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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER TUILDEX DEI{ARATION
<br />I h.rcty,rrn undd l,ctulry or lciury rh.t I d.rcnlpr rDm rlr Codrulm Lirns trv fo.lL tollo*in3 la)n isc 7oll,5
<br />BBift( .ln PFf.sbn Cod.): A.y Chy or C.u,r, whth rcqun.s s ,sni ro conrrocr. !!6, ir{,ow. .t Dli.h or EFt !.,
<br />srMrurc, prirr r! irs is$!ft.. ols rcquiEs tlr +plter fn sh ttmir ro fi|. . .hmd {.rcErr rhai lE or rhc h lian*d nNlnt
<br />ro rh. FDrbirnr or lh. Conrr&ror'\ Lie.$d tlw (Cllt0rcr 9. CommEins rnn Sdb, 7Om of Dirisbn I of lll Burics .,xl
<br />Prurc$ion\ Cod.) or rhlr ,. or dr ir c&trpr rlrE rom dd rh. b.rir for
<br />'h.
<br />llL8dl cr.mFbn. ,{., thldion o, Selbn 70:l I 5 by .ny
<br />a0llicrnr for ( Fmir rubl.ch rh. lppli.anl ro u.'vilp.nrllyofnol nnElhln riv. hondcd d.ll,.s 1t5m).
<br />l, !: owE or rlE FsFny. n oy .nploFs enh v!8.. .s lhn $b eqEndi,n, *i! 6 dE frrt !d rlE rlfu k d
<br />it{.nlcd m olYcEd for sk (SE.?044. Busi*t rnd Profcsi'B Cd. Tt Cod.krMt Lirnr Llw dEs ml rpply lo u orrcr of
<br />lh. ,lnlEny whn hoildi or intrcB lLMc .,n who d(s rBh w,t hnncf or h.rElf ot rt[rsh hk or h.. own.mproter,
<br />pmllcd rh.r:!ch in{ftemnis @ Dr inod.d or ofisql rG rL. ll l5EE, |n. triuin! r iqmtrnl i. nb wntu oft }r{
<br />of.1,f,pLrion. llE OwF Buittr will hE 0E htbn ottiotins &r h. or lrf, did hr htix or in!.oE dE FDFry fc dE F INol
<br />_1. !so*(r of rt* pn'Fdy. d.r.llriwlycoddirS rirh litn*d.onlr&1rn to snatut lh.Imrd (Sa 7O{4- AriEs
<br />. l PrDfrsbn Cod.: Tlr Contruror'\ Lic.n* L.v dar mt .ppl, ro !. .vmr of p6p. y who builds or inF ow! rlE.con.
<br />lnd wt6 ionrn.Efor such pnr}tk si$ u qrnrtrro(.I lic.nsn pu^u.nr Io rh. cotrrructn s Liccnc Lns)
<br />I rtu.r.'nd o lcr S..thn .ll .! P.C t( rhr rcuq,n
<br />Del.: OPNr:
<br />uoaf,E&5:g)ltrEural0B
<br />DECI,AXAIII,I!
<br />I h.ruby lmnn undcr Fntrlryolpe4uryorc oflhc loll,*rr rl(l,mrnrnrl
<br />-l
<br />n rr ad will minrrin. C.niaor. of Con$nr lo Sclllnre for mrl6 NqEndion. a Fovlltl for t, Sdrion !7m or E
<br />ofllt h* fM qnth lh. Pdnil i' nr*rl
<br />6' @trp.nrrion in !B.. G rquiEd by Sdrion 3700 of ttE Lrt . Cod.. fm dE lEf.re of
<br />m'nlErs.li)n niunm. Mir.d F ry.unh, u.:
<br />.[-x
<br />I ccnifyrhrr i'i rhc NrlnnMnc.rlh. sork nx whi.h thn lcrnit t i\sud- I +rll nor cmpkt tr0y FB.n rn lny n n.r
<br />s s ro b(-'r iubFr ro rlE qlrls oqanr.li,tr Lwr ot C,riromin.4m rhI ifl should tE .m blcrlolh.
<br />uqta{ ..n[.nerion nroision\ olScclFn.lTu)of th. I jllrr C,xlc Il, tunhvih oill,ly wirh llnr Imvirions..
<br />rsdc^ ont,!.nuion c.orlrk F rd aiointl Fbhas !n
<br />'or. ddr8Er I l,.*lal ror
<br />'lE
<br />I tErhy afitrr undc. I,.tulr, o, Frrlry rhar I d ri,n oloutr.r 9 (conuEmin8 *ft Seli,n '7000) of Oivision I
<br />of th. Bus'xsr a'n Pnncsiion{ Cod.. {d my a
<br />Ilr'cby rlft ! crlf, rlrJ"olFrluryrhdth$.hr
<br />kulrrse r(r')? civ ( l
<br />ascrEylilr lh! Nrlormn.colrhc *ort fd*h{hrhs lf,rn ir
<br />A@lci rNLDElLlllAIIlru
<br />I hsdy otrm u&r p.ntrlry ot Foury oE of rlE folkrwin! d..Lr.l ions
<br />D.ftnirbn P.rmnsA3b..ros fiotirf,.rion krrl R.rlLrhos (TirL,l0- Pnd6r
<br />_ Rcluncd L,rrs of f{.nilEsli,n
<br />I Emv.l N mr .pdi.dblc r0 rhi pmF.
<br />rl*nh)rc i'nonm.o n rotrccr I ilnt t) (otr{rly !irl' nll( iryrtr,l(i,unr},
<br />ADrll.Hnr or /\(tnr silndr
<br />.'**"t ff;$
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />lvleter Release
<br />Rouoh
<br />Service Meter
<br />FINAL ?g1t ,14 .l\natp.d h,{ D.*DDO\
<br />Notes, Remarks, Etc.a
<br />-ldiryrhd
<br />rDtu ol
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