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ELECTRICAL.INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.OWNER AUILDEI DELCATATION
<br />I lr+br.,Im u .r FEuy oI Frtrr rh.r I d.&trp! fto6 rrE c.dn rd tiw t p lor ln. folt,int lNr ls6.r0ll.5
<br />aoriBr .rn Pref*b. Cod.): Ary Cn, or Cddy enan E{uiB . Fni lo @nrr41. l!d. in9.oE &mlirl' or EFi ry
<br />(llfu. Fid to its n'll.m, tlI ngliG llt rtplt! fd ch F !l 16 6h. tircn di.mr rhr lE d tr l lianen FBd
<br />ro rlE F.vilbN 6f tlE ConrBlor'r Lknsd L.u (Chrplcr 9. Conftriry wirh S..rbn 70@ or Diviion 3 ol lh. Bu.iEst trd
<br />Pmfcsi,nr Cod.l ( Oll tr d,rE ir.envr rhddDmrd E h.ri, for tlE dLSld.rcd$i:n. AnytbLri,of Sdbn70]L5,uy
<br />.pplior for ! pdrn obFl3 rlE .Ipli., r. r civil FBhy of Dt eE rh{ fiw hlnrtld doll.6 (lJ(I)).
<br />-1.a3owrcror$.pmltly,ormy.rphFes*ilhwa8.ssllEirslcc,n{En.dbn.eilldodEm.rittEllnrrEismli, ffLd ry ofcr.d for rI. {SE 701.q auriB .rn Ptofd.idd Co&: TIE conlEldt LieN L.w &.s rEl .p?ly lo u .rE of
<br />ttE Flldry sb hoil& d !lT.!E dEEa .,n lho d6 rh qrl hirela m ltElf or ll@!n hir d lEr rM.tq'l,F.r.
<br />FtrviLd rn!! :Bh frI,mhllEfu c d ddd.d - or.r.d ft, rh. ll hoM, E tliu!! G ihFftrn i! DLl *tth w Jd
<br />of6trplri,r llE O*Er Brilld wiu llE tlr hnLn of provinS lhr lE or {E dn d boild u irpmE iE PloFiy fa llt F+or of
<br />-1.
<br />arwEordE FIdy. m.rtunElyo rdir3 eirh lirn*i snr,xroB ro snrrBr dE Foj.( (sa.7(xa, Bstrs
<br />.tn F!i{.r,nCod.: Tt C6.k-roar Lk.nr l-rw des mr .pDly ro u osNr oa rEoFny who 6!ild! 6r iErec! rhtmn.
<br />!n'l who .snrErr nr tuch llqc.r3,irh ! c.nrero(, licnr.d punud'o dE conkkrorr Lt.nr Lrw,
<br />I amcrq'l urll Scli,n-a & IC nnrhnr.J!)n
<br />D.l.:--. o*n.r:-
<br />-
<br />worxrfr prrirrro*
<br />D!GTJiA!Od
<br />I hc6, .rm un&r FBly of 9arury oE orrlE fouowhl <b.Ldim:
<br />-l
<br />hrw &d viu mi.,rir. Cdrilsl.otconEnt ro s.ll.lBuE l srl6 mdrp.ndb.. s p.ovid.{, fo! byScrio.l7@6flh.
<br />L.!or Cod.. rq rE rEf{rnrN oa iE ErI f( *ti.h ln. Fni' t isf,n.
<br />I hlw lnd eill nuinrin wo.kc6 .o"rrEner ioo insu[Ec. .s rcquird by S&rbn ]710 of th. Ijtrtr Cod., for $. IEfrmL! of
<br />rlE rcrk lor uhtn lhis Frnril is ntun Myworkdi cotrrrEiralion inruancc cdbr !r,lblky nun*Er E:
<br />_l c.nfy rh.r 'i Ur F fom(r of rh. *ort ld *hrh rh'r p.rmi n iiiEt. I sh.ll mr .nploy uy Fmn in o, nl,rF
<br />r, rs ro b..om ruli{r ro rh. crcntd o,F Erlbn L* of Cnifmiq .rn {E dd if I ltnuld beom sllis b rlt
<br />vort6.omFnslionpmviionsofSelior37mofllELrErCn<h.I$rll,rodhsilh$ndywilhrtbsPoviiotrt..
<br />T'ARNINC rdbE ro ile @16 o.+.Eti,n 6ritc !i u.hwful .,n strll {bF u dr?loF r" ciind 6dir.dcilil fftr u, ro oa nuldEd tho$rd douIr ltl@.000). m ndai6 ro lh. @c or codp.nFrion. d.tr{lr & tioviLd lor tlE
<br />ann dhttY'
<br />^DD{oIl!-:-+
<br />smrion 1076 ol rlE lrbor c.dc mrftn
<br />-,,,- t( lzLl_u
<br />I hcrcbyrllnntr .rrorlryof prrpryrlui Irtrrl'(n{rr lm,vision of( hrpr6 9(.unrrNin8 wrt S6.'ii,, ?(xi,) ofDivii,n.l
<br />I h.E6y .tfrm uflld FEly of psiry rlrl dE! ir r @on dir. bnilt {m, f6 rrE ,afdlrE ol0r wt fd *nicn rhi FDi i
<br />L!n&n (se. loqr, civ. c ,
<br />AE.I']AALDECIJIAITOB
<br />I My .trmr unlcr FMhy ol Frrury orc of lll follo*in! &sLdl io.s:
<br />D.mhi'r (smil' Ast ,tur tlotir..rion k rl R.$Ltionr lTirk ,lo. Pd6r
<br />__R.qund L.trd of l'*r,fdirn
<br />-l
<br />@rir, rhd rlE Gd.rrl EruLti.n! rsldjnB BlEror rfr,hl e m' +rlr$L k' rhn I,DF|
<br />I c.nify lhrr I lav. Erd rh6 amlirrio..rn 3hr. rhd! rtE.h,w inro,mlir ir.oNl. I !s@ !6 rtorly etrh rll Cnydd (tunry
<br />odinsftcs aftj sr.rct $ Eld i.g r. buildi.s consrtudiotr d h.Eb, rullbrtu rcE.snt.rivcs of llir Ciry !.d Counry ro cor.t uF,n llt
<br />!h'vc rtrri,Ed pop.n, rff
<br />Appli.rnl or .^!ml SiAMtuF
<br />N L
<br />- *JlfuZ
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Sollit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Ivleter Release
<br />Rouqh
<br />Service Meter
<br />FINAL 2-z"a-V 7. N,'Z> ./-a-,)
<br />Notes Remarks, Etc.
<br />COMMENTS
<br />(+,
<br />of r BuiB .rn Piof6i,6 Cql., rn ny Etc i! n tuI toe td clI.d,*"Hffi,WI
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