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ELECTHICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS oWNIiT BUII-Df, I' DELCANAT('N
<br />I h.(hy fiinn und$ pcmh y ,,r p.rjury rh0i I m crcmp' fmn rhc Cotrir&ron l,arnEhsLrrn followinB r.a{,n 1Sc.70.11,5
<br />Auin.ss nrl Pmf.sbn c.n r: An, Cir, or Cofl, Bhich Eaonc\ a Fn! ro n,.{tu1, axd. inw.{. &mli$ or ENn rny
<br />rrd.r{rc. rir h ir\ tsuan(. f, rcqliEr rhc amli.r.( ror tkh Jrmir ro fik a s,8Erl (.r.rEnr rh.l lE or nE n len€d Nrs3.r
<br />k' lh. pmvisioor ol ltr Cotrlrrllolr Ltcncd Lr* (Chrflcr 9, CommNinr *irl SEri,n 7000 ol Division I ofrh. BusirE$ !tuj
<br />Ptr'rc\i'ns Axic) or rhnr rE d $. i!.r.Dq rhftft(n'.nd rh. hr* iar rh. alke.n crcnqn). An, vi'blbn oa Sdlbn 70.11J6ysy
<br />nmli., l lor d Nnnir xuhjr-^lr rh. uptliconr to rcivilp.naltrornot nhrcrh!. fivc hundrcddolltus (5t00)
<br />l. ostur ofrh.,,ft'Irny, or mycnfnrFc\ uirh *!s.\ $ rl*t w,lc (u{rnvnon, eilldr rh.w.* nd rh. {d'm n n
<br />inrcnlLd or.ftrcd lr sL ( 5(.7041, auiE* tr d lhncsion\ Cod. Thc On rador'\ Lictr* Llu docs nol lnrrly ro 0n osnc. ol
<br />rh. |n'rdy *rn bo.!l\ or iqmrs tlr:lm urr *h, &Es *t *r hn{.la or lEr-laor rhn gl h'r d lI, oln cq,hte\
<br />lrovd.d rhlr su.h imln,knEnh ft , inr(n n or olTcEJ ntr sb lf, h,sqs. rhc horkltrE !r qreEnrnr ir sB virtir .rc Fe
<br />of conllerion. IIE O*Er Builicr will h,!c rlr hrdcn oIln vinS rtur lbr{r dU mr toiLl or ir{hw dc,toF y lu llL pu{r,t ol
<br />l. r\o*kr ofrh. |B,rEny. !ncr.lu\irclt rnnr,Dcri,,s *irh liccnwl (onk&1ns h ron{rud rlf, tnlfd lS( 7(!,1,ltuem\\
<br />rnl th,r$ri, coil. 'l'h. co.kNror'( LEcn\c ftrl di.s r.r oml, r, m owncr ol l)loFn] !lr' bu,n!\ or mlnrlcr rhcrcon.
<br />nnd who (onrrtr \ lir \u.h lDJ.clr *ith r ( onrrr(ds) lk.n\cd pursuir hrhcConticrtr l Lic..{ bw)
<br />l n.\.trIjtru (lLrSo.rr{, .B .ll'C rtr rl,},..F,tr:
<br />Ir,rc
<br />IUIatrEINIAIIIEIIIAIIONul;tlA8dII9!
<br />I lErchy allin.und.r IlMlryolIf, prroftolrh. ln&,sin3 d!\laaritn\
<br />/24 h$c ! will Duinhin u (tn if(urc or Conf,nr x, Scla ln\uN ror workr! .on{f,nvrnr nr Frviltd n, by S(rinr :]?u, .l lfu
<br />Cdc. n, rhc Frtormec oI rhc *ol( rir *trn lnc Ia mn is irskd
<br />_l tur ond *ill mdnhin *o.t, rs romrEnrli hn in\umrc. !! rquicd 6y sarion .l7m ol rh. tjlr r c.&. fur lk FnomNc ol
<br />rhc wtrk for *hah rhn Frmir il h$cd. My strlss .oryrtrerDn in{rd. (!trir nd tnl.y nunb$ ec:
<br />9t n-i tr cc\rd 9 trU^,f)
<br />^,.".
<br />qaqqto Ll-1-Z I
<br />l.cnirilh in rtE I'.rlorrone or lhc wo tuwhrhrhirFrnir i\ Asucd,I sh,ll n.r cmrloy rny P.tron inonynmner
<br />q' N ro lEom subrr ro rlE wo*(i .r Fnuior li$ of Cllironx!,.Jxl Jgr
<br />'hrr
<br />iiI shru! h.roft suhjcr rorlE
<br />srk.rr onrFnsri,'n pmrEi,F ol Sstn. .t7ff) or rh. tlbor Cdlc.I dE[. n,flhw h ompl, vith rlnc pmrisions
<br />W RNING Iniluro n' $u( $rrkB snlEnsir'. .ovca8. rs unhwful md \Mll subFr .n cmplo,tr ro ainjEl lf,Ehix a.d
<br />civil fincs ul' h on. hundrcd lhousind
<br />Sdinr mra! of ri. I ihr aod. inirEq
<br />K*",-I-71 :Zl
<br />{
<br />)
<br />.o ,tutrrr I dr l8.\ r\ l)'
<br />(
<br />I hcrcbydlir undd 0ctuhyol p.rpry rhd lun lidctrkir undcr lrcvision olChuptrr) (contuNins with
<br />o, rlt Utr\nt( nnJ Profe\sirs Cod.. rn nry licnc B ir full roR dn cfl&1
<br />Y
<br />\rile
<br />0-L+A
<br />-LKcn\.
<br />Nlmb.r
<br />.**,". 30cAZ
<br />lo 5'1s / Q\-u-21 qfcov^/J A!4vP
<br />S1!uA!J(I,IANID!DINC.trA!N!j'I
<br />! hcrchy l'finn !nd.r lrdlry ol pctlry rhlr rltrckaonn .! bn bdlin8 x8.r, for llf, 0c ontENc ol lh€ $ork for uhEnlhi lxrDn 6
<br />n\uc (Sr. 1(D7. Ci! C )
<br />lJ .''\ AJJ'.S
<br />AI&TCAILDE(LABtrIjON
<br />I hq$, atim uslcr Fo{hy .t pcriuy od or rlr r.llo*mE dsbrlimn(:
<br />Dcflnibn P.rn s^o.(., Norin. io6lr.d.rl RcSul iorr lTirlc 40. PNn6r
<br />R.qu,Ed lltrs of Nolif$rirtr
<br />_l cdify rhd fi. rcdull ESubri'ns e8ardin8 $tE{os rcm)val (c flol qlnlicablc b rh( pnr,.tl
<br />2(.,.itylh r I hrvc rc&l lhFunrrli.rliond (urcI )!. 'nl(trnLrtrr, tr.orcd lnUN h.on ywillrrllCiry ntl(i'urry
<br />s anl sr.'c ti*.El:ll'n! h h'U',g h.ntly lurrbriE El'.$nrdi!.r ol lnis Cil, !!rl Counl, ro cord oFrn rtt
<br />!h,rc rr nokd ptuEny aor in
<br />flpefi.mr e
<br />^s.nr
<br />s'smrrr
<br />\.-n* -'",rn",, {rerr C \1,+vr.7
<br />l-L1-71
<br />Sile-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor \t
<br />Bonding / Grounding / UFER il 16tzt.D&9{'?<,
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners tl
<br />Roof Top Equipment ')(rr,t D
<br />Factory Wired Unit I
<br />Walls (Condult)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rough
<br />Ceilings (T-Bar Rough)II
<br />lvleter Release -1
<br />'t
<br />6\zr )k*r I
<br />Rough tt 4..
<br />Service lvleler 7^
<br />FINAL 2)I 'rdlz.t w
<br />Notes, Remarks, Etc.l
<br />Rov Oa-(17-2O1q
<br />'' l<{\4,
<br />rrA-&
<br />t__\
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