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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Ol*NER BT'II-DiN Dfl ,('ARATION
<br />I hqcby lrm und6 Frly of Fjury rhd I d ermpr frcn rh. Co r.cra Lic.e Lr* for rhc aollow$g ref, (Sd.?oJ lJ
<br />adinB ,,rt Pr6i3rio, Cod.): Ary Cny or Coudy whrh cqun6 r pd,n, to coMtucl. ., inFove d6@lah or r+.! uy
<br />srrudE., Fi,r to ir! iMcc. .t r.qui6 rlE .ppltor for sh Fhn lo 6b ! slsn d rflaEr rhd h. or JE b li(a!.d p@!d
<br />ro rh. prcvi!rec ot rlE Conrdd r Lic.nrn bw (ch.pr6 9, Com os *nh S41hd 1(x)0 of lrvti.n I ol $. A$iB and
<br />PmadioN Co&) o tha h. or dE ii dalp( rh6.nom..d rlE ti.! lor !h. nk8.d danFioi Any violdion of Sdio. ?01I t byo,
<br />.pplicsr for . FDn sbjdr ,E .lpticrl ro . .ivil F6hy oa mr mr.lho fir. hundEd &,U& tlt00)
<br />-1.
<br />s d6 of llr FoFty. or iyorplo,G *nh *.s6 B rlEt 5L @mFErbtr sil.b fi. rst,n dE rrrnE a tDr
<br />i ai.d d ofi6.d for.k (Sa 7044, B6iE Dd Profdioc C.d. TIE ( onr,l(ld'r Lrc t& dd nor Sly ro - o(G ol
<br />EFoFry wlb hrir& n iqo6dE@ rn vrb d6rai *dt hlrellor lE lfo. rlnu3h hit d ls ou.4hyq
<br />Forrdd rhd sh ilqoElld E d nqd.d q o,E!d 6. .L l( ho6!, dE ll,rililB a -l'.l]\€d i bld fthb m
<br />'aof..npkb( EotIE Ad(k wil btE tlE h,&r of Fut !lrdJE(umthildnlrgDndtFopdyft,6.F,Fcof
<br />D.l.r _, _ __ 0116:_ _woxxf,ns;aoMPrnslrloN
<br />DE(ldTAIlq!
<br />, hs.by .flim unda p@Xy ofFjrry oE offi. folkrwi,S &.I<bB
<br />I hrv. d'd will roinr.in . Cdrifrc.t. of ( oMr ro s.lf-lBlE tu *uls. .onfdrnrn, s rmviLd ror t'y scrion lTLro otth.
<br />llhor code aor (hr Ff(,i]Mc. o f th. ".rl for trhkh rh. ,End n as!.d.
<br />-l
<br />hrvc dd will slinllin wodnt coEpc.lrion iNurm.. d r.qliEd hy s(rion ]700 ofllE Lbor ('od.. for th. pafomec. ot
<br />rh. *orl lor whth rht Fnir ir isd My worka omFallion iaue..mi, .rld poli.y nuDb6 u.:
<br />_Erpn6:-
<br />-l.di8$al
<br />in thc rclorr@cc of rh.so tor vhich rhi! p<rn't a! B!u.li, I rh.ll .or opht ey FN'n in .ny meE
<br />m a to b..om slbjdi lo ih. m d' omFubn l.wr olciifomr.. rrl .Ar lld if I llFuld hcotu subj<l lo rlt
<br />mrt6 onFdion FovisioB oas.dion 3?00 of rh. t htr (iie I rlEll, fon huirh snply wirh rlE. riovirioB
<br />I{ARNINC, F ihr. ro su. $orlm' comFeion $6!r.. ir unLstul, ed rh.ll 3ubj.( & mphF xr oidiirl F!!i! &d
<br />.iil nn6 up io oE hurdr.d lhoursld &ll4 (t100,m0). rn r$nion lo rh. .o, of (onF !.lron- d&n.s6 6 Fovd.d for rlE
<br />Sdion 1076 ol th. bbo. Code ii6d Md .ttdry r 16
<br />,/>f)floLh,
<br />r rr 4rrlfr tKrfrriiol-
<br />I}!(A&\IIII.!
<br />I hd!b, .tlm ulda porhy of Fjury lhl I m lilE d $dc Flriri,n of ( li.Dld 9 (@njlitrtrB *ih Sdir 7000) of Divtio! l
<br />ol llE Bair Dd PEaGioB Co&. -d Ey li@ a i,r tull for rn .fid
<br />s-e-/?
<br />co sTnucTloi\ I rnnr\c acfn(1'
<br />I ldrt y irfm un& Frny of Fjuy rhr rhd. ii . ordtuclhn lddnu .s*! foi
<br />'h. Ffolr:lec of rh. $r.t 6r "ti.h lhn psEil ie
<br />ir$cd (56.109r, Civ C.).
<br />AflucAdl.lltigatarlQ!
<br />I hrd, .Lm uidd DorlU oa p6jury or. ol rhc follo* ins d(l&d ninr:
<br />I).nol'rion Pcmre&h6tos Norifi calion l-.dd!|,{.sulariotu (rirlc,10, Prn6)
<br />R.qun.d tdri ol Norif.dio.
<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 />To rquerng
<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 Rouoh)
<br />Meter Release
<br />Rough
<br />Service MeterF|NAL 1/ [//7 rt rydz a4
<br />Notes Remarrd/etE
<br />l. r ffi offi. FrFiy. e achuiv.l, @d-rig *ih li.6!.d 6n Jr6 ro o'inEr llr Fordr (Sc. 7oaa. arG
<br />d Fobinco<h: Tn codMd t LtqE t * <t € @r +lyro, o*G of F!F!t ph. h(il.Lo. iEFov6 d!c6a
<br />!d llb 6EII! ft. $dr FDid witt r Cod-b(r li@.d Ftr@ ro tll cdr.dd r li@ try).
<br />I ecraDr E(b SGre .BePC fo,lhllEn
<br />('d
<br />'cr
<br />"",. 6'r-/?
<br />L.ndd r Ad.ts _
<br />-l
<br />cglirylhal lh€ f.ddal reulalions E3sdins db6xs r6nolalsc nol.rpl'crhlc (r rhn tt,ia1
<br />I cd,ay rhd I hav.redrhirapphcali{nandllarcrhdrh.trhtrc 'nft,nnlron scord I a8r* tu Nnrnlt s irn lll Ci!} lnd County
<br />rJ,En.6sn'j \r,rc titrrcbruuro h'ldrnr (oNlnuinn. !d hc.hr rdrh u.'.F.sr'rh6 frhtr( ) MJ Cou ' r" drd JDonth.
<br />ahtr. md,'nn J n vFn) ro, Nr{a.-np*r-r<.J*/l ,
<br />^pp,ror,or^sd,sisn.urc
<br />^
<br />[///d//7aL ^,.6-tr't7Pm,,6'm.iprin,,: LrJM .!tt-oxe
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