ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG,COMMENTS OWNTJR NUILI'ER DEI,CARATX)N
<br />Ihcrcbyrltumu cr pctrdxy(n lrrjry rhrr Ioncxctrr li0n rhc Conkr.ro^ Li.ci\. Law fr, rhc follosine rcastr (scc.?oll5
<br />B!\inc$ rnd ltolt$i{,n Cdc): ADy Cily or Coutrry shi.[ rcqutcs r Nirnir 1,, cotr{rud, ilrcr. improvc. dcnn'hh d rcnrn iny
<br />ifl.rurc. prdtu irs is\urn.c. rl$ rcqunc\ rhc rpllicJ f(n such p.nnlrb fil.r \ig c.l i,rcrftnr rhd heor rh h li.e s.{ lurstr.tnr
<br />h rhc pn,vi\ion\ or lnc Cotrrrrcktr r l-icrnscd l-a* (Chaprcr 9. Commcncirs *ilh Sccrnrn ?(xD oi Divnion :l ol rh. Bu\inc$ and
<br />Prufc\siotrs Cod.).r rllal h.orsh. k uc'nfl rhcrcrio Dnd rhc h3\i\ li'rrhc,llcscd crcn,pri,lr nylidnrn,norsr.ri.n70-ll5bydy
<br />rNli.rdfttrrrfinrirsxbjr.r\rhcnppli.rnrt'r.n,illrulryofnorlnrcrhanfiv.hundrcddollaA($5m)
<br />-1.
<br />as owmr oilhe pmpcny. or mycmpk yecs wilh *i8cs.s rh.n sb.omNtrs{ion. silldo rhe *dk.ri thc (MUrc is nol
<br />inrctoLd or ofr.r.d f(r sl. (s( ?()1.1. Busims rnd Profc$ ,ns Codc Thr Conr{cd s I -i..n* Us d..s tu apply ro an owncr of
<br />rhc rDpcd, uh) hilds or i'rym!$ ihcrc,n, aod who dN uh uo* hinlclfo, tcr{lfor rhn,u8h his or hcr own eDpl{,yccs.
<br />provincd rtul such inr[ovcnEnrs N nn ir cndcJ o. ollc!.{ for eh. Il howc$r llt huihinA o, illlrorcmnt is sld sithin om }c*
<br />ofcorrhriotr. ih. Owncr Builds will hrvc rh. hurdd ot fn,ving rhd h. .i shc dki mr hxild or innoh rhc fmFty for rlE lrrtFs oi
<br />_1. rs osncrolrhc rDpcny. omcxcluively conrrccti.E wirh li.ctr*d.onki.ktrsro consrrucr rhc proi(r (Scc. 1041. Dunre$
<br />nrl hDfcssir C.dc Thc cl)it.cktr s Lic.ns. L,w docs fr stply rn an own.r oI l(,p.dy *ho hniltls or imp(trrs thcreon.
<br />nnd *ho co rradr for such lr{,jc.k wirh r c.,nrEct)( n ltctrrd pu^uxnr b rhc Gn rrnn \ Li..h\c 1r$ )
<br />Lncr.npr ond.r Sdi.n_. A &PC fo, rht rc,son
<br />Drl. O{ner
<br />woR(Efs' clrl PrnrsAToN
<br />DECIAf,AIIAN
<br />I hcrchy.rfi rmundcr Fnllr, ollojuryonc olrhc followirE nehrarn,trs
<br />I havc and uill E,inhin a Ccn ilrarc ol C.nrrr h Sclfl nurc for sr[c6 .oo,Fnsarion. rs prolidcd tor by Sc.rn,. 37ff] of rhe
<br />Irhor Codc. Lr rh. lcrforro.cc oilhc {.,k for rti.h rhc !.ihn is i\{d.
<br />Nlr2
<br />lc.niiy rh(r in rhc pcrri,flrutr.c,,lrhc *qk tu q,[]crr rhi\ l]crnrir is n{'.(r. I null nor cnrplay !ny pcrson in !ny nrmn.r
<br />s Nk,tr.. f,$bidt,rlrwo cA.o fcn\rrion lrq\ol (rlii{niir rnl +ft.nrr ifIdr,ukl hc.onr \uhl..rtorhc
<br />sorkcr\ .oi1p.i\rrn ptuvNion\ofSr.ri, -17(X)ol rlr l,uhr(l !.1\l!'ll, fdlhsirhc. rd! *irh rh.* !6vni.ns
<br />.ril litrr: ul, i,) oru lr0 d,.tlrhotr\x Ll(lo
<br />)#/(iib'"'":
<br />l]l!r atultf
<br />, hcEby u,ltm unlcr r.n0llrofFrjury ln0l I unr licc.scd undd lovkiotr ol Chtrflcr 9 (omnEncnr8 wirh Scdion 70qr) olDivisior l
<br />of thc Busincss0nd PmtcrsionsCod.. Md trry liccn:. is in tulllor.i dnd.frdcr.
<br />A 6b
<br />(I
<br />lllrlll8ll.l1|!-.LllUM.i.lLllll
<br />I h.6by alRrm und( IEmliy ot |tijury (h,l rhcE i* d.onsrrucrion kndnrs as.n.y f* rh. pdn mrn.. {
<br />isucd (Scc l0!7,Civ. C ).
<br />sork ror which rhis Ernir a
<br />ATILICANLDECLAMIION
<br />I h.rchyafiimru crFnallyof Frjuryorcof lhc fdlowin8 d*lmlions:
<br />D.rmlirion P.nnirs ash.rkx N.rin.artn Fcd..rl Rugolnrionr {Tirlc rl0. Pd6)
<br />R.quircd lJ(ci of Norifi .ark n
<br />_l ccnil, th.l rhc fcdcr.l rcAulirions EErdinS Nhr{os rcm\,rr.rc mrnmlica$h h tht proFr
<br />l&niryrld I hlrc.cad rhhrppli.rri,)n ffil(rr.rhrr rhc atn\c i.turndi,nr iscorccr l.sreroconrlywirh!llCiryandCo!nr!
<br />onli',xn.cs rtr,lSfurc l r$\ nl irg n) htr irs consrruclioo. arn ncrchyaurh.rn rcl,cs.nrlrivcs olrhn C y!trdCounrtk enrcruF,nrhc
<br />rtxr. nrnr (
<br />'n.'1 |t'trny li,r
<br />wVr4U
<br />,","-aptllb
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />S pas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dam pers
<br />Buildinq
<br />Under Slab / Floor Ylttt /tr ft///U,/1 /r--/
<br />Bondi ng/Grounding/UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bouqh)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service I\/eter
<br />FINAL q//r//*trvlr,rt't*/t-->
<br />Notes Remarks 71--1-
<br />u
<br />Lrrdcr \ Addrc$'
<br />Communications Cable
<br />Sub-Panels
<br />EIC.
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