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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Or*-Bd.tr Dal&.ti6
<br />I talty rf,im uda Frlt, of pdjury $al I 6 a.ttrPr f@ th. Cdln td' Liq!. Ln fd lh. followin8 tEd (s.703 I t Baine
<br />ed P6l6tid cod.): An, Ciry r Couty which Eqund r Fmn b @Eucr. rlE. inFM. ddidi.h q ,q.i uy rlrudw. F6 ro iE
<br />iauec. .l& i.quic $. .{?laor f6 iucn !a6ir lo lilc . tiin.d nrroMr rhd h. r .h. i. lic4.{ plJlrer io th. FoviriN of rh.
<br />C6Erdd! U6.cd Le (Ctal6 9. C.o@in8 i$ Seri6 ?0oo of Divirio I ot dE AuitE od Prefdi@ C.d.) , lir lE a
<br />.h. n asnt tlErlifi rld d. h-n fn tu .llq.d asrBd Any violdo oa S.aio ?03 I 5 b, ny +di61 fa . Fnit hDiG6 0E
<br />ry9li6r ro t dvil Fdiy of nd m |[a 6E h5d!d dln (tsoo)
<br />_1, ! omd of th. FE?.ny, d my .orploys *irh *.86 ! $nr $1. c@Fa.r'on. yill d. ri. *dt od th. rtsEtw t nd incrdr ofi.Ed fs !.lc ( S& 70/,a. Buind ud Prcfeidr Cod. Th. Cmolfur Lica* Irr d6 nd +!ly to e ow of $. prcrqry
<br />who buil.t5 or imFovq thc,@, Dd who d6 rst p6r hiN.lf o n6df d rhrcu8h ht * hd @n mployd. Fovid.d $x 3uch
<br />inprovnal! e nor inrad.d d offdd fr r.l. li hw.v.r. th. buildirS d imFDvdar i old wirhin m y.r of .mpla6. tll.
<br />Omr-Suil& rill hrw ln. h,.da ofFovinS tll, h. d rlt n(. blild d 'mFoe. fd 0E pr.p... ofr.lc)
<br />_1. . olE of rb. F.tqry. 6 dclaidy cdlrritr3 rnn ficas.d @Errd! lo cdfu $. Flrd ( Sd ?oaa, Bsa6 lrd
<br />Prcfaio Cod. Th. Cdrl1d! L6E tr* d€ ior Tdy to, (ffi of FlFty rho hdl& a irr.oE rhdtdr ,.rd *!o
<br />@r.u f( ,6h Fj..a *llh . C6aand(, 1,6..<l F6El @ $. C&Erar Lic.M L:r )
<br />_l D.r@F un.ld S.cio. _,8 & P C fa rtt ro6
<br />WONXTNS COMDDTSATION DCCLARATTON
<br />I hd!b, rmm unda Fdiy of FJU,y 6. of rhc follwint delE rid
<br />_l h.r. rd *ill rinr.in . C.ni,ler. of CdMr b Sclf-lt[E fd wdtd' 6npa{lid, ! Fovid.d fm b, S6ri6 !?00 ofd.
<br />trbo Codc, ld th. pdfofue of th. *dt fd *l ch rh. pdhir it isu.d
<br />_l hrv. Dd *ill minnh *dta cmF!.!d idtuE., a r.quic! b, Scd6 l70o of rhc Lior Codc. fr thc Ffcrucc of dt
<br />wdt fd -hid! thn pdm! t iaEd My *dta drFrdd illtl@e 6id ed policy nmbq c
<br />Polic, Nuhb.r Elpic
<br />(Thi. rccn@ .ed nd b. cnpla.d if rhc Fmir i! fd or. h6drd dolla ll l0o) or ld)
<br />_l6rify ln.I ir dE Ffo e of $. rort fd qhid dtir lETir ir ir!.4 I rh.il n.r oploy &y Fo i. uy lmr6 & ! rob.(m su.a to $. rqta' c@FErj@ lM of Crlafft il ud .8E tnd'f I rhdld bc@.* objd ro dE rEt'
<br />cotqd!.1i6 Fovirid ol S.aio J70O of ln. t-5.. Co&, I .hnl, farntilh cmd, *ith de F@id
<br />I'VARI{ING FnlE lo ,eur. worl.c cmpcn!.rio. cov...sc i! ul&ful, sd ih.ll lubjdI & frploycr ro 6imin.l F.ld6 &d civil
<br />fi.6 up ro d. hunrlrd doled dollD (l I m,ooo),in .ddinq to lh. 6t of comFrrrim, dsn.a6 u provid.d fo th. S..lio ,076 of
<br />th. L.bor Cod.. inrd6r ed .nm.y'r 46.
<br />UCEI{SDD CONTNACroRS D'CT {iATION
<br />I hdb, rfiim uxts Fdty of Fjury $i I m li.d.d lrxl. piErsio ol Cr!.Fa 9 (ffii.a rith S.dio ?mo) of Dvnio , ol
<br />lh. Buind !*l Pmf6i! Codc. &d m, lic.e i. ii full ldE &d cff6r
<br />SANSIf,IICtrAIIJdDBG.ACACI
<br />I t@!! .f,im 6& Fdq of Fjur dr $@ i. . dsluaio lddiir ..dEy la dE pafdrrEE oa dE ,at fa rhid' di. Fni i!
<br />iarcd (S< 3097. Civ C )
<br />Artr rc^N.t-s DEcL tafloN
<br />DaDlilo Po iE-Abdo llo.ifcajo F.d6.l Rcrll.ris Gnh,t0, Ptl6)_ l.qri,!d t.nd of Noiificai6
<br />I 6riay $d th. a.da.l E8d.rim E8adirr !b6!d r@v.l G no. rrpli.lbl. ro lhi! p.ojcl
<br />_ I .aria, rha I h.v. rc.d rht .pgliori@ Dd !br. lhi rlE r!ov. if,fomrid ir.oEd I aSre ro conpty *irt 6ttCiiy ud C@iy
<br />ordinDc6 ud St tc L5wr rchin8 to blildirB c@E!cri6, ud hdcby !u$diz. E?Bqr.li v6 of rhi! Ciry ud Counry 10 @E !p6 rh.
<br />!bov. n6rid.d FEp.ny fd in.Fdi6 pc,r66
<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 />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)
<br />Meter Release EXPIR D
<br />Rough rc.tr u I (UIJ
<br />Service Meter SAii lc B-43, 290 55€. 867
<br />FINAL
<br />Notes, Remarks, Etc
<br />^p9h{r -.Ba!is u C--,ZO /
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