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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BUlt,DER DELCARATION
<br />I haclt'.lIm u(b Fub ot,Gjur.! rhr I d ddti tm rh. Codrrl.6 li.@t $ fo. rh. folb*ine laj. (S€701! 5
<br />Bci'B !i ProaBir. Co&): Ary Cn, or Coudy $hah r.quiB ! Fhi ro otund. rhc. iq.otq dsmlirh or rF.i 6y
<br />rrrudEc. r,hr ro ir3 irMc., rlm r.qdE rlE.p?ltel for .u(h Ff,nir to fih ! rign.d lt.r.rot ihd hc nr nE i! lic6.d plrurr
<br />lo 0t. F.rnid6 of rL Cofiafi . Ltd!.d L.v (Ch.dq 9. Coffiins *irh S..rion 7000 of Divnio. ll of rh. BBilB Ed
<br />Pmldba ( o&) d rlll lE o rrE ir dorq rlE 606 !d rlE h... aor rrE.lb.d doFi,n A.y ioldirn ofs<rhn t01l 5 b, ry
<br />lpplicul for r FEil iubj6l3 ln. +pli€.il r. . civil pdhy ot mr mr. rlE fir. hlndr.d d.llD ( S5m)
<br />L B oi@ of in trFry, d 6t 6phtG *irh $.s6 6 rhr $L orpnEiiti. sin & tlt "qr !n rlt in ic ! Dr
<br />iddd.d M on6.d fo. rL (Sc 7044, Bci6 xd Prof*ioB Co&: rlr. coddoit Lt.e t w rb6 d.pplv !o e oqc of
<br />rh.pspdry *h. hrild o. inqo6 $con. ald wh. dE sch wrl hiN.ltor hBll o. rhhrah hir or na o*, .nplor€6.
<br />FoviLd thd r.h mso\aEl! ErDr irdiLd orolH l rl. l[ h.$66.llE tlildnB or in!.!\qEd b $ldvilhin @ ]rolorpldin Eo*E B!l& wil lIE 'lEhdarof Fo1i,!g tld lEdtEdild blild or hgoE E FrFt,6rtlt F,F*of
<br />L a o*F otrt rmFry, 6.rctu iv.ly.o,rr*in3 *'nh lic.Ed conrrE h srel{l rlE Fnjet (Sd 70.1,!, tlri6
<br />rn hlkinCo&: Tn Co.r-r.r'3 Licd. Llw &E mr 4'plr_ ro a o$F of F.pal! e ho hilds m inpoB lh6@n.
<br />and who .onhacrs tor luch prnjd3 $nh i Cofldcro(, licdu.d puRurll ro rh. Contocld 3 l-i.@ ltw)
<br />I m crdpr lkld S<rrn
<br />D.1., Orn..
<br />\t oru(.nq- adMPF,ts armN
<br />DEClaf,lIIQ!
<br />I hd.b!.mm md6 Frhy ol Fjurt.E .lth. follo{rg d.clr!!ioB:
<br />Ih,!.rnwill i'n.n r Cdifr.l. of( oMr b s.ll-lM. fd sirld colpcdbn. 6 Fllil.d for br Sdtun l70O of llE
<br />trn Codc. f6 .h. Dafnlta. of Oc s,t h. {tth rh. Fnn i is&d
<br />I h!v. .nd will intr, wo @ .orFN.lion icurBq d r.quiEd ht S..lio. 1700 oath. Lhor Cod.. lor $. Ffoffi. .f
<br />,J'li\:f"." T.;;U -*" iffi ffi 'd p'r'i' mmbq R
<br />(","..;-1ia7lr./ ..,* </lrlt?
<br />l.drify rhlr iirh.Flolfuccof fi.trolt fo, whichrhii p.flnn t i.$u.d.l shlu.or @phy any p.rsn in uymMnd$ s to b..oc a!t*!i ro E roir6 srn+EMion l,{! ofcdifor.a ai leB ihd it I rhould b..oe $brd b rlE
<br />kirld BmFMion Fu irnB olsdion t7m of ih. t t r Codc I CdL fdl$ifi 6npt f,ilh llDs provibB.
<br />WARNING F6ilu,.lo EEc u'ort6' comFldion mv6!s. ! ukunn. Dd slull ebitl o drphF to oitml FBii6 xd
<br />ci\rl n6 up ro oE huld.d rh.u{r<l 6llrB (tl0o.lm). in .ddnrn b rh. coi of .o,p6.tio( d,r4d a Forit d tu rlE
<br />Sdk,n 074 frrhc l.!hnC.d., nrd.n and. onE) s16
<br />("o/
<br />rtrrr r \x\r!!t\
<br />I lElby rm uidE Frny o f Fjury rhd I m licaE d un& Fovirion of C1I.pr6 I {oIlffiils $ih Sdbn ?000) of Di!i!b. }
<br />of rlE &!iB Jd PbftsbB Co&. ri ry li6E ir in tull fde nd dnd
<br />&-to
<br />_L_u'J1z_QoLQ
<br />tor7g71 .,*t4 @&,!1'-J^<
<br />CqNISIII|0!-LEEUIAAGTN.A
<br />I hcby lrm undd Fn.lry oa psjury rh.r lt6c i! . codruclion knding lsocy for r h. pqftucc ol rh. sorl lbr $hi.h thi! Fnn i!
<br />ist d(Sd 10e7. Civ C.t.
<br />AIIIICAtsLPICIJAAIIA!
<br />I lESy sfnr und6 Ddllty ofrctiury on€ ofrh.louo*ini dcl[llioNl
<br />D.mlhion P6mhe^rbd6 Nolirrdion F.danl R.auld bN {Tnl. .lO. tn6}
<br />R.quftd l!'6olfknificdbn
<br />I .s1i! rhn lh. fRldrl rcsuliio6 Esat'ns ab6ror ,Em\ !l u. mr qlplr.bli h rhi! F.,<d
<br />I cdriry rhd I het rad thi! irrli.dio. .d rr!r. rh.r th! !E t! infomdion ir .on rl. I l8rd lo .onrly wilh ill Cily .nd Counr,
<br />odiMm6 ild Sri. t.s E{irle ro b{ildinS .odMbtr nd nd.qr .dlDri,. ..Fsiln 6 of rlir Cnt_ sd Courry ro dn wo. dE
<br />.b.\. mtirEd Fopdly f i.+<rb. F,tbg
<br />hppr..ir or
<br />^rdr
<br />skn.rur
<br />\-u*-..,0n,,,
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Srgns (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
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<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL ttl1l61 aknv4.T<t-fl-c-> )r v l
<br />Sub-Panels
<br />Notes, Remarks, Elc.
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