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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground
<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 / Floor
<br />|al,*o,fBonding / Grounding / UFER llzsltq t\
<br />Transformers I II 0\,
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release tl2dq -t vru/e.ttt 9b-/
<br />lt ot
<br />Rough
<br />FINAL ?ltlu'1 Lrlt.rcv
<br />Notes, Remarks
<br />OWNER BTIILDER DEL('AR TION
<br />I hd.b) rllm !.&r Fulr, ol Frur.v rhd I m ddF nlh rlE Colnirr6 Lt@ L.q fo. rlE lolbf,irs 16r (S( 70:rl,
<br />Busind .,n ko&.ri!n (-od.) Anr Chy or (nufly *hth r.qutrB a Fnn ro o rlru.r. .lra, inFor.. ddfrlnh o. r.Fr d,
<br />trruc1u.. rrior lo it! isu.n... ltro r.qut6 rh. rppli.d ror such Fmi h nL r sigftd d@dl tha E or {E a licaE d po!!@l
<br />ro dE ImrirbN of (E Conotrd! l-io..d l^ (Ch.F6 9. ( omtri.s rnh S<nbn 7((D of Dirnion I otrlE Blrilr 6d
<br />Pmfdbro Co&) or rh, lE or ih. i! .(mF rh6.Irm .nd rh. bdii for tlE rlLrcd ddnflnrn. Any viohtirn ol S..l.n 701 I t by rry
<br />!fi'lu tor r Fnil subjdr lhc .pplic.nt lo !.ivil p.mlt, of.or mor. rhtr fi!. nundrcd dolle. (1500)
<br />L d 0*6 of rh. Fop.ny. or 6y dplo)G *nh *'!86 s rh.i $L onFrErio., qill6 rlE *rrl rd rlE rrElr i mr
<br />ilndd.d or oll6.il l.r el. (s< 70,14, Buina and Ptrfdio6 Cod.: I hc Conrr.cloii l,iccM lr* do6 mr aply ro d o*nq of
<br />ih. FFly stF txil& o iqm\ 6llEfr. rd *no &E rxh wt hiMlf o, hakllor rh6u8h har d hd o*r onpr,rG,
<br />FoiLd rhd ssh imF.l.ds ed na!.!.d ( olhrd ftr -t ll ho$6q, rlE bildntr G irrlrffi it $U *ihnr oG €
<br />oa conptiotr ft o*nd Bril& $ill h.rc rlr hdar ofF.sns tM rE or sh. dd ret tuild .r trynv. llrc F.p.ty tor th< BIFE of
<br />I. a osn6 oa rh. FoFry. m -cluiv.ly codr.din8 snh .d.{.ofudm ro .odtud rlk Frir (s< 7or4. adiB
<br />od Ptrrftsin cod.: Th. (..krcror'r l-ic.m. Llw do6 not aprly lo M oqns ofproFny*ho buil4! o, improv6 thmn.ud *ho o, rxll fm trh p.oFt $ilh ! ftddon.) lidB n ,El:M kr ih. (-odtud r l-kdE l*)
<br />I am.r.mpr trndd Sd.on
<br />^,1- n1n ,-{)
<br />D[cldaarla!
<br />I hdod rmm undn pndrl of FJU! orcotrh. tolhn iIs tt (lsnhB:
<br />I hav.ud*,ll'uinl.i.t(.nincar.ofConsor to S.lf.lNor.itr$ork6r comp.n.dnrn, s Fovid.d for btSNr6.lTL{otrh.
<br />ljiFr (irje f( rh. Faollle. of rh. trorl lor $nth rh. Ff,i ir isu.d
<br />I htv. ,nd $rll mlinlain $orkd comr.Edion icuran.., a r.!on.d by Sdion l7(x) of rh. l,bor ( od.. aor rfic Ffommc. of
<br />rh. *orl lor u h'ch this Fnil ir isud My r ort6 .omltM ion iBorm. .Mir &d rblty numbd r.
<br />I cGlify rnd in th. pdaorma.c. olihc sork lor $hi.h lhis psmil is isu.d. I 3rallnot oploy.ry F$n i...y mdn6
<br />$ a to b..otu iubjel lo lhc rsi6' comFEdiln l!u! of (-rlifomh. md .3r rhd if I slbuld b<om $h,61 lo llr
<br />$nltd NmFqirn F.v!i,6 of sdnn l?00 of rlE l,hr (-o&. I tdl. ({h| irh comDly s.nh drs p.!r i3ioB
<br />W RNIIC: Flilur.lo su. trlrl6 mn{mrdbn cor6+. 6 unl,sful. d shlll tut!.<r x dpL)d ro dimi..l Ftrti6 6d
<br />.nil rDd ur l. orc hud.d lhousnd {hll6 llloo.uxr). i. *r.lnno ro rh. .d of mmFMiri. dr g6 d F.\il.d for rlE
<br />Sdrion m76 ofrh.l.stnrC{xL int66r sndan.llE 3 ad
<br />^..-1-g-lq I
<br />I h6lbl .lTrm onda Frly oaFju, rhr I m lica..d undd F.vuion of CrrFd 9 (om'la'ns *irh s<rF! 70m, .f Dn 6itn I
<br />of ilE t di'B od P,oaah6 Co&. ril iy I*oE ir itr full foE -d .fi.cl
<br />(axsrB.ltulaNrElDltliacE!0
<br />I hcltr.frrrn unJ6 tEnlhy of FjuD_ 'hd
<br />rh6. ir..odrucinn Lndins axftv for !h.I6fol111e. of rh. *.rt lor "hi.h itu Fnn i!
<br />rs.d {sr .r0)7, ( n ( )
<br />Atflr(ABl-ui(la8Aua!
<br />I hsdr rrm unds D.n h) o, Dsju,! oEof rh. f.llo$ inr d..rr,r bN:
<br />Dc,rehnrn Pdnn$A.hdor No fi.ari1n F.ddrlRcsuhtrns ('Iitl.40. P!n6)
<br />Rttutr.d tird ol I'Jdifx'th.
<br />I .drli rln rlr l.n(rl'clul.ri(ifs r.!tudn! rstrst\ '.nn\rlr( for nflirrbl. (, rh'\ IIoB{1
<br />l.d,f\ ihd I M\.r.aJrhN artlKark)nanisrrr.rhd rh.r[\. 'nnnndkx 's
<br />c.r6t l {ra n) ..nrl\ \ nh all ( ) rnd(-.onr\
<br />,{J'nin(6 Mri \rar.la\q,.lar'n!r, h llnnf,. tr" di,n. ihl h6.h) tuthofl7. ,.1160llltr 6 ofrh's( ilyand(ountybdrd ulxn,rh.
<br />:;,;;,:,^;,;,..7el7/r(Lq (0- -u '?.b-tcl
<br />,-,*".^,,,n *.) t4}yl^ \(M 0
<br />Pole Bases
<br />)
<br />Sub-Panels
<br />Service Meter
<br />{-* )
<br />Etc.
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