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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OII'IIET BUILDET DET'ARATION
<br />I hdclry affm !.da Flnr of p.rjury E I m adPr non lh. Corr,.doB ti.oe t w 6t thc lbllo*in8 l6n (Se.70] r.J
<br />Bui"6 .d Profdiotr Codc): Ary Cny or Co! y *hih r.quiB . Fni ro .ordru.i. Jlq. inFove dmlish d i!p.n i,
<br />!l4.ruc, Firlo ir5 il.lec lho r.qrt.lh. +pltDl 6! *h Fhi lo fiL. ltEd nt6&tl thih.ornt!icdEd,l@rln
<br />ro tlE FovirilN of 0E Conrabi. Lk.N.d tlv (Chsp(n 9. Coffiins *ih Setih 7000 ol DivitioD I of lh. BuiE ed
<br />PmtsioN Co&) n thrr lE tr nE ir qarF lha.ioi .nd tE bii! 6. rh. .lLSld qaqirn tuyvblrboofs.dbn?011.5 by 6y
<br />rrplic.d for . Fhn rqdu rlE rppli.ut 1o..iti! p.Ehy of f,ol morclhd fi!. hu.d &Xe (1500)
<br />l. 6 ow of tlE FoFrr. s tuy.dlPloy6 wilh v!s6 B lh.t 5lc mnFldio.. will& dE f,qt rn dE *Elc ir !E{
<br />idciLd or olk.d lr rk (Sc.7044, AuiB &d Prol*ioB C.dc: Th. Co.nr..ld . Ltag t w d6 ior +ly to 6 o\rE of
<br />rh. Eleqry etb h:i6 d inED\€ iEoo rd who dc $h @,l hnE.lf or lEBlaor tl[ou3n hi! d lE oB apby6.
<br />Fovr(l.d ild sh i6F!6fi! G mt irad.d or ofi<cd lor D]. lf. hoM, E bildrg d ntFlEEr b $ld srlb m )d
<br />oa@nplrir( rhc ot*G Boildd *iu h,c tIE hala ofFovi,s 0d lE or ri. dd bl hild or ir$.oE tlE FDF, 61 rh. Frpo!. oa
<br />- l, 6 @E of dE F!Fr). d dcluircly conrading *nh i.d!.d contdoF to mtirucl lL Fojet (sd 704a. B6iB
<br />ad Ptnts-. Co&: Th. Co.l'rlor'i Li.@ lr* <tD6 no! 4ply ro s o$!q of Fopdy *ho b{il& d iBFoB rhd@n.
<br />!.d *ho 6turr, for sh FoFll with . Conlrdois) lto!.d Forunr ro rh. Codr.lol! LtGe bs)
<br />, m.rdF ur& Sarbn-
<br />- --.
<br />B &P.C. hrlni!r.&n
<br />la8aE8gl;aMtllSATIO!
<br />DESI6aATIA!
<br />I hsc6r llfm uid, Fulry of p6rury on. ofihc followtrB ddla.lioB
<br />I h.t. nd sil, Ei,rr.id . CarifEd. ofCoEE! ro S.lfJsN 6r *o*d dnp€Eii!! a FDd<Ld tor b, SclioD ]700 .flt
<br />Ubd Code 6r ,E FfM. of lhc {i. for *ttn rh. Fhn ir isu.d
<br />I hs'..d f,iU minlti. sorld .omp.Md6n iruurmc s rcqun.d by knn 1700 of lh. lr,o, Cod.. lor tlE Ffolllffi. of
<br />rE sn ad whit lhb Fmir ir ssl My wolt6 conpqEiion uBffi. 6i, in pola, ndbq t :
<br />Erpn6
<br />-
<br />I .crit lhrr in th. Fforu. of th. uo for phrh rhn D<nd B su.d. I rh.ll mr @phy uy F$n in 6y I:ms
<br />D B ro bcom qt*r' ro 'lr mltd'coopccdion h$ orcd,fomir Fd.8r rl( ial tbuld h6om $licl lo llE
<br />*!ta' @nF!dio. p.DvnbB oasGrion l70o of rh. tibo. Codq I JEll, fonhnt oBply snh tho. Fovtioa
<br />WARNING: l_ih,. ro s@ so 6' mmFuii. or6.a. ! ulavtul. &d 3hdl sub6l & dploF to aim.l F!li. !i
<br />ciil fu6 up ro oe lt.d.d rho6$d d,ll,i (t!m,00o), ir .ddilion lo llt co{ of coapcdlio.. d,@86 6 Foail.d for tlE
<br />scl(n 1076 oarh. r,b. codc i nd nrl db.E) s aG
<br />".',, oall) lZsTo
<br />DECIIaAIIOtr
<br />I h@by dtm unda dunyof Frury lna I m b<a..d ldd Ftrvnion ofclBplq 9 Gommdciis vnh Sdn! 70@) oa[tvi.bn ]
<br />of rh. BBIB ed ProfiilFB Co&. !d ny ltqB ir h tull foE rd.lIEl.
<br />.".*."* f,fe-" o41u4Xe?-o ""*"d-aU.*it*.-,
<br />corilBlJcrloltjildDlrclcElct
<br />I lErty rm ui6 FrXy o f Frury ftr IEc !. @ndflcrbo l,{itrB lgft} aor rh. Ffollm orlh wl br rhih lhir FEI a
<br />is.d (sE 1097. civ c.).
<br />IPPUCANT NECI {{ TIOII
<br />I had, irEd uda p@rl'y of Fjory oG ol rhc folloelng &(l&rrioN
<br />Ddmlirion Pomnl^th6lor N{,rific.rion F.darl R.8ukrioM (Tirl.,l0. P.n6)
<br />-R.quir.d
<br />l,|a olNoifi .{D.
<br />6b6roi cnovals. no! applobL ro lhB proF
<br />I calrfy rh, I n v. rdi r x . rhd lh. rbovc infomnion E cotr.d l .sr ro of,d) wnh .I Cil} !i Cou,r,
<br />ord'.e6 !d stnc tjss ntr ul hdcty rdh'r. rcFadt r€ ot rhit Cn, dn Counlr lo als up.'n lL
<br />nboE nErhn d Fopsly Ior
<br />,\ppli...l orAt6l Si8n.lur.
<br />"-n.-.o,rnr,, DtO o--^,.lWq)e2-
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<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 (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meler
<br />FINAL 2/uhtty' -ry*Yal/t/Notes, Remarks, Etc
<br />Rev. 08-07-2015
<br />ID/SIG.
<br />S",r\.Jr"^
<br />Li=*N@bd 1tU.If
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