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ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.COMMENTS
<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 / Groundinq / UFER
<br />Transformers (
<br />Torqueing I
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Nileter Release
<br />Rough
<br />Service Meter I
<br />FINAL 6lzr\tq /+14t1",
<br />Notes, Remarks, Etc
<br />OW EN EULDER DELCARATION
<br />I ffir .llm ui& Frh, of Fiury rhr I a qdl,l fNn rhc ( dffi6 tkG L$ for llE folb*ilE r*,. (sc1lI5
<br />uBirs &d Prof<io. Cod.): Any Cny or Cou.ry which r.qun6 . pdnil lo mtulruc1. !hd. anFove domlafi or lF.n,Dy
<br />{tud@. Fio. lo irr iM. .lo t.qric llE spltsr f.r uh Fin lo il. . iE..d nroEr tllr lt or dE ir lic6Bd Fr.dn
<br />ro rhc F!ri!io6 ol tlE CoMoi! Lic6!.d Lle ((n.F6 c, CooDtri.s wilh S-lion Tom.lDnnbn I orlh. Bdits od
<br />Poasio Cod.)orrh h. or ih. L! q.mpr llEcfiom ed lh. b4!! lor lh. tlhg.d .xdption. An, violdion ol S..i.n 70! I t by !.y
<br />.r?liqd lor. Fnn sbJ<r tt .pplir lo!civilp6thyof mreErholir.hu.d.d&,llr!(l5@l
<br />I, s otr6 olrh. FoFny, o. m, anpbrG wilh s.g6 B lnct sL.oiFrqrio.. willd. itE *!.t.rd tlE nrare b m'
<br />iddrd.d or ofis.d fd rl. (Sa ?O$, B!.i6 !d Etri6rd c.&: Tll. Codt-lq r Li6t L& drd mr .ptb ro x onr of
<br />!n DmDdl! *h. hlikt or insorE tlEfr td rtE dE kh *$* hirelf ot hcsl,or lhmush n't d hd.*t.tl,k))B.
<br />phvid.d rh.r such mF.vq@B e ml iddrlcd or ofia.d for rL. ll lFwds, lrE tuiBint or inF EErn n $ld wnhin o( ,6
<br />ofotrpldia rlr orc &ilda \dl lEw dr hrda ofForitB rhi lEdft dn d bild or irp.oE tlE F4dry &r EF Frof
<br />l.6.$cofrh. D.oF!t. 6 clclBiv.ly cofrrrds {irh l(d!.d.. m.uro ordtucl llE Foj.fl (sc 704,{, t}66
<br />ldd P,olsin co& Trl conrdo tic6* t * d6 mt @ly lo u otr'c of FotEry {ho bdilds or inFor6lh66n.
<br />and who em*ts lor ruch Foj..r3 with . Con *o(s) li.aB.d p@ul lo ih. Cod.r.1ois l.ic@ lrw)
<br />I dn.KnF onn .SdKn
<br />D.r. O.nd
<br />\r(,RxERs' ( onlPrta^ll()\
<br />tl-E(]r$AIl0N
<br />I h6.tr" imnn und( f.nihr of F,u,r orof th. f{nLNin! ddlturtx)B
<br />I h!v. dd sitl ,nlinrri. . Cdific.r. of ( ongr ro sclf- lNurc for s ork6 Nnr6s ion. s Foi(H for by Scdio. 1700 oa ih.
<br />/rld c.{c. ro' rh. psrolrrrlN or'lr *ort ror $hth rrr Fn i! isu.d
<br />fin^, *O * u, ^^^^ .o 6 l.'rp.E!rFn iNurlmc. B rcquncd by s<r nn 1700 or lh. L.bor ( od.. ror rh. Ffomo.. offfiffi-=-ii: il:
<br />s 3 to b(!G sqd ro rlE srtd 6nFM6f, Ls. of( difomq rd 4c rhi il I {htld t .om suhd to rL
<br />*ort6 corposrion tnr irioN of Sclion lT0O of lh. L,hor Cortc, l !h!ll ronh*irh omdy snh rhor pmvisions .
<br />\ARftI:t(; ti lLnc ro Rurc \frlda nnnlsernn i. unh$tu|. !d JEll rutcd o aphrq lo ffi.l Frti3 ei
<br />tr, rddrtrr h nr..n .r dotuscs a povid.d lor rh.
<br />",rr,,[undq F.ohy .l pojuy rhar I dn li.6s.d undq Fo!iion of('lupt6 s (cor irt trnh S(rNn 7(X)0) ofI)nision:r
<br />or rh. t ui,6 rd PmfdrB (ixt- r'd dr lt@ a i. tull L,c ni clldt
<br />,^-*,*, b.cl1s*" tul( ? l((
<br />1
<br />,-**. \<\-I,\F-t l.\
<br />CANIIBIISIIANIEdDIXC.AC,EICI
<br />I @ irm undd Fmht of Fjury lh.l lha. i! ! odrudion Hins .stry for lh. Fhlm.. oa lh. *ort 6r wti.h lni! F-ir .
<br />rilEd (S< !097, ( iv C )
<br />I .nd6 i \m.
<br />APPL!C I\T DECLARATION
<br />I idtb .fm !n& FEtry of pGjury oft of r lE ,ollowing d6ldio.r
<br />D.molirion P.mnlAsb6tor Norifiotio. !.ddal R.suhionr ( rnb 40. Pd6)
<br />R.quncd lnlaorfhi&in.
<br />I cd,i rhd th. fdr.r.l rcluld ild Egrdin3 atBros rmn nl ec Dn .a"lf,nhk to rhi! FlF
<br />I c.nift rhar I hrr. rdd thn.pplic.rion axl rrtc th.t rh.k,n tr1.n.{r lrlreri(o[r1!\\irI rll( 'l\ ind{inn \
<br />t dM6.d srr. Iitrr ElrItr t.Biry colEncri.( trd ls.t\(Ferdn6 olrha cny!n Counry ro u s ulo.llE
<br />.hv. morhn.d l}oFdy tu
<br />Appliorl orA!61 skn.lor.
<br />P".,,i,. -."rparr,!-d hSS04 g-t t\< lt
<br />rr-ltlJrj
<br />I
<br />APPROVALS DNTE
<br />,.t*,n"O@ C,/G q
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