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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE O*NEN BUILDER DEI.C R TION
<br />I h@b, lllm lndd pd.ly of p6rury llln I m Gx6p{ frln lhc Com6dotr Ucc@ L6w for lh. lotlowog 'l!un (Sa.70l LI
<br />Auilld {d Prclobn Cod.): Any Cny or Coudy whth ..q!iE . patu lo conrrud. rlt., urp.oe <belirh or lP.r ny
<br />!rr!cr@, Fb. to "! i!lE.. .!o EqliB tlE 414.,!t fm sh Fiil to frL . titEd n oBr thr lE or * i lilE d F!f,lr
<br />ro rlE FbrirbB of tll ConErrd t Liqr.d L.* (Ch+r6 9, Co@i.8 snh Sdri 7000 of Divtb. I or di &ait6 od
<br />PmfsbN Codc) or rh.r lt d rE . a6tpl $actos .d rlE b6L for fi. nk8.d .rdBiotr. Aiy viohbn ols6iion 7011 5 b, ey
<br />rptlic.ntfor.pmilrubj*t3lh..pplicurrrorcivilp.tutyofiorNr.th&fiEhurdr.ddollE (1500).
<br />l,s ow of rh. FoFry. d my .nIPlolE *ith Msd a rhd $L @nF!!io( $iI & tlE ent rd lh. lrnrrc i rc'
<br />id6d.d dolH fo. d. {Sd r0.l,l. BlliK ud PiorBirB Co<b TIE Conttr,-t Liw t * dE ml Ttlt lo s orE ol
<br />tt FlFty *lE Urldd i.4.6rarlEs rd *lb dc st K* hi@lf or hg*,f or thrueh hs n hd om mphrc.
<br />phvid.d tld luch iFForqE ! G d rnod.d or olEld f.r nE. I[ lFw. llE trilditE or i,qeqGr a $ld vihin m ra
<br />of@rpldbn th. Owno Buitda *ill h.vc llE hrda! ofFoviis th! lE ot !.lE did @l hild or i,'r.!v. l,\. p.oFty for rlE putpok of
<br />!. s ow of tlE p.Dpqr', h dcl6,v.ly coa,-rna $ih lkasn coffi6
<br />'o
<br />o@rEl llE FDF (S<. ?o|{, &6!B
<br />rrd hDtuir Cod.: Tl. Co'!rdor'3 Li.@ L.w &E mr .pply lo u owE ot FlFry * ho hl,ld! or inF.6 'hs6r.nd who oitEclr 6.,!ct Frj6r! f,nh a Contr.do(, lrsa.d pnB@r lo fi. Cortrulor'r Li.ou L.w).
<br />I E .rdF unla Sclhr .B &PC rorrhirm.
<br />EAaf,E8i:-CqlttENSAll0!
<br />DECI.ASAIIO!
<br />I ha.by .mm und.r rbally ol pEjury oE ohh. fouo*s8 d<hrrioN:
<br />Ih.e.rd ll mid.in. CdirEd. orcoM, ro Sdf-lM fd wI6 o6Fldba ! FlviLd lor by Sclioi l7O0 of th.
<br />t bor Cldc ad thc Ff.lM. o I tlE mrt for which tlE Fhn ! itu.d
<br />0r h!v. md will m.inrir wo 6 comp.ns.hn iroumc. B r.q!n!d b, s6r io. 1700 of lh. trbor Cod., for lh. pdfonfuc. of
<br />rort f.r whkh lhi! Fr L isr.d My $ortd conrrdldion i.s.re @it rd polty nunbd ,c:
<br />,.*Ab.crjcqn 7,vi:h
<br />n.r'., n,,* t/{ )-O qk1b ;;!lzeo
<br />4 l.driryri.r ii rrE Ffolll,.e of t& worl f shihthnFni n is.d Irldlmronplote,Fs.i.oyIsE
<br />6ro bdoE $t'rel to th. !o 6 orpdEr5. L*! ofcllit'tu4 dd4rE rhr ill lh.uld tEoE slixl lo llE
<br />6'omFutErFovilnNofserionlT00ofrtrtlldCoa4lslEll.adhw'lhrcmpr*'nhlhoiFov!58
<br />WARNINC: l-.ilu,. ro *u. *orld ompdlt rion .or'@!. i! unhwtuL ud thll $biel & mploF lo omrul FEii...d
<br />cnrl nn6 up ro oE hurxt d rlFu$d dollu. (tl00,(n()). m .dlnbn b tlE cor of .otrlld.lDt <ldrs6 ! Fovll.d for tlE
<br />Sdnn 1076 of rk l,!u Codc uldd.nd fiorE,(. Da vu
<br />uul!!&!!-gru&lclax
<br />D!:Cl '\r{,r I l()\
<br />Ihalbt.IImun&F,ofFjuythrInlicas.durbFo6ion0l(114169(onrltEinrwnhSclbn,oao)ofDivtionl
<br />of rh. Bci6 d Pmi4iod Co& rn my lkde s in tull 6r id ctt61
<br />,n*"*, { (5
<br />"'*2*(o -ZaZ s
<br />64"3? f Q
<br />.-,-"",\3iv16* *lar
<br />AIIIICAII.DECI'AAIIO!
<br />t ho*y .tin codr p6.r, ot FiBy @ of tlt followi.t 4.lrrbd:
<br />Datulhion P6ail}Arbdo, lJotificdbn rb&.1 R.SuhioN Onk,l0, P.n6)
<br />R.quircd Ldrc of Nodr.iiD
<br />I s.iry dlr iE ft(l.d ErrhiE qdila rldor l6dv.l G ol @l.tbl !o
<br />'nir FDt l.
<br />pll cqliry dd I hft. dd thir tpplidio. &d ir.r. lhr th. .boE info@lioo t cdrEr. I rya ro 6hP! *nh dl Cily .!!.t Couty
<br />ordm.c6 ud Slal. k$ Eldi.B to building cotuLl ion. en hacby dutlbrnc oflhi Cily srd Colnl, to otq ulofl th.
<br />abov. mrionol F$rdy tor i(Fd6.
<br />Applldrr or AldrS'ldrur
<br />P.rn,nN nem€ (rrrnr, DAlttc L yct 1qa)
<br />'*H
<br />r,.2^(? -z07o
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountarns
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under SIab / Floor
<br />Bonding / Grounding / UFER q 2Ll DtnI\ crr -118 ?
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release c+ l'>.t 7a DA-'ft.r _*3'
<br />I lr
<br />Rouqh
<br />Service Meter
<br />FINAL + lzq >a b&nrz t* #fr
<br />Notes, Remarks, Etc.tt
<br />Rev 08-07-2015
<br />ID/SIG.COMMENTS
<br />,.,",) -b -?-z o
<br />colirBucuo!.1J8lllc-allBg
<br />I horby .r[m und6 !a.ty otFJ!,, $! lhs! i. . @lnrucli'i Ldi4 tdy for 0r pafolr,e. of th. wk 6r *|lth thir Fhr it
<br />isr.d (Se. ]09r, Ci!. C.)-
<br />tlrdd . Nm
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