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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\{NER BUII,OEI' I'I]LCARATION
<br />I h.Eby rrnm ufrLr FMxy ol IE jury lhll I un crca{,t lmm ttE c()nlac('r' Liccnc L!$ aor rlf foll'*ins rc.*n lS.{ 70ll t
<br />Bu\inc\s ond l1ofc$rcn Co{dr Any C y or Coo,ny whth Eqlir\ ! Fmi, b .o.{dcr, trlrer, idlnnq .kmhsh d Er.n ,
<br />ntuci(d. t ri, h ih i\\umc. {lao rqriri thc atplitr.r !r, sucn Fmi! k, iik r 1l!ftn sd.'mnr lh.l tE nr nf, h liccnrn I'uNrnl
<br />h rh< F,vkMs ol tu Conr<r s Ltctrrd Lrs (Chtrlrer 9, CohEtuine wi'h sdrhn 7{xx) ol oariii'n ] oflh( alsirc\r od
<br />Pdcsi,n\ Codc) or rhrr lrc.r \hc is.rcrpr rhcrcthn rnd rhc b*ar f.r rrE sllcg.d cr.mrnon Any vn,Liio.nls.11ir?0ll5b,8nl
<br />lrplicr lbr r Frnir \ubjcck rhr spllican' tu tr .ivil p..,lry dl n, nN. rtun fivc hudr€d dolla\ (Ssulr
<br />_1.0\ o*rr olrhc Im,*nr. ornlyctu oyds *irh *asc\ 8 rh.i, v,l. $nFnsaron. sillirr th.$1,k.d tlE sturE is rst
<br />d.nd.rl or oncul tu sk ( s( 70r,1. 8u\i6s and PrDf65ions Cod. Th. Couruclois l-iccnc Laq drs Rn rlyrouo*mrol
<br />rll nmlqry stn trilds or in{ri,vs lrrNn. lDl *lD &rs {Et s hnNclr or h.rEll or rnn,urn hi\ ot h.r .wn .tployftr.
<br />l(,rilcd rhzr \kh in{mk'Enll m mr i cndsi o. o|Ic6j ao. eL. lt h,Ers. riE trilins dr inp6vcftd k sU *nhin on. FtrofdrriLri,^ rlt O**r Aoih.r lillhxr rh h{nLn of lsviry tlr! h. or rh. drl mr hild or irymE thc rmtdy lu tlE IUID$ rl
<br />_1. dr.*rd of rhc tmrny, an .x.rusiwly .$ dri.* $ilh lien*d conlrulon ro con\h.l llE Fhri! (S< 7(X.r. Buiitr\
<br />md h,rN{ii' Colc Thc Cnnt6.ro* Lrccnsc Low des mr .pply ro !. oancr ol p,oncn! who bu ildx .r inpiovrs rhnd,n.
<br />ind wh,.ondckfdru.httul..r{wirhrG, mroir) !i..ns.d l,unw rollE G, mkr'r l-i..nr L!w)
<br />_l !m.rcflnt unrlcr SB-.l
<br />D.t.' OrE:
<br />worrcns ('oMPr:NsAT()N
<br />DI,CLATATION
<br />I hEny rmn undcr Fnrlly or lsrury orc or rh. lollowin8 &rlarlrions
<br />_l hrvc lal will dli.llin ! Ccnifrrr. oi G,n-ni ro s.ll lnru6 for eork. .omp.nr,'ion.a( Ftvi,Ln tur byserh" 170)olrlE
<br />Ijtb. Codc. for rhc Fdomum oarrE *o.k for *hih rt F,nn k issu.d.
<br />4A h!rc.nd *ill EltrlM vorklr' conlirnrltnn in{.,sc. Ei rcqun d $y s<kin l7m orlh. ublr c+dc. ror t}E rErrmmBc or
<br />rhc mrt tor *hat rtis F n ir ir{.d Mr e.*c^ aqrcnrltion iniur,E. crir 8n Flty nun6.r ml
<br />.**, 6L lc Ca-.por,r afio. L,.< LoL ltslaoar1t\ 4b1 I
<br />-e.n*.
<br />I
<br />_l.cdiry'h rnth. p.nonutu.{lllr so* ntr shrnrhnFnnil h nrucd.I shrll nol cmnloyrnylcrv,n 'i rny udncr
<br />$ r\ tr bdnrrc \unFd r, rli uo cr'&nwnstion kwsolCslil('mB. a'xl igrt rhnr if I slr,old ti{om {bj.!t iorh
<br />uorlcrs.onrFn\trrn'n|n)vtri,'holSNinn.l71x)ofrh(tinrC,il..l\h,ll.l,)dl,*irh(otr1plr*irhrlr,{lln'vi{onr..
<br />WAnNING: Fiilurc ro scurc *,t.d sn{En*rion (ortn8. is unhwtul. rnl rhull rlhjd an mIk Fr ro diniml Folris .'n
<br />.ilil nnc! u0 ro on. nundrcd rhousnd dolluB (l loo.ffiD, in dtilion ro rlE corl of codpcMrior, d@8* .. Fovit d ror rlE r
<br />SNrsn 1076 of rh. l rn. C.i. inr.rcd n,vl {tromv\ f.cr
<br />,",,, P! 42st ^.*;j.#*H #Et^dr,-vt-'- -
<br />DECIJSAI!,!
<br />I h.rcny !fin uftie, p.ulry ol Frrury rhir I !n lien*r ondc. Fovhirn ofch.fld I (con$rmnl8 wnh S.cl ioi 7({,Ol of Divisinn l
<br />or lh€ BusiNs! !d lttrfdiotrs Cin . !d
<br />'ny
<br />li(cne n in tull lotcc ond c,l.cr
<br />,-u"^".r*, d LicenscNlmrEr: llggtl
<br />]f ,,,*"-e rc t<u LLC. trtqbc4rr... 4"6,\r,",
<br />coNflatqll0NrEDldli.^{ilNg}
<br />I h.rcby 0rfirm xnd$ Fnnlry uf ,Erury rh4 ihsc i! o conslrucrir LrlinS lScncy lor rhc ncni,nEN. of rhc $otl inr $ hich rhi\ tEEir ir
<br />ilrucd (se.1097, civ c.).
<br />knds \ N!,(.
<br />-
<br />lrBhr'i Addnssr
<br />-
<br />AIILIIANLDq:IAIAT(A
<br />I h6:ty atrm rndcr Fnoll, of Frjury om of llr rolhlins dayLnl ions
<br />Dcmhbn krmn\ Asbcslor Noritc!,k, Fcdcr.l R.s,ldi.ns lT[b,rO, Prn6)
<br />R.qniBt k(rr ol f*rifdbh
<br />-l
<br />ccnily lhd llE fcd.Bl rcB!,olionr Esuning &dEslos dmvrl e n, llplitbL tu rhn pniJ.ct
<br />t&ccn ily rh.' I h,rc Ein rhh .pt i..thn url shr. rld rh. dFvc inrorruri,n r coNcr I .Er ro on{,ry *iln xrr c y !d couni,
<br />.dmoncs and Slnt. La*sElrh3!o
<br />!h{r nEnrn,dd !n'IEn, t(tr ,nsF{r
<br />conslru.xor un hcrcbyauhtrrzr (narnraritcs olrhn ciryart Counyro.hro uFr r
<br />.tpoli(rnr {r l|a$r si|lurtrm
<br />l,.mrik{n!0.,prin,,: l-tv-u^ AlLu,
<br />Alt/t o)l
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Salety /Low Voltage
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinos (Hard & Solf it Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lvleter I ^ ,.-t
<br />7 /z/,'o/FINAL r.Kall )
<br />Notes, Remarks, Etc.
<br />Rnv On-07-2O15
<br />Site-Work
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