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ELECTRICAL.INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.OWNEB Bt ILDEN DELCARATION (
<br />I h.r.l,y !0tn u rr tE lry.r rtrr!ry tlBr I d crcq, h.f, rrE (i,ffi6 tan( L.v ror llr follo*ins ,.u (S'. mll.5
<br />B!\ine$ snd Pr.L:!bn CdLJ Any Ciry or Counry whth EquiFr ! Fn ro co.ndcr. !x.r, inprcw. ilenbli$ or qhn dy
<br />ntu1w. Fi,r ro ir. iiiu4r- .!o GlUiB rlr qrli.dr fo. $*l Fmi b n,.. r(rd id.!ffil ln l lt oi rl! ir lic..rd prtud
<br />b rh. F.vi\ionr ol rtF Conrtrtols Lic.nen La* (Chlplcr 9, CotuEkirB wirh Setitn 7(x[ of Divishn I ol th. Burircs lnd
<br />t\oL$rns Co4i d rhd lE or nr n d.trpr rlErfton ,rl rlE b.ri! for rlE tll8.d .r.n8i,n Any virlri,.6a Sd i,n ToJ r 5 h, r.y
<br />rF|licunr for u Demir lubr.k rhc rmlicr n' d civil pcnalty ol nol mrc lhu liv. hunded dousr (l5(x,).
<br />-1.
<br />$ osmr ofthc pmrdry. un.rclui!.ly.otuErinE wirh lic.nr.d conlftcloE to.onslrucl llt p.aFr (Sd. lor4. !8ms
<br />r,n Pltif6sinCo& T1E Co.rErolt Lar.r Lrw dG El !9rly ro io*c orFtFdy who briticr or inpmw! llsNn.
<br />.nd *ho .r r&rr ror slch lftr .k wirh r Crnrmto(rr licentd pu utrl lo tlE Cont&loa. t-kcM he)
<br />I rnr.r. 't, uDlrr Su(rtr'n I & Pa lbrrhrsrtrhtr.
<br />Drl. oqEr
<br />w(rRxr;!.\' ('alntpFNsarl()N
<br />II,IIAAAI1OB
<br />I lErchy u nn utrJcr t'.Mlry ol ,Erury oN ol rlr loll{,rill3 d6.'L{(n,n\
<br />,,/-, no'" * *itt *,n,oin o Ccn ilxarc of cl'n*nt lo Sclilnruc for wo.k.B .on{xnsaln n..s t'lvid.d 6r b, Ssrion]?OO 6f ri.
<br />1p'
<br />c."t r* u. n*t* .r tlE wd rm *'irh rlt rsni ir nrucn
<br />. l_l tro* .,ra *,tt *,nr,n "6rlci! coripcBdbn rnuruc, B E{uiEn by S€ri'n l?m of dE tlt'.r Co&. ror dE Ff(rffi of\ rrr s.k lor*hf,hrhnpcrm{ n trisl My*'fi6 mqrndDn in$e. uir !n F,lry numbcr G.
<br />-,tm, foUs L rlt4(#,^^",*rr*.rzgz-"-,-,tl/z.z-
<br />_l anirr rh.r i" r,t Frr{,na! or !h. hrl for whth rhi! Fmn n nrEd, I sll.ll mr cnphr rn, Fmn h sy nuE
<br />s' s ki h.corE subixr ro lh. rorrnc orq.n{liofl bvr or Cdiromi!, 3rd .3Ec tl4 rf ! rhuld lf,.oE subirl lo lli
<br />hrtdr orp.Nrbn frcvieimr orsa-lbn l?00 o,llE L,lu Co.lc. I tr[ tdhwnh orpl, tih llDr FotitioB
<br />WARNINO I Jlur. r{, $ur. *orkr^ d'n{rnsrr(r
<br />.iv'l ftr\ uti t, otu hutr,lkl rhousrtr(l dollnrr ($l(l
<br />n oErE! i unlrtul. .,'d nll obFr e alpbF b qinind FrIi..rd,ryZ'::::::-:
<br />6:""i?r,fr uctNfD.louf,l(lqx
<br />IITCLJT.IUAI
<br />I hEr,y Trn o.d.r Fnlxy of Frjury (hd I dm [ens.d und.r f,ovibn of Cllrprs 9 lon,]irinE *nh sdnn 7m)) of Divisrn ]
<br />ol tlr BuriEs .,xl Pn''6lirtrr Cdr.. dt o, la.n- ir in fiill foN !n cfi61.
<br />\
<br />',+..*cr"*
<br />B C3C
<br />k. y/zct/z' (d,rxid
<br />4ozo??
<br />t9Ntsrf,!1u1l!.lEulllclc!:lcr
<br />I tEEhy dfrm un Lr rEMlry ol pcrjury rlEl rts. i! r o.iocrbn Edin! eerry fot t& FnolmrE ot rlE hrt fDr *hi.h lhis rErmn n
<br />nrEd rsft. 1(R7. Crv. C ,
<br />t ndd\ Addr.ss:
<br />-
<br />AITLIIANIDIIIJAAI&!
<br />I hod,, 2rd uidci Fn.h y ol FrJlr, oB ol rh roll(lrrn3 d..bdionl
<br />Dcnrliriln Pdmit.Astr{os NorifEdn,n F.d.El R.Buhrioni (Tirk 40, Pd6)
<br />/ R.{uncJ tlrr.r(
<br />( ,*",,,*,,*,
<br />l**,,*,r,,t
<br />Itd.rul(su[nnrn\ rcsardnrs !\hcsk]\ cnx,lnldc nur $tli.,hh ro rhir frcr.d
<br />rhsirhcrbvc infoirruiotr NCotrr.r l!Brcn,$tuPly*irhrllCiryrnd(i,unry
<br />tu1t G &d hmby .urlDrir. EF.edrn.s ol rhn Cnt Id Coun'y ro cnrd upo. tll
<br />rtr,vc nMriomn lmpcny ntr inr
<br />/^ppli( o. rllmrsi!ru|
<br />r4
<br />_ Ir.r.:
<br />LtruL rLo/,,
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 642-/.1 /2C/(r'fuut azx
<br />Noles, Remarks, Etc.
<br />\7
<br />COMMENTS
<br />-1.
<br />!r o*tur of r,r [opcny, or ny cslpldyer wirh *.3.r s lh.n sk omp.Ndi'n. sill do llE ffik lld rlE rdm i! ml
<br />ituiel d ofr.od ld .l. (Sd ?04,{. AuiB! &d PrDGribm C.dc, Tlr Cdffidt tire l,v .lo.r ,rl tpply lo u ow oa
<br />rh. rxoFny *ho t{ikir or ingow thdsl! dd wh. d(E rEn sl* hincll or h.rclf or lhNugh hir d,tr om.nPloFn,
<br />Fovij.d lh.l rEt urFrHE rr E rr insd.d qolltql frr s!. la tbM, dE &iBrU r irVrDE,rB'l n -ld wlhh m Pr
<br />ofNq*rr( Eo',ErBu kv lIR tlE hlr,.s of FlvrEli.lEd!n dil tur h{ild6 (prow dE Fopqry fr tlE F,FEol
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