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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG COMMENTS O*n6-Buil.L, D.clrri6
<br />I h6.by rftim udr pa.lry of Fjury th.l I h ampr f@ $. Co.rE.td!' Lic6& L.* fq rlq followi.t l!.6 (s 7031.5 Buin..r
<br />!d Prcf6i6 Cod.) Any Ciry a Cely rni.h 'quiE r Fnit to 6rtuct, dlE inFvc daDdi.n a Egrir &, !tru..q.. Fia ro itt
<br />iFJr... .Js Eq$iE t @lior 16 ,Elt Fnit lo 61. . rtn d ,raEt 6r Ir r .[. ir li6!.d Ftur [o rlE Fwi3id of l[.
<br />CoEact UcaDd L- (CtF 9, CdlllEin8 ,i6 Sccid ,m of Dirrio I of dE B6iE -d Pofdid Cod.) a dll k d
<br />.h. t qaF 6@frm -d dE b.i 16 dE.ll.td acrFio r, nolrid of Seao ?Oll 5 b, e, rplior fa r Fmn !!!icd, t!.
<br />lrdior ro . ci,il Fdry of n r ,16 6! fiv. hu&.d &lla (lro0)
<br />_1, ! oMq ol6c F.p.rry, d hy mdoyd wi$ w..6 s rh.t rcl. c@partid, *ill do ll! wdl xd $c fi*ne it rcr in6.Ld
<br />d olt6.d l6td. ( Se roar, B6in< 6.1P6foi@ Cod. Tn CdErrr't Li@ L! dc not.EIr loD ffiof $c Fqdr,
<br />tho b{il<b d inrFo€ tnda! $<l r+o dd rEn rat hirull d h6.lf ( rluuai hir a tn dr oplotc.., F@id.d tha 'Er!inFotffiB e d inGtt d d ofrald ra rd. ltlt CG. dE b{iklin8d irqotqEr i. sld *ntii craoldn9ldql rEOra.8{il4r,ill htE dE h!&t of FovinS dla h. d 3lE no. hlld d inp.oE fd rn F po.. ofrl.)
<br />_1, s oh6 of ln. FlFrr, a d.laiv.ly cqr..iir8 rirh lrc.n&rlortrar ro cati4r rh. Foj&1 ( Sa ?oaa, aqind ud
<br />Pdldrid Cod.: Thc CoE&ta! Liffi trr do. nor ipply 1o u osd of prorfq who buil6 d inprova rhs.d , rd who
<br />6tr*t fq tuh roj*1t with . cmtr&rc(, lidrEd poEur to rh. Cotutq! Lic.u t r )
<br />_l h q6pt u&r S6rro .B &?C tdthBlM
<br />WORI('T6 COMIENSATIOII DECI-ARATION
<br />I hcEby rmm ed.r Frllty or pgjury m. ol th. aollo*ing dalaaidr
<br />I t.r rld pill miioii . Catifcd. of CrrMt io S.$J,l.e f6 rqt4 @ryadi6.. Fvid.d fa b, S.ctin ,7m oadr
<br />Lrla Cod., fa dE Ffdm of dk rdl fG rtid $. Fmi a. i.rrd
<br />_l h.vc Md will tuinlln *6k.6 cdpcnoion iNulre, s r.quiEd by Sdde ,r00 of rh. L:b.r Cod.. fn $. Ffffi. of d.
<br />rort ld which thir Fnir ir i3ru.d My wsk6' cmFndifi inru ecsinrdFliry.umbdu.
<br />Poli.y N6br_ErPl6
<br />{Thn 6i n..d hd b. @pl.r.d if lhcFnirnfdGEhu(H&llM {l100,dld)
<br />I c.n'ry th.t in tt. Ff()l]ME of th. pqt fr phich $is pamn ir i$u.r! I rh.ll no. oploy uy rffi in uy lMnn 3o s tob6h. tubjer ro th. wo*.o cmF rltio l.*r of c.lifmii, ud {rcc rh ilI shoutd bc&m. tubjet to rh. wdt6'
<br />cfiFrFtion provniu of Sdi6 ,70o of rh. L.bo. Cod., I th.ll, fodh*tt cndy *i$ tie Fovii*
<br />WARNTIIG F.il@ lo 6@ rdi c&rFrai6 covs.s. t @lotul, !d !n ll Nljd 3 ndorr ro dininrl Dadti6 &d cinlfii6 up to c id(ild d@t rd dolln (l lo0,00o).in rddnid lo th. cdr of c@Ftri6. drn.86 6 Fovid.d fd dE S...i6 tO76 .f
<br />th. Lrls codc, inrGr ud r[nD.y't f6
<br />ucErtsEn coNrn clons nECL naTtoN
<br />I ho*, rfiim unrld Fdry of Fjury dl.l I h lican d ur& Fwui6 orott9.r I (@ina,i6 Scad toOO) of Dvirio, of
<br />$. Buin< -d Profffi Codq Dd ny li.'E i. in fiJl foE d .fLa
<br />C(,ISTTUCfl ON T-ENDING AGENCY
<br />I lE$, .rfim u6d. Fdry of Fjury $r drc it . cdrsucio l..dnS {orc, fa dE Fforrc of dE rat ld *l'id rnit Fmt ar
<br />iuu.d (Sc ,097. Cit C )
<br />AIILICAI'T'S DNCL\IIATION
<br />Dandirio Pahid-Artaro lL.i6di6 Fc&.| R.aullid (Iid. aO, an 6)
<br />_ i.!q!aEd L.nE of Norilicrid
<br />_l 6ify lh.t ln. fcdol rcslllnfii aSddinS ahd6 r@ov.l ,c ior.pp,iqU. lo $L prcj*1
<br />_ I 6tfy fi!, I hrv. Erd di! .ppli..ri6 Dd n ic ln! dE .bov. inadfuio ir ffiL I .aE ro 6npl, wa$ rll Cir, &d C@r,adiM6edstll.t r rlri4 ro toitdina durlrcio. d h6!b, &thfir lq.!.a'ur€ of 0ri5 Ciq &d Cory io ara !F.i dE
<br />.lbY. nglio.d FlFt, fr iBrdid F4G
<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 / Oampers
<br />Communications Cable
<br />Bu ilding
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<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)E\,EtI EIEFT
<br />Meter Release
<br />ccl tnr rnt
<br />Rough
<br />Service Meter SAI'C E 4it, Z9O, 5Ct , oo/
<br />FINAL
<br />Notes, Remarks, Etc.
<br />LicgE CL. _ Li6.. Nqlq
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