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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE lD/stG.COMMENTS OlM-Bund.r rr*letion
<br />I ha.by .frm lndg pcn lry olpojury tn.r I o a6F fom rhc Conloeor' Lien$ Lrw for rn folloving t.&n (B 701t , BsiEt
<br />rn Profsion Cod.) Ary Cny or C@nry whi.h rcqur{. p@n lo @tuitu4 rxq, inpbw, d.molBh or Ep.n Ey rtu.@, Fbr to i'l
<br />tror.c .l$ r.quic tn .r?lic&r for o.l ,.mir lo fih . iSn d i.r@ rhrt h. o. ,n. it nc.ed pum&t lo rh. poerio ofrlE
<br />Conrrrcid! Li@rcd rre (ChtFd 9, Comtueing wnh Sedo! ?000 of Diviion ! of tll Buinot sd Prcf$ioM Cod.) or dll h. d
<br />rhc k qcDpr thardofr .d rn. b.$ for rrE .ll.gcd aoplio Any viol.lior of Sdi.n 701 I t by uy rpplic.nl fo. . p.mil s6jcd. th.
<br />tppli.er ro . civil p.ulry of nor mo( $r. 64 hulrdr.d doll& (t500)
<br />I, $ om6 of rh. poFrr, o, r, .mpl6y€ eirh wrg6 .r d.t hl. onp.ndion. will do th. *ort tnd thc ntucflc r not i.la<t !
<br />o. of...n for dc ( 56 7o,l,l, Bu.iE$.d Prof.lriosr aodc Th. Conu.crols Lians L.w d8 not.pply ro e oma ofdr pDp.n,
<br />who h'ldr or inproB th6@,r, .d ,to do.r -cJ' work hii.lf or h*lf or rb@$ hir or h.r M .hploy6l. provid.d $.! sch
<br />improEfrdls rc.or iiral(,.d o! ofts.d fq nl. It howvd.lh. b{ildinB or improvm.nt tr $ld eithin orc y{ of@npl.tio( th.
<br />OtrcrBuildd will hrvc rnc burd.n of prcvin8 thr h. or ih. nol blild or improv. for (h. purpo* of {1.)
<br />L l,owE of 0E proFty, rhacluriv.ly 6t!6nA wnh lie*d 6nrr..1.r b @n Dsih.pmjd(S* 704.{, Alei6r.,td
<br />lnfdxor cod. Th. Cod..q6at Lk.nr Lrw du d .pply io u ow ofpropay slto buitd, d i{prcvtr thtun , .d $to
<br />@ir..d. for sch prcj4r' *i.h . conrndo(, li6!.d putunr to $. cd rdocr LieB uw )
<br />t m cx.mpr undcr Sction _-B &PC forfin osn
<br />1.//1 //t'/ o* -
<br />I h.rcby rffim lndd pcully oap.rjnry on. oftlr.lolloei.8 ddlsrioB
<br />t hrv. ed will m.i.t.in . Ccniliorc of Conrm !o Sdf-l@c fd edr6 @mp.Mn!\ s prcvid.d fot b, Selion ]?m of $.
<br />L.bor Cod., for rh. pafomd. of tn. ert fo. f,aich rfic p.mn i, io.rt
<br />I hrvc .nd *'ll m.'.r.in Mrl6' @mp..s.rion insnM, s r.qut d by S.crion 17m of E Irbd Cod.. tor lh. p.rfotue of tn
<br />eorr lor shrcn thir p.mn krs.d My wol*.G' comFn{i6 rn$r.( coF.nd poli.y eobg u.
<br />(Thi! leuon n..d nor b. compl.r.d if rll. n mtr n lor O@ hndr6d d6lla (l l l)o I or l.s)
<br />_ t @nit tn( in rh. p..fotu. of $. e.t fd $aich rllir Fiar i3 'oGd. I idl d .rnploy uy ptu i3 ra, n1ea o s lo
<br />6..rD. Dbjd ro rhc m d @np.nrh6n l.wr ofc.l'fohir dd tgr* fi.r if| llldrld bcoc &bjd bth. w(tst
<br />@hpcnrtion proqrion, of Scciio 3700 of.hc Ub.r Codc, I rhll, lonhwni @[Ply wirn dbe p@ilont
<br />Applitul
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<br />WARNING F.ilu.. ro !@rc wo*6' .omp.(ditr @8r8. ir u.l.wtul, ud rh.ll dbi*r d .trloF io sini.rl Fndiq un civil
<br />lii6 u! lo oa. hudrcd thoasd dollr! (t loo,om),i. ddtior ro rh. @r of mp.nsrid. d.6r!.t ! p@i,cd lot rh! lelb. ,016 or
<br />lhc l$o, cod., id.rcn ..d .lloGy r a6
<br />LtcllslDlatsIBAcraBtrDgd8allQ!
<br />I hd&y .f66 !'dd D.nrlry of Fju.y th.l I o li@r.d oidE p.wition of Ch.Fa c (ffiina qi$ S..ion ?00o) of Divitio! I of
<br />rh. ButimE ud PbfdioN C.d.. lld my lic.* i! in tull hrc..d.ffdr
<br />clo-Lqc q? j7s-6
<br />C,// \,//14
<br />COIIInIJCIIAIIEIDIICIGEIC.I
<br />I ho.6, rflim u.d6 p.n.lry of!.d!ry .n.l thdc ir r @drudim ldd'ng .a...y for lh. prfod@ oflh. wI fo, whi.h rnit !€d it
<br />to.tl (S- 1017, Civ C )
<br />Lcndd'r N6. _
<br />attltcr.uEt D[cta84ro!
<br />D.mlnion Pmil!^rb.no! Notific.loi f.ddl R.gll.tionr Cndc 40, Pm 6)
<br />_ R.quir.d lrn.r ofNotifiqiion
<br />I ..nily rhrl thc f.d.El crulriiom rcgrrdi.8.rb.no. r@ov.l {. not lppli.rbl. b !hi, prord
<br />I c.ni8 fir I h!v. r.rd rhir tpplic.rion uJ d.r. rh.i !h. .bo* inforn.r'o. it @r.<r I .AE ro Mply wnh nl Cny .ad Cddy
<br />sdr n.d tDd Su.l,$ r.ltrinsro bulditrs comrudio{\ rd lEr.by.urhorir. EpRnr{iE of tlrr Cir, md CMry ro dra upon lhc
<br />p..4/4zt
<br />U.
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (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 />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />[\/eter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />M \WP51\P€.m -hsp€clon F
<br />P6l'cy Numbo
<br />Site-Work
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