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ELECTRICAL-INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS OWNER f, UILDER DELCANANON
<br />I hcEh, dlrm undc. F..l!, ol ,'.4ry lhd I mr cr.r?t ii.n ttt Coffi*loB tj..rt t,w ro. rh. lollowirS E $n l Sd ?011.5
<br />Ausi..s od Prolc$bn Cod.,: Atry Cny or Counry *hi.h reluir! . IE6n lo oNlrucl. rll.r, inpmw, d.mlhh or ElIn lil
<br />(tucrr. Etu ro irs i31ud..L6 EqliB ttE opt Ld lo, rRh Fmil lo 6L r s'a*n (.rcm rh,l h. o, dt n litMn pu'Er
<br />ro rrE povNus of r Conrmroir Li.nsd Lre (Chrprcr 9. C{nm*rn8 wilh ScrEn ?lm or Divnion I ot rr. BuiEss md
<br />tLfcsi.tu 6dc) .r th.l lE or rh. n cr.mpl lh.rcnom and tc bd\n tor $. rllcscd .r.nplion. Any viohion of Sdion 701 I 5 by an,
<br />{n rlk.nr for r Fmir rubj.rrs rlr rpnlirn ro . civil FMl.y of Ltr mE lhdr fivc hund.d dolldr (3500)
<br />-1.
<br />s o*mr of rhc pmFrry, rn Dy cmplojtcs eirh wasc! 6 rhcir s'h $ry.nsllion. oill d{, ltE m* a1d rh. sarm h er
<br />inrddcd ordrT.rn rde].lsd 7o.r4. BuriB$.nd ftoacsx,B Cod.. Th. Conrdor'i Li..M Llv &.i {qPlyb!no*Eroa
<br />rlE rioFny rrn hitk 6r iqmB ds6n. rn *h des rBi wt hinrll or h.mlt o, rhmuSn ht d r.r o*n.'Fhy.s.
<br />pnrvidcd rhrr such io{,msnEft E ml inkrncd.rotu forsb.lf, tFkw, rrE hoildirS or inr,mwm h$ldwilhiiorc)w
<br />ofNtrpk1i,( tlE O*8 au 16 *iU h.E tlE h{d.r ol Foving lh. rE or dE dn d tli! r lqmw rhc lmFry hr tlE tu4Ds of
<br />-1.
<br />s ovrcr of ltE ImtEiy. m crluri*ly co'oErnE *nh ltct*d .odrEtoB ro .onltrucl llt Foirl (Sd. 7(,44, BNn(
<br />rn hDG<bnCod. Th. ConrEtorr Lt.nr t p do.t 6l.rpl,to uo,M otFoFn,*ho build!ot inPrctt llEm(
<br />rnJ who sill&1s ror trh tisirlr *nh . Co i roni) lt.nst pu,wrll k' llI Co rarc! litu L.w).
<br />I amcrcd{ uftLr S6lion-
<br />Drr. Orner .--
<br />rv(rRx 1 {at(ltr, pE\rsialoN
<br />!ECI{8AIrc!
<br />I hcEby !nmr und.r p.mlry oI Flury om oftlE tollowii8 dcclrarions:
<br />_l h,r od eiu mimri. r Ccnifr.rc ol CoM.r ro S.lr'ltruc for mrt6 @r+.ndion. a Fovii.i for by Seli,n l7m of rL
<br />Lllu Codc. fr, rlE I.rrotrffi. or rlE *6k ror wtth oF p.flrjr t nso.n.
<br />-l
<br />t E.nd sill minlrin sorida corpcMbn iGmEq s Gtuir.d b, S..lion l?(t) of llE lllrr CcL. for tlt tEfolllft. of
<br />llE mrt fo. *hti Ink rEmir ir irdrcd M, wwl6 od{Endio. inru,nm ffar .d poli, numbd el
<br />-l
<br />eniry ft,r in rlt Frforer orrh mrl lor whah rhn Imn i! nud. I {aU rcl c'rrtloy rn, pcmn h.n, mnEr
<br />b d ro bcdrE srbFr lo tlE wort6 strlltng|ion ls*. olc|tlomi!, r.d *B lnil if I shuld b.coE $bFl lo ll!
<br />eo,t6' $mp.netion FDvirions of S(lhn 3rO0 of rL LrDor Cod.. I 3lull. lonhwth {rl9ly vilh llDe toviricni
<br />WARNING: tnituE k' K!rc *rkc$ coqEnsrio. clwdg. ii unl.wtuL ! shrll rubFd,, cmphrt, ro oiminal Fmlri. tld
<br />.Ml nft! uI' ro om hudr.d rhoued dolh,r (llm.ooo), i. ddili,n ro lh con of conrn$lion. &mgN .. pmvn.d lor tlE
<br />serbn 1076olth l$d Co&. inkrc{,nd dry'! fr:
<br />D.L:- Apcl l:ucns-m coxrrrdrn-
<br />DESI.ASAtrON
<br />I h.rcl , 6,I(m un&r I'ulry of Frilry lh.l I d lietrcd ldd FDvtion of Ch$ld 9 {6nmEi!8 si$ selbn ?(D) of D,rnn n 3
<br />of ln BuriB !,n PiDlsbd tu . dn d, li.@ n in tuI roB rn .fic.1
<br />callrEullllrN!DlDlNc.traEtrCr
<br />I lEEbyofin bdq Fixliy of Frju,y r h.i lh.h is r.on(dction lcnlins ascky lnr lhc l*rrornuE. or rh. work for whah lhN lErmil it
<br />trrmd rs.. l(l,}? C'v C t
<br />A9IUCANI.IECIdBA:IIO!
<br />t hsq .rm undd FDhy of F rury oE ol llE follotiry .t hr.tionr:
<br />Dc nirion Pcrmils.Artrsroi Nori[clrio. Rrt nl RcSxLrio.s (Tirlc .0. P.n6)
<br />-RqliEi
<br />tdr$ ol Ndirralirn
<br />-l
<br />ccnni $rl th. fcdosl rcrlhrionr rcSodins r{b.{osnrmvalm rc1o!pl[$L k, rhis F)]..i
<br />I.cd'fy rhd I tuvc r.rd rIn !ptltrl()n isco{Nr.l r3r tooftplyea'h rU Cn y.ar Counry
<br />o',linr ..\nnn Srrrc Lr$\ rcli(irA aurbnzc Etrc{ntllivcs olrhn Ciryand G,urryro cnr.t ulrr rtE
<br />ah)( nnrio(J rnrprd! fo.,l
<br />AppliMnl or Aarnl Si!trolu
<br />[/70 ')M4@ D.t",zk'?)6'
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buitdinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / 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 />Ceilinos (Hard & Sollit Rouoh
<br />Ceilinos (T-Bar Bouqh)
<br />Itrleter Release
<br />Rough
<br />Service Meter
<br />FINAL P'-ll-1t Tr-)
<br />Notes, Remarks, Etc
<br />L.dcir ad&.s:
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<br />fI
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