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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O$NCR OI]ILDf,I DELCARATIO'T
<br />I h6.t y lmm un& Dqulry of p..jurt $n I m dmB to; rlEconrrxloB t-{a*lis ao( $. lolh*in, ra$n (Sa 7O1l t
<br />Buindr sid ProlBion cnl.) AnyCiryor(ou y vnich ro]ut6 a Fnh ro.oMruc1..116. imProve &@lirh; i!p.n dy'
<br />nrudoe Innr ro ns isuucc. .lso rcqun6 rh. .pPliDl for ruch IEmn to filt ! lisn d llro rhd lE or ih. i licd!.d PuEUer
<br />lo rh. Frsi)s of lh. ('..rstorr l,LE!.d 1..*' (ChlFq s, ( omtrins $ ilt Srlhn ?00o 6l DivBio. I of rlE BBiB &d
<br />PrcfBioN co&)or rhr L r rlE u.rdiF th6.nom dld rh. bdt for lh. rlks.d doftFh. Ar) \ iildion ofsali,n 70t15 b, uv
<br />l!?Ii.a ror ! Fon lubrfir rlr l9plkd h . dril p.naly of mr tur. rhe fi\. hufllt.d doll6 (tt00t
<br />l. 8 owE oath. FoFly. ot dy mplo)B *ilh *tgd s rh.t $1. compdilioi, *ill d. ih. w.d. a rlE irudGj! mr
<br />nndx!.d orolT6.d lor d. (s(.?o44. Buind ed PDa*io Codc Thc Conlr.ciois l.i<.e lrs do6 nol .9p!y ro u o*n6 of
<br />(EFoFiy sh. tdli or iIp.orE Ee.!.ti llh &c a.h n* hirelf or hdlf or fircu8h hi3 ot hs os al9loyd,
<br />ForiLd rh.r uch iBForfitu ft d -rdi.n d dk tf, -l 1,, tn*6€. rrE llldlv .r ltprsqld i -l] *rhii G )t
<br />ofnxq,Ltia E(nE &,ild. *ill hd! E hrddr.f F.flB:L lE d tE dd r't hlld d inp.o\! ln. FlFty 6. d. F FEor
<br />L cown6ofth. pmDcly. d .tlusiv.ly.omrt.rins wnh li.6$d conldclod lo codtucl rh. pmiet (S( ?04'1. Buin*
<br />.nd Pblnin Cod.: Tnc ( .nlr-toar Licru hw dc nor 41ply tii M osn6 .f In.paly * h. ttrrl4r or imp.or6 th6@n,
<br />&d uho colnrl! &r Nh Fnjd3 snh. codr-lo(3) li!!.d pu6.d b rlE (bdr-d s Liug Ls)
<br />I crofl und.r sdD..A &P( f(trhk.@n
<br />Drl.: OBn.r
<br />woRKERs' ('{ rnr ti NaiirloN
<br />IECIASIIIA!
<br />I h6c},t rftm u.&r Fuht ofFjlr] on.otrh. tolhu sd<lfdhE
<br />I h,!. nd *ill f,rinr.in i (-.nilrcd. ot Cocot ro S.lt-16u. f.r $ 0116 smF!.iion. 6 Fotiddi for by Sdmn :1700 o t ltt
<br />Lrbor ( do lorrh. p6tomo.. oflh. wo fo. $hich lh. p6rrt i iq.n
<br />f rrar c rn,I * rtr mr,nra,n * o116' comFurFn 'BUre.. 6 r.qlircd hy SdFn 17()O or rh. lit{r ('o&. tor lh. Flotu. of
<br />ih. tr.rr fd tr hrh lht p6mi ! sEd M) *ffI6' 6np.MF. rMltr..eF ,i pol{y numbd d.
<br />'*'' Sazrret h\euxat\u c"
<br />,",,.,*,,,"* BUr,l.rV!p I Z+l\ K *on*-1f 'f a ()
<br />I cdit lhd in thc Ffolrr*. of rh. $orr &, trhrh rhs Fnn n isu.{ I !h,llnor frlb, tny Fsn in er 6ffi
<br />D B ro h<!rc ot*rr t. dE {odt6'mmpoErnn hB of Cnihtu. art +r rhi if I iuld bdoc $lirt b llE
<br />*!*d' @iFqtio. Fov!i.'d orsalion 1?00 of lh. tibor Co&. I JdI fonh* nh o,ply \ dh dFt FnttioB
<br />WARNING: lailo. ro Bu. wrl6' comlaBlrion .or@s. i! unllwful. ed thill lubj<l d onploF ro qini@l pcuhB ed
<br />cn fin6 u, ro om h!n&.d lhould dolLD (l I OO.0OO), in ddnion to llE .on of conp.8.tio.. druS6 a provid.d lor llt
<br />S61io. !076 of rtE t !.. (o(k u{..n drd arsrq 316
<br />.", l.ie? laoe o nor*,. fu1 I I (Etrsra cot I R^a-mn
<br />DECBAAIION
<br />I h6.by illrd uids FrX, of pdjlry rtc I M licd!.d ulda pin{ioi of (1EP16 e (com4oe *iU Sdioi 7()m) ol l)ililion l
<br />ol th. trsir !d PrefBrN Co&. dn my h..B t b tull ilrft !n.lrdr
<br />caD r")q&&+
<br />,l*+#,n*.n--TLP Elerlac-EAS
<br />coNsrxl}a_rlo Lr,lDlrlc aGENcI
<br />I hdtb, .rm m&r Frty of Fiuy lhr llE. i . @luru<rbn lndnB lsdy for $c Fr(ffi. of llE ro.t t', {t.h rh! Fni i!
<br />Lru.d (S( !097. Civ. ( )
<br />Iad6 r Nam.:
<br />AII TCAELDEIIISAIIA!
<br />I bd*t .fm u.<kr Fr.hy of Fjuy oe of rh. followin8 dc.LnlioG:
<br />D.ftolirion Pmn!-arh.tor Nolifi c.Iion F.dol Rqulaltont (1 ill. 40, Pe16)
<br />R.qqia, tAd of Ndif'crit
<br />I carit rh, lh. tda.l r.suldiod r.srdnu st6o] rmrd a. 4lE.bk to fii Proi.(
<br />)C d'rv rhrl I lov. md rhir .Dllicdrn md {!1. thd rhc lbot i.loodi.n i! c.nccl I asE lo oDply wnh aI cnv &d countv
<br />4dlJs6 od Sl!r. Lrw EldlB ro boildils.utfudror bd hdd,y lultE.iz..q.enr iv6 of lha Cn, md Cout v lo 6ld uFn dt
<br />.bo\. lmurftj popcny ftr
<br />.tppli..nt or ,rrmt Shn.lur.4nzFosl
<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 />Bondinq / Groundino / UFER ,l|.bl'to1L t<a>
<br />Transformers I t\
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilinas (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh -,<\
<br />Service Meter IWb -tu tcx
<br />FINAL I ,tatbl f,-,*i.,u fTn-/
<br />Notes, Remarks, Etc.U I
<br />fi'^"d-'
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