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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino lqfiarad I UFEa 3.ts<?t lL- z'r 7
<br />Transforrffi
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release 3tlf,'Ll lLc z 7
<br />Rough
<br />Service lvleter
<br />FINAL ?./r'z'l /2 /'-irr-c"z42.,
<br />Notes, Bemarks, Etc.
<br />OWNER AI,ILDEI' DELCIRATION
<br />I rErcby rmfln udcr FMlry of Frlury lh{ , rn crcm0t from llr Co mcloE lj.cnE llw r.r, lhc rollo*inl ,@$n (Sd ?01, 5
<br />BusiBr nd Pmfe$ion Gxlc). Any Ciry o, Counry *htt Eqlias . F,ni lo .onntu.r il'd, inpmk. &mnnh or Ept ey
<br />strud!rc, lrtu ro ils hsuur., sls Equn$ rh. .flrli.a for r$h Frmi b nb ! riSNd rtlrcr rhd lf or {E ir lic.nEd l,utuel
<br />ro itE FDviti,nr or {E Co.rrbfr Larnin raw (Cnrt'rd 9. Commmin8 *ilh Sction .,m0 o, Divnio. I or llf AuriEr! rd
<br />PruLsrbns Codc ) or lhlt lE or shc l crctrpl thcrclmr uvl lh. blris ror lhe alL8cd crm0tion. Any viohrn,n or Scd i,n T0:l l t by uoy
<br />dldic!trr fo, r |tmn tubr..r rlt .r'dtr ro . .iril D.ohy of mr mlc rh'. nr hudrrl doll{s (l5m)
<br />-1.
<br />rs owmr ot llE rrerEny. o ny cnployas wirh *is6 r rh.ir sk s,{Ensdion. *iD d, lhc rttk 8rl r {uru i\ rr
<br />inrc.&il orofiMcd ntr sh (S(.7Oa4. Busiftss lnJ h.f.$rns ('odc Th. Conr*bir Lt.nrc t v do.s ml apply lo d owmr ot
<br />rh.pn,Fdy elb tuild\ or inpmws rlEsn, rrd qh, d.Ts srh wnl hi.Rcltor hcMlf or rhh,u8h his ur lEr o*n cnployc.r,
<br />porlkd rhii \uh i.rFntrrds e d inr.id.d or orcrd lin {L Il k's.ra rlE t diryorrIiotmdtsU,.hin.rFr
<br />ofcom0hl6n.lhcOwmrBuitlcrwillh{rcltEbu.nolpmvir8thlrhcorshcdiltroll'{ildorir.|)roElltrFrxny{orllE!orII,{oa
<br />-1.
<br />r\ owmr ol rhc nopen y, !m crclusivcl, conrmrins wnh li(n$d .onrD.r,s ro d,ndtud rlx rk,jcLl (S.c 701.4. Bu{,f,$
<br />rd ftDlt{irn Grdcr Th. C.nr.cktr s Liccn* liw dcr mr alply ro $.r'rcr of rr{En, *ho burldr or mpmt$ rh.Ntr.
<br />rnd rho cntrrrucrs for rurh prcrc.h sirh d ConrMrd( ) lic.nkd lrrund b rh. Conk(ff s Lacn* tiw)
<br />I rtr,rr.n,|n un{l.rS..r(r,
<br />lbt. Os..r wonrieii tonpprsrrrtx
<br />DEcl,lln^uoti
<br />I lf,rrhJ rl tutrl trnJrr Ntulrt ol If, r]!r! otu ol rht n'l[)$ rN dNhrnrdtr
<br />-t
<br />h& rn *ill neidrsin . C.nifrlE oa Cotr{fl ro S.lr.ln$( ror k ks{ d,nqrndio...\ rmvd.n for by sdridn]7m ol rrE
<br />L{hr Codc, nr thc !.rlomrRc ofth. sork ior uhich lhc p.rmil i. is$cd
<br />I h.r. rnd r r ll Minhin wo.kcr( .omrRn\lrio. rnsudncc. as rcqur.d by Scct ion :l7m ol lh€ lilu GiIc, n, rh. If,rfinro(r or
<br />rh. ro,l lor shf,hrh$Ff,trir L\ isuul M) *orlcn oDtctrsrr)n insunrc cMic. un poli, numru r.
<br />It.n'ryrhnr inrtulcrfdrtu colrlx*o f({ *hi.h rni\ tErnir 'r i\\uc{, I Urll k{ cmplo, any pcRr in rtry nra rr
<br />v, (\r(,tE$nr \uhFlr rorhr qorkcr co'rtBn\lrbn l!*\oiCrlnnni!. !trd,!rcc rhirrll \tFuld troN suht .r l0rtr
<br />uo dr' .on{Elerion pm!^uN ot SE.-ri ]nrJof tlE ljtnr Cdc- I Jull. fti h$irh ronlJ)l, *irh rll,* ,hr (6ni
<br />WARNING: hitur. k, sur mrL6 on{ENrnm.okm8. ts u.L*tu!. o'xl sh.tl suhFr urloycr h snniul ,rMht\ ud
<br />lNil i'inc$upk'.m hu.drc rho!$nd dolliNlSloO.(XJ). r tr ilition tr rh.(oslol
<br />i::,)' ":\z:' i;;i ffi ,)( v/,*-Ltctli{sFl) ( oNTta cT0R
<br />nr. danE8cs $ pnvidcd tur rhc '
<br />IECIdBAIIiIN
<br />I lf,rby rrlim undc. FMlry ol Frury lhd I m liatrrd !'rLr FDrision o, Ctrt d 9 (olftkinS aarh s.<rbn 7Un) 6f Divsi,. l
<br />of tnc Busims and PmLssrB 6dc, .nj ,y lk.ns is in tull lora !d cffel.
<br />"*7rfz-20>) .,,.,.,,.,..X
<br />coNsraucTloN t ilDrNc (:FNcv
<br />I hcrb, ltfrn uid., F.,lry 6t Frru, rh.r rhr. a! . o.ircrirn Lnding +!Ny f.r rlE lrnolr:m of tlE mrt ror whih fiis tEmn i.
<br />i3$.d lsa. -109r, Civ. C.,.
<br />AIIIICANLIECI,A8A.IIIJ!
<br />I hrrb, rtrm uldn Fmhy or Firury orc of fic ftnb*int &.l[ ion\:
<br />D.mlnion P$nns A.hcsror Notificotion Fcdcr4l RcguLlnrns (TirL40. Pd6l
<br />R.quR{ lrtrcr or |*r'frolbt
<br />-l
<br />ldify rhd rlE LJCDIrqulnri'ns r[ ditr3 Ftedoircm,ulm nor.pplirbL ro rha nnlltr.
<br />l..nilyihrr i hArcrd rhA lIiFlrarn)n Irl i,r.rhf,irlk n i\ .ord I aEe ro cori{,ly wilh .ll C'ly od Counry
<br />.nl'rn!.\r sr. .I-'s\nurhorizc rc!rc\cirnr'r.\ol ihirC f rtul Coutrrybcnrn uF rh.
<br />Jhrr trrdi,n{al fn,n!ny tur
<br />,,,",5 -! z:A4
<br />I
<br />,tl &PC ldrhsrcrgrr
<br />txndd\ Arld.c$:
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