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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDI.R DET'AN TION
<br />I harby tfim u,r& Frry of Fju,y rhr I m ddDr 6.o rh. C6nrIl6 La!& t w for rlE blb*iiS ,a); (se r0] 1.5
<br />B€iaa !d Prohliri Codc): Any Cilt or Couny whah i.qut6 i Fmi' ro @dNd, .tq, i4mvq dmlirh or q.! oy
<br />,rudft. Fti ro ir irljl@. rto E+iE tlE .pgliDr for s.n Fnh ro 6L ! sis*n nnffir thr lE d .t i !t6!.d Fri,.4
<br />lo $. provlio6 otth. Coatt-l6l Lhor.d r!* (Ctqrd 9. Comd.ing *nh S..rion ,000 ol Divbbn t ofdE BBit6 .d
<br />Ploft.bd Co&) or dd lr c rlE L qdd thc.non &d lh. bdi td lh. !tl.8.d ddplh Any rtlai'. ols<tb. 701I 5 bt ey
<br />.pplk ,n for . FEn rbjcl lh. +plicul ro . civil p.olry of mr DoE rhd li!. hund..d dolla ( lt00)
<br />l. - orG of rh. FDFrr, or m,dplorc uilh s.A6 & $.n $h omFEnion. will do tl' sai tn .in tc; d
<br />irod.d otfc.d for rL {Sa.?044, BoilB &d PrordioE Codc Th. Co' rtloi. Lt.e l.* doc,Ft 4pl, b E orE of
<br />tEFnFt sho buald or !4.o€dEFtr ai wlD rh€ Mhs hirelf or lElf or rkouh hi! m lE osn orFlo)6.
<br />Fovi.Ld th.t uh inEov.E$& d irro'd.d or otu 6r rl.. l[ h6q. rlE hlildi'B d irrro\rEr a$ldsihi.@rr
<br />ofompkia tlE ol,E Euilla witl llw rlE hd.i ofFltlr d- lE G JE dil d hild d inlFnE ItE FoFly 6r lrt FJ,rc ot
<br />l. d NM of ilE FDFrr, m d.luiv.ly.offiin8 r nh kd!.d @ rrl6lo co'urud rE Fojd (S( 7u4, Barnd
<br />&d holsa. Co<L TlE Co r-roa! Lic.@ Lr$ d6 br !9ply ro e 0*6 ofF.pdly who hril.I! or impr.v6lh6Rn,
<br />ed $ho odr*rr1 .u.fi Frillr wi'h. Codr-ro(, ,i.a!.d por$rr tolh. Colro.iolr Ltru l!*)
<br />I m .rdF uds Scrbn
<br />naatrE8lcIluflNsalla!
<br />DISAAAIIA!
<br />I hs.ny irtrm und6 p.nrhy of Fjury o,. oflh. tolh* irs &clrnrB:
<br />I hlvc !d will Mifl.h r CdrifEd. of CoMr ro Sclf-leE ltr erld odFario.. a Fvir,.d aor b, S..lnrn !700 of th.
<br />Llbor cod., fd llE Ff lffi. of tlE qEt lu *tich llr Fhi ir i$.d
<br />I h.r. !.d will mifltu $rrt6' .omFs.lb. itullfu.. s r.qun.d tlt Setior 1?00 o f th. L.bor Co<t . lor rh. Faon1@. ot
<br />th. tr I ld *hih
<br />'hit Fnir it isr.d My rs.t6 .omFEdiln ilsdc. ni6 ard Policy numbd t.
<br />-_ I.dily$d f rlr Ffolr@e orrhc sort for *hth thi. Fnn t 6r.d.I ndl mt atrPbr uy pd$n in &r n@E
<br />$ B !o tEomc r!6al io fic h 6 omFMbn l$! olcrlilomE !n *r oli if I lhould b..oE st*\l ro tlE
<br />worta' @mFelion Flvilioo.ascli.n ,7m ol th. t hor Cod.. I JrlL fo $nh @mply *hh $o*,nlviriod
<br />cn'l lin.r up h oE hundr.d thou$nd dollin lSlotr,lnr0l. ,n tLld 'on
<br />(r rh. cos oI .. d.ru!6 a Fo\ijcd fo,lh.
<br />sdrio. 1076 of$. trb.r (ii., inr6d md dhrEy'.
<br />2
<br />I hqrby itrm uib p6.Xy of Fjory rhl I e licq!.d udd Forbi.r ofclllpg 9 toffi i,B wnh Sdbn ?00n) ol Div Bi,n l
<br />of th. BuitB .d Pr!tu n6 Co<L. ed dy liaE ir b nll lilc rld .l!rl
<br />-r-*.\
<br />carllaql:IlallLEBltlc-ac[[qr
<br />t hq.rty .mm und6 Frny o rFiury rhr llEr ir . srE EIbn lqdin! .sd, for rlE pqfoi1@c. of th. worl 6r *nrch thn Fni a
<br />N!.d (se 10e7. cir. c )
<br />arErq$r.DtcldE :ua!
<br />I hrt,.fm u'dd pa.r, ofFiu'y oE ortt bu.,$br.l(lrriEl
<br />D@lirb! P@il.-Alb6rot t{oifEdio! Fc&..t Rc8lhioB (Ink a0. ?d6)
<br />R.q!i!d r,6i6 of tLiin ii.
<br />_l .crify rhr dE &da.l ngiJ.tr rRrdi.S abal6 @trl G br @ltlb! lo thn FD!:r.
<br />I .qify rhr I lB. od Oir .pplarbtr rn rd. llll dE *ov! iiforD.lioi b c6cr. I .src lo ooply whh .ll Ciy .d Cou,ny
<br />rtrdi k6.nd Sl.i.l,*. ELirv !o hlildin8 .onfudnrtr dns o f rhi cny &d coor, lo atrc l+o. ilE
<br />rrbr.6rb..d FoFlt
<br />\pplicrnr or ,lrcnl Si*n.
<br />lcrnhenrf,c(Iritrtl:
<br />ll 16 /4
<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 />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Jrrleter
<br />FINAL 7/r/2d2/!furA ./rdt
<br />Notes, Remarks, Etc.
<br />wARNlN(i: F.ilu. ro su. wo,k4' @oFa.lnrr colms. 'i unlr*tur. &i rh,ll obF d mpl.aF b ainiul FEli: dld
<br />",.,, tl-/6-/6
<br />LicG CLs
<br />^,. //- tb: 14
<br />Sub-Panels
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