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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BTIILDER DEI.cARATION
<br />I ha.t', rltm un& pdlty of Fjury tur I m .rdB nom rlE Coffid.B Lrae t $ for lhc f.lh$in8 l6n (Se.ro! L,
<br />EuiIB .rxl Profilhn co&) Ary Cn, or c(dy rtih EqriE r Fri ro olfrd. .n., irgmvc datullh or q.i dy
<br />nrud@, p.t{ro it' iw..Lo Equi6 tll +ltur f.r sh Fnn ro 6Lrtisn d nrdkn rh. ,E o, iE ! l(o!.d F,a.d
<br />ro rh. FDli.ioN ofrh. Co.tktoir Li.63.d uw (Ch.pld 9, Com.ncinS wiin Sdion 7000 ofoiviion I ofth. Bcins ud
<br />PmfsioE Co&) or lhll lr d rlr L qdpr rha.fron &d rlE h6t for dr .lhgcd ddlgrbn Aly viokrion ofsdbn 701 I 5 by .nt
<br />rFt'li.{ for ! Fnn $biGl3 rhc .t lic& o . civil p.rh} ol ml m,.lhrr firc lDid.d dou4 (1500)
<br />l. B own6 of th. FrFly. or mt.mplolc wilh $sg6 u lhct $lc Nrtp.$llion. will &t lh. @rI ad tlE firrE i mr
<br />'nsi.d q ol[6.d f6 el. {sc.704,1, BsilB &d PNl6h6 co<L TrE (b'rrrd'r LkaG 1!* 66 mr ely 'o - o*ro of
<br />irE ImF! q'h hilt ( EgEs llEG rd *ls &E ui $n hiMlf or lE*lror dtDuth ha 6r lE olt atplolc,
<br />rrovid.d rh.r .xh iryro\tu n mt idold.l orolEqj tr elc If. h{'6q.llE uliEint G hFoGEr b Dld xnh. w }6
<br />ofNopldion. rh. O*n6 Aui&d *ill hlE tE tu&n of Foviig tl'd lE or ih. dil Dt hoild or iqm\. lhc Fllcly for ll* lsFe of
<br />l, a o*c of ih. lioFrr, s.r.l6n.!, codr&rin! $nh li.dEcd tudrdoB ro onrfld
<br />'fi. Fojd (S( 7N4, &!m6
<br />&d PDkrhn Cod. In. Corltulor3 Lic6E l,* do6 nor !!ply to d om6 o I prop.ny who buil& or inpnv.! rh66n.
<br />ed *lo com.*i lr mhF.Fr [nh. codtuoil.) liar.d Fdd b rh€Cotudoir l-kaa b*)
<br />I dncldnt{ unds Sdri.n .B &Pc lor rti! r@n
<br />Drr. Oirr \ron(rruiico iP8sirTio
<br />lEcr.ArArlo!
<br />I hd.!y rmrm undd !c..h, oapdjury on. oath. aollowint &{le.t ioN
<br />I hrrc rn will6i .h. cdifr.r. of C.led b S.lalM. fo. srl6 otrp.Erbn. s Eo\ii.d fot b! Sd.i !700 of iE
<br />L.h, Co&, tu rh. Ffol)tt,G ofrhc s.rt h. *tahrt Fnn a ie.d
<br />I hav. lnd sill n.int.in qoll6 conrFslli.n iBursc.. 8 r.qur.d by S<l[n .r 7c) of lh. Lrbor ccd.. aor ih. FfollMc. of
<br />rlr x!.1fu uh{h rh! Dann ! E.d }lyr.rt6'onE uEr i,enr(ffi in Fl.} n'rtnbd ft
<br />.-.fR-_".J,1 dl_5"..4n_(o.>'ott< ( t^p /
<br />,",,",^,.*l t*. iouiLicrq -.;,- 4q-{,q
<br />l.ariryrh in lhc p6fomar. 6f rh. worl for whichrhi p6nn ir irru.d,l shrll nol mrhy rny p.ron in uyddnd
<br />$ Bio b..on. ruqd b lh. wrt6 onpssdion l.E of(tlifomi., !.d asG lhlt it| snou6 tE oft sutjet lo llE
<br />$o*a NmFdhn F.rab6 ofs.crian u00ofth. L.E{ Cod..l iEll, ronhsnh.onply { nh t s prolbioB
<br />WARNIN(; l;ailoi. ri RU. (orldl comltrsrion .ovaa!. is rnlisful. and drll subjdl Dn orplorr n, oi6n,ltmhi6 ind
<br />.iril n.d ut) ro orc hundr.d lhoMd &ms6 a Fovit d lor rlE
<br />C)ta rf,
<br />DIOAAAIIO!
<br />I hd.try lmrm!D& F lryofFj!ryth.t I h licard u&r Folirhn of OuFs I loffiins *nh Scrhn 7000,.f Dirilion !
<br />of rhc lluriB &d ProfBioB Co&, dld m, licd. i. i. tull lor.. ud.rcl
<br />^ tO
<br />I rtu. ('ls ,/ \- I
<br />-toy'-/tA
<br />lo l7o / t'
<br />Co^ ;lP"'e!rlu!:'S
<br />carEralllf, lgd rElDllc-&cf l(I
<br />Ihety!m n ud.r Fnrll, of Fjlrylhi lhd ir otrrruclion L.dh8.stuy for lh.Flom c. ofrh. "orl tor N hich thi lEnil b
<br />@d {5d !047. Civ (-'
<br />l6r&'! N.'nc
<br />Af,IUI;AtsLIECIdAAIIA!
<br />I holq rfim !.dr p.i!l'y or rojtrry on. of rh. rouos if,! rk lararion!:
<br />D.mlhion PcIheAlb.dc NorilKrbn F.dq.l R.suLrbN (Ink 40. P.n6,
<br />R.qun.d lll'q of tloiiftdion
<br />I .sl'! rhd rh. Ld.r.l ..sxhri.N r.einins 6bd6 r6m\ al d. nd q'dirbk ro rhL lroi.rr
<br />I c6rift rhd! I h,\. r6d tht lpplt.'n,n arrl !r!r. th&l rhc.trr\c inrom.rion is I asrc ro cdmph *irh rll( h:'.Fd Counly
<br />oidimncG Md Sral. l-o$ s rcldi4 n,n6 otrhi! Ciry ani! Cou.', b dlq uFn lh.
<br />.ln\.6rion.d Fspqty I
<br />Appli..nr or AIdt Siihrturc 4- V--_4t
<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 />Torqueing
<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 />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />Meter Release
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