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ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.COMMENTSAPPROVALSDATE
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ild ing
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)/nl
<br />Walls (Rouah)tr-llvl *tluilt"-t \-,ACeilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)chlffi Y].M)
<br />Meter Release v- \)
<br />Rough
<br />Service Meter /1\
<br />FINAL 7-?An\k.\r/"1CI
<br />Notes, Remarks, Etc
<br />O\T NER BUILOER DA.!{'AR T|oN
<br />I hd.ty afirn und.r Dduhy of pdjfy lh.l I m Gxdfl foi lh. a.nr6cl6 l,t.M t s for rh. folktwi.s r.enlsc 7011 5
<br />Euins tnd Pr6fBi,n Co&)r Any Cih or com! shkh r.qun6 . Ff,i ro 6dru.l. .116. im9.o( &tmlith or lq.i' Dv
<br />so.ru., Fior l. iit isutu...!o EquiE in tPpltlnl foi sch Ff,n to 61.. sisnd tladol fi, lE or dE a lic.G.d ttftlt
<br />ro rhc Foriliod of rlE Co' rsld i Ltdr.d t.w t(]udd e, (tffiiry wnh S6lhr 70OO oa Diriritn I of llE Bdi.d d
<br />Pr.f66B Co&) tr llir lE or 3lE i dmpl lhscfrom i.d lh. h.b fo. t|E nks.d ddFi'. Any \i.Llior ofs..lion 70! I J btnv
<br />rpplt.nrforrFnirlubj{Blh..pplic&llo!civilpcohyofnoimr.lh&fiv.hundr.d&llu!(1t00)
<br />l. s o$n6 oarh. Fop.nt. d 6y dplotc wnh q.g6 s th.ir $lc conpdllni.n. silt & lh. *oA ed ilE rrur@ ir mr
<br />dnrd.n d ofi66d fc e]. ( Sd 7on. Bsind ed Pmlcbd ( (h, TIE Cotrr(tr t Lnlg trs &'€ no{ +plv lo D o$E of
<br />rh. rmFry *t b!il6 o. inp.oEllEsr.d wlb dc nd $olt hiBcltor hq*lf or tlmlgh hL! c nG oM @phrq
<br />proridal rnd tlch inFlvaEs G mi hrarlal or ofiaal tut sk. l[ ho*aa, rrE hliEins ot utp.oEEn ! $ld wilhin on. Je
<br />oannpkia tlE O"E B{ilra *ill litt r,E hnldl of Fous lhi lE ( ,E di, d build or irFott dE F.F , lot tlr stF* o,
<br />l. B o{E otrh. F!F!t. m adBnlb .onmliis * ih l&d.d codr*ioE lo oBhd rtE F.F {Sa. 7or'r. &illd
<br />d Plrfrsih cod.r Thc Corlrf,rofr LiccG Lrw dE not.pplylo o.*nd ofpreP.ny sho bund! or improvo lh66n,
<br />ed r.h. odd! fd uh FoFr3 s'iih. codNdl.) liu!.d prE r lo rh. con*loit l-it@ L^,
<br />I m .rdpl urds Sdlir.
<br />IArf,EEl:.laUf}:dSArlA!
<br />DECIAaAIIO!
<br />I h6.try !fiirm u.dd p.Elly oIFjuryon.oaihc lolhtring iL(ld.lioN'
<br />, hrv. a.d s,ill 6!inr!in r cdific.lc of ( oNat lo s.lr'16!r. for $ ork6 conFstr i.n s Fovi(l.d for bv sdo. I7m ofllE
<br />t$or (-od.. lor rh. rEftu oarh. $.rt fc rnth lh. Fnn ! istrl
<br />I hrv. od n ill m.i rin {ort6 con{Eoltio. iBunn!.. s rcqut.tj br- s<i ion l',00 ofl h. libor Co&. for lh. I,sforfuc. of
<br />rL \$* lor whkh rhir p.rni i a*d My *0.16' omFdhn Eurft. cmit tn Fkt nudrE R:
<br />'".,"Be,tzl{atARk INs
<br />,.",,,, -,,,,,", lrs rl-o t { 7 6,.(
<br />LE,x /:/- 2o 2 c)
<br />l.dliarrhai in rh. Frfomrcr ol lh. w.rk for shich lhis IE mn i! n!u.d.l lhtll ml dliloy my Fsn in tnv muF
<br />$ s n' t .{m tut <r ro rh. *o 6'onFsrhr bur orcdi6mn, !d *r lhn ilI.tbuld b€oft suh,.cll. rh.
<br />$o d'comFs|nnF!\ti.6ofs.dio.l70Ooflh.llt r (hle l itl.ll. f(nlhtriinomplv snhll[elroritbB
<br />)
<br />rIAXNINC l'!ilu'.lo kd. $0116 onFlrion co\rte. a xnl.$lul- sd !h.ll sbi.{ a drh)s to ainirl Frlii6 rn
<br />ciil find ur lo on. hnndral lhou!.rd doud ltlr)O.(xx)). in .dditu.lo rh. cd ol.ost Nolion drmBd a nlorid'd ror rh'
<br />S{.rhn !076 ol rlE I rb.r code ir(d !d irorrr's fc
<br />,r.,,,'7-/8'/ ?- '*d<tLD-f-/ Ltcfr\sED ( olt rnlcroR
<br />IECIIBAIIA!
<br />I H,) .rum undc F.hv of Fiq_ rhr I m licd&i uidd FnYilion olcluFs e (amnkrS $ilh S6lio. T(r)0) 'rt)irGb' r
<br />of rh. B$il6 md Pror6io6 ( od.. @1ny lice ir in full fod erd cfiar
<br />B ,-,**.^}(
<br />CDT
<br />4*srx-
<br />2-/S-/4 ,."X,
<br />(-oNsTRU(', [lOl\ LEliDlri(; a(;EN( t
<br />lh6.hv !m,ar und.r Fnalr! of tErury-rhd lhq.ra.ondrudbn Lndin* rytrv rorrh.l'dfomarc.rrrh.$orl lor \h,chthf Fni i3
<br />srr.dtS( r(r,)7. (i\ Ct
<br />Afllr(Aur.DEcL6lAlIo!
<br />I ha*'y rfton uidd F!,Ir, of Fjury o* otlh. hllosin8 d.tLril btr3
<br />I>mlnion Pmnrtuhdror No fi..lion F.(k!l R.sultlirtu (Ii|..40. tuno)
<br />R.qui.d l!16olNdiftrhn
<br />H.r!lr.guhi.B r.srdins 6t6lo! rm)rdd. e,l 4I,lit6l. ro lhb F,J.d
<br />r.d lhis appli$lmn ind nar.ihar llE trt{\.,nronnin,n ir Nl<l lssr(hco'ry'lv$irh.ll( 'r
<br />-/7
<br />odituN6 ud srd.Ir$s ELltl{ ro trildinS....0.*t in6of rhi3 ( n! !,i ( ou'n\
<br />.bo\. mdnrncd pn,rEry foi insp<io.
<br />P > rc€rt.52'.1/
<br />7-/tr
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