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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 />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / EloX
<br />Bonding I q'rounding I UFeR 9-t - t1 Qt zlTransformeH
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unrt
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter 3-l- t7 [zc rt
<br />FINAL 3 -t --r1 l?L qgt -c&D121 )
<br />Notes, Remarks, Etc
<br />+
<br />OWIIEf, BUILT'ER DEI'ARATION
<br />! ls.t'y a,irm lrb p6dy of Dalury Ulr I m .rdip( tom dE Cdf.dm U..M L.u 6r llE lilb*ng .6)n (S< 70j L
<br />Bui.6r &d Prof*ion Cod.): Any Cny or Coud, stah r.q!i6 . Fmn lo mtrr .l, !lls. inprovc. .brclbh or r{.n uy
<br />rft.luc, Fix ro ni i.u4e &o r.+i6 tlE Sltd lor *n Fnn to 6h. lisr.d liorE! lhi h. or JE i li.ds.d F&,!r
<br />ro rtE FvtioN of tlE coftrtd! LidEd hr ((1i+!a 9. coffiin! *in sal$n 7000 oI Dvni.. I of rl* &ai,E D6
<br />Pof{hns Cod.) or rh.r lE or r,r. ir ddpr rhq.froi ]d rh. b.!i! for rh. .lh.d qatrFio.. any viol ion of Sa:! i.n 70.1 I 5 b, &y
<br />rq?lr6l for . FEit tubjct llt .{?liot ro r civil p.qn, of mr mr. lnr liy. hu,xH &Irt (u00)
<br />-1.
<br />B oMd .arh. F.Frrr. or my ntlorE *ilh r.s6 ! th.n sE corlloBdion. *ill & tlE wdt &d llt ,nrt@ b mr
<br />instLd q ofisd fm eL (Sa 70.12t. BBil6 Dd PbfsiiB Cod. TIE Co'r8lm r Liw l,e &d ml {pl, to o o"ffi oa
<br />rh. FoFq f, lr bdld d lrporq tlEq .n *'ho do6 $t solt hrelt o hdrlf or rlEouah hi! ( I'a o*n arpht6.
<br />p.ovid.d tllll ru.h inFrlMB E mt i lxLd n oftdui ftr sL. l( l$M. lh. hnldilu or inp.o@ ir $E wnhni on. )G
<br />oforilpkior tlEOqE Buil& *illh.E ttrhsdar olFlrilg thi lEor E dil ml hild or ir+.!r.l,E p.lFry tor ft F,Fiof
<br />l. 6 oMc of th. Flrqly. d crlsivcly orr ri.s vith li.nB d.otud6 ro.odrucl ttE tmidl (Sc 70.14. &!iB
<br />.n Anlso ( d<L: Th. co r&1d r Lk.M L.s &'B mr .rfl,lo & ow oaFoFdy *lF Uildr or ihpo6lhs@n.
<br />sd who Llrf!.lr aor scn Fqeli snn. Con*lo(3) lrnE dpuldb ECo nctdtli(.@L&,
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<br />m.rmpl unds i{t.n-. a &P( l rhlr(e.
<br />Drre' orn.r:
<br />.EllAIillIi:.lqIlIEETAUQT
<br />DECldSAnA!
<br />I hs.try lmm und6 polrly or p6jury on. oftn. follo*ing delddioN
<br />'An-r-*rt^rt ht!r,'^' -- Co,rt.l,,tLo!7ol5oYL 1'l l7
<br />-l.dit
<br />rhd in rlE FtolM. orrh. sort foi shih lfi'r Fhil s isEd.l lrdl nor dPhy.ny Fsn h &y n,lffi
<br />s 6 k' bccomc aubJ(t to th. worl6 onp.nsdion b$ .f ( .lifomn, Md rBr thd iI I 3tFukl b.conc lubiet to rh.
<br />*!rt6 onpc!.lion rmri3b6 of s<1i'. 1700 of rh. Lits C.& ! tf,ll. adh$nh Nmptv *'nh rbs prnr ir6E
<br />WARNING l_a'lur. ro sr. *rrt6t comp.atalion s!6.8c is dd lhdl br..l r 6n loF to qiniEl pquhis !d
<br />cn'l fi.6 up r. oR hundrcd rlnred d,ll6 It ll)(r.00or.
<br />sa.lnrn rc76 dlrlE t hor Code hrddedrnorry, fc
<br />of ..nD.Mhtr. drus6 6 Forild.l frn E
<br />1.1. t1
<br />DECIJAAUO!
<br />I hd!t'! lrIim uods pqulry ot Fjury rh, I m li.6!.n !,id FDrilion oacll.prs I lslffirB *irh sdb. 70m) of Dnr'tion l
<br />of rh. BGi,B &d PNfdix Codc. .'d dy lttu i! n' tull loc rn dfd. t-
<br />.4.ro lr-qa r i.eNun,rE
<br />,"" . I ll (1 (b.'dc'-X
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<br />rolual]cuo!.l,Euracl0Elcr
<br />I hqltr !flim un& F!h) orFjur. rhi rhac u.6dtudi., ldi,B !g*y for lh. rsfo,lllu. of rh. Nrt 6t $nth $it Fnn i
<br />is!.d tsd .t09?, cir ( )
<br />artlJcAur.D[4llaArro!
<br />I hodryitrmu a pdilty ol pajury onc ol rh. folhqin! {k brltions:
<br />D.mlirion PdnnvAlhdror Norilicnio6 r.ddrl R.guhionr i TiL 40, Pd6)
<br />-R.q!En
<br />lddof lhiftriff
<br />I .sr,h rhr rh. l(kil Fguhr.B rBUdDS atds rmnda. frr {pl..bk ro rha FnF
<br />I colify rhfl I h!i.6d rhi!rhd lh.6bo\. infonn.hn n cotrd I .rG ro .o'ndt rnh rll Cny and Couoly
<br />ordiuR-'6 rld Srri. Lin3 i,( !n lFd.dhoriz r.s*nr'r6 otrlii cir' !i coud, ro ds qEn E
<br />atrr. rml,ond rop€ly lor
<br /> pplic..r or &dr shutu..
<br />Pern,lr( n.m I pnno: X.?"0-.^t 0.^ E ,rr, /'1 ' 1
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<br />l'.\. !n will Ei.rin. Cdtiftr. oacodd to s.ll-lM fd wlq. @n9cqrivr a FD\i,6d aor b, S..lFn l?m of llE
<br />L.btr Co<lG, tu lh. Ffolllft orlhc wrt for *,hkh lh. parn i! i$u.d
<br />-l hlrr &d sill Binl.'n wdtdr.oqEdiotr i@..3 r.{uiEd b! Sdhn ]7(x) otllt lrt r Co&, for th. Ffclffi. of
<br />rhc *rl ts which fiii pqrnir it e).d. My eo*dr' cotrrFdio. inse. cm6 !d F lry nuibr e:
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