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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE
<br />Site-Work ,
<br />Underground
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Rough tlq\\q b.- 5,t Ant\ /llL<{r)
<br />Service Meter I
<br />FINAL 0 -4,(/,'{rc)
<br />Notes, Remarks, Etc
<br />OWNEi BUILDER DELCARATION
<br />I hd.l, rtfm uodd Ful$ ot FJUy thrl I m .rdpr &.n rh. ('.ntr..loro' Lic.M L.w for lh. aollow'ns rcen (sd 70ll.t
<br />aBin6 drl Prcfdbr Co&): Arl., Cily or Co! t *nich r.{utB o Frnn lo co'!!!ruci, 61t6, 'rFov.. &nolilh or rcFr d,
<br />iiuc'u., Fe lo it sude .bo r.$116 rhc ippl'cer for such Fmi ro 61.. ngnd .idmr rh, lE o. JE i lEdB.d rrrsui
<br />10 tlE Fovirioc of tlE Cont!.!oi! Llc.n*d lrw (Ch!O( 9. (omm6c'ns sth Sdio. 7000 ol Dili.ion I ofrlE B6iffi rld
<br />PtulGaoN ( od.) ur rhd h. o, 3h. n q.mp rh6cno,n ed rh. h!!r f.r ilE all.t.d dmFmn. Any t hLl[n ots<.rn, 70:l I 5 l, oy
<br />.ppli(d lor r Fmn rubJ*u th. lpplicet ro ! c'vil pa.hy of nor frirc the liv. hu,xt d dolld (t500)
<br />-1.
<br />s oma of rhc Fnp.ry. d Ey mpl6t6 wnh e!s6 6 rh.i. $L 6mFMF4 f,ill & iE *nt !d lli *trc i! d
<br />idadai M ofr6.d fd nl. (5€.7014, B(ir ed ProfdioE Codc TIE corft.dd t LtGe L.r do6 nor +plr to 6 o*E of
<br />rlE Flldry * ho hlll d !,Fro6 lhdF \ i'd who dc id! 6lt nio!.lf or n.ylf or rEDuSh hn or hs os 6phr6.
<br />Fori,.d rh{ s6 inFoldrEa n d hadd ddH 6r r]. lf. ho$rs. tlE tlildils or ioFoEEn b eU *ini on. ra
<br />of orpldbtr rlr (xG EdEd ri! IEE ih. hr&r oap.Dvii! ttd lE.r m. dn ml hlild or inFsw tlE pllldiy 6r llE F r!*ol
<br />l. c ownd ofrh. FDriy, a .rchrivclt conrdin8 wnh licdt d .odr.toB h .odru.i rlE p.n r (Sa ?Or4. &!!B
<br />eri Eo6sn Cod. ]i. Conr..r6r', Lt.M L,r &6 mr rp?b ro e o*'id of FoF } r h. boildr or inFor6 thd@n.
<br />od *ho ontn<r! tq *hFoitrr *nh. conrxro(t) li.!e.l Flllld rorlE( olrr.crd r l-aoE Lrw)
<br />_l m .rmB uald sa1
<br />Drr. Orrd:uolx,rs coliiursriron'
<br />Dr(:lJaduox
<br />I hd.t, .mm un&r FElt} ot FllD oE of lh. aolhq i,* d(lrllio6
<br />-l
<br />hrkrnsillmi .in t C6liar.r. of Colei ro S.lf- lBur. for wdl6a conp.n$ro., a rr.vid.i for by Sdion 1700 of llE
<br />Lbor c.de fs lh. Fl()i114. o f rh. woll for whi.h rh. pari L iqu.d
<br />-Ih.vc.nd*iU rointoin wdkd conFslrir icu. G. B rqun.{ b, S.$hn ! 700 ol ih. L.bor Co{L. ao. rlE Ff(rrre. of
<br />lh€ work ror shrchtha p.rD
<br />{ttnol
<br />wt6r c.nFBin. ilu'e .eir rn polt, nlnbd i.
<br />,.^*, 3lrtr 2r,ll.1qut3s'(D s
<br />[l cdiry rhr ii fi. Fftrmmc. of lh. wort for qhth this Fmn i! is.d l3h!ll mr @phy e) F$n in r, ffi
<br />$ atotEoft3lbjBrrorlEN d'@o!d!dbn L"!otc.lihm'r. d{ CRd'i irl nDuk h.coE.rticl lo tlE
<br />rond' omFuiion FlvirioB orsalro l7m of tl! L.hd Co{t I Cdl fddn$ kh 6npl, lith rh.- FovirioN
<br />\nARNlNcr ,jailurc ro sr. r.rt6 .onFsio. co\dr8. ir unl,$tuI. !d 3hdl ubj.{ e olpbF lo aimin l FrtE.nd
<br />cNil fin6 up ro.ft hundr.d rtoG.rd &'116 (tlm,ooo
<br />s.nsn 1076 ofrh. Lrbff codc, inrad .,rd.(drEy r fc
<br />ton- &n+6 G Fo\id.d ior tlE
<br />o,* lL)lo
<br />llltlJB]'u(t\
<br />I holtt altm undd Flh, of Fjtry thd I m [c.r!.d !id6 Foviion of Ctatq I Goffiiis r nh Sdb. 70m) of Ditirbn I
<br />ol rh. Buin6 od PFaa.ioB Co.L. !d ny ltru a! in iil! foE. rn dTd.
<br />b to 11131o
<br />rdr.Ia Atnc
<br />(olirxrcno!-tElDtlcJi,lcr
<br />I hqtly llIm ut!.r F{ty o f Fjury thi $d. b . oinoclion Lndirg 4dy lor lfic FfolMcc ol th. *ott hr $hrh thir Fni i!
<br />iBUd (Se 1097. Cit C.).
<br />AIEIT(AILIECTJBAIIA!
<br />I h,6y afm uida F.hy of pcjury orc ol lh. followi.s (,( Lrabal
<br />t).ennbn P@G'&b6tor Nori6.r'io. F.l6.l Rcguld'om (InE 40. Pd6)
<br />R.qun.d ltfld oft{od6din
<br />-l
<br />cqrii thn rh. fqrd.l ,.suldi.G r.srlt,s Bbdo. rtun 6l e d eplk.lk lo tht prcJa1
<br />]! cdiry ild I h^ c rsd rhi! l,r id ion &id 3rd. rbrl lh..i.nx'naron's(ond lallletruntltrv[hrll(ir]iadCounry
<br />odim,c6 .d std. h*t Eldi.!a to blildln3 coNlrucl krn.z. r.Ferdn 6 of rhs ( ilt ad Cou yk' o16 urbnllt
<br />t1,a
<br />tzl,ollt
<br />riHE1l
<br />I
<br />IE/I9I
<br />D
<br />COMMENTS
<br />Pole Bases
<br />Meter Release
<br />L.rrdd r Adds
<br />du. trrdr(,n.d ln,thy in
<br />rppllcrnr or,rBdr SiSn{!..
<br />r.mire.r.. rpa"o, iZlf
<br />I
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