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ELECTRICAL.INSPECTOR BECORD
<br />APPROVALS DATE COMMENTS OWNXI| BUTLDSR DELCARATION
<br />I h.r.r,y r,t n !.&! FMxy or Flry lhd I M.r.npi 6om rll Coirra-lc LilE L.e for tlE ,olbai.t,t.&i {Sd 7ql l.!
<br />Burin.$ and Profctrior Codc) Any Cny or Cou , qhich EquiM r tEel ro .onrru.l, .lrd. inEmva d.mlnh o! Eptt Dy
<br />{nrlE. Fi'r lo ilr nffi. .eo cquiB rh..pplt{r r., *lt Fmn b 6L. rtn d sr.lcrnl lhd L or t b lhmd FBrd
<br />ro rlE F!BbB ol dr Conrrld'r Lirnsd l.s (ClEprd 9, Cotlmrin! wnh Sdbn 7(D of Divtbn , of tlE BuriEs .,n
<br />Pn'fcsshn! Codc) or rh.t lE or lhc n.xcnq rhd.from ird rh. b.!ir for ltE ik8.d .rnplio. Any viohlion of Selbn ?011., by.ry
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<br />' rd r Fmt sbFu !.rE rrtlrmr ro..ivil FE,ryotmr mE rlu fiE I'u'd,ql {trlLB 1S5@)
<br />_1, a. .*n+ of$c Imlxdy. or my.nployrd vnh wt8.. $ th.n mb convEnsdion. wiu rlo tlt sort !d tll slrEire tt fr,
<br />i .ri.d n ofi.Ed fr sl (Sd 701.{. BuiiB rlrd PrDl*bB Cod.: Tlr Cofidd\ tile Uw dd: d.pplr lo u o,E of
<br />th. FoF y *ho hrildr d ri!.DB rlE6E.rd who &6 uh qrt hrlEllorltrlf or rtuDurn hi d tB 6m corb)6,
<br />ptuvid.d iirr .h inJ,rEmnB c mr id.in d or ofi.6d ld sL. lt, hoEE, E trrldina m iqrcEr n FB *ittin ft yw
<br />ofsnDlrior rL OeB Au&.r wil llE rlE h{tn ofFsvuS r rE m lrE dd d b0i! M inp.DE dE FoFry tdtln F!Ir-of
<br />-1.
<br />s ovEr of rlE I,rIEry, m.rluriEly conrrdins wirh liatr{n .od*hN ro co.nflct rlE F)i! (s*. 7oi!r. Bstr$
<br />dn ftd6n, Co&: TrE Co.rdoar Li!.* trw dEr mr +ply b x orF of I,oIEny vho boiu! o. itrproGt rnddtr
<br />rnd qho conrtuli ror sh proF! *ilfi r Co Bbn!) lirnirl puEun ln ECo Mor'rLi..Kt *)
<br />I uci..qrr !'l&r S€dirn-. A &PC lorrhk Errr.
<br />D.l.:-
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<br />O*mri-wonxr s, c.orrrg,rrerron
<br />IECIdSAITA
<br />I hcEby lmrm !.d.. D.nalry or p.r$ry or or 0r tolloaim d(lrnrbrrl
<br />/ I lIE.,n - l Ddu. CdiIrd. ol Cornr ro S.ll-|tr@ fr @t6 onFB.ira s FbviLrl to, by Sdirn !?m of rlE
<br />/ t:bd C.d., id
<br />'lE Friffi. of rhc h* ldvhEhrlE Fmir ! E!kn.
<br />r,jitsi "* .In *r' ** *,t6 orFMDn 'M.. G 'utriEd by sdrih l1)o or tlE L.tor cod.. rd rlE Ff(irlie of
<br />\lr * I ror *nrh rhB Fm' !o.d. My mrt6' onp.M.d Uslm ffi .!n IDli, nunib.r e
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<br />_l ccnily rhri in ihc Fi(trtEE. or rl. *orl rir rhrh rhir pdmt tr rshd. I rhrll , .i?kry rny F$n
<br />r, * ro tr.od suhj..r lo lh. wofifl omp.ns.lhn l,w, ol C.lilomi!. ud .sG thrl ia I shduld t .oft $bf.r b rlr
<br />{orla 6nvEns'l,n pmvnioG of S8lbn l7(! of llE L.bor Cqj.. I {dL IDnh*ilh 6nlpl, wirh ilDf,n,vilbtri
<br />WARNINC Failorc ro sc@ so .
<br />c il lin.r up lo oE hun d lhousrn
<br />S(rbn 1076 of rtx l4tq Codc. hrd<
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<br />co'np(tr\!li',n co!.rrgc n unLwful.
<br />it llr\ rllm.{ur m,,r x'n i, r
<br />aJrr dtn'r) s rR-'. /
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<br />lnd shllj rubj.cr on cq)lols to cinirul tEtunas lnd
<br />h. co{ or cof,lrnslioc d.d8B $ prold.n tor llf
<br />DECIAXAIION
<br />I h.Eby drrm u,rlr Fn lly or lEriury lntl I m liensd und.r ,mvnhn or Ch.prs 9 (onftnltg wnh S6rirn ?0@) of Ditkbn l
<br />of 0r BuitB .rn Pretu .06 Cork, ,n D, l.o* ir in tu[ fom .rd.ild
<br />4-2 8Lg b,2-a<-4 I -t c..rrrrr
<br />g)luallgu0N.LllplN(i3IiElcr
<br />I tEmby rfitn Dntd FEIy ol Friury rh.l dEE ir r onslulion tndin8 .scry ror lh. psfo'rl1.e or rrE *rl for whth rhir Fmn i!
<br />iro.d (sa 1097, crv c )
<br />ATSLUANfIEIIJEAITA!
<br />I hc.t, lrfm uaLr Futy or Friry oE ol dE folh*in8 d..Lntbrs:
<br />D.mhion P.rmir..asb.sro. NotifEari,n Fcd.nl R.Suhrion! (Titlc 40. Pd6)
<br />-R.qlirn
<br />&lld ot Ndirr.rir
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<br />drrrrhd rlE lirddil E8lhhnr EsedDs r$.rrorEmr!luc rut rpplt$k h' ths poFr
<br />l5.g d,ry rhd I rEE Erd rhB +pl.drn ]d n.k rha lh..boE inronndirn ir cffi.d. l 4rr ro orEly *ith cn,&d ci,! y
<br />odNrc. lrl sr.r. tjw! Ehlng
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<br />buil'liD9Mnr lnlEhy aurtDru rF.Endn.! ol rhr Cirydd Cou yro..rd uFntlE
<br />lL,E fdiJrn Fop.nt rd ituFilbnpttl,6i. ^ ^//,^-,*i",^"-,1*.i-5<1%,-a-** ^.,3l/-?,f*-,-*,*,,, lac tJ lv+,,.t^ <o
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers ,/\
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Bouoh)
<br />Meter Release
<br />Rough
<br />Service Meter i]
<br />FINAL f//,,'/znzy' z IZL>
<br />Notes, Remarks, Etc.
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<br />ID/SIG.
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