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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 />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffil Rough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL q/2c//E tM,tr
<br />Notes, Remarks, Etc.n 7:1V
<br />OWNE-R DUILDER DELCARA-NON
<br />I hcby.{Im und6 F[ny of Fjn,,_ lht I m.r.n{i tom tlr Coirrllod l.i.de lrw for lhc follouiia i.un lscroll5
<br />BBii6 &d PiofBion ( odc): An, ('ny .r Codt shkh r.qui6 r rEnr tn tu.rtud, i!6, !r$.!c damlirt.r ,gnt m)
<br />Jrucrdc. Ftr x' tu is!e., .l!o Eq!i6 rh. .IFtLrr frn such Fhn lo fi|. . lrgi.d ndcMl thn lE or rt it licds.d Po6'.d
<br />ro rtu Fo\tioN otdE Conr.*roir l,ic6!dt lr* {Ch.rla 9, CommminS wilt S6lion 7000 of Oivisiot I of 'h. BuinN &d
<br />PrDl{bN Co&) or 0!r lE o. JE i .rsIpr llE 600 sld rlE h-! lor lh r&s.d aoFi,n Any ri.ldion of S<dio;7ol l t b, sy
<br />!pr,!ic! for.FnnDbjc6rIE.p?li@rro.olrlFflhrofmrmElh&fiu.hund.ddoll6(!5m,
<br />t. s ow of llr proFrl. or ny mplord *irh $.s6 s rlEir FL onFGdirn, *iU rh tlr r od tn tlE rME i ml
<br />rrdd.d dofii.d adr&(s< 7o{.l, Asi6-d PrDtabB Cod.]lE Conlrnl( 3 Lite t vib6d+l}to-orFot
<br />rh. r.DDary $lb hilt o. i"sm\s tlEq4 d'd u lD d6 sn x,i hif,*lf or haxlf ot rlmurt hi! q hd o*n mpr,rc.
<br />proviJed rhar ruch inF*qmc e ml i dd.d o. otusl tor sle l[ now6s. rlE blildinB ot im!.orml i! Fld wirhin .n. d
<br />ofslFlrb(lh. O*c ttui!:lr wiu h.n dE hlnar oaFii,r fir lE or tE dil ml hill s itrFtE t FbFty 6r rlEPllFEoa
<br />l. s own< ofrn. Fnr6ry. m .rclsiv.ly conrrmrins with licds.d conr&$6 o atrntud lh. pmjdt (S( 7044, UB s
<br />srn hski ( od.r 'I'h. Conrrr|oir Lr.e l-!$ do6 mr rp?ly ro x ogE of ForEly sn t'lildt or inprord rtson,
<br />dd "lb odn<r! t{ *h FoF wnh . (ttrdnl, li.aed FlBEr b dE Coffioir tj.(c l- I
<br />I m.r.mfl undd s<rn1n t /l .B &P.c ro,lhur*on
<br />X - ls.Al,*l#n Lt Pzu c Lt'
<br />i,/ \ Dr(llf,AltoN,frorrh.}\"ns d(h'rnEI hd.t ) lmrmund.r lmlr, of Fjor) (
<br />I h.r. nii s'll Mrhin . Cdi,ic.t. ol Consr lo Sclt lBurc for $vr6 omFndion, s F.vidcd for bt Sel6.l7tl(l.frh.
<br />lrtor ('odc. tr rh. FfoiiM.. of rh. wort for *hich lh. po il b isu.d
<br />Ih!\cr.d\!llmi'.hrorl6 corirpcdnFn 'llilluc 6 Equtql t', Sdnn 1700 of llE llbor (n&.lo.rE Ffollle. oa
<br />ltc mrt for thich thi p6Fir is isrd My wo,t6 @oD.nraio. iEor4. cdic md policy nunb.r t.
<br />I cdiry$d 'n rtE Ftorn@. ofrh. *.rL tu trhi.h rhi! Fmn ir is.d I rh.u ml dplol &y Fkn in r) nmF
<br />s 6hb.tom$tin'olh.qo 6'onFE onL$or(difond &d+ftrh. rll nhoE lE om utic.l lorri
<br />"o 6'comFBrionprnvnioNors(1ioolTftolrl'cllhrCodalilEll.fonhwnhcompbwnnlhosprovaion.
<br />n m\og. a unh*tu|- s'd lru tubel m adoF ro ainin.lFEIE ud
<br />cMl linB uD ro on. hun&.n rhousnd dolld l()O.o(x)). i. lddirrn lo lh..oir of .onFurioi. drn46 a ltoyiir.il fo' rlE
<br />Serii{ 1076 ofrh.lrhtr( c. int(d and
<br />/.\ht? I l tNz Jr-1_l
<br />I fidrb' !ftd u'tt6 Fd, of Fru r: $r I m [.6!.d ur& Foviion of Cn ri6 I {offii.s *nh sdi.f, 7fi)) ot Oirnion :r
<br />of rlr Bciffid Pmt6io6 Co{t. id ny l(.@ a m tutl 6E id .116r
<br />(olirBr&flo!.rElltlc.AIitBla
<br />I hftby .Itm untl6 FuXy oa pqjury thn $q. n . odtudion laxl'u rstry fo, lhc Ffo,M. of rh. m* fot *nrn lhis p.rni ir
<br />turu.tj {56. :1097. Civ C )
<br />aftLlcANlDlllJSrrla!
<br />I H'y lrm unds pariy or FJu, r- om ol rh. ftllowin! .l<ltntio.3
<br />Dohlnion Ps' iAtb6r6. Uorifi..ihn F.da.l R.sul,l6N ( rnt a0, P!^6)
<br />A.qurqt ln16ottLirfr<dir
<br />I !d'6 ihadh. f.d.6l r.suhrnN Es.rd'n* 6tErG roor!1,. R,r appl'(rhkrnrhq!m(d
<br />, . - n\/, *.,J* SJ"*,ft*,-v*A,(RalR(k?*," -.n, q h., ( i! n, cun,r
<br />or.l'nin(B rd\d. t,B dr{ 'ns
<br />ro burld'n8 coffid 'oI\ od h6.by .!!hori[ r.p.6an ivB ol Uft cir, dd counry ro drd trIn. rh.
<br />"h"* .E76.dlEp-ry r., ,..F(-" p,.B'B
<br />Appror or At6r Silfnrn Drl.
<br />"*,*"..--D,/u-r.-rfl,!.\A r VALE0t UZ L^
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