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ELECTRICAL.INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communicalions Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER ll bltt'Tr 'a) <br />\J\ <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouoh) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />rt |d({ TtY -?n) <br />t vl <br />Rough <br />vNaer4Service Meter u bt(8lQ 7\) <br />n)L-LeFINALritlu/ir,\-r*'gz ) <br />Notes, Remarks, Etc.U\',1 -l <br />y <br />OWNER EUILDER DELCARATION <br />I ha.tt .ltm u,ria Fuhy ot Fjury ihn I u dopl fiDm ilE Coi{r..r6 1f,.d4 tt* tor th. following !a&n (S6.?01L, <br />B6iB r,!d PmlBbn Cod.): Ary Cny or C@ny uttn r.qui6 . Fr. ro odtu<!. .i6. nqm.q damli'l d lq.! oy <br />rruche Frrro ir3 irlllld, ito r.qur6 d. @9laur tu oc[ Frn to 6L..i8rEd ri6El lhr h. or .lE . liE .d Frsrd <br />ro rh. Fn{iioN of th. Co.lllcld r Lic.n*d Llw (Cnn 6 9. Commins wnh S.(irn 7000 of Dilnion I oa lh. BuitB ed <br />PDldioE Co&) or lh.r lE or !h. ir.ldfl thddtod &d tlE b.sie for r,E .lk!.d .ronflioa Any rioLlio! olsdbn 70ll.t !y e, <br />.lrlictnr for . Fdn sqeG rh. .pplica o . civil pauly ol mi ns. lh.. fiv. huBH doltE (ltoo) <br />-t, <br />6 own6 of lh€ FotEry. or fr) dplorG whh was6 s tncn $L onpdMio.. wil 6 fi. smt dd d* nrulE i! <br />iiIrt d !r olti,.d fo. gk (Sc 7041, Buir ud PmfdioB co&: Tn. ( o nclr*! l,toe lrw dr6 6r rp?ly lo m osE of <br />rh.FoFy *ho b,il& c inFn6 r-oo tn vho dG rd! $ut h@lf or lErll or &ou*t hir d lE ou.rrybld <br />ForiLd lnd sh ,lqora'dr & d nsi.d ( otu frr r]. lf. b*N. dE bddiis 6 itgDrEd a -ld wihn m )d <br />oac&pkio( th. (nc Buil& will llw th. hmh of Fo\t $. lE or JE dil mr ul'U or Epor! ttrG FbFry ftr E ,llrFEof <br />-1, <br />6 osE oftlE Elrqry. 6 d(hEivcly @lr,&r os $ nt ncsa.d .odrdc ro otu rlr Fq.d (56 704,1, &.lB <br />od PrlbM Cod.: T1'. Co ndoar Li.ru lrw&6fr,.IPlyro oosnqof ForEny *rb hn&oi inprovd lhaon. <br />rnd who €nrr..t for rucb F.j..$ wnh. Co' Eclo(r) licotr d puBur torh. Conrrcloa! l-i.@ t{s) <br />_l o qdF u!.b Serirr- A. & P.C. 6r lhi la4 <br />Ihl., Or.r:woru(r[. co||rra{saTloN <br />DECTJAAIIA! <br />I lE.b lmm uda DGEIyof psjq-o ofrlE fouo*irs &cla'lioG <br />I h.!. .d will mintrh ! C6r ifr.lc of Coter to Scl f-lMur€ lor erl{ r conrp.nllion, a F.vid.d for by Setion l'700 o I lh. <br />hbor ( qL. ld llE Ffolllr. of tlE mrt trr rnah $. Fnn it isu.d <br />_l h,v..nrt will mll.in mrt6r comFsttu. rBur*.. 6 r.qund b Sation llr(D of rh. htirt Co&, lor rlE pqfolMc ot <br />rh. worl fd * hicn rni! pdnit ir ir!u.d. My world ompqEdion irourdc. 6ia dt Flicy .ombd e.l <br />ir llE FlolrrllN or lh. *ort hr *hih rh'. Fnn n i$dl I .hll ft, 6pht &y pa$n u 0, lM <br />ebld b rlE "vra omFd ion l&: or (-.liroh4 sd {E rhlr ,f I lrDuld b..om $tter lo llE <br />mrld' .oniF rtrion pmvtbN of Sdriotr l?00 otrhc lrbor (ild.. I !h!ll fonhsirh .ompl, *tn r hor pmvirioG <br />l. !d sll.llrbJd M drpbla l. ainii.l F!li. t d <br />.trn fr6 up ro o* lun&.d lhou$nd &,lh6 lll or dd.rs6 6 Fo\1d.d fo. th. <br />srri.n 11176olth. kbr('od.. inrdd Md <br />DECIJEAIqB <br />I hGby .mm undq Fn.hy of Flury Lh, I D liEB.d undc Frviioi ol Ch.Od c (com.ing wilh S61bn 70@) ol Div6io. l <br />ot rlE BuDd i.d Profdiod Cod.. rd nr lioe it h tull for rd .,Td. <br />Ko*"* <br />r*" /D lo x'" <br />I0!IIAICIXI!.!E!I!dGIGEB!I <br />I hd!!y .lfm ur<rr Fut, oaFiury thn rlE ir . oE u.tion lodlls .sfty for llE Ff('rm. of llr *st tu *nah tni! Foi a <br />i$!d (Sa 1097, Civ C ) <br />AfIUCAII.DECI.dSAITO! <br />I hody llfm urds Faiy of Fju.y oN of llE lollowing .!.l,rdio.r <br />l>mhio. Pmi&Astdd tJorilictrion F.d6.l R.suLrn6 {Tnlc,lo. Prr6) <br />-R.qutr.d <br />t 116 of t{dificaion <br />Lfu*nut <br />Ldd.l EguLtbE qrnEg nt sot ramr.l a. tul +9lilbl. to rbb F!in. <br />Ed rh! .p'lk rion dd n.r. tha rhc .tnv. ,nfotuio. i! cMcl. I r€rE lo @ndy vnh .[ cny rn Cour y <br />tuclioc Mn h6.6r turho rGrrcorinv6of rhrCirysJ(o! ylodr(uponth. <br />.bow Mlion d FDFIy 3ori <br />?ernnc nrn. ( prinn: <br />APPROVALS <br />Transformers <br />Meter Release <br />Ceir:- <br />Numbc.:-Erpcl <br />\lL_