ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWM'N AUILDER DFJT,CARATION
<br />I hcrcby irfiml un{lcr pcnalry('rp.rjuryrhd I dn cxenll ri.n rh. Gtr rlcbl Liccnsc tiw fn rhe followirE rc.snr (S.r.?oll.s
<br />Busin.$ Md Prori$ion Cod.): An, Ciy or Counry whiLh rcqutc\ o pcrmir h condtucr. alrci irp,orc. d.m)lish 'tr rcnrtr any
<br />qfl.turc. l]ri,tr ro ils nsu cc. al$ r.!utc\ rhc lprltanr t rsu.hltrmn h lilc a si8ncd nahrxnr rh.r h.or shc k liccn{d Nsu0nl
<br />b rhc pmvi(ions of rh. Cont0ctu.s Liccn\cd tjq (chaflcr 9, Com'ncNin! *irh s.crioi 7rx)0 or Divtion .r orrhc auslncr\ snd
<br />Pmr.slio.rCdc) nrlhaltEorshc hcxenrpt lhcrcfrom,nd rhchr\n lorrhc.lhScd crc,nprion AnyviolalionorS.rrionT0ll5byrny
<br />,tpli.ad for a p.nnir \uhjex rh. tratlicrnr k, scivilprnlllyofnotnrrcrhan livc nn drcd dollors ($500)
<br />l. * owif of rt. pn,pcn y, or n,, cmplorcs silh wqcs us rhct solc conrnc.srr ion. qill do lh. work 0d thc ntrtuE is trol
<br />inrcfttcd or oftercd tur srlc ( Ss 7(r.1,1, Businc$ Md Pbfesnnr Codc Th. Co.rackr\ Lic.nr ljs docs ior +rly b M osncr of
<br />rhcnNFnt who build\ or in{n*B rh.(!n. Drxl wtr J@\ such trrd hin clforhcrcllorrhmughhi\.rllcrowncinpi,yec\.
<br />providcd rh,l uch inrlmrcmnh arc nol intcNlcrl or oflaNd inr {b. ll. lx,*tvcr. rh. huiUinB oi inun*lm.r i\ sid qtrhin o.c lrtu
<br />olcurtl.li,n, lh. o\'..r auiu.r will hrvc rhc tturdcn of lrovins rh.r hc or shc d n nol ttrild or impmr rhe fmtcny fff thc puqre of
<br />-1.
<br />rso*ncroirh. pr,pcdy. rnrcx.lurircl, contdin8 wirh liLcnscd contrchs b .a,n{tucr rh. In,j\-'r isc..7(I.l.1. Auvnc\i
<br />nDd Pi,fdsi Codc: Thc Contd.ttr s l-ic.nsc l,rs docs troltrpply k' rn owncr.flmpcnyq.ho huilds or iDrrcv.s thcrcotr,
<br />nnd who onlncrs filr sucn ,rojd$ with , Conlm.ri 9 lic.i$d ln^ulnr b rh. Cohk,.ror's l-tun{ lls)
<br />Ir cxcmtru.dcr Sdioo .B &PC turrhlsr.r{u
<br />l)al. owncr.
<br />TAStrEXS:SD ENIAIq!
<br />DIiELAjAIION
<br />I horcl'yatfitrnund.rpcnrlryo,prrjuryoNolrhc,oll.win8d lurri()n\:
<br />lhavcedwilldainruin!CenificarcolConscnrroSclflNurcforwor*ctscompctrstiotr.asrovidcdforbySdion3?00ofrhc
<br />Lahor Code ,or lhc pcnbrmmc oflh wolt lor which lh. p.rnir i\ krxcd
<br />!f^. -a * ,rr .,r.. " "rrcrs cnrycn\ahnn nsura.... ns rcqxnod by selion r7u) or lhc tlbor G)dc- ror lhc pclfonukc or{hc\,,l r", sh*hrh"I'flm,r A\.ucJ Mr trdk.h cnmJinsrioninqurarecrrEr udrFl.}numhcra.c
<br />L
<br />to -zt-B
<br />lccnifyrh inrh. pcrl'oflMncc ol lhc sork ntr whi.h rhir!(nnir i\ r\u.t,I shall Mr .n{'krl ntry lEr$tr r {nynrn cr
<br />s n\r,b.u. \uhad t,rhc sorkcN ..hpdurion h$\ol Clliri,riix- rndasrcc rhar irl lhoukltrconrc \uhiclt,rhe
<br />$odcrs...rfn{riont)n'!i\n, olSdnnr:17(x)ofrh.ljtrr Codc,l\h3ll, fonh*irh conlPlr uirh lhos prcvni{,N
<br />W,\RNINC l-lilurc ni ecurc sorkcr\ c.mNtr! Dn colcflNr i\ unh\lul. n l \hnLl (lhJccr
<br />', cnrtloyrr t, dmi'lnl liurlric\ rnd
<br />civil uncs up ro otrc hundred thousand d.llan ISI{D.ou)r. ir ndd ,n k, rh..oi ofcomlcn{'tun. d.ns8cl !s trovidcd lor rh.
<br />t 'a'r!1'3 -- [$ n,,**"ullNMl9lrr llotsl)t( t,AR,tt t()N
<br />I hcrcbyrllir rutrdcrpcMhyofFrjuryrh lanliccnqlunJcrpovntrnolchpr.r9(.onmcn.i'rg*irhSccrion7tm).fOivi\i.l
<br />.r rhc Brsi.r.s,nd Pofc$ioni Co&, ud my li.cnsc h ir iurlrore! clL\l
<br />,'.""."","., CL-tt,"., -?-5-tX "-,-"*
<br />$88i04
<br />.qQlgBIlcullNLENDt!!-&GENCT
<br />I h@by ,lfirn un.lcr pc"alry of pc.r!.y rhal ltcE is r sncruciion lcnding aEcrcy for rtc pcrformtrc. of lhc vort ror *hth rhh rErmir h
<br />issu.t (S(.1097. Civ. C.)
<br />APPLICANT NFCI dRATI('N
<br />IhcrcbylnimrundqI.nrllyof pcrjuryoneollh.lollowinedc.lu bnsl
<br />Dcmlirion P.rnirsArb.sos Norircrmtr F.dcrdl R.gLastions (l illc 40. P!n6)
<br />-Rcquncd
<br />bttn of Notiar.ft'n
<br />-l
<br />ccnily rh lnc lcdcral rcsul,rions rcEndinS $t$ros rcnDvil rrc to {plic$h ro rhis lroi\r
<br />l.c'ril.v rhrr lhr\! r.rJ rhis rf|licii,,nrn drr.rlHr l[c li,!. nln i,nr isc.tr..r lrtrccr,.otr,flysirhrllCiryrtrtl(i,unry
<br />orrlirdn.cs r d Srrre liws rld ing b h ildin! consru.rio!, unl tcrcby rizc rcprcscrrarivc\ olrhi\ Ciry and Cotrnryt, cnrrr utoi ihc
<br />rh)vc rtrri(rrJ,n,nrn! l{n ln\Ixrrnnr pu
<br />\Il'liQDr !,r ,\srnt Sirmlur.
<br />s6,1 1)
<br />"*/
<br />1-3-8
<br />Underground
<br />Pole Bases
<br />Li ght Standards
<br />Spas, Pool, Fountains
<br />Si gns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondin g/Grounding/UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilin s (Hard & Soflit Rouoh
<br />Ceilin gs (T-Bar Rough)
<br />Ivleler Release
<br />Rough
<br />Service ltleter
<br />FINAL 6/4/te,J^46
<br />Notes, Remarks Etc
<br />ID/SIG.
<br />sc.ri{m roTa of rhc l rhn oxl.. i, .,.(r r onry'i\,c.\
<br />Site-Work
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