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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.CQMMENTS OWNEA BUILDB DZL( ATIATION
<br />I hdlty .rm urd6 parhy of lEjury th, I o a.trlPl fiom lt ( o ncrdt Li.ru b* for rh. followi4 r@! (54.70] 1.5
<br />A6in4 .!d Pmt6io. Cod.): Any Cny or Cou,ny wnich r.quirB ! tEnn ro @Intucr. .lls, inprovc dd'li,rr or n?.t ry
<br />lslrr4 Fir ro it! i!3lec. .tF i.{ds rh. +pliot tor sh Fsi to 6t r rrgtr d niffil thn lE or dE i! lics!.d pw.,r
<br />ro rh. p.ovitirN of tlE Conr.&id r Lienr.d t w ((1upr6 9, Co@hB *itt S.nbn 7000 of Divnao. I of rlE BullB &d
<br />Ptuf*ioB Cod.) or lhrl lE or rlE ir d.EI, tidfom Dd tlE bGi] for llE .lb.d aclqbr Aly riohhnofsdlDn 70ll.t !y ty
<br />lrplicd lor . Fnn $bj*l3 th. rp?licer lo ! civil p.tuly ol nol er. $r. fir. hundr.d dolLrs {i5m)
<br />-t,sowEofrh.FFry.qm,apLrG$dh$.e66rlE
<br />nLonlpdarion. *ill{b tlEtrvl rn EtuGi!ml
<br />inrdd.l or olrsal for d. (Sa.7044, Bcir lxl lEf<ioc ( o& TIE ( o'n,.ct( . li@ l& &d d +dy 'o - osE .f
<br />ilE FDFry $lb hili d in$.oE lrE@ !d *'ho d.E N.h Mn hirelf or lEelf o' illDUAh hn D. hd os dplolta
<br />Fovit .l rh! 3Bh itrFor.lEE G Dl dqd.d G ofrEd to. sL ll rnas, ilE ho j,ts m inPru'drsr n oX *tl'ii o.. td
<br />dlconqlrnr tE O$c Brilda rill hr{ llE h"&r of F!\tr dr lI or tE dd ml tldd r ilqow d'. poFry tur 0E FlFc ot
<br />_1, s otrc of oE Foldr. m a.lNir.ly coMi,\s whh liEE d.otu croB ro ollntud rlE Fnld (Sd 7044. tiEind
<br />.d Prtutun cod.r Tt. Comr.crorr Lic.e Lrr {t6 Er lpoly t6 d o*ns .f FoFl, who b{ild! or ihprcr6 fi46.,
<br />od who co trts for $ch l,ojd3 wnh . Co.r.ctoi, li.oed p6u!r( lo tL Conll.ddt ti.e l^i
<br />_lM,.rcnrpr undd Sdrnr. .8 & P( n).
<br />../
<br />Dlcll8aro!
<br />I hncb, ,rlm ur& FuI, ot FJory om of th. aollowing {krl,,,tit,B:
<br />-l
<br />havc erl uill irlri.. Cdlifrdc of Co6ot k' s.lfiM lo, wl6r conD.noxd., B p.orxLd 6r qq sdion i700 oarh.
<br />t,bor Code for rhc rqforucc of thc uod lor whth lh. pdmn i! isq.n
<br />_I hr!..nd *ill @idlio E.lda c.EFdion iroEc 6 Eqo!.d b! SarFtr 1700 of rhc lrh.r Cod., for rlE Ffo.lffi. of
<br />rh. *$rI ad vh,ch rhs pqsn i! isr.d My Bql6 onFEihn iluff. uiE.rd D.lay nlmbq ft
<br />-l
<br />cgriry lh.r ir rh. Flo'r1@. of tlE m.t f6r $hkn thi! Fnh L iscd. I shdl nol dph, oy Fr$n in uy mMg
<br />$ B ro iErorc !!bjd b rn *o d'ompascbn lNt o[CditodL d {.E rhd it I ilbuld b.coe $t!41 lo rlE
<br />*ort6 omt.Nrion p$vtioE ot S.dion I7@ oflh. L!bo. Code I dtsll. fdnh*nh onp, snh lho- Flui.hN
<br />\,| RNINC rahE lo su. tr L6 .oDrEMio. o!d!s. ir unl.stul. ud rhlll $bjcl M orlots ro cihuul FaIb tnd
<br />ciil nn6 up to orc hudr.d rhorerd.loll&s (tlm,om). ir rldnbn lo lh..oi ol..n p.Ntion, dMl36
<br />Sa$on:1076 oarh.I{t{r co{t . inrad md rtimy r fG
<br />DICIJAAIq!
<br />I n6*y rfm u.dd porhy of Fj!ry thr I e trcqE d uftt- Fovtior of Clupld 9 {.omho.r8 wnh Scrion 700.J} ot Drt6n .l
<br />of rh. tlBir td Prcfdnc ( o<h. 8l my lkoe t in 6ll ao@ id .fr6i
<br />Lic.M Numbd
<br />SIIIIaISUQII.EUIAC-AAEICr
<br />I h6cby .frm un& Fdy of Fjury thi rlE! t . odtu.ibn hndin8 .Btry for th. Fforr1@. oarhc srt lor rti.h thB FErl a
<br />isu.d (se 1097. Ci C)
<br />AIIII(AILIECIISAI,T,!
<br />I hdlby lfm und- Do.lty ot pojury oc ot rlE follo*ins d..LrnirN
<br />Dnnohion PnmneklEtur Nolific ion F.ddll R.guLli.B(lnk{, Pm6}
<br />-Ralun
<br />d ltlldof NorifidiE
<br />-l
<br />cdiry rhd rh. t d6.l EsulitioE Gs&drry abdlo. @orn e. n{ tl'9|k.!k b rhir t oj.ti
<br />I .d ily rhd I he. Ed ihit .mli.rin nl 3rdc rni rh. .hNG Elomnrn n ..r<r. t tBE ro com
<br />or dhak6 MJ sr.r. I .s t ELr ing
<br />'o
<br />hildmS coBMD( ql h.rcb) .dhoruc r qr edt '16 of rhi! (
<br />cE.r. mrion d Fopsl) ror i p<ron purp.E l/ - , l/
<br />App.rn,orAsd,sk,ur.
<br />^*;4
<br />/hbe/L,,.,.
<br />l)ly *irh,ll( ty lnd Cou.ty
<br />n) rd Coory ro dfr uIDn x
<br />1444-la
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Srgns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicatrons Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER t/rl- /g ,':{'(z't )
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter //-tq-t6 /r/42,
<br />FINAL //r/././8 4*_1)
<br />Notes, Remarks, Elc.
<br />APPROVALS
<br />Ldns'r Adi6
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