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ELECTRICAL-INSPECTOR HECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />U nderground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monumenl) <br />L ife Salety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bonding / Groundinq / UFER 6-5-/A [.UJf, ) <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 />C eilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter (,-9'lg Y\tklil6-z?-/( <br />Notes, Remarks, Etc.\-/ <br />OWNER AU[,DgN DELTIAR Iru <br />I tn.t'y .ll,m u.&r Frxy 0r Fjury rhi I m .r.n+ rnrm rh (irdd6 LitN Lr tu rhc folhsin! E&,n (Sc 7o-il 5 'Auriftrl .d ProGtrtu Cul.r Any Cily or Coutty ehth r.r|uncr . Fmr r. d'nrnr1. rts. iqmE d.6li!l or Errn uy <br />(tu1u., rbr to ft n.urE, .lv, EquiN tlt {,?lt! fttr tuch Fmn ro filc ! riSrd 3tx.mnl rh.r lE 6. rrE 6 li.n<d Fle.n ' <br />b rhc l,ovti,B ofrtr Conh.fttr 1 l,ianed L,w (Ch!pr.r 9. O,mGBing rnh s..ti,n 7uI) ol Divii,n I nl rlE Bu.iRs r.d' <br />Pn,r.{rionr Cod.) or <br />'hi! <br />h.orrh. i1.r.tr r rh.rcfom.ri rh. hort fo. rh. .lk8.n .rchprion. Any viohrion ol Sdhn 70.1I 5 hr .ny , <br />innlic&l fn a pemil subj.crs rh. lpnliclnr lo acivilD.nlllyolrul nnrc rhln fitc huded doue\ {1500, <br />-r, <br />I o*B orrh FiFnr. r my.ipbFs wnh w.B.... rlE" sL 6np.srlhn, IiI d, llr vr* {n 0E rturE ir hl <br />iddrd.d d oficrd ftr .l. (Sa 70,14. AuliK .rn ProL$b C.d. TIE C.,rrrti ! liui l.* &.r dr {rly ro f,sEr of <br />rlE Ftdy *ls hrildr r, i"FB lndn! an sb dE ci krt himrlt c h.rclf or llmulh hir or lEr oB..tr'hF6. <br />Fovi.,.n lni tn nqr'kcdr E d noild G oltcl tr ql lL LftE, llI r!'l.lilE s irFErEd nnB rlhhd )doa!,l''kria rlE OrE BuiE6 e l hE rlE hlna olFrilt r lE r.lE dn 'Fl hlild q iqmE d- prpdry 6r rlE F,F-or <br />l, \ wid or rh. I,l,Fn y, trr .rch\ivrly .onrd in! ! irh li.cn\c,l codrlcrtr\ r, .r Arnr([ li tnij.d (S( ?(]l,t. lntrtrr$ <br />irxl lh,lL\linCodc lhc((n rr.u'\ l-i.cnsc Law (1,{\ not rt)l'lyt, $owtrcr lrnp. ywho$uil&.ri,npn'rr\rh.,.rn- <br />JtrJ rho sflrrr! lar $rh tn{,F:( $irh r ConrD.t'n \ | ltr..*rl ,)ucmnr (, rh. ( ,n rr.h \ I-irn{ Ijtr) <br />-l <br />d.en{,l uirlr S6ibn ,a lPCtdtnLEsn <br />D.&rr,8f,lllil;l]ug sal]Ir!lrrld8Alltt! <br />I h.rcr'y lrfirn lndcr l].ul'y or ,.rjuy .n. .l rhc n,l[,$ nr deldll ion\ <br />-lhu${ <br />q ill rMinrain r (tn ificdtc ol Concnr lo Sclf lh!r. t,{ workds dnnFnld i,,n- !s ftr,vilcd itr by sccri,n .l7ln Irh. <br />lihtr Cdc. n rh.Fntrntrftc u! rhc *olt for *hkhrhr Fnrir tr i\\udl <br />l h,r..r, uillmd.in *orlsr' .or{Ensrio. insu,.r...r Er|uiEn hy Sdlio.,17{x, orrlr l:hor Co<L- tq rlt Fforns. or <br />nn $hth rht rmir i tqxn My "r onYt.erFn iNffi cdrir !d F)liy nodrr e <br />l..nifrrhdr inrh. p.rrormn..oflht *rork tur whichrhi\ Frnrn rr i{su.ri.I sh.ll nol .mFk', dn, Fcon itr !trynlhncr <br />qr !\x' tnniE slbFlln lh. u $' $rIEtrd ion b*r nr ( rrin,ni!. arn !3r rh.l ir'l fiuU lr.cor srhFr i('rtE <br />so*rr.rqrnslionpn,vti'trrnrS..1bn:1700ol'h€l,hrCd..InEltfonhlirh$n{,ryIirl''lnsp.o$ionr <br />: faiturc k, cun BrlcA' (,ryrnd-hn nr.,ra( r unb*tu|- rni thrll ruhFr rn drilDv r. crmMl FEh6.fti <br />uI! n, nm hunrrd rh,uunr d,ll{ ,urrr)r - .rdn-" r, rh. .on or.orqf,idn,n, dnmec( !r pir rldl i, rh. <br />6 'f rhc tjhn (ixr. rkrc< 'd rrx \ rct <br />APDlldnr: <br />LICl'NSi T C(INTRACTOR <br />TEIIJSAIION <br />I h.Eht rfi.n undd lr.rhyofFr)ury rhlr l rm liairl uftl.r Frvi\i,n ofChirh 9lrgrmmin3 $nh S..lx'n Tunrd l)iriri,n I <br />or rrt BusEs aDi Pt c.\i)n{ (irk..nd m, lrcor n in rul r.(r $d clYftr <br />'o^*.r., <br />' ('l d <br />".,, 6- t- t6i'""^*n"**,,_121ZZEMDra*^ <br />(aIriIaIJClIlTB.lENIIUC-&G!trC[ <br />I lEEh,.mtn undd ttMhyorFrruyrhlr rlra n...n(elir L in3lltryforrlx Fnnrlls. ol rh. $orl ft,*hihrhnFmn k <br />ir(ud (s( 109?, civ c.) <br />lrBlrr Addrccs: <br />AIIUIAUI.IJiIIASAIIO! <br />IhRhydfinnu cr t'ttrxhy ol Frjtrry ok of rh. lolk'wnr8 dc(lfirrr'nl: <br />I)cn)lii(,n I'dnnr \hnos Norilirtrri('n ffdorl Rceohriif\ lhh q).1d6) <br />R.qur. l-tr.r of Mrlrkrriri <br />I Nnify th.r rlE f.dc.rl ,.rukrx,N rr.rdinr .{ErrDr rcnrrtl r. { {,r tlttlc t! rh6 Fl,,.d <br />l.rn,l:_rl lha\c Rnd rhh rl {ifl nn {s'. rhd rh. rtirk '.r(rfrlhn k d,*r.{E ft, Grr+ly uih rll (ny!n (ounry <br />onlituk.l xl Srarc ti*\ rlcn i tuildinS 6.{ruq(is. !n h.ftny rurb.iz rcF.enldrvrx,l rhir Cily $d Counry r,' cnr( ulx n tlE <br />rlrD. nrtrr(,rrlln)ptny rnr N <br />|Zy"-,.t-- <br />B 1et7 * a1.a <br />n^, t ''1 'l' <br />III <br />rEIIaFINAL