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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUIll,Ef, DEII'AT TION
<br />I6ylrmm&FrXyof Fiury rll' I6o@qi ion rtt Cdi..l Lkru trs aor r followirB le (Sq.?on.,
<br />Buba rld Proferion Co&) A,y Cily or Coudy phth r.qliE r Fhn lo oddrud. .n6. ihp.ovc d@lbh o, rFn m,
<br />fixic Fir ro 'rt 816.. .ko Eqlr6 rh. +plt.r ,or sh Frln lo fiL. risrcd nrdn d rhr lE o, {E it lir6.d F,trd
<br />lo lh. FovtioN of lh co ,.clm r Lic.nEd Lrw (Ch!t d 9. Comoci.8 wilt Salion 7000 of Divnion 3 ol rh. Bain* sd
<br />Prof*ioB Co&) or rhlr lE or ln. a ddnPl tlE tro6 sld rh. hGi for rlE dkeGd aolFbr Any virLlirn oasclbn 701 I 5 tr o,
<br />4pli.d b, . Fni at *G rlE rppltd lo ..ivil po.h, of mr mr. rh! fiv. tur&.n &JUsr (ltoo)
<br />-1.
<br />a orG of rh. FlFty. q Ey aiDlqd wnh *.s6 a llEn $L oiF!.-r,! *ill *, dE *ql -d atuGi!mr
<br />idarb, d ofr6.d fd rlc (Sa ?Os, aGilE dd Pr.f<e6 ( o&: TIE Cotrr..lr't LtaE l,* d6 ftx 4?ly lo & 0*6 of
<br />lh. proFly who hrildr or ihpmrG tlE6r ed uh. dc Dcn w* him.lt or lE&lf or thmu8h hi! or hd om dplnyc,
<br />ForiLd rhr Bh isFrqdre d n6d.d 6oG!d 6. rl lr. krls.rlEt Bi.s 6 igllt6H ir ild wi'hi' oE )d
<br />ofonptria llEO*G &ild, s hrc rlE h4td of FevlB rhr.lEorrrc dn d hild d inFD\. dE FoFi, tu
<br />'lE F,FE of
<br />_1, a .$G of rh. Fq6r. m adaiElt codrdin8 *nh liG!.d codrxloB
<br />'o
<br />odrud llE prtrJ.(i (!6 7On, II!iB
<br />lid Aohsin (id. 'l h. Cont.croa. l-ic.e lrs&6ml4lolylo uowDq olp.opdrrwho build.or imprevdrhaotr
<br />md rho odrrt f sh Fljcd. wnh r Conrarodr) lilE d F,l'ld !. rh.Conrdd ! LiG L.r)
<br />lMr.tdnl undd Sdion .R &P( torrhilrNn
<br />Drlr ()rrcr
<br />\lJBlu&r:(a El:!t Ia!
<br />III(IJAAUIJT
<br />I hs.h! imrm unJs p.ndlrr.l rEjury on. orrh. n,lhtr'nt dNlarnrhE
<br />-t
<br />h!\..d *iU dinr.i'! r Cdriftttc otcoei lo S.lf-l6e tn Mtdt mF-rih. a F\ilLd lor b, Sdion l r0o of th.
<br />L.bor Code for llE pqfolrrIrc oillE mlt lm *tkh th. Fnn ! isucd
<br />_l hsc,i *nl uim.in w.*6 comFMir. UMftq s r.qui,!d b) Sdtion 1700 of x t bor Cod.. for llE Fformx. of
<br />$. mrl foruhich rhn F6il i! isr.d. M, wdtdr omFsdrn iBuru.. cnid dn Flty Dumb6 e:
<br />CriE --:Nu4UhAn.J, pl*tfttt@ (bM-e
<br />. hcwc4 Lqh)l _Erpi6
<br />I cdiryrhrr in th. pqrolrucc oflh. {ork tor whichlhir pqmil i3 n ucd I rlullnot nplor.ny p.mn i. e, ner6
<br />$ 6 ro bdle 3utirr nr ln. *qI6 ohp.dren hq of Cdiform.. !.<l lg@ rhd if I nboB bcor $bcl to lL
<br />*!lt6 onFldion FoBio6 of sdio. 1700 ot iE lrh' ( o&. I !h.ll aonh*nh ondy wnh ilrr Forirh6
<br />uAnNlNC liilu. ro sw s.*d onFlrhn sr6rs. ! unl&tuL r,{ {ull rbFd D orp}o}6 kt cini..l Frli! an
<br />ro o@ hun&dl rhoBlrd dollc (1100.0fl)1, in .dd.!io. ro rh..oi of.o mFNrNn. ddMs6 a rrotiddl tor ltt
<br />Saln n 1076 of lh. lrtn Code 6116l !.d .trorEyi rc-s I lppliarr: ts
<br />rtclatallo!
<br />t ffi, amm und6 Fn y of Fjury rhsr I o li.dsd u.d.r Fovnhn ol(l'arrs I (onntring wnh Sel6n 7000) olDivirhn l
<br />oa lh. tIBitB ad ttol*66 Co&. d my 1169 ! in tull lore ad.rd
<br />Clo ttr,,,,.r ' tglf oq1,rl1[ll
<br />I h.'.try llfm und6 Frly olFjuD lhr rh6. s. cotrrrudu ld'dins rsd) for rhc Flollm. ofrlE $orl tur trhi.h lhi FEr a
<br />l'nds'r Adrt6:
<br />-
<br />AIIIJIiAELDECIJAAIIO!
<br />I hd!b, .trrn undd pqrlty of pdjury on. of lh. aollowins dclo.riom:
<br />ttrhhbn Pmn'A$.r6 Noifrlrion F.dq.l R.guLrEc (Tnt,{0, Pdro,
<br />-Rqut.d
<br />t,il6 ot Notifi.alFn
<br />rcaadin! ati6ro. r.m\nlr. norL+lirtll ro dr! FD.idl
<br />bi i' cdt1 I ..'c to onpt *ih .lt Citr.d Coony
<br />@ @.a. tiE ol rtit chy lxl Cordy ro otrE uFn tlE
<br />---..(qt,l
<br />!..'ha ih..hotc rnfotu
<br />,\ppli..nr or Aern(sisn.t!r. X
<br />,.-u--..,0.",,, X TIE i.lt(r4
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />F ire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER Shc /,q Wlo,
<br />Transformers
<br />To rquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />shJ,c
<br />FINAL S-2- -l t D&lr.\
<br />Notes, Remarks, Etc
<br />Service Meter
<br />clr"lrr
<br />isu.{ (sG. 10e7. cn c,
<br />L.ndci! NanE
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