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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<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 />Communicatrons Cable
<br />Building
<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 (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Itileter Release
<br />Rough
<br />Service Meter q /r'1,FINAL /r) i. D :ftt-rry 6k
<br />Notes, Remarks, Etc
<br />OWNER BUILDI|II DEI,( RATION
<br />I hdd'y imm urd6 rtnilry ot Fdury lhd I d .idfl frcn $. Contaro6 tk.e t q lor th. tolh$iB ra$i lS( 701Lt
<br />Butindr /i Plofdtrn ('ui.): Any ciry or Counry ehkfi r.qut6 . Fnir ro ontrucl, .1t6. inprcI.. dc,rcli.h or q;tr MJ
<br />rlrucru.. Fht b tu isllmq !L. rcqurd rh. !fiihc.ln fDr !!.h Fnn ro 6L ! rigi.d i6dal lh& lE or . ir lic6s.d DuEr-,.
<br />ro rh. Fblirios oldtr ( onr.rtoir l-icaEd Lls (Cnl9ls I, Comndiir with sr.rion 7000 of Diviion I of thc Bsins .nd
<br />Pmr6ion! Co&) o. rhd lr or rlE n .imfl rhdciiom ,nd rhc b.r! for rhc rll.*.d .rmFion. Any r iohIio! ol Sd irn 70! I 5 q_ mr
<br />.rrlic..l tor i Firr !ut!6r3 th. .ppli.mr ro r dv,l p hyof mrmErns,i\.h!.&.d&,ller(1500)
<br />l. B ow of rlE F.oFr,. G hy dphy6 wnh *rs6 a rlEn bh @nFsio.. $in .b ,E rut rld dE rnItE a ml
<br />i'rdi.d d ofin.d lor sl. (sd 70a:1. &!i'B -d noi6ir6 Cod.: ft. Coft-rd r Li@ Llw d6 tul .pply lo o o$G of
<br />rh.Fqay rlb hoill d lrFo€ En.n yho &E sh en fiiialror hd*llo. rkou8h hir o.lE om.iDh)!g
<br />,ftrr<lc<l rh.r Bh inF.\€EB n d irsi.d or ofidd itr xl. l( hoE., * h,itti,B q irsDrtEr ii $5 wahin o* !-
<br />orstp&ia lll OwE &r r, *i[ hwrlE hldat.f ForiiB llrr lE6,ll.dn d boild or itrgDw dE FDFrr- 6r lla F porof
<br />l. - o$G olrlE FnFry, m dcl'iEly coddins *ih li.-!.d oir-t6 ro @'!s{<r llr F.tc<l (Sc. 7or4. aGnB
<br />.d hokr Co&' Th. Co.nrioi. Li.c@ l,$ &q q{ ppl! b r o*E of FoFl} r'ho b{il& or idI.o!6 rha6r
<br />6d sls 6i.Ilr 6r trn FoF$ rinr Conrrro(l| liu!.d rrdlrr brhccoffio.r Lire tr$)
<br />I m.tmpl unj.r S6li,n
<br />lr.r. lri!6
<br />\roRr(rRs cottPrYaariiiN
<br />alg,aaarla!
<br />I hq.b) smnn unJd po!h\ orFJu^ oftofrk nn[Nnx d(lelrk)G
<br />II'rv.rnwill i'n h r Cdifrl. orcoEn lo Sdf-lw fG wl6'oqarrbr 6 F.viLd for by Scltr l r00 of llE
<br />trbor Co& h. tlr Ffollec ol tlE wt tu *nill dE Fnn ir is*d.
<br />I h.r. nd will lllullir tr'orlo cotFMnn ifuEc. s r.qlrd b sdi.n r7m of rh. L,bot Code for tlE Ffollil4c oa
<br />rh. *qI rq shrlrrlq Fbr . ed My *orrd o,pqu.Dn @ft.(fi,,n pok) trmbq c
<br />cE Herj&d Gu-1Lt,su'e^e 4*rrq\,,
<br />,",,,,.,.* AGUE*€f ?z!s r,pi. ,';-r8
<br />I .diay rl in lh. FforuNc olln *orl tu *nth ltir Fnil B is!.d. I shll nor 6ph, my F$n in &y 'rDnq$ B ro b<!ft rubjd ro rh. mrl6'mmFEdio. h$: of (.lifomir .d.sr lhn if I nruB b.coN stixl ro E
<br />solt6.oniFurionFrvirioEofsdio.lT00oltlElthor('od4lilEll.lonhwilhsnlyuirhll&sprolniod
<br />WARNING: hilurc ro Kuc *ort6 .inFsxon .ov6is. 6 unhuful, and sh.ll subj(l e mplo)6 to mm'd FuhB .nd
<br />civrl lin6 up lo onc hutujr.d tho@nd dou& (tl0o.0o0). i. addnion !o rh. cosl ofcomp.realion. danMs.s a Brrid.n lor rh.
<br />s8rkn, \176.lrhc ljhn (,xlc. tr -srt Jdnomc] s lir ka-,r.,., 7 /c '/^7
<br />Lft'Fns-6I oNTr[(T(ri
<br />DEcrdnarloN
<br />I hslby !,Im lndd p.nlty o f Fjury thd I d li.d!.d uidJFo6bn.f( h,Fd e (6mocing sirh S.dion T00OrotDivirion:t
<br />of lh. A6i,B &d PmfshN Co<L, ,!d my lkru n in tull lora md.IIcl.
<br />E 2a?
<br />*-rc"r2
<br />I hq!b, .ltm o.da padt or Fr!.y rlll llE ir r odrudbn ladins .sdy tu rh. pdfolrle. olrlE *ort tur *nkh lhir Fnir a
<br />s!.d (sc 1007. ( iv c)
<br />APPI IC III DECI 'RATION
<br />I h.6t .rEE u.dq Frr, of Fju.' oa or lh. ftllloui!3 &.lelriod
<br />t,.6hh. Po[iB rt dd tldifr.ion F.dd.l RqlLlioN (1nk .l0, P!n6)
<br />R.q!nci tdl6 o, Ndftrih
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