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ELECTBICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS oWNTII{ BUILDER Di]LCARATION
<br />I hcrchy rmrn lnds rntrl'y of lf,rjlry lhur I dn cr.'npl fm'n rh. (bnt&toF LiccnE L.u for ttF lolhsitrB Ersn (Se! 1rl, 5
<br />Bu\incr\ id horlsi'n C,x!r Any Ciry or Counry *hich rcquirc\ r rmil ro qrn{rucl- drer. impotc- &m'lish or rcnrn Jny
<br />{nr.ntr., [irt, it\ tr\urnr., trl$ r.qxircs rh. slllitlnr f.r \x.hlcrnir t, iilcali8ncd {arcmnr rhar h.or !h. il li.cnicd pu6uonr
<br />i, rh. pn,lni,ns orrtr Conrrettr s l-iccn\cd lje (Charrtcr 9. Comrcn.in8 !irh Secrn,n ?(In of Dieirion.l ot rha Bu\ihc$ a.d
<br />Pn,LrridnlCod.)orrh lror\trk.r.nflrh.rclionsndth.hrtlffrh.alkg.d.r.mflirn.Anyvnari6n.lS.crirnT0ll 5hyiny
<br />lpt'lid(nr n, ! prnnil subl.ck lhc lpFhcrn o n civil t).Mhy or not nsru rhan fiw hlndrcd dollas ( SJm )
<br />_1, N owrcrnlrh. pmFny. or ny.r{,k,ttis *irh w.B.\ ds thrn $k.on{ENdi)n. will do rh. s{rk ord rlE etu1uE n n[
<br />i, cd.d or olt'.Ed nn qt (Sa 'loat, Ausirct! snd Pmrc$ionr Cod.: Th. Codrrloi( licn{ lj* dc! mi ,pply ro & o*er o,
<br />rh. Jmttny wh. tlildr tr nr{'n,E rlEN^ .rd who &xs trh NiI himsclror lEMlf or (hou8h hn or h.r own cnq'lo}rc\.
<br />pmvidql rhri {o.h imrrEmdr @ Fr hicolol or ofisd nn e! lt hn*cs, rlE hiuhg or itrPr.wftnr is bU erhinoft rtd
<br />ol mn{'ldin rh. Owmr Burlld * l hlE rlE buh. ot Imline lhd lr M sh. d'd d b'rild r iqmE
<br />'lE ,ropqry for llr prttE ol
<br />-1.
<br />il wBr ol rh. trD.ny, .m .kluriv.ly .onrs! in8 rnh li..i*d .onrr.Ms ro mNrud rh. r.roF I Sc. ?0{,{. ltunBc
<br />a l Pilrft$in Cnk Th. Contrior \ I iccn\c Ltr* dms ft opply t, an 0*6 ot pmFn, who hd ilds o, inprowr rh.mn.
<br />uil rlm o EdlinruchE Fts *nh t Conrftro(r) lf,.n*d ru*Mr to rh. Co rurols Ltdc ti$)
<br />l.nN.nDr ukl.. sdri('.
<br />D.r.: or*.
<br />wonl(FrsroirPE isanoN
<br />DECIAEAIIT}!
<br />I lEr.tyrmrnunderFndryofFluryoEof ELrbplll3dc.bnl.N:
<br />-l
<br />hrw .d rill minrdi. r cdiff,lr. of CoMd ro sclf.lhuE io. rnk6 onFnr.rbn. a F.rilcd for by Strrion l7ll0 of rlr
<br />trtxn Cdd.. fd rh. Ftrtui of tlx kil fi, *nih rlr Fmi n is\o.d
<br />_l h.E !d ,ill minr.in *ort6 onrEndbn iNurE.. $ r.auiEn by Sarion l7(D oti& t hor Co<h. tor rlE Frolffi or
<br />rh sdl ror whih rhir r.mh ir k.Ei My wtrrdr oqErFcion ilMre ffi.r 'd Fli.y m.ih.r mr
<br />*AEE to CAc,\.
<br />=V.r:qqlr AQfarllr j.\ \c
<br />-l
<br />dity lhd in llE Frfo,llm .f rlE rorl rir *'ni.h
<br />'hn Fmn is i.qd, I fill rcr .rpk y rn, FE)n i. rny IMF
<br />qr r(r.lr<om qbF.i ro rh. krt6 onF Dn lrsrofc.lifomil ind r3ft lh.l ial rtnuld h.$r sbFl lo llr
<br />hltds diqENii,n pmvrbmdsdbn l7(x)of E tlln Co&.l ttElL fdhpnh6r{,ly f,nnrlDs FsyisbB.
<br />lVARlli\(; lillu.. n) t\u.. !o.kc^ .o.I.n!n$n ..v
<br />:$m-n*tryi,'1'L1*
<br />l- lnl slEll \uhFr ctrpL}lr h simiDl FrliF a,n
<br />DEC-I-^I-ATT(rII
<br />I H!, !filn od.r Fuhy or F+ry rhd I d lidiil ui&r lfilitn ot CrEfld I lonjlrtfi.8 rnh sdm lmr ol Div,.bn l
<br />of ih. BusiEt rd Pmld(i'N Cfli. rri mv li.n- k in tull ftu ri.lYdr
<br />fr tlqqos
<br />IUNil OP-
<br />colslau!.toN.LBDM-aclNcr
<br />I trrby rrtrm u.&r Fniry .r JErJtry thd rh6c n . s.{Mrn. Lndi.g +.8, ror rL Frfl)ffi oa thc wrt 6r *nih lhli tdmi i(
<br />nsud(sa .10c7. cir c J
<br />AIIIIIANLDICIJAAII}!
<br />I hsdry .frm und., Forhy oa rEr|!,y .m ot rhc tullo*iflR dc.lud ions:
<br />Dcm'ktun P.rmirlArh.ior t{.!ifKdhn F.ddl R.8!lr!io.r (Tnk {0. Pd6)
<br />-R.a!ircd
<br />l.l's of &riltdiD
<br />J L,n'lj thd rlt fr'lc',1 'rEdhiin r! iiin! r{i\n^'.m*Llm B alT'liihk r. rhn PmJ.d
<br />hdfy hlt t tiv Mn |nrlDrl.arN,n dd {ar. rh.r ltE at E mro.mrkn scoffil I asE lo otrs,ly vilh ou c'lr rtrd counry
<br />odin.E.( ani Strc lrr\ Ebrim lo hrildr8 ..nnMtx,tr dn lEEhy ruthtrr. rcErsdalircs oflhh Cny afld Couryro.nrs lF)o lh.
<br />!h,k nr ro'rd pn,Jxnrrrn ii\F.hoi
<br />\Plliin or \!mr sixnnrurt
<br />4na7-aq:U
<br />*.tlllaR 0l 1010
<br />Site-Work
<br />Underground
<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 i Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Sollit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rouoh 7D,llt € \az lra* ?9,
<br />Service Meter qrl /^ 9E)lint*
<br />Notes, Remarks, Etc.
<br />Pole Bases
<br />FINAL
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