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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / 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 />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />[r,4eter Release
<br />Rough
<br />Service Meter I 1
<br />FINAL z/il y _-ti 9ui
<br />Notes, Remarks, Etc.
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<br />OWNER BUILDER DEI,( ARATION
<br />I lEd'y !,Im !.da Frty otFju).- th, I m.ioqr frm E Coffi6 Lt* l8 tur lh. f.lh*iu 16r. {Sd toll !
<br />BBi.B lid Prof*irn Cod.): Any Cil, or Counly *tth rqun6 . tEnil lo ."nstucl. alls, inFo$, d.tml .r FI.n Mt
<br />jtudocFi{ronr i$.r rto Eq'i6 rlE a'pla. foruhFdil.6L.seEl dmt rhn lE or rlE i licnad poM'n
<br />ro lhc Fotirioro of lhc ContBlG r t,i.cf,!.d L.* ((1apt6 9, Comhftins wilh sc.l6n 70@ ol Divirior 1 of lh. Buti.* ind
<br />Pmfehs Co&) or tnn lE d i. it acn r thc.frnm &d rlE hc. for rlr rlb.d dadbtr Any l bldion olsdion 70! l t .rL mt
<br />rr?lic.nr for r p6nn suhjers rhc arDlicur lo ! civil ,.uhy ot n r mor. rh6 liv. hun(H &llE (1t00)
<br />- l. s o*E of rh. priFnr, or my nplorG wnh w.86 s lh.ir sL otrD..lrlntn, will do 0E s.ri ild dE rrElE. mr
<br />iddd.d d olIq.d lor sI. (Sc 704,1, Srsi,E ad Prcftsi'E Co&: Th. Coffsl@ t Ls.B Lts &6 nor qt ly to e ou nr of
<br />rh. Ft)lqry who hril& or inlIreG thaotr ri *ri .16 sh Mrl hirelf or lEellor thrclsh nir d td o*n anphr<
<br />provd.n fi.! Mh imFildllfu E bl ida'.!.d q ofi.Ed 6r r]. lf, h.rw. U. rlikrins or in+.ov@r it $ld *itnin on. )d
<br />oa.onpkio( EoBEtliHawi[h.wth.h,&rofFlrilt.lE!rJE&dmrhddd6s.6dEFnrE-*6rrlEF,Ircol
<br />L er otrrs otrhc lrcrdy. en qclNiv.l) .onrrd('nE * h I'cd*d ronkebB lo onslru.l rh. F..,..1 (s€ 7u.1, ttlitn6
<br />&xl PNlsi CnL Th.(-o.k-!ori l.icru l-.u 1106 B, Eolt e o*nq o f Fopd y s ho lEilds or impocG th(an,
<br />ind wh. .o mcr3 for tuch rrlFr3 *nh r Co'nrcro(i) |Rd n) rh.CodrNo.! l,rft.l.u)
<br />;,'"^;l;fil
<br />I h.Rhy amrm undr pd.lry of,'sjory o.. of rh. nn
<br />I h!v. nl *ill @inr.in a cd ifEd. of Colgr to S.lf.lBur. lor hrt6 omFrdnn, B FriLd aor bt s..lhn ]',{xr of rrE
<br />L.bor Code fo, rh. Fforll@. of rh. $t* for whih lh. Fmi! 6 isoj
<br />I hrr. .nd s ill m.inl.i. sorl6 comp.Mtion iNurmc., s rcqutcd by Sdl ioi I700 .allE ,lbor Cod.. lo. lh. Fttorll@. of
<br />rh. srl for *hkh rhi! Fmn ir is!d. M) $mt6' o,pssrhn iBruc tuit -i Flty ruhis r.:
<br />l..niftrhlr inrh.Flom.nc.of lhcwoil lor whichlhltpqm i nsu.d,l rh,llnor anlloy.ny ps$n i.6nynMnn
<br />$ s ro h.L\)m ilbd $ rlE Klld NnFsdrn l,$r orcrl,fo@ d rvathd rf I lrsuld tEod {t*t' rorh.
<br />work6' cornpqL{r ion prorisioB of s.nb. 11700 ol rh. Lallr ('od.. I Jull tunhwilh comply wilt lhoe rmr i.io6
<br />W,{llNlN(; tia'lu. lo su't \\orldi .onrrmr^rtr)n cf\Lrale ud 3hll3ub..l d anrloyd ro dminal Fah6 od
<br />h. .on of .oqEstion. &tr96 B r,.r ij.d fo, 0Ecnil 116 up lo od tun<H rlbn$d &llds (tlm.m)).
<br />Sccr(,n lor(.frhc I lhn(id.. n(dsrdJ d.'n( s
<br />nltlttY
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<br />I t6.hy .mrn und.r Fn lly o, Fjur r, lhal I dr lis(sr Nth Secfon 7Ol)1r).ll)'\ trk,n 1
<br />.f rh. BuiUB.nd Pr.fdNN Co&. rn mr lr@ ir in tull ro.e nn.ffrl
<br />car au(JllrNrElDAlilcEN(I
<br />I bftb .rm uBLr F rn, ol Fjur,- rhe rhc ir ! odrudnn lqdns !s*t for tlE Ffo,rrlec ollhc uo! lt'r whkh rhir Fnil is
<br />isiu.d (Sa :1097. Civ C )
<br />ATTUIAILPECIJsAIIO!
<br />I had, lrm und6 p6ihy ol Fjur, on. ofdr follo*i.s &.bnionr
<br />D.,mlihn Pmnr-Asldor Nolilic.lio. laldi R.3uhlioB (1nL a0, Pri6)
<br />R6qun.d l,rta of Norinc.lion
<br />I .dli! lhsr rh. frddal r +ubthB r.3&din! ab-lo. ronovll r. not asrhc.bl. lo rhB l,.Fr
<br />f.r.-'ty ,nor t t u'.,.0,r rt" uppt.or
<br />lifumn6,rr srdc t *s ElriE ro tr rhc aborc inlunrur io. is cotra-l l .sra lo onp\ * (h ! cnr.nd(,,u.'!
<br />a rd lE tt iutoE. EFsriir6 ollhis Cni. ud Gu.ryxr ord rFn!h.
<br />ill\. De rnBl |n]pot\ ftr,n\It\r
<br />,l pprl.".r .. ,rf-r Sis..t.. X
<br />""*n*..",",nn"U.K
<br />-,.uy' lr+
<br />Site-Work
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