.i,. itEllftc 6ir tn loliy ounbq c
<br />i_l+//Vn f,n e.t /)r1 Lh u/uf:ovJ L soq hoLYT
<br />W RNING: Fntu. ro sE $sl6' onFErion cors.s. B u.l,$lul. nl Jull tubj.( d ophF kr mdl FdE !d
<br />.nil fc up ro oe nukH tholEd &rlLB t ll0o,(r00)- in rnir!6. h th. cor ot .omFEdnr( d&ug6 B Fo\it.d lor tlE
<br />S€ri,n !076 otlL t bor Codc im.d &d ltqEy ! fG
<br />o t3
<br />DICIjAAIO!
<br />I h.Et'y .rIm undd Fdy or Fju, rhn I d [dG.d o.dd F!\ithn of Cl'.pls I (@Illljftina *nh sdb. ,000) oI D'vabh ]t
<br />oa tlE EuiK sd PrefdirB Co&. td oy lr.e a n! tull fora d cltar
<br />(7tb
<br />rol 3t l
<br />qqM:IA!,ETIAIi![B[j!G.6GE!CI
<br />I h@by .rlm un&r pd[ny of Fju.y lhd lie ir ! conirucii.n Eldos tsocy for lh. Ffotrffi. or rh. sort nr "fi(h rnn Fnit i!
<br />isd (S( 1097, Civ C.).
<br />AIEIICA&LIIECL6AAIIA!
<br />I hddy 6trm undd Fnalty ot p.rjury oc of rh. fol6*ins dck.rio.r
<br />D.mol,xon PmirlAsb6rG Notificlrion F.d@l Rcsublio {TnL40, P.n6)
<br />R.qut d tab oa Nolifr@lion
<br />-l
<br />cdiry rhlr lhl f.d6rl r.guldioN E8eding 6b6los ro.oval 6. nor ttplic.hl. t. rhie prcr..l
<br />I cdify rhd I hav. Ed rhir .pplrcnion dd sr.t. rhn fi. .bo\. infoindion is cotr.cl I s&rc ro snp! wnh il Cily dd ( ounry
<br />ordi.mc6 sd Sl.t.ljws r€hliflr to bu,ldrs dd hdcb, luhoE! rqr.qrari!6 ofihi! City ud Couoly lo drq uF.ltl
<br />,bv. mdrio.Gl a,opd, ao. iNpcdion
<br />,\pplirrn! or AAenr SiSnrrurex x
<br />Cttr(<
<br />to/3t/ f
<br />Site-Work
<br />Underground
<br />Pole, Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ilding
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />N,4eter Release
<br />Rough
<br />Service Meter
<br />FINAL tzl+//e fr81
<br />Notes, Remarks, Etc.
<br />+
<br />-l.fiify$n
<br />in dE FfolM ottlE wort fG *hi.h lhit Fmn t is.4 I tnll n l a'pl4y.n} !d$. in r) n:!lE
<br />s d b L.6r $t 6r ro tlr srld @6pdiio.l,*. of c.li6mi rd +r lhi rtl dbuld bcom rti{ lo tlE
<br />so 6 oEDdB.lion p.ovasG of S<rb.l7m ol E L.td Code I fill r(lh*'nh sdrly *in rlrt ForitirB
<br />Sub-Panels
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