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ELECTFICAL.INSPECTOR HECORD
<br />APPROVALS DATE toistG.COMMENTS OWNER AU&DFI DELC R TION
<br />I hrcby llfirn nnd.r Fohy or pcr!ry thd I M .x."q rom llE ConlrrroF l.itn* tiw lo. rlE tolltwuB Een l$..1r1.,
<br />Burincss qrl Prolc{sion c{xlc) Atry City or County *hich EquiEs u Imir ro .o.dE.r, rlld. i'npbve, d.mlisl' N rl'u uy
<br />{tu1u. Iri'r ro ilr issu.G. !k' BpiB rlE {,plt aor ikh p.mi b lih. srgn d srd.m rlBr L or {i B li!tr<n l,ul\Mr
<br />k) rh. pf,rv,iirN of rh. Conrklo* Lau*d L!* (Cllprs 9, Contrrrns enh Ssrion 7@o or Diviti,n J of lhc B$itrsr.rn
<br />PDlt$n,ns Cod., d thst lb or sh. i{ cicqi rhdcrrom rtullh.lEsk for thc dlc8cd cxcrylbn AnyrhlelkJ,oISari,.T0,ll.Sbyiny
<br />lpr,liafl ror a Fmir lubjdrs rh. {,plic&r k' ,.ivil ,. lryof ml mE lh.n fivc ho'drrldolld (!5m).
<br />-1.
<br />rs owmr olrhc ImIfnI, or 6ycrrDk lrci uilh r!8c\ as lh{n $h con{xnslion. *illdo ltrc erk dd dr rral@ i{ rr
<br />inrodcd or olt6.d ror eL l 56 7(xil. DuiiEsr od PmLrsir6 Cd. Thc Co n.r('s Lt e ti* do$ mr rpply ro !. owrr of
<br />rh. Dmllny *tn to ds c inlmB tncmtr en *ho .ls uh h,l hin*ll or rEr*rr or
<br />'hntu3h
<br />iis or rrr own crylorc.t,
<br />nii'vid.d rh0r such imfmv.mnk m nol inlcBlal or o,tcel (or slc. l( h,eE rh. h1ildnts or irrmEmm Lr $h sirhin on. ,ce
<br />ofcoinLriod tlr (J$rr BuiU( will haE dE hsn r ol F)vin8 th! t or \l.t dn ml bild or uqtuw tlh rmt6y rr rh llrDo.or
<br />_1. a\owncroarhc ImlEny. dmcrclu\ivcly.ontrring *irh liNn<d.onr&ro6 to lr)nscl rlr rrt rl (SN 7tll4, BNn s\
<br />lnl Pll{6rrxCod. Thc (bnreroas Lr.n( tiw dcs nor aprly ro u.*Mof Dn'pcry \lx, buildr or amrruv.. rh.r....
<br />und who conrtur\ lor suh pn,Jccrx *irh r Conh.nn(n li.cn(d pu^uutr'
<br />'o
<br />rhc Crntrcrtri Ltenr li*).
<br />lrmcxcnpl unds Se.-lnn
<br />l,1. _ O*n.r __worxrE worsrnoi.r
<br />DEEIdTAUIA
<br />I h.rcby alfirn undcr !.Mlry of pojury om of rhc folklwing d..lr.rtions:
<br />-th,Erdsillmi
<br />nin. C.niaE{. ofcon* lo Sclf'ltr{E ,or worl6 .oqEn!.rio.. .3 Ftrvid.n lor b! S.<lion lru ol dE
<br />Llbor Cod., ao, rhc pdformftc or rlr vdk fn ehki rlE Fmil i{ nsu.d.
<br />-l lErc rd *ill minr.i. vorl6 .otrpcNrhn arsurEc. c Equircd by S.dbn lr0o of llE l$ot Cod.. for rlE Ffm of
<br />rlE Krk for sh.h rhh F mrr E Bnr.d. M, wql6 oq.Ndron rnsntr. trhr {rd polky nunbd e,.*, 9:4^f< ?^nd
<br />pax,x,^a",, el ? C-77 ?3- z**,, >/t./ c I
<br />-l
<br />enift rh, in rh. lcrtortuft. of rn eorl fd ehti rhi. F,mi' k ilrucd. I 3h!ll bl crploy.ny Ftun in.ny ME
<br />c, slob.!om bFr iollE eod6' compcrslion l!*i of Crlilbhi& .td
<br />'anc
<br />rh.l if| d$uld b.ror $bj.tl loltt
<br />mllm olp.Bdb. pm rbcofsdhn r?mofdt Llbs Codc.l {Ell. tdnwth@nPly wirhrhorrmvirhtu..
<br />WARNINC Furrurc ro *ruR workcr{ conrrEo\ar{r uorcragr i\ uh*ril. lid \hrll \ubrNr M cn{h)Er k' lrnniftlFlEIIi\ uftl
<br />ro om hundEd rh.uqnd dolhB (!1(x).(Ix)). in lddirion lo rhc con of.o rIEtrerion. illmsc\ !s t ova.n for llEil7ALL
<br />DECIJAAIII}N
<br />I hcEny {nnm (&r FMlry 6r Friu,y rh, I m litnsn u l.r Imvnbr of Chrpld 9 i@mEftitre 8 n Sdbn 7m,orD'visbn !
<br />of rlE ABirus dd PrDf.riions Cd.. sd oy lkenE n in tuu foN rd.lfRl.
<br />E-cto
<br />x_142
<br />a5!93 1
<br />,",,, 7lt7/-z(
<br />lffrlr!!1lllctaBA.ua!
<br />I lihiry lnim und.r F.alty oft).rlury om ofth( f{nh*nrg dc.'lllrln,ns
<br />l)cmlin[ Pcfl!ik Artr(or Norili.!rn'n F.dcrnl R.!!l!rn,n\ (I'irl..{). Pad6)
<br />RL\]ur.J lr crof t(nrlildbn
<br />-l
<br />enify rl',r rlE lcd.rd flubliti csr^lins ,$.{os Efl,rrl m d !fl,li.rbL b lhn ptu c{l
<br />I enilr rhd I h!!c Ed rhN qrpl,crti'n arl slt rhlr lhc $ovc infonuri,,n n cnnccr.I aEie h ohplt wirh lllCily0d Counry
<br />ordinlmcs dd St'b frws elI inS ro buitlins coflrtMtbtr ud htrctry rurlbrit rqr.*ddivcs of thts Cn, ud Counly .o cnrcr uIDn rrt
<br />.birr mnrk,ftd n ,p.ny f., 'nrFdbn!{rFcr
<br />ApDrqnr or Asor skEr{r . K
<br />"t'\U i-lsa^ fle,*-3/t]/"/
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER a 4.)t,?A b*w;
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment 7 ?n 7)WW
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Solfit Rouqh
<br />Ceilinqs (T-Bar Rouoh)I
<br />Meter Release .?w 7l DWA /
<br />,
<br />Rough
<br />ll . rl ./b
<br />FINAL 7'?)DWV 6/
<br />Notes, Bemarks, Etc.,l I SNS:IBU(:IITEIENDNIjIGENST
<br />I h.Eby llrm und.r FMlly of ,Erjury lhd thdt ir . eNlodbn L'di.8 r8.rcy for llr Frfolrlm ot llE mrl for $th lhis Fnn it
<br />nskdrsN l0)7. civ.c.r.
<br />L. .a\ NanE:
<br />-
<br />Service Meter
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