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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE
<br />Site-Work
<br />Underground b.,)t- lb-D.-{oh ,'{c)
<br />Pole Bases (
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<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 (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 7-rB -re o
<br />Notes, Remarks, Etc
<br />OWNf-R BUILDER DEL(-AR TION
<br />! h6.4 amm undd pd,lty of pdju.y l hd , s .xmpl trom lhc Conl&lo! l-icdc l rw for lh. lollowin* rN'n ( Ss 70ll ! 5
<br />B{riBs dn Proa6ion ( o&)r A.} C(y o, Crud, whth ..itur6 . F$n ro o6rud, .l'c. ihFor.. {btulnh or (Fn e\
<br />,.r.rd. Fi, h tu Kuft., rho rdtura rh. {'tl{d aor kh rEml lo 6k r ii*n d nd6!E rhd rt ot $. i! li(tu1 p(ed
<br />ro rhl FovnrcB otd. CoilBroi. l.i.d.!d L,w l( lrprd 9, comhftins silh S.dion 7IIr0 of Div6irn I ofih. Burin6 &d
<br />ProLsions (ird.) orrh h. or !h. i!.r.f,pr rhd.fror ed thc bsn tu th. llLr.d crdplion. an, viol.lion of S.clion 70:r I 5 by any
<br />lpplic! for r p.mil eubid!llE rpplic.nl lo !cirilrdBllyofnot mErhe fi!. hund.d d.lhs {1500)
<br />l. a n*G of rh. FoFdy, or m, an br€ snh ste6 6 rlEi. mt o,rFs.lFn. *ill & di Eut ,n $. ffE . B{
<br />i.ra&d orolT.r.d for $t (Sd.7044, Buris ud Prcfdid C.dGr Tn. Co r.crois Lt.@ tr* do6.d Aplylo u oqns ol
<br />ll'. FDFry f,lF hil& ( n I'.vG rhd6l! rd *ltr dq r.n K* hiro.lfor h.*lf or llmIsfi fiis or hq o*n oplo)6.
<br />FoliLd thd r(h inFo\d1ds e ml ndi.d or oltu 6r rl lf. fio*6s. ln hiHiis nql]\6id ! ild *rhin c !a
<br />.lof,pldiotr E OaE &rBa $'ill l*. dE hrid! oaF!\i{ rhr ll d d'. dni E l hild d iftqu! rh. FtFy 61 0E F,FE oa
<br />L so$n6 ofrfi. Fopstr. m crcbn.ly colnrulins *nh li(asd cor{,&r!6lo 6ddd
<br />'lE F.j.{i (S( 704.4. Bui.s
<br />&rl EDtri{ CoiL, 'I h. ftmdorr l-i..@ tr\! &'6 mr .ppl:_ ro o os E ot FoFly s ho b{ildr or hpd\6 rh6on,
<br />ed rtE Fdrxt! ftr ru.h Foj.rlt *'nh !Contrlqlr lio*d llmdr bilECodrrroir Lt.e L.a)
<br />I m q.nrpl und6S(tun \1"f 1'l)|t-L-tf
<br />I h.rcby afi nn undr p.ell' olpqju'r. oncof lh. (,lk,q
<br />I hlrr rd $ill runri.. Csri6.a. of Colg'r ro S.lf-l!w. for srt6 onFuiiotr ! FDriLd for by Sdion lu00 orlh.
<br />l,bor Co& for rlE Ffolrlle. of llE *ml for * hkh llE Fnn ir isrcd
<br />I hlE lnd EiU roinrrin v.rt6' comFlBdi,n iNurme 6 r.quir.d b.v 5<16. 1700 ollh. L.bor Cod.. Io, lh. Flor,m. of
<br />rlE $vt tor *ntn lha Fn, ir isrd M, \sld snFlibn iclrlre .air tn pokt.urba !.
<br />I cdify rh,r i. ih. Fformm. ofrh. "ori for shxh rhc F nd ir isu.4 I $!ll ml dnploy lny rng'n i0 tny me.6
<br />kr B to bc.om. ltbjdr ro rh. *oitd' compaslirn Lm ofcrli.fohi.. ud 6src rhd ia l lhoold h<om. 3objdl lo tlE
<br />"ortd' ..ml.Nd io. p.ornhB ol Scdn,n I700 of lnc L.tor Cde I ndl fonhs'llh conrly e ith thor F.r itioN..
<br />w RNIN(; l;.ilur€ ro sr. tr!.16'comFlinn a\ds. tr unlrwtul. .fij 3h!ll srbFl M orployc ro onnsl FuhB 4l
<br />.n,l fin.s ur l(, onc htrndr.J rhou$nJ do
<br />s(rirn :1076 0lrh. Lh)r cod., inrdd rnd
<br />I t6Eby rrrm lndq FRly ot Fju' l- lhn I m licsrcj undd
<br />of fi. auire rn! Pmr6i,B Co<lc. rrl f,) la@ i! h tull
<br />cqx trllclroll,llDlxc-ac};!(I
<br />I lEd'! .rm undcr FElt) o I rEjun lh.l lhd. a ! o'drucln, l lins ss*t fo. rh.FfolM. otrlE trork for *hth lhi! Fnir !
<br />iaru.d (SG !007. crr (-)
<br />I .ftld'r \rm.
<br />AfILICAILTE(IIAAIIO!
<br />I h6rby lrm undd pQalty of pqjury onc ol th. rollo$ina ddlurl hn3
<br />Dnnokbn P6mils-Arb6ld Notificd nrn r'.ddl Rcsuld ions {TnL !0. Pan6)
<br />R.qun d llEof &tilrnbn
<br />lcalilvrhal rhcfcis!lrcaulari.N r.!!!ing eslnl(x rEnor sl ,r. nor at)l)li(ibl. to rhis Dx,lN
<br />I cd rI\ rtd I ha\ . !.ari rl$lh. th. .tov. hforrdion 6 (otr<l I +rc lo ompl, $ih nl Cn) trn (-ou.t!
<br />.ntm.n(6 dd srar. ti$srcbr lE.t y.lthoro. rcF6q(a'!6 oarht Cnt.nd (-ouil, ro ml6 lpon Ilr
<br />rluc m trn'.,ip()l.ny tur \x rr-z-lT4"s.
<br />.z,a
<br />ID/SIG. I COMMENTS
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<br />Communications Cable
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<br />,lpplicinl or t*s( si*n.rtr(. -/_
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