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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />ht Standards <br />Qpas, Pool, Fountains <br />Signs (monument) <br />Lile Salety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding i UFER <br />Translormers <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 Rouoh <br />Ceilings (T-Bar Rough) <br />Rough <br />Service Meter <br />hil'aaiPFINAL611lU 1?,il <br />Notes, Remarks, Etc.U1I <br />OWNr.R 8UN,D[R DELCARATI('N <br />I hcr.hy {ltnm und.r Fndty ol Frjury lhl| I m .r.npl fonr lh. C.nr*nrn l,rcnc l.r* ntr ih. nnhwut rcas. lStu 70.11.5 <br />B!!n.( id Pr.fc(o. C{ri.): Any (iry or Counr, *hi.t Gtuu( r Ftu h (nnur rlrd, ,nrPow, &n'lBh or qxu My <br />nturw. Fr* tu ! rrt4r. tlw, r.qur rrr .t!rl.rr ,or.kh ltmn b nb r rlrFl {d.an' rh.r lt or t * r lkih.J BNd <br />6 'lE rrr$nns ol rh. Conrrun,'r l.r..€d 1,, ((.1u ( 9, ConnB'ns r h ^Lrirn 7rt$ or Drvrrr ! .r rlE Bunr( .nl <br />PtuLrnon\ C,xl.)or rt, tEorsh. ( .r.mnr rh.Elmn drt ih. b.$ ktrrh. dL3.d.t(n iDn Any y!'l,lnn o, S(rrn 70.1! thyrny <br />ippliunrntrrFm {ul'tcclrrh. lnplr.nrrorqv p.nllryold mtr.rhr I'v! hunJrJ ddllsrrl5{x)) <br />I- .3 d*rr of rlE F,Fny, d m! cqtuF.! wnh *.!.3.r rlE, r'k .r'r!Enulr,n. w (lt) ilt rrrt,rl rlE {llfu. nn <br />lrcnLl orofi.Ed fm qlc rsa 7o14. BorEs!.rJ Pn{.($B C.rL:]lE CodB*r rL.d*tiwrrridr{,lyloeo*mr I <br />rh. pn'lEd, wl$ t d.l! oi unpllw. rh.R,n. lxt wlr) d*r {rb s)* hrm!.[ or h.rell or rhnuSh htr or h.. o*n .npk,]t.r, <br />F)vrlenrhrlru.h mtnrffinrs e ft hl.drai n ottfrl lor sl. lt h'kE. rh. hi[lh! or iqn,Eftnr B r,ti wnhr oE Fd <br />o( cdqlhte rll O\.mr 8!llj., pdl h.r rlE hhr.n .l Fovne rh, lE or tr drl n, hot}l n lqnnr rlE F'tEiy ftx ItE FrFE or <br />l. !sowftr olrhc pn'pcny, um.r(lunvcly.odrrrus wirh li!..E1co,rr!.roF h (n{rud rlr l(,id (s.c. 7(x4. Bushc( <br />dri Arr.ih G,J.r 'I'h. Coia{iix'r l.k.nr. tr*.t.xr noi.!tly k' d.wMr.l J'n,Fny wll' l,urlds oi mpnrv.r rh(en, <br />!tur *'h' .rdd(ln, tkn FoFit *nh r CoMi,rlr lacneJ furr,,* t,rh.(hnkeroar |.r.fl{ uw) <br />-l <br />lncr.mil url.l Salih- <br />WORI(FRS'ConlPA._S TIONpEgdaartll! <br />Ih.rchy:llrmuntlcr r ry nl Frrur,om olrlE n'llt]nB &rlIrrx'nr: <br />I hrvc,r!*rll m{'rrm r Cinllrr. ol Conrnr li' S.lr'lnsuE 1,tr workcr' ('n{itriarln. i\ flnld.d LriySc.li,n l7lx,.l ihc <br />Lnhtr (irk, ntr th Fn'llllar ol th. *ul fr rtrh rh. Fmn s n!E1l <br />I lur. rnl *'ll mtrdln Bor[.r! (,'nlxnlrrr)n {r.8.. a! rqtrftJ hySdlr,n l7{tr.l rh.lrtxtrOic. tnihc p.nnruN. ol <br />rhr sorI n, shrhrh^ Irrnnr 's '\nil My *urk.r <br />l\/1RNlN(; l.trlur. r' \.tr'. w!rti\ (onrNn\rv...3c r unlr*tuI, rnJ $all \uhFtr !n cn{'k,}t h (,trhn FMi8 dd <br />r^d lin.\ u! lo om hurlhrl rh)uqn! dlnls .on{^-nilk'n. Jrnu8.\ 1r F)vrlcd ft, tlr <br />{',2lbJ11<1 <br />t)t.r I \lr \ Lll\ <br />I rrEhy .rrirn ruLr FEly ol Fq!,t rhi I u lNni{ hlt, tbnr.n or clut{d I I$llwEUU *.fi Saitr 1000) of DNNi'n l <br />oI rlE Au!tr$.rn PNtsnN Ai.. .,n my lE.trs 6 r tu tuN!nefid <br />)-^- <br />Lncn.. ('u$ ( qS r <br />^,, Mrtzl/ lq cdrsrla rT <br />CAXSIAICIIAIITUDIIGICEICI <br />I lEEhy rlfm urLr FEty of Frrory lhr OEE ! r sn(ndM Lnba .!my lor rh. F.f,m. ol rh. wt for rtEh rlur Fd i. <br />ErEJ (Sc {)97, CN C <br />'. <br />Irnltr\ Ad&.s: <br />-AITIICANLDEII,A&IIIA! <br />I bE'by lll 'm u nd.r ,xn.lty ol t'.riury.k ol ih. bl!'q,nt del.rdh)n. <br />I!fr'l on l,.rh rA\h.{nr ldrn({r,n F.d.r.l R.3!Lrx,ns aInl.4{}. Pd6) <br />_R.qund trtr.r or t*rfu.n <br />l..nrryrh,r rh. ldcrd rcauhk,ns nrdha$t<\r !rc rvdrrc n apduhL nr iht pn'rrr <br />_l rdrlyrhd I h,r Erd rhn rpirh d $n rrl rrrr. rrur rlr rtnk rlnmrx'n r otur I .eN t, on'0ly $ih.ll (ir! &l (i,uiiy <br />.rJmrm.i lBlsri. L*!rlnry r)lmhvrorhtrtr r.Flrnr&Er,)rrhrCry.nJC.xdybc duFmrrr <br />.h'v. nrnrrktl potEnt ntr <br />,lppli. r d At.ntshMru <br />Pole Bases <br />Meter Release <br />rohp.nrdx,n 'nrurrtu.(rdrr rBl Jnlf,y nunri.r rc <br />_I (dny rhl in rh. Frlortuec nlrh. work tur whrh rh6 Frnnr r h{.d. I nrtl&r.npn)y iny pcson m rn, mrm, <br />$ r h' E!.8 qhj(t t, rtr trrlr.n . r{En{lr n hH of C:nl'nu. rL] ,!r. rh! n I rh'ul, h( om slhFr t' lh. <br />h st ()qr.eu,i F'vrnns ol S\r$n.17{nol rll lrkxcli..l {dl ldhrnhllndy !! h rh,c J'n'vre'nr <br />1 -b n li'l ',. q{qftr