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7
<br />ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNFI BUTU)ER DET-CANATIoN
<br />I EelJ.rm !.da lauli, ol pcjury rh, Ihdmd 6.nrhcColrMm LicoeL.sforrlEfolkwin8r*ln(Sa701ttt
<br />BBin6 &n Pmf*in Co&) Any Cty or Cout y *hid rqun6 . Fii ro oirdd, .trq. irlroE &mlih or lt.n uy
<br />{ruducFsbn! i{il4c.L Eqlir6 rh. {Dlte' tor*hFnilo fiLrrEn dirolEr rhrlEor#ak@.d ptnEi
<br />ro ilE Flrbh6 of . Conrxld! Lia!.d L.* ((n F6 9, Co.mdirg $ nh Sdirn 7000 of Divirioi I of rlE B$ilB dd JPrefa6B Cod.) or tt tlroriE..\or$rffionIdtlEb6it6rrlEJh.dad bn An,- vioLrio.olsdion 70tl !t,u, -qpliclr for.Fnh$btrl!llE.p?lkdto.cililp.tuhyotmlmEth&fnchui(H&,llr!(!rOO)
<br />L 6 o$c of $. FoFl). 4 hy dphr6 tr'nh *.s6 6 En $E mrpdBiioE sill & ih. rst rn rh r&rE r d
<br />',n6rd or ofi6.d fd rl (Sc 7044, Asi,B.rd PhfBird Co&: IIE Co'n,6r'r Lt@ la'dE mr alely ro & o{E of
<br />rh. FDFry urb hrilth d ingDrq ilEc[ rn r h dE st E* hirelf or h6*lfor rhmuth hir d lE o$.,plorq
<br />rrovid.d thlr *h mFDrsr.d. @ d idd!.Ld d ofid &, $L lt h.$-8, tlr hli!.tiry @ il+ o\6rEi ii otd !hh- oG y6
<br />oa.olpkb( ln. o'rc Birilds *ill h.r rrE hdt6 of Fot srL h.mJE{M ml hild d llFon dE ImFry hrrlE puFEof
<br />l. do*cof lhc Fopsly. m.rcluri\.ly(odr.cnn3 *[h h.d!.i! contadotsro.odtud rlE prn.d (S< 7(x4. nann6
<br />.d Erbsion Cod.: Ih.Co.lrrtoi! l-ir..r.l-dw do6 nor 4,rly to u osn6 orproFny sho builG or iEp.ov6 th(an,
<br />.nd sho.o'IEclsforsu.hFoj.crsuithn(onrBcro(Olic6!.{punua, ro rh. Contrmloir l.km* t.*)
<br />I dtr.\.mpr und.' S(hotr
<br />llaf,El!.rqMrEdsAra!
<br />IECIIEAIIOd
<br />I hdlby tmd undd Fdly otFjur, oE .rfi. 6lhc i.g d..lraiod:
<br />I h.\c !d will dif,lin. Cdifd. of CoMt b Srll-lBe hr Frl6' @n96i6[ B Fbri, d for It S<riri 1700 ottlE
<br />t h.. Codq fG tlE Ff(''!r. of th. $ i for *trn rh. p-rn a ie.d.
<br />I hrr. trd vill roirtti! *0116 conpadio. iEua.. 6 r.qui.d bt Sstioi1700 orrlE Lrb.r Co&. for rlE Ffolrla. of
<br />rlE $nrl litr nt{h lhi! ldnn a is,.d. My uqt6 onFdn. ilEl)lm csir rd Flty nmba c,* -_k/*ti_ hn & g45. 1+84)",a,^<e .Lo
<br />por(v\unb6 € FwLqP 't.t, ' o,r* t ,"/L / tt
<br />I cdiry thll i. rh. Ffo.rle. .f rh. rorl lff whth rhn Fmn ir is*d. I sldl mr mploy uy Fsn i, &! nxE
<br />$ a b b.am $bjEl lo th. !0116'comp.Mbn hH of Crliftmra od rec rh, ill .Ibrld baor tubjd to th.
<br />*0.16 @nFB.rion pr.viiod of Salion 1700 or llE tlbor C.dc I lbll Gdhwnb m"pry wirh dEr pbvisioN
<br />WARNINC F.ilnrc ro cur. *0r[6 co'nFroolion cor6rg. is unldwtul. and sh.llsub]er an orplLryalo oininllFrhi! Md
<br />(nil nn6 ut lo onc huft!,.d rhousnd doum t1100.000,. in oddnion ro rh. cosr ot comp.B.rion, dmi*6 6 prorid.n lM th.
<br />L
<br />I horby .ltm uid6 Fdry ol Fjur, rhi , m li.sE d u(b Fori.n or Ol,la 9 (s6lt4i,e *th S<lih ?0m) ol Di!i!io. 1
<br />of th. Bci6 dd Pr.turioB Code id n, ltqg 6 in tull hrc !n.Fct.
<br />-q.?y'4
<br />COIIIAIJCIIANI.EdDTICICIICI
<br />I hdcb .fm undq Frdy ol pqjury lhi ihd. L . (dtudn. bnnB ,8@y aor EFfM.of thc hrl irr $'l*h rhn Fdr i
<br />isEd (SE 1097. Civ C ).
<br />ATIIICAXIDECI.ATAIIO!
<br />I h6d,y 8fm u.d.r Faah, of Fjury on. of tlr follosins .lcchrrionrl
<br />Odohion Pmils-Alb6lor Notificlt ion Fqla.l iqruhlionr (r n1.40. Pd6)
<br />R.qui(d lnr6 ol llor!6c!lbr
<br />I cd ift $d (h. Ldd.l !.gul,rhB r.s.dins atBlot r.mr !l e. ml 4'pli.!bk to lh6 l,rern
<br />Nf,tle *
<br />'rh
<br />rll(it) lnd ( ounr)
<br />haC r ed ( ounrr. lo dtq uln.llE
<br />r./zz/t tt
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meter /z'.,\
<br />FINAL ftraf 1-K-/.,Y-YL\OI
<br />Notes Remarks, Etc
<br />JI
<br />Meter Release
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