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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases S1o/rt St(/,r">ftlpo+ l*eurtls orrtl
<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
<br />Rough
<br />Service Meter I
<br />FINAL tJtzlzr,1t ^Notes, Remarks, Etc
<br />tl (\
<br />OrB.AuiBd Dcl$.rion
<br />I h6cby .rli.o ui<16 Fn lty of Fiury lnd I m .I6pi fm $. Cnrdm' U(.M L.* llor rlE followirs .as (E 7Ol t t BuiE
<br />ud P.ofcr&on Cod.) A,y Ciry or Cou y *tuch rcquu.r r p.mt to @nrl,ud, drd, improv., .t.mtirh o. i.p.n Mt tucrr., Fior ro i6i'ur, llb ,.{un6 0!. +rlid aor act Ftur ro 6l. . ng!.d ,r4ir tntl lE d dE it li..r.d FrEd b rtE ,ilviliod of rh.
<br />ConudoarLieed LN (Chrprq 9, Com..dng *nn Ser'on 7mo orDivnion I offi. Bu.inqr ud ProfBrioB Cod.) thth.d
<br />rh. { &nB tls.EoB.d rb. bsir for tlE.ll.Acd a6rri6 Ary vDldi@ of Sdion 7o3 t t by 6t.plh6r fq r Fd abjcc! tn..
<br />.Fpli@t lo.crvrl p.n.hy of not nor. fir nv. hundr.d dollur (tJoo)
<br />l, a o@, of UE pDp.ny. or my .hploy*r *nh w$6 I rh.n &k @dp.nNo,\ *,ll do lh. vork &d dr nrudu. k nor i.t6d.d
<br />or olf6.d aor td. ( Se 704a, BuilB lxl Proa.sid Cod. Tl' Conu.d', Li..e Lrw.l,od d +ply b m ol,E of d. poFry
<br />sho buildr d rmprovs $6@r Md who d6 uch *ork nmdld hselfor ttuoush htr or hs M.mployB, prov'd.n lh.[uch
<br />iEprov.n..u rc ml i .!d.d or olI6.d lor ql. I[ how.g. ttr hrlding or ioprow@nr i! ol.t wirhi. d yd of 6nplaid\ $.
<br />Oms-Bu'ld6 vill h.w th. bu.d.n oa pioving rh1 h. or rh. nd build or improv. for lh. purDo.. of d.)
<br />l. aoPE oath. ptoFry. B acluriv.ly@nt rcr.g strh lies.t @trrdo to6omd rh. projer ( sd 70rk. aun.6t.{l
<br />PFLsion Cod. T1r. Co.llrd r l-it@ L.w dG .ot .ppl, lo D otM oa propaty sh. h{il& d i6p,(B dE @^ . !n wh.
<br />@isd, for ocn proj&r wilh r Conh.rd1, li.or.d put@t to 0. Coirrdotr Li6& Lw )
<br />_l E dmpr unds Sdi6
<br />-B
<br />&P( lor thB rarcn
<br />E9AEIBILCaMIEIIAI,IAI-DECTA!{IIOIi
<br />I h.r.by rm,n uind p.EIy 6r Fjury orc of rlE followirs del[.ri.E
<br />_l hrvc.d vill @idr. Cqrifiqtl olcoe b Sdr-lIs. aor brlaa @F..rioo, u p.dd.d lo. by Stt6! l?oo of rlI
<br />t bor Codc, for llE p.rfomrr of ln. wort for enich 0E p6il it tr{.d
<br />I h.v. url will Dinui, m.kat omp.o.i@ ,r@c., a r.qutr.d by Sdion l?0o of t& Ltbor Cod., aor rh. Ffo,rNe of tll.wrt for *hi.t thi! p<ni n io.d My mrLE ' mp.nt rion inrDe di6 !d policy Nmbs s.
<br />c--(biltlANnN tktesl b.LX4r.sLIX frJ1. co.
<br />^*,n,^* CkA'_ !o?37 ^,",6:_2 l:lL_
<br />rThird6n r.d rcr b?cmpld.d if rrE Fn 'rrq OE hondr.d dollD '3100, o' l.!,
<br />I .df, thr
<br />'n
<br />tlE pqiorllll@ of rh. sqk fq wluch rh[ pas]r fis.d. I .l',il &r Pdsn rn uy runnq rc u b
<br />b€m. Dbj.cl lo th. erk6 @mp.nnlioD hw5 olcrliaord( od.gra l]1rlif I(mFu'ion provtionr of sdj6 r7m oldE Lrlor Cod., I
<br />D!. 1- ti ' ll
<br />WAR]II G Fn&. 6 @. wdk6 ..oCdlrrio @v6.€. ir uJr*,tuI, . l ddl abid e .Eplors b dihi.n F..lri6 !l.| c'Yil
<br />find up to on. tDrdr.d douud doUE (t l0o,0o0),in .ddnion b th. .o!t of@np.rdiol\ dMug.r u providd lor (h. S.dion ,076 of
<br />.h.l.ho. Cod., id6.!r !i .!dr.y'3 f6
<br />LI(-f, NSED CONTNACf OiS DECT-AIATION
<br />I h.r.!y .rnm u.ds p.dlry ofFjurt rhr I m lie .d unds poviron oa ChlF6 e (@M.ncing eit[ sdjon 7000) ofDivirion , of
<br />$. BunEs.,'d ProfdioM Codq .,!a ny li..c '! i! tull fore !d.r.d
<br />,,."*rr* A, L-lo 7q J7.?
<br />o", 7- 25-rr c.,,,". 14L . tL6. ev64,/6cl,io
<br />CONSTRUCTION L'XDIXG AGf, IICY
<br />! ha.6y .fim udlE pcnnl, of FJrry rh.l rlsr it. @drudid l.ndi.8.S.E, fo,.n Ftu.fua of lh. wdt fd rnlcb rhir FDr n
<br />io.d (Se 1097, Cir C )
<br />APPLIC^NrS DTCL,/IRATION
<br />D.@litioi PmiEArb.sd N,orificdjoi Fcdan R.t!raj@ (Iid. ao. Psr 6)
<br />_ R.qut.d lrls of Norili.lioo
<br />I .6tft thr thc f.dq.l r.suldionr r.BUdinS !b6ro. rtuvi rG rcr .pplsbl. b fir proJd
<br />I Miry thll I h.v. r.rd rhr +plidion.,'d d. rh.t6. .bo* i o,B.r6n it @trd I tere ro @od, wnn d Cny.,rl CMryordrM Ii sd. lrs rddina ro blil.lils 6Bt crio(.d ls.by urhoriz r.pra.dist ordt Cny..d C@r, ro cr6 ulor rh.
<br />$or. morion d propdy aor iEF.o. Flrpos
<br />Aprli t or.a6t sB _-
<br />P@llc ird (p.iil) _
<br />G,4
<br />M\WP51\P€rm -hspecnon Foms\EL6ctr16l-lnsp€.1Lo.r Roco.d doc 03 31 06
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