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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER I'EI,CARATION
<br />I hcrby !flirm ,ndcr 0. !h, (n !.rJury rhul I n cxcmnl lmm Ih€ G'nlruclon Lir.{ trs for llE tblhsinS tasn lsa 70.1 1 5
<br />Buircis ad Pfl,L{nD Codc): An, Ciry or Con.ry !hi.h Equr.\ r lkrmd b conslG'. rlE. in{mtq {knni\h o, rlln I
<br />{Mr!rc. prior ro irs i\\un c. aln, r.quires UE .mlic0nl ro! such Ffl.ir t, lih r sirtu\r rrat.ftnr rhir hc or slE is licord rufunr
<br />r0 rhc F,rnions of rtr Conr.rtois LrcnBl bs lch4r.r 9. CummrRinS wiln Scclion TIxxJ.r Darnion I of$. Busirs d
<br />hora$ionr (:odc) o, rhar rE or rlE n cr.'ry| rtmlion ud lhc lhsn Io. lht ulLr.d .tn{rio. AnyvmblionofScalionllrSl.Jbyatry
<br />dppl'.rm ror ! Fmn subj.{h rlt {Tli.rnl ro r cre il IcuI, oa tfrr.Lhrnvc [ukt ddollus(1500)
<br />_r, as owrcr of lhr pn,!cny. rtr my .n{rloFc\ }irh Brsc\ .{ rh.r s'k @6lrnvrixr. f,ill d) ltE u(k ad |lt n^tle ii dn
<br />inlcd.d or oficrc.i for eL (5(,1144, Bxrim.r .tuj Pnrr.sri,nr Crn . Th. Conlslois Lactr* llw &r! ml +r,ly ro un owr oI
<br />rhc In,tEdy vlF trrkls r irpn,B th.m( !n *h d(B *h ei hidsla or hcMlr or thmu3h hi tr lEr oln cript,!cc\.
<br />Fmlidcd rh3r snch impmrftnk N mr i cidql orofr.iti ti* sL la.lheE rlx hiting ir nqmEmnl ir sll withitr oE !d
<br />ofornphrbc rtr O*E Bnitk *itl hlr rlE hnLn orF*ing rhd horlltdil mr toiu.r rqmw 0E !reFdy ror rh. puryn€ of
<br />-t,
<br />i\ orncr or ih. pt)tEdt. !fr .x(l$ircly.o.t,(in8 *ilh licr"sd od,arn t, osrMr rlE pmFl isc 7Or4, Euints
<br />lrrl Airrcs\DnCode Th. (nnrrroi\ Li(ns. Les dms ft, amly k, r orn.r of Fopcn, who build\ o. imrEvc\ rhcrdrn.
<br />r qho $nrocts for su.h ptr'F-ts *irh r Conrmkrlo ltrrf,d p!^ufl ro ihc Cotundoa{ Lk n$ llw)
<br />;":\u+;24
<br />DESIdEAIJ!}!
<br />I hcruby !flirn utr'ld rEnulry ol p.rrury onc oflhc foll'$ins ddL,xdh:
<br />-,
<br />ha\r :!rl *rrl triinriin tr Ccnrrrit of C.n{nr h Sclf'l,surc 4., k,lq{ .!,n{f,n$rion, h tmvilcd hr b} Satn'n l7(D o, ltE
<br />ItrIxtr Cdc, f{n rh. Frrortun.. orrhc wr* (, shi.htlk Fnn is ir{u.i
<br />_l hav. a.d will minrdin rort ( .o.f.nsd hn i.sudmc, $ r.ituiti hy Sdr hn ]700 ol rh. Lrtfi Cod.. tu llE FctfonMm. of
<br />rhc wort rr vhi.h rhir t mil ir i!*n My *orkdi co'i{rneri,n insuraNc ri, , ndl Flh, nunhcr sc:
<br />Cmic,
<br />-
<br />-Erpies:
<br />--l
<br />ccnify rhnr inihc prrtornhnd or rhc *ork ror *hahthis!'crnil ir n{u.il- I rhrlr ft .n{k , an, Fr$n in a.y trunf,r
<br />qr A b hNorrc suhF:l nr lhc workc6' conlllcn(al n'n h$\ oa Col'fornB. .nr +rc rh{ il I lsuld lEonE {ubf(r b UE
<br />eorkcr( .oflll]dsul i(r tmvnion\ ol Sdion .l?0O ot tnc 12kr cll., I shrll. rodhriii conrtiy wilh lhos Imvi\b.t
<br />CONSTI'I]CTION t NNDING A(iENCY
<br />I lrrby ain$ undcr ,xulry oi lclory !n dkE iv dnr{d.riin lnnns usce y for rh. !. (fuc or lh. sott for whth
<br />'hk JE rir i1
<br />lJnd.a\ Addrcss:
<br />-A.TS.L]ANI.DECI.A8AII8
<br />I h,r{ry lnim lndr pc llry of !erj!r, onc ot rhc aolirwins dc.bhr Ens:
<br />lxmlilion Pcrmil'-A\lE(o\ Norifrario. l-cdcal R.8uldions (Tirlc.l0. Pd6)
<br />_RcqutcJ t trcr ol N({ineliotr
<br />_l .cn ir, rhd lhc Ltlchl r.8!!lhn! ESu.linr $tf,\n's ,c'u !l rc ior 8llli.$L rU rhis PmJcL,
<br />L.€,lfy r h, I harr rcrd rhn npplicar i.'n ar, {8rc rhr rtf, ahr er. c.nrly wirhrllC raRl('ounry
<br />ordm rTs a'rl Slarc ljsr rukr ii,g b huilding .on{rudi,
<br />Jtnrr nE i,Bd pmrcny lin i.t\ricdi,n puqDr\
<br />,\ppli.$l orA*.nt sisDluR <,o," t (
<br />l'c.,,itR -,n,. ( prinl ): .,(-\r-"-/alG--1?ryb
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundino i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Sof{it Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Ivleter Belease
<br />Rouqh
<br />Service Meler
<br />FINAL 9.rdz/lC /,o,,t-o+-Y)-r7
<br />Notes, Remarks, Etc
<br />+
<br />Rcv O8-O7'2015
<br />WARNTNG Fnilurc lo suc *trkda &r{.nsrbd <ovrBa. '\ utrh*rul, dd ihu ruhFlr Jn lgfr"rtrt. mmrul Feia\ lid
<br />civ'r fim\ u! ro orc hund'cJ rholead lolbn l!lL$.mn. ; ud,t ,n b }|441-6!;i<tli;n. J,nE8.( r( pFvid.d for trE
<br />S(non :Ir?6.r
<br />'hc
<br />tih).(.d., 'rcr{ rnd drotry ,ls. G-
<br />o,*, . JOz!?214- ^,,,-,,K '_I -7 ' rrirrseo crwr'n rctot \
<br />p&cId8AII(A
<br />I hcrcht.mrm u.dcr F ulryolpcrJu., rhrl I @ liInql uBt r povhion ol chlprd e(mnrmn.ins *ilh SNrirn 70fl,) otpNAon l
<br />or rh. alsims md h.f.si,)n\ Codc. drl my ti.rfl{ is in ttll li,R !81 .fid f
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