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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNER BUILDER DELCARATION
<br />, hs.by .rm undr pollry of p6ju,y rhd I m ci6pr Eod rh. (.omr.tu6 Lic@c hs'for lh. followhg rcen {s4.?Ol l.5
<br />BuiB dr PrelBrior cod.): .A,, chy or c(M, whih r.quiE r p6nil lo orEru4 rllq. iEFo!.. &mkn or Ep., i, .
<br />lrrud@ Firb hr iw. rlo aquc rh. {pla!'r torrnhpaflnlo nLr rai.d flffi 'h,lEd JEi! liE d FriEr
<br />ro rlE FoviioE of dE Contr.rtr! I,t..!.n L3* (cl!r16 9. Conofti.g *hh s.dion 7000 of Divirio. I oa lh. BuiB !d
<br />PhL$ioc Cod.) or rhd h. .r rhc t ddpl thE.ftoh ud th. b.rn for th. .lkscd sdp(ion. A.y violdio. otscdbn 70! LJ by .ny
<br />$plic.f,r forrFhir rubj6l! rh. rpplic&r ro ! ciri! p. ty of 6r mG rho li( hund.d dolhr (1500).
<br />L s o*E otrlE FlFnr. my.nlph)6 wnh *.s6 s rlEt $L Nnp@rDn. *ill {b E *dt.d $. rfu i mr
<br />i,nsxLd trollG.d for elc (Sa.?O4d, BclB ed PloaBiod CqL Th. Co tuoit Li.@ uq &,6.or +rly lo d o*c ot
<br />rh. FnFdy who hril& or hFor6 tlEa( rd who do6 rdr N* himlclf or helf or lhrongh hi. or hs om mploy6.
<br />porit d rh,r ru.h itr'F.\6iEt n m! -rdrLd or ol$*, 6. sk. Il b*!€. rh. tlildrB or ilp.llqEi ! bld *ihin @ r*.fonpldia rlE OnE A!r,s rrl h.t rlE hr&r ofF!\rs rhd lE d JE rlid d hriB r irF.otr d. FoFy 6r dr FtDc or
<br />t. so*Folth.prepoty. o.rluliv.ly.oim.li,* u'llh lico!.d .o.taclor to Ntrrrucl llE pmi..1{S*.7044. aa d
<br />i,!d hoftsi, cod.: Tt (tnrdoii LicN Llw d.E mr.rplr lo u orns ohrepdry trho b{rl& or int,!!6 ths6i,
<br />ud $ho onrIr, to. !.h Fir. *irf . cffion, lr.6d Fll:d rorlE(-odr-rm.l Lto& t s)
<br />I dn.r.mr, utuld S(rion
<br />D.t. otin6:
<br />$orxins. ciiirPiriiariloN
<br />DECIASTIIA!
<br />I hd.by am,n undd p6.hyoaFju., on. ofrh. follosint deltr.iions
<br />I hr!.,n wrll minr.in. C6riaEd.olcoM to S.lf-lM lG umt6 rcnFErion. a Frid.d for b, sdion 17m of rlE
<br />tlb6 Co<le fo. dr psflll]r4. oath. rst f *tkt tlE Fnit i! isu.d
<br />lrndr.rnd*ill mainrsin worl6 comFnrllion iBurlnc.. s r.qur.d by Sdrion 1700 of rh. L$r cod., for rh. pafomMc. of
<br />lh. *ort tor *htfi lnis Foil it isu.d My wo,t6 comFs{lre. ituuu..mid di poli.y nlmba i.l
<br />c"'!-@t5 )P'rraNCE
<br />p"r*r r,.u f5t.4(- U)t-Z.f-
<br />cl2l\!a4aY
<br />,,on^,)J:/zc>-D
<br />., I cdn8 rh.r n rh. pdf.lru. of rlr corl fd s,hEh rht Frn i isu.d. I iull tur dploy 6y F$o i!oy ffi
<br />i 610 b..!m !ti6i ro rlE wr6'@'iFs.bn hs olcrlilom( .xt rec thr if I nDuU bRoft su6l lo llt
<br />eortd' @nptudion provBio6 oasdion 1700 of rh. lrbor co&. I tdl, fonhwnh onply *nh rfior pr.viriod
<br />*AnNINC lr!'luE r. su. tr llds
<br />ctr'l in6 ulj t, or hudr.n !tulls&l
<br />s(rrn 1076 olrh.lrbor (i)d., inrdd
<br />c.DFuion 06.3. ir u.hq ful. &d rhlll $bj.ll D dnploya lo ainind Frlis ,i
<br />I fi6.ty amm und6 porly of Fju,_ rh l d li.qs.d uida p(ovi'la,n ofctrq6 9lcomtrin8 f,ni Sdbn 7000) of Divaion l
<br />of lh. BuitB.rd PmfdioB Co&, &d ny lko& i! in lull lore rd cfi<r
<br />r.ic@cr& ft
<br />o", )/-ef9,
<br />\obt-19q )
<br />( qAlilAtrJ - <a-l.>ant a .1\d^) toa
<br />CAIlIAlr(IqlIEdD|lGiCEBlJ
<br />I h6.by lftrh onda Fnllr, o f patury ihd lh@ n . ododbn knding lgdcy for lh. p6fod&cc otlh. erl tur *hich rhi Fmn it
<br />ie.d (Sa.109?. Civ. C.)
<br />AIIUCAII.IECIJSAITO!
<br />I hody rtEi ui.la !d.ry of Fiury oe of fi. iolb*i.r .khriod
<br />Dqmlnion Pdrnl^sbaro NolifE.lion F.dE l R.3rlriod (Titl.40. Pdr6)
<br />R.quir.d L.fia of Nori6.rbn
<br />I .srify rhr rlE ftdarl Erlhio6 Errdiis a!d6 ,gE\.I e ior dtdih lo rlE FoF
<br />1t .dary thr I her rad rnr .pplt ion id {1. rhn rlE.bovc hromdiof, ircorrEr.I lsrero oiply *ilt.llciy and Couty
<br />ordrlN6 rnd sGt. lr*s Elril* ro t iBi.! L i... arth6.bydt riz.q,.rd,n6orrhirCi!ydd(ou'r. rods uIFnllE
<br />lLI. rElioxd FlFl} fd !sr..io.
<br />,\pplic.trlor,1EorlSiBn.l rr
<br />s*l-n...rpano, .6Crr R l'tAJ<N,4AjD'z
<br />-lL/ta
<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 />Torqueinq
<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 A
<br />Service I\4eter
<br />FINAL 6'"2-zl il(1 fttl
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />, r'\t
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