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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OlINER BUILDET DELCl\RATION
<br />I h.rchy .fiim uftLr Fnrlly (,r FrJur, lh, I m 4clipr rhm lh. Gll,n F- l-ra{ Irs tur ltE foUdwog E!'n (Se.7oll.5 .
<br />BuruBr .ri hn r$. Ccb)r A.y C y o. Cody wh.h EquEl . Frn k' dNu1 .116. ur$'w .Lmlsh or rqu {v
<br />nl**!m. tntr ro n. !!l!.M. na, rcquB rlE .{plr.nr lor rE,I p.mr ro n!. r rllEJ n.lcNr rhd h..r dE ! lEdql FlNd
<br />b rh. pn'v'lionr ol rtE Conlr.l,tri La.nscJ bw (Ch.fl.r g. ComnEnc:.8 w(h Seton,{Xr) of Drvriin :l ofulE B*iRr rnti
<br />Pnnc(r,ns Coi.) o. ih.r ri d rlr r.rcft9r rh(rcfmh.,rl rh. bnn r,tr rrE ttlcrcd.rcqixrn. An, rhhr,notSerrn 70ll 5 h, riv
<br />rmlBrni rtn rFm objdls llr q'plxnr t' ruv FMxyolmr mn. rlun nv. hundt J(l lI\rs5(t))
<br />l.,r wrE ol|hc ln,rtn y, or my.mtby..i wirh *,!cr!\(h., qn.(.mrnsdtrrn. e dn rh. -1,1 rnl rlr rtuxK tr nn
<br />urcrhl orofi.rcd ktr {h (Sc 71}14. Bulr( J P^na\r.nr Cql. 'th. Co rtntr ! La.r€ liw Lttxr n(, {'dy n' u owNt nl
<br />th. F,Fny *b ir dt tf, !qn'6 rlrc,n. .,n rh, da sh uxl h'm..lt or h.tell o. ihn)ulh htr or h.r .vn .rll,l)r..\'
<br />arovrldl rh:r {kh ryn'wrdt e ftr !r.DL{ q ollgd lor q!. lr, h'wrs. rtr L !8 (r lqnntrd tr v'llrrtuom Fa
<br />ot comtLrDn. rlf (,*mr Bui!.r v l haE rrt hxnl.n ot llt)vhs lhrl h. or rn dn fti hr l ot 'n{r,\t nr F}lElv for rn IiliFK ol
<br />-1, '5
<br />olmr l i h. rr)Fn!. rm .( lun\llt lr'dnlr uIS *. h lr.n<J ( trd.aroF t' onrtu( ! lf FrF(i rS& Ttu-l AurEs
<br />rli hDtdqnGrL: I h. Conr..ktr'r l-rcn\. Lrw .l(Er B .l'rly 1,, .n owftr o, lr lcn v *ht burlJs nr mnrlvc\ rh'r& .
<br />lnd who Nntr!.r{ I,tr lurfi Ih*$ wnh . (nnlnlio(t) lk.nrd ll0nuld n, rhc Conka$tr'r l-r.nk I f,s I
<br />I !h.rc6d ud.. S{ir
<br />IIORNFRS' CO[IIENSATI(,N
<br />DECI.AEAITQN
<br />I hrEl'y rl,roundcr Jrn,hyol Frrtr! ok I rh.loll,*m! JNL!.iK,n\
<br />-l
<br />hrk {Bl wrll Ehr.tr r C.d 'tt!r. ol C..{nl b S.l!lnt@ fd work6 r mpcnrdn,n, ss Frvi&d ttr 6y Serrrn UUJ 'l ih'
<br />t2t!n (irl.. fd rlE Frlimc ol rlr krt lM *hrh rh. Fmii n !rhl.
<br />I lr . itrd slllnr trrln wo,kcr\ onrFtr\rrk)n 'n\urrhc. r\ '.Llotrd hy S.Lr rnr lTlxrol rh.lrtxtr(itrb, ntrth( p.rlod^-'. nl
<br />Er drl trlky numhc, uc.t i
<br />,"**:- sfuli-
<br />-1
<br />..n ! rh:r r rM FrtumE\ ol rll k,rl ltt whth rhr Fsn K 't5u{. 1 th.I Bn cn{'l'y rny Fk'n u u, mnmr
<br />e) !\ n, t d,tr ruhj.{l b rlr v,rt€{ dinlEnsr[r t *t ol Crl ohr. .hl alE rhrr 'f I lhiull IE.l,r ruhjet ro rll
<br />Mlkci!' . mF.nsr!,n In,virirnt di S..lDn ll70o o{ rhc lihtr colc. , rh!U. l,'n h* h .omPlv s iih rh,{ l't,vrx'nr..
<br />WAnNNC: F.rluE N cm k*lcF' conFnerptr .ovcn3. ri lhLelul .rn rhil rttFr .rI|$Fr b l:ml Fnls ul
<br />('! lin.r uP ro onc hunddi rhou\rnl d.u.B lslul.ux)), r ald r,n t' rh. (o{ ot (qxnqrion. i!m3'r 'r Porn'J ln rh'
<br />S.crrn, rlr76.l rh. l.rhtr
<br />o
<br />I]ECIJTAIION
<br />I h.El'y.!lunudLr p.n I, oI Friury rhd I M litnEl ud.r F,vlnn olChltid I(LrrmEins sih Scdi,n 7O0()) orDivt" r
<br />or rrr BuiE{ . Prn i.r,n (irl.. .rl my |..tr{ s D rull tdnt .,i cfldr
<br />L
<br />c AZ
<br />lorsrBl]qrloB.l.ElluNa {i!B.la
<br />I h.rhy rllim unLr lrBly ol lr.rry lhr rlE! B. on{turDr ldrlor.!cy foi llE Frlffi. olrhc krk for rtih rha Ft' 6
<br />hBli\ nJr.s
<br />AITIJ$IIDECI./ISAII9!
<br />I hdtt'y .rlim uBL. ,xnrt, ol Frllry or .l rlE lollo*F! &lhnr xnr
<br />D.fr,lii,n P.rmrrArlE{.r l{r r.t.n liqLr.l Rcaulrri'ns (T(k.&1, Pd6)
<br />knrtrnflt L.rr.' i'l Nor nrnr,
<br />I (cn rfy I h. rlt loLr.l E8llrl.nr Esrtlu! rilBkn rmvrl r. mr lpfllx.hk (t rh6 I'nrFr
<br />I !.d'lyrh.r I tuv(..J rhi\aptl(rli !61n!r.rhirrh.rh'v. mk I rgh.r, (,mply w hrllC Y.d(i,urry
<br />!urh{a.rcr.{nrlrrciorrhrC y,nlCounryi!'cnr.,uF,nrlrodmG-.r . 9.rc l:wr rlrnrS t. hu[lm3 c.nrlurnn. .[1 h.
<br />rh,s. rf,rrredF{Enyri{ usFdrn Pt
<br />,\tnli.{nl nr A*onl Si(tr{
<br />q
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueino
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit ,1
<br />Walls (Conduil)'/<y'za -.kq)
<br />Walls (Rouqh)\J
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rouqh 5
<br />Service Meter
<br />FINAL 1l1ilt4 ,(/t4n)
<br />Notes, Remarks, Etc lr
<br />-)
<br />x\uc'l iS.r 167. Crv. (:.r
<br />l.frLi\ Nrh.r
<br />-
<br />Translormers
<br />Air Conditioners
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