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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DEI,CARATION
<br />I hd.lr .iIrm u.dd Faiah, oa pdjrry thd I m .ropr tum !h. aonlrtctoR Lrc.nE Law for th. tououin8 r@n (5(.?011.5
<br />Irulin6s ud Profsion Cod.) Any City or aolnry which r.qun6 r Fmil ro oNrucl. sh6. improve damlish or rcp6n uy
<br />rrru!1u.. r,rM ro irr isum.. al$ r.qui6 lhc lrpplicdl for luch Fnil to lilc s 3isncd sralmdr rhd l, or 3h. ! licaa.d p@ad
<br />h lh. FovlioB of rh. ('onlrrdd! l-,an&d L* (('i+'6 e. ( omn.ncin8 eilh Sdion 7m0 ot Division I otth. Ba!n* ed
<br />Phf*i6n. cd.L)6r rhor h. or sla ii.rcnpr rhocn o ud rhc bolt rd rh. dll.r.d.r@Fio. Any lioLiio. of Sdion ?01I 5 br&y
<br />aptli.! for . Fnnir rubJ*c th. lpplicel ro . cilil p.un, o f not mor. fiM liv. hundrd dollar (1500).
<br />_1. a ou16 olttE FoFny. o, dy.dtloy6 wirh w!A6 6 rh.n ek comFsn{n. *iU do rl! sqr ald rlE srtudE b mt
<br />iirdrlol or oltgqi fo, r& tsc.7044. Bui,6 &d Frol6.tN Co<t Th. conrndols Lt6e L.w do6 @i rpply $ e ow of
<br />It lrorEr! wln t!il& tr iIprotgllEq !n wlb &6 Bh sslt nimrclto. hcMlf orInmush his or h6 oh.npr,)6.
<br />Fovid.d thd tuch imFDrffi e m' indi.d oroln*d 6r sL lt lb*6€. rlE toihiB d inp.srf,El ir sld dnn w )q
<br />of(oiB dFq rlr O*ns AuBd *ill h!* 0E hrid! ofFovilB rhn L or JE drd Dr build or inpror th. prlFt, 6r dE Frro* of
<br />L B owG of rh. FoFrr. m.r.l6n.ly cotuarh! *irh lic.ed codrklo6 ro onfu1 rlE Fojar (Ss ?U.4, &sN
<br />.rd Ptlbsih(n& rh.( ont&toat Lk.* Lt* d6 mt.Dplyro u 0$T6 of proosr! *ho bo,kb or inpovd tnd6o
<br />r.d sbo codtur for .uch Fo.l<r3 snh . Codr8ro(.) lkd.A pad io th. Conl,rcln t Lt@ t *).
<br />_l ocr@F uida SErb. .E &PC 6rr[i ,Eo.
<br />Drl.r OlrE
<br />!!Ia5E8A:CA[UId$IIA!
<br />!E(IA8AIIO!
<br />I hs.by .Irm un& Dsrny of psjury om ofrh. folbsin* dclUdioB
<br />I hr!. .n will oim.in . CdifEa. 6f CoElr ro s.lf-lM ld wto omp<nnrion, G p.DviLd for by S€rnn l?00 otllE
<br />Itbor c.da fo. th. F6l1lE. olrh. srl tu "iih rIE Fnn a i!u.d
<br />_l h.r. nd *'ill m.urri. *ortdr' comFGdirn itg.k.. s Equrrd by Salhn 1700 of rh. kho, Cod.. fo.llE Ffol1rjlE of
<br />llE so* for shth lti Fn B s!d. My wt6 onFErion itEllluc 6i6.n Fky nunbd &:
<br />-l.arar
<br />ln'l b rrt Flo.rll,N of llE *ort lor *h.h lhir Fiir E s.<I I ddl mt dtrplo! xy F$n i. eyffi
<br />s 6 io haDr $qd ro rlE eorl6 onFdiotr L{. of ( difomir ild +r 'h. if I nDuld b.com atirl to ltE
<br />w d' (otrrFMrion Fr\ irir of SdbD l70O of r,E bbor Coda I Crll ronhtrih comply $nh ltro* Foririo6
<br />$ARNlltC r! ur. u wc uutB @mFliior co!6q. . uhstul. !d 3h.ll $bFr & drploy6 ro cimird FEli6 nd
<br />cN,l fia up io oE hund.d rlbu{d do[6 (ll0o.0a0t, n .dd pn ro ilE con ol.o6FMion, rli g6 s Fovid.d for ilE
<br />sdk'n 11076 ofr,E l,lq ('GL. Drsd ad mdr.! ! f6 biega I.^o(rF-Jto-\s- \$
<br />IICEIIELCOtrISACIAf,ltctaSaIo!
<br />I t6rb rffm u.d6 Frly of FJUD lhr I & liuN.d u&r Flvirion of Clupis 9 {on,llEtrs *ith Sdb. 7000) ol Divti,. !
<br />of rlE B6i,B si FtolshN Co&. rn oy l.ae i! h tull lorc !d.IIdl
<br />c ro/c-qt,
<br />Io- Ib- $S
<br />(olslarJcrrBrElllriclcElcr
<br />I tad,,v .fm u.dd Frltr oaFrury rhr rl'd! i! . @t!nElb. ld{i.t +Gy for tlE Ffffi olrlr trqt tu s hih thb F6a a
<br />i$.dlsd 1097. ci! c )
<br />ATfIICAILDESJAAIIAX
<br />I h6dy .fm !n& Fdt! of Fiuy oE of dE rolk'sin8 ddlrd i,B:
<br />Dsmlirion Paf,ne^3hdor Ndindion r.ddi R.rohbN ('rnk 40. Pd6)
<br />-RcquEl
<br />ldra of rdrituai.n
<br />-l
<br />csr ify rha rhc t dq.l ,mn!l rc rer 4,pli!l!L lo rh. Fojdr
<br />,.d'flrhd I h.\. Gra rhi!ntodiion 6 .m.d I .sr( ro ortpl, $ nh ![ Cnr &d Cou ]
<br />f'J'nxn.6 rnJ 51, . Lnls rcL'i hq.l,y rdbn4 i.Fdalnn 6 of thn Cny d Coury
<br />'o
<br />ols upo. tlE
<br />rh)r. ,El$n.d F.pdt for
<br />Appli.rtrt or Apsl Sl8nrlu o .,. \b- lto-\q-
<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 />Bonding / Grounding / UFER
<br />Transformers
<br />To rqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter h
<br />FINAL / z///{ -z W^i/ )
<br />Notes, Remarks, Etc
<br />\edaqn lo
<br />lr d6 t Ad<16 _
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