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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter I
<br />FINAL autn''/sn -)
<br />Notes, Remarks, Etc I
<br />OWIIER BUILDER DELCAT'ATION
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<br />iMcEirloiE i'l!&.!o Gqrira E orltoi tu(hFnnlo 6L. ttrx'.d fidld firlE .lt a lt6.d Fmd
<br />lo rlE FrririoN of ln. Conr'dd r Lro.d L.* (Crt+rq 9. coffiiIs vin sdbn 7J00 of Dirirbn ! of UE ABilB od
<br />Phf6bs Co&) n dr h. d rlE i! q@pl Oa6,oo rd tlE b-i! for llt .llcg.d qargi,n Ary vblrnn ofscrir 7oll5 by ay
<br />rp?lkar for. Fnd qbj6r. d. +rlt d ro ..ivil Frl! of ml tur $e 6r. nuld dtUE (lJ@)
<br />-1.
<br />6 o*G of tlE FDFrx d 6y oipbrd snt $ry6 a Eir nL ompqar.io( *ill & th $arr tn dE irBrc i ,Dr
<br />i'rdd.d oroFsEd 6r !.& (Sc.7044, &si,E Ed Pmft$h6 Cod.: Tt Cdndd!Lk@lrwd(Eior{plybao*Eof
<br />rh.rmFy who h)ikl n ,rqo6 dEEtr -d *rD iL6 Mh mit hiff.lf or hd..laor fiouli hn or ls 06 dplott *
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<br />olcomddi^ llE Oq6 A{itb wil lf,w tlE hmt6 ofFovitlg lhi lE or J!. did ml bild d u4.ow lh. FoFr] ft.ln. F Frof
<br />-1.
<br />s oMq of th. FoFly. o .rcluiv.ly conlrlclins rilh lic6B.d cod.dou ro coBlrucl llt ,ftj<l (se T(x4 Burn6
<br />!i noasiE Co&r Tn. Corkrdor't Lico& lr* do6 mr qply r. u ovnq ol Foprtt wh. build! or iBrrord lh66r
<br />ed pho colrrri. tr iuch Fojett wnh . ( odndo(r) laoa.d pnBd !o lh. conlr.(id ! l-Ece lr*l
<br />I m.rdd u,id Sdi'D .B &PC forrhila)n
<br />D.r. _ ork *offrrsffifr6F
<br />IICITEAIIA!
<br />I hdlr't .rm u.dd pa.ry or Frury oE of rlE lbllori.8 dcLrdi6:
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<br />h.E d sill uitrlth. Cdiftd. of Coc! lo S.lallre for wld ompallhrl, 6 FlviLd fot by Selioo 1700 of dE
<br />lid Cod.. for dE Ffo,M. of llE wt for *tttt th. Fnn a i.Ed
<br />-
<br />I h,v. rnd will maintdin wo*.t cotrrtdll'on iNu.B., s r.quircd by Sal ion 3700 dl rh< l.b(rr (bd.. fot lh. Flor,11e. of
<br />rh. *ort for *hth thi! Fnnil i isu.d My w.rkdi NnFBdion iBurs. ffiq &td Flty nombr E.:
<br />Policy Numbd:-Erpnd
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<br />dil fin6 up ro od hDd.d thourod (I)llat ltl@.OOO). u !d<lnio. to rh. cd of comF@rDi. &n+B B Fovi.d for th.
<br />sali,n :1076 ofth LalDr Cdlc dqd ad lry^_
<br />lEclltarlo!
<br />I hdhy rllrn und6 Fuly or Fjery lhi I e li.dE d u.d, Ftrvirioi of CbrFd 9 Gomtrint *ilh s-lion 7000) .r Diliion 1
<br />ol rh. ,luinB dd ProfsioN cod.. dn my lkcu i in flll aor.. rd .ft61.
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<br />63'.d{s( 10s7, cir. c )
<br />A.8&rI:AlLDECL6sArlO!
<br />I hdd,, .trm uid6 Fn.tty of pdjuy oG of lh. folbwinS deLntionr
<br />Dcdohion Pmn!-Arb6rd Noliiicdion !-cda!l Rcsllrl6n! {TnL ,40, P616)
<br />R.tut.d t rdoa|Jotifidho
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<br />cdrry tr t h.r. rad t
<br />'ir
<br />.pdtrib -d .lr. lhr tu ilort infornrioD ir sn61 I ryc lo @f,p|, *ih .I Cnv .d Codv
<br />qd:n.tE tld $i. t,s ELiq lo hiLli,s oif*rbn id hcltt tuno.it 'qtaric of lh! Cil' d Coud) to cda l+.D $.
<br />.t{r. f,Eri,n d Fnp.ny for in+ario. Frrrc
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<br />L.rdd'r Adde.
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