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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OlINER BUILDER DI'L(ARATION I hd.b lmd und.r lBaly of pGjury rhr! I o ddfl 6!m th. cod,.d6 Ucld l,* for lfic follo*iry ras. (s<.7011 ! DBios and Prof*ion ('od.)r Ary (it, or ( ounly *hich r.qut6 . p6dl ro 6!sucr. lhn iEprove damllch or ErEir 3ny lrtuduc Fior 'o ns i!!m...ko r.qut6 rlE lpplicd for $ch FEh lo fi]. r.il!.d ndoot thi h. or JE b licâ‚¬Ed puIdn ro th. rovsnrG oal,E ('onlrlcrtr r Li..nkd Ir$ (Ch.pi6 9. Com.Eing wnh lefion 7OO0 of Diririo. I of 'h. BGhs Md PDf* im C6&) or thd lE or 3h. n .r6pr rlE.toh .nd rlE b.rit for rh..lle.d qalpiof, A.t violdio"ofs.si,n70ll.5 hy&y lp9lic.nr lor . Fmn $bj<l' rhc apdrdr lo ! ovil p.uht oa ml @E rtx liw h!rd,.d ttothB (150n) l.soM6oflh.FoFly.ormydploydsnhwadath.niLoryo.io(\ill&dE$NtddllEctul@amr ilnod.d tr olfs.d tor s.L (Se 7(X4. AuilB od PilfdbE C.dc Th. (omrdd! li.e L,\' d.â‚¬ lb| 40ly to o o{N of rh. !ft,Fry *h. toiL! or ihrm6lhq6.. ed who &'6 l$h *!* hirlf M lkslf or lhroucn hii or h6 bM cmPloy6. Forid.d rh.r sh trnFoGEu R d noxlal ofi-Gt ftr xl.. lt llrffi, llE b{'ldn{ q hpr!\qld ir old rahr oG )* of@q'ldioE tlE o'".d tLilrr *i[ hort UE hrdar ofFo{ls fir h.6 thc dil d hild or mFst th. FoFly &rt F,!.rof -1. so*n6 ofthcF!Ft). m.<luri!.lycodm.tinS *nfi L.ar.d conlr.cloBlo co'dru.r lt DrcF (s( 7o.lt, &!hd ed h!ftsi, ( o&: Th. Conklcrdi! Lir.N.lr* dod nor apoly ro d o*6d ofprop6ly who build! or inprov6 $d@n, &d sho ollr*ls fd $.h projdr $irn. Gndo(r) lt.Eal pu ulr loih.( dt.crort Lt6E ts). ;,'"-i/"\tr? /,\ I h6.hy amr nd6 [icmlry o t psjuq oncofrhr fol I hac .d will minr.itr ! cdriff,c. otcoMr ro s.lf-leE lor s!*6 dpdoraor\ a Forid.d fo. by s<tbn 17(D of lh. lator Cod.. ror th. Ffoll'E.. of lhc son for sti.h lh. F,rn i isucd -l h.r. rnd will@,nrin wo*.rr'(oDFMior ite$c s ..q{i'rd br S<lirn !700 of lh. t t'or CoIk. fot llt Ffolrlacol lh. @rt for *hhh rin IEmn i! i<!.d. My mrl@' .ohpdsdion Butuc. <,ro &d polt, nuhhq a. Policy Nusbd -Erpt6 Ic.nifyrh.linIh.tsfomonc.oflhcwo furf,hthlhi.D.nn i! isucd.I rholl nor dploy iny prson inaf,ym&n6 s sro bdoftsubj.tr torb. so 6 o'nFG.tion hsso(C.li6nn.d leclld itI3houk b.{om3ubjel lollE $oltd ooFqrion pmvirioE ofsclion l7U0 ofllE t hor Code I Cull. folhtr th Gompi, { nh lhoE l,rerilha. wARnlNc: FsilE h Gu. $0116' comp.rErion o\ras. s ub*rll .,i slEll $hFl a nnplo}s lo oiniEl FDti: d civil fitr6 up n, ok hondrcd ltousd doll6 (ll@.000). in lddnioo lo rh..ot of conFelion. darr.s6 E FDvid.d for lh. tf I h.rchy im r und( follry o I r6Jury lhar I d nccn$j ion ol( hapld c(co'n rdrin! $thsdn'n lLtnl or l)l irnrn r of r& &6ins Md ProlsoN Cod., d.y lt.@ s M full ti\ft t*l.lTd g)lslalclllrNtlllllclqllrI I h.r.lry rrrn un.lcr Fndryofpojd.v$.i rlE h..odrutlion loding lrtry tor th.,6lomet oflh. eort for *tth lhir pd,nn ii i$u.d(sc 10er. cn c.) AITII(ANI.DDCI4SAI1A! I ha!b, l]Im und6 p6!hy of pojury on. ot &. finb*rg d(lallions: Dren(ion PmiG^lb6rc Norilic ion F.dd.l R.*ul!li)G(hE{o. f!n6) -R.!urrd 1,.[6 olNoriftllion -l cs1l' rhar rh. lcddrr Eslbrioc ,.gddin8 sb6los rmo\ sl ec flot qplEabL to lhB proid -l (d rly rhd I hr'. @d rhis sppltlrion ,nd sl'rc rll,! $. lt!\ c mlomdion is cnd I arc ordman.6 md srrlc ti$srEl,lins buildi.c .on{tucrion, ll hdcb, .url['ii.! r.F6dl!liv6 o .nr\. n.nrk!rc.l fn,rrt\ nn , tpplicxtri or 1lttrr Sis sr r0conpl) $ h.ll (iq andCounl) frhs cirv.nJ Couno h or( uIa)n th. ,",. '/r/tr'-/ Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communicalions Cable Building Under Slab / Floor Bonding / Grounding i UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rough Service Meter FINAL Notes, Remarks, Etc rt/t6/z-o /a/^.4/