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ELECTRICAL-INSPECTOR RECORD
<br />APPHOVALS ID/SIG.COMMENTS OWNE BUILDET DETI TATTON
<br />I ts.by tlirm ud.r F nyof F,r,r, rhd I d.Ervr iiDi rlE Codrar6 titG L* ror rtE rolbriE Ea-n (Sd.70ll.t
<br />B!ri('. rd Prcr6.ion cod.): A.y Cny or cddy whih Bqur. r Frr b @r<!!El. rh6. i'illtu!,t, &olirh;r tFir u,
<br />3rurr. rir ro its isllre. .l$ EttoiB rlr r!?lidi for qh Fmi b nL . silEn edffi' rl'd lE or tE ir li.$.n pu$d
<br />ro rtr Fovlrions ol tlE Conrr..roi! Lirnrd k* (Ch.flcr 9, Co,lGEinE wirh serir. 7m of D'vtEn 3 of th. BuriEr ud
<br />Pnilc*i6n. Codc) d rhr' lE or !h. i!.r.nq Frcfoo.d rtF b.ri\ lor th..lh8cd cr.n{rhn Anyviohrbnorscdiln70ll.tb,r.,
<br />.pnli.rtrr tbr e p.rnil subr.crs rh. .mlicmr ro a civil p.n!lr, of not mE ih{ nvc hundcd doll{r (l!(I)).
<br />-1,
<br />dr owEr of llE Fopcny. or my ctrployEs with *usd r lltn $b Nml!.Bdion. *iI .Io rlE wdt lrn llE rtrEtE t mt
<br />iitdiLd or 6fr.ri fd rL (Se 7044, BuiBr.nd PrDLsir.i C(t&: TIE Conrrdd\ lirM tiw drs &r ryrly ro s oeE ol
<br />rlE Fqdy *lb hril& or inp66 ttss( ln ph. &B rh urrt himlf or h.elf m tlwugn hi r ,.r oo .n+bFi
<br />|'n,lild rhd r$n inInm . n d n.n,.d orollcl for qE lr, hollc. tlr tlddiit o a"+.owd n r! winir om Fr
<br />o,orrl,brin dE 0',6 Builtr eil lIE r hnholFbwB d.lE r dr dn d hrild d iqmE tli rrFq 6rft FlFioa
<br />L s o*rcr olrrE ImtEdy, amcxclurivclyco r*rins with lic.nKri.ontdo^ rod,trd r rrE FFl tsd. 7044. Burms
<br />lrrr Pbh\\id Codcr Tn. Conrlcktr s l-i.cns tjs dms fl, stpl, !. &opncr ofpmlEny pho hlikr or iop,ow\ lhcrcon.
<br />und who onlracIs for such pmjcrs wirh a Conhcro(s) ltcnsd ,ldBuu.r ro rhc C.nh.t, i Lnrn{ ljw)
<br />I i,rrUnpr undcrS..ri(n,
<br />llllarlai-glurEds rIoN
<br />AEq.df,AIION
<br />I Lab, rmrn ,nd.r IEDlr, of F]ory oft 6f rh. tolk *m8 &(LhrrN
<br />_l ,Irh mi will Einrri. r Ccnirf,i. of Conrnr b sclr.ln$r. tu eMI6 or{Ens hn, B [retihd tor by Serion l7(D ol rlr
<br />lJbr Cod.. fo, rtE lErformrc .I ihc kJd f.r which rh. Fmir t! nsu.rl.
<br />-l h!!c und will moinlain qorkc conDcnsathn insurrncc, ut rc{lund b, Sdio. 3700 ot lh. L{hor Codc. for thc Frfornmc. ol
<br />rtr worl for *hich lhn F nir t nsu.d My *orkcs otr{.nsrbn in$@. c6ir rd poli.t nuniEr ac:
<br />c*,Zc.f :C.L 4nae n 'ca-r,. FwQ. L
<br />p,n*tt1",t*,, wa \ 17 2 P ful I *p*,, c/ -l ' d-l
<br />-l
<br />anirr lh.r in llr Frformr of rlt $6'l fq $ti.h Ot Folr t 6{.d, I shrll m' .npht tny FMn h u, l$rcr
<br />$ rt b tt<om subF b E m d od{EMior Lwr olGlift ,mi dd lgE thrl if I thouu hdnr.!bFr b dr
<br />w,rtds odrtEMlion pmvnioni or S.dk n l7m of tlE Lh{ Cod., I xhrll. ronhwith 6rr{,ly wnh rho: I'oltbN
<br />WAnNINC Fsilurc ro s..'urc q,!kcrs' conlEoern,n cov.og. i{ unl.wlul. md shall sub,..r lrr cn'r,y!r ro Eimhal uhici .nd
<br />.ivil fins\ !p to oB hundBl rholrlnd dollds (lloo,mo), ii tuld bn h rhc.ost of.om|lnsliq drm8.s B povf.n f.r lhc
<br />Sarnr 1076 or ihe Lihor Crxlr, inr.fti .d dromy ! rd.
<br />'r'3 -a-\ ^rrr-.,. B.;4 ,/ J,a-L
<br />LTCBI&gNIXAfi)f,
<br />DE]II4EATII!
<br />I Lr.5y .,rm un&t Frlty ol F.jur, rh.r I d D€Nd !id.r F6a, orc)DF6 9 (offiint *irh S€lbn 1D0l or Divri,n l
<br />or E EriiEs .,n P,tr.$h.r Co&, .,n by ltcr- t in tuI n N rd .lItl
<br />,.o**."*,4,C^/O
<br />o.,., e4^ 5-&\
<br />r.i..nrc Numhr t o^ltl'1o&;-lD -
<br />coli[r8xclxtl{.LEUtrac-eGEu.g
<br />I ltEhy rf,m u.&r p.Mxy or F,lry rha rlrn as a 6drri,. LL![8 !8!ry ror dr Ffolrrld or i wt tor 'l'tn rM Frna i
<br />/ isoal(s* 1097. cir. c r
<br />ATILIIjII.DECLAAAII(}!
<br />I d,y arim ur&r rEnully of rErjur, ot or rlE rolh*in! delEr i.rnr:
<br />I}ml ion P.rmils-ArbG'or Ndirr,tior tu nl R.ruLlirn\ (TilL1(). Pln6)
<br />-Rqui,rd
<br />Ldlq ot f,rolirr.d,.
<br />-l.nlify
<br />$.r E f.icr.l r8rlLrioa GBldinS.sb.so\ emvrl E mr.p!li.bL lo lhi! pltrFd
<br />8lkoiry ru t tpw rcra rtir rr,r,ti(dhn !n dd. rlEr lh. rhw inro.'urir i c6r6r I lsd ro odply vifi.n cty.rn counry
<br />odlmrRs and Strtc tlws rclrrirS ro l,uildinB cotrrrElil( &d lEEby luttnrie rp.c*milircr ofrhn Ci'y rfll C.u y lo cnrd ulmn t E
<br />lh)vc cntioftd pmFdy ror inrpelio. I'u4nss
<br />r,ppl"-r * r,gmt,d"nY4i? - / /o .',
<br />P.m,rmm.rprir,): 8. tt ff.'tt
<br />-n 4:5 :L\
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor I l
<br />Bondino / Groundinq / UFER WW
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners I I
<br />Roof Top Equipment w11 zt b**4
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter I .. , tL -t-
<br />FINAL It\U7Yr ,\DlrYV/
<br />NotBS, Rpmarks, Etc.l --l
<br />c I
<br />I I I
<br />DATE
<br />Communications Cable
<br />ItYLTY(
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