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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 />Siqns (monument)
<br />Life Safety /Low Vollage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding / Groundinq / UFER thole €rullb./h-
<br />Translormers
<br />To rquerng
<br />Sub-Panels Z l/v' /t*/n
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)Y/ultk 7fiwDL /(tL-
<br />Walls (Bough)Blulrp 6WIYI /m,
<br />Ceilings (Hard & Sof f it Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Belease
<br />Rouoh 8/*lr r €ltlr/r atz-
<br />Service Meter
<br />.4&Ml(FINAL zlnlut1i 7a)
<br />Notes , Rgmarks, Etc U__r_-I -I f
<br />t,
<br />OWNEN AUILDER DrICARATION
<br />I lmby amm u.&r rEulr, .f IsFry rhsr I u .rcn+ fmm rlE Cotrlrsros Lr.nr. llw r(tr rh. rouowint ra$n rse.70ll 5
<br />Buiimr! r,rl Fhfciiiin Cod.r Any Cn, or (dny *hth rstuir.{ r Fni! ro R)niru.r. drri i,r9ow. &mlnh or rFn lly
<br />(trhr., Irhrlo i'1 ii{rN, lLo EqliEs
<br />'hc
<br />qnlii.t for rx(h trmi ro fih r rign.d lld.nEnl lhll lE or iE n lirnsrl pur.od
<br />ro rtE povnhn! of llt Conrrslr r Litned L.e (ClEpr6 9, A,mrmdins wirn Sccrt'n 7(rn ol Dilirir.I.r E au.ik(..d
<br />Pmt si)nr ('od.r or rh.r lE or rh. is .r.ni rh.Efn,( lid rt h.rt for rh. rllcsld cx.nptrn. ny lbLtion nl S..lir tol I :l hy .ny
<br />inrlionl r'o. r Fnn $bJalx llE tpplicrnr h r .iril Dcn![ y of ml m,E lhln fiw nldrcn d.Uq! lt5{rr)
<br />l.r\ormulrtEtn,Fdr.dmy.nrrrFr*irh$i8r1.\rhct{,Lcon{Enqri('..willd,r,EwrtanlrrE{rdftir,
<br />illl.d.n nofi.r! fc sL(56 71x4, AutiFr!and Prnt6innr ('d.,]1f o,.rrci{t t Li..n€ l,wdtrd rpplyk,mo*rror
<br />rlE lh)Fny *h, trilll< d inrnrB tlrc4 lIl ]tb ds sh qrl hinsclf or hcmlf or rhFUAh hir or h.r .un .rphy..s-
<br />proviLd rh,r luch tqm@rn3 E d idli<n .r olrcrcd ftr sL lt hr"iw, rlr t iklinS or inpflrEmnl i\ $t qihin .E trd
<br />ofor{'Lrhtr th. ()*ffi Builld liu rBE rtE h,r,c. ,i Frvi,{ rh, rE srr di, d hoill or iqmE tu J,trFry fo. rlt F,rr.nr
<br />l.r\ormrolrhrlrh-nv.r,.rcld!(lv.onrrr.r'n! * hI $nrdoF r, mn{rud rhc rmF rsN.7(}l.r.8!!i"cs
<br />moem..,pmFn, $hn buildr or inpn,Kr rhfidn,
<br />rtrd rho .onrr&1\ tur \u.h ttro,t(( * hr(i rr(l(r,
<br />,"r.. S )r{,\
<br />I hcrcr,y .mm und.r F hy.frEi,ur!orcorl
<br />-l
<br />h.E 0!n ,ill minili. r C.nifrir. ol Concnr ro S.la lnsuE fq *{rt6i .odp.tr$rio.. !! Frvid.d rd by S(li'n ]rm ol llE
<br />tjltr C,n . ntr llE F f.rEE. ofllE *rxt aq stEh rh. IEnn il hrucn
<br />_ I hlw .M rill minLin *0116 .ortr.ori,. inshrc. f,\ Eqr'Ed b, Ser i,n :!7{l) ol th. t.hor Codc. loi lh. Frformm. ol
<br />rh. work fnr *hi(h rhil Frmir t iNxd My rst6 d,ntrnorbn inruhN onir rrld tbla, nlr*xr rr
<br />Poliry Ntr h.r l:\ttrr\
<br />-l
<br />cnitlrnlr ir rlE rrrrormne ol Ii. wnrl nnwtEnrhi{ F,nir ! irwrl- l.rull br.nlpt'y..y FR). i.r.rdnd
<br />$ rs ro tEom srhF.r b rh. m*6r $nlEnsrion lrer or(-a,if.h,!. . 03r rh.l if I dnuB tEror atFl rorlt
<br />$r'rlG. d,r{En$ra,n lmvitbnr or S.d n,n l ,(xl of rh. lrhtr CBL, I nrll frlhwilh m'tt y *iln lh.- Frnbd
<br />rfol. rnd \h2!l $hFr ,n dr?ltrrr h smnal IE hs nnn
<br />.r'l lin.\ up rt,trr hutr{l'd rhlulal dfllrr rr ${ ol (on{tnsrhn. drmg.\ .s p.ovidcn tn rltr
<br />::;-s/ji4.I t
<br />I h.Eny lrrmudld FEI'yolFiurt rhal I &n l,N.srl un ld povnhn oI Chr0rcr 9 (o.tmEin8 *irh S.dion 7lm) otDnirhn l
<br />o, lrt Buiit\q ud Pmrc\rio.s Cod.. lnl dy lacns n in hill lod s,n cfrd
<br />I kr.\. ( [$ l-r.chc Nurtia
<br />l)rk Conrr{.ror
<br />COBTIBIJCIIOIII;IDIMi.AGEUljI
<br />I h.Ehy rmrn undd Fn.lty or lErru.y lh, rtEr. n r mn(ruiir Lrrlins rS.E, for rlx FfolrnE ot rlE wt fttr whth thk lxmir 6
<br />nsftd (sd. .l0tl7, ci! c ).
<br />AIPITIAIiLIIE ,A86II(I!
<br />I lb.t'y.fm unLr Fnrlry ofFrlry om of E rdbrir! &rbhrioni.
<br />OcEnni,n ft,nil\ A.lE.ro. Ndi6.rrirn tu rrl Rqutrhns (TirlclO. Pud6)
<br />-Rcquircd
<br />Lcr!.i of f{nitudion
<br />I .rd'l!rlBr rh. frJc'rlrrFUlrr(nN rcFi,ln,F ir\r( r*rlr'. nlrJltlf,rhk r. rh^!n'r.r
<br />I.cnnvrilr , hrk r.!d lhn 0pFli!r-,n ui !lnr. infitrBrion t otrBl Irararooflrpt,* hlllciryt *-,n,,f,r",t\ ll'trd f, .\ rtrrlSrn.lntr\ n.l'rtr'r r,
<br />,,ltr. "f,nrrn,.iln0N r nr n
<br />,lpt,li(anl or Affnl Sirn{lum
<br />le,
<br />:J4.!.rn\v.,._r,t*d.i\.{r,hn
<br />ci,, ani (
<br />lJrJ 'i'
<br />Site-Work
<br />Under Slab / Floor
<br />Air Conditioners
<br />,t /
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