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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUILDEI DETi'ARATION
<br />I hdcrry.,fm undd Frny ol Fju.y rhr I d darF 6oo tlE Cdr.d6 L'c.M L.v fo. rlE folbeiE ,a,. (sc 70!l5
<br />Sui.d drl Prcf6ion Co&): Any Ciy or Cody whah cquG . Fmir to otEnd. .td. isFove rlarcli'i or rt ir &,
<br />slruclw. Ftu to ilr i!ua., .tr. rcquno lh. .pplicDl fo. 3uch Finit lo 61. r !i8n.d nr@l lhd h. or nE ir li@B.d p@dlI
<br />ro ilE FDritio6 of i. (.o.u*d-' Lienr.d L.$ ((l'.,'is 9. ColMd'ns uirh Scrbn 7000 of Dni.b. I of rE ABiF d
<br />PDfeioB Cod.) c rhd E r {r b qdlF Odrdom id rhc b6a fd r&.lke.d adFiotr Any vi,Lrirn ofsdn! 7011., br uy
<br />lpplic.nl for . pdnil $bjEt! lh. +plicel lo r civil p. llyofnol morclhu fiv. hu l,sl douer (1500).
<br />_1,ao*EofrlEFnFdr.dmtdphtEs'ihx+66rlEt$LomFMbn,rilldorlEsutrdfi.*lnEimr
<br />i'lldd.d o.ollccd for xL {Sa.?044, Bsi6 ed PrcasioE ( od.] Tn ( onto.ror't LtG L.s {b6 @r ?ply ro d 0*16 of
<br />lh. FnFr, wlh Urikh d in+o6 tlEE \ !n who d6 Bh N* hiNlf or ha*lf or rleush hb or hs o{, oplo}6.
<br />prerilcd rhn trh inFoEErt e d nad.d d o&qi 6r rl. l( hor6d. iE txili,B or lqllEld i sld vit. w )sotomplab'\ r o*E tuilda will ltE fi. h,rta.aF!\irB th. lE d JE tln d tuild irqlE ln. FlFty 6r dE F!!d. or
<br />L E NE olrlE FrFr'. m dclBir.ly coMiry r nh l,< .d .o tu6 ro codruct rfi. Flir (Sa 7044, llliB
<br />and ltnt!.ia ( odc: Thc conrrdo Lic@. L.w d(E nor lprly ro u o* nd of Fopdy wno bildr .r inptold rhdmn.
<br />ed *th conrxls fo. uch Fqell wnh i Colft ro(t) lkd!.d poBd roth.(onii.crdrr l,iccE lj*)
<br />_l o croF u.di Sdio._. U &P( forrhir i!&n
<br />D.l. Orld \ ofieRa ( ofuPEns iroN
<br />lEg.axallo!
<br />I ho.hy lmm und6 Fndty of Fsjury oft ofth.lollowins drlslrioB
<br />_l hrv. dd *ill tuir'.i . Cd'4.d. oacoEn lo s<lr'lBu t{ wt(a (onlP.Ntro[ 6 !.nrdil aor b, SdDn ]rm orlh.
<br />LlEir Code tor lhc psfom c.ollhcsorl toi rnich lhc pqnit i! isu.d.
<br />I har r.d $ill m,iri.!r Foitdt ftnFMi,. iNre.. a rcqutr d t, sdbn lrm of rh. l.bor Codc for rE Fao'r'e. ot
<br />th. qorl for wnkh fiir pdTn ir isrd. My wdksr 6,nF$ion iBulu..Eir Ed policy numb.r r.:
<br />Policy Nmbqr_ErpiE
<br />-l
<br />cdi6 $n in rlE pdfoffi. oflh. *'orl fn whah thu Fmd it iq.4 I sn I ml otrPloy Dy rEsn b ay trl.IE$ a 6 baom. $bjer & rrE sd6 omFturb, h*. orc.liro6i( dd *r+ thd rll ntould trom lubj.d h 'lrworld' comFMrion l,svirioN ol sdion t700 of lh. Lbor ( oda I shll. lonn*'nh NnlPly wnt lhr pmvnioB
<br />WARNING: [.lc ro cuc work6' conrnarrtn mvFas. n uihwaul. od .tlrll .ubjd d dplorq to qini.d Fltb ud
<br />.i!il nn6 up ro oG hudld lhoerd dolls! (1100,000). h .ddn'on t' lh. co! of .omFuri.& dJrrg6 B Foril.d for lh.
<br />SalDn 1076 oflh. L.tq ( odc ir dd ud ddEy . lc
<br />rl(Elllo-gMld(faa
<br />DECITIAIIO!
<br />I h6., dlm u ld Flhy otFrjury rhd I6lisB d !,rdd Ftrvilio. of(tuFa 9 (onlfficins $nh Scrn 70Oo) of OivtEn l
<br />of rh. BBi,a dd ProfobB (o&. !d ny lacM b in tuU foc ii.fid
<br />g)!rira!c[o!.tt!Dl$ilcE!(r
<br />I hor6t.ltm !nd.r Fdq of Fj!r, lh, tlE< ir. odMhi ldldi,E atr, for E Ffolle. of tlE ldt 6r *iahthB Fn..
<br />isoql {sd.1097, civ (-)
<br />A[IUCAtrI.lf{:lJAAI,q!
<br />! hdd', .rrn unld Frhy oa Fjury oD. of tL folhwiq de!.rd hB:
<br />D.mlik'. PmireArh6ro! Noiific hn Fcda.l R.gullrhB (Tnh 40, PM6)
<br />-RaFir.d
<br />llrd ol f*{ifE s
<br />-l
<br />cqriry rhr rlE f.&i EsuLrioB Egrdior Gt dc lEmvJ G Nr +pli.rbl lo
<br />'hi' FDFI
<br />-I
<br />cdrry thd I h.vc ,c.d rhn .prltriotr &d $irc lhlr $. !hov. infodlrioo ; cotrer I .src ro omply wnh .I cny Dd colnly
<br />o.dina6 d sl.l. t s Ebit ro hilduls co,utu rioi'. !n hd.tr ulhrir. r.Fsuciv6 olfiir Cny.d couity to ols upon tlE
<br />rtow trE ih.d FrFly rs i,rys:tor F p{a
<br />App.tu'masdrsrsm'm!@+48+j.1&, -
<br />p.1. /D - t'1- &otd
<br />"--n* -*,rn",,, ' r$gl p 4.t zS @L _ -
<br />Site-Work
<br />Underground
<br />Light Standards
<br />9pas, Pool, Fountains
<br />Signs (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 />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 Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter t,
<br />FINAL lPlTilrd'll l,Yflttr 4)t r)t-l T a1Notes, Remarks, Elc
<br />Pole Bases
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