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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/slG COMMENTS
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor A
<br />Bonding / Grounding / UFER 2'zd*11
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Ro of Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ce ilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />OJEtcr Release iz Lr+\z-Zl'r.1
<br />Rough .lrLBt-2"7o1\\,J)^t|(
<br />Service Meter
<br />FINAL 2-z!-t7 TV
<br />(
<br />O\XNEI AUILDEN DELCATATION
<br />I fi@b, llrm ondq pdrlry of pqJury rhn I 6 qnfl from rh. Coin6c1o6 Li.dg L.e for rh. followinS ra$, {5<.701 L5
<br />Buitld rd Prof6i,n Cod.) 4., Chy or Colny *hth r.quiE . pdni ro odtu<i. .lta, i"pro\c .lamlih d EF, dt
<br />irtudu.. Fnr ro its i3!uuc.. ito rcqunB rhc .p?li.er tor ruch pahn
<br />'o
<br />fiL r li8n d sdmd tnn lE or th. i licqN.d Ftu rn
<br />ro rh. FrvbbE of rlE Conrr-rM! Ltd!.d t w (Cn+G 9, ( olmning *hb Sdion ?0o0 olDirnbn I of tlE Buin6 Dd
<br />PmfBnrN Co&) n lllr tr d 3lE a dmF rhsdon Dd rh. hd! for lh. dk8.d q€i$ion Any violdio{ofsdrhr 70115 by&y
<br />+pli.d for r !6nit rlbjer rlE rpoli.dr to a cir il pcflly ol fln md rha fiv. hundr.d &,lla (1500).
<br />L u oMd of lh. FoFly, or n, mplorc wirh w!36 c thcn sk omFldio., "iU dr rhc wl an 0E rixlE i! mt
<br />doi.d 6otr6.d hrrl.{Sd 704r, B6ir ed Pl!tu i'B(o&: Tn Codr-ror'r lioB L,r'(iE rd sb ro & o*c or
<br />$.FltEry who hrikl u inrrcE lrEe o<t Eno dc D.h *ot hiru.la or fi@lf or lhugh hitr d lc o*n mpLy6.
<br />Fovilqj ll'd ul, EFovuxll! E Ft i{od.d d oturd fq -l.. l( trw. d! hlillllB d lslvdEr iJ &ld waliu oE rrot.udd@ llE OqE &itjg wi! hnr llE hlrh of FowE dn lE d .|l. dd mi btiH d inFDw lh. FlFty 6r llE p,FE of
<br />I.6our6 ofrhc pror,6iy. bdclusiv.lycoflrdiry *nh ltokn..drdoBro omdd th. Fri.rr (S<. rol.t, &!'n6
<br />a,rl Pilbsi.i ( od.: Th. Conltroar Licor L.s, {hd mt llfly ro u os,n6 orpropcry rho hrilds or inprcr 6 thr6r&d qho Ndl6 tr Mh Fridr wnfi. Co,rdo(.t lro!.d Fnud rorh. C.drrid'i lilB Lr$)
<br />I d'.!mF un& S.nhn ,a &P(-forrh!rBr
<br />D.r.r O*rr:
<br />$oRl(rrs coMpFns^floN
<br />DEclJAAIlaT
<br />I lEq .mm und.r FEh, ofFju, oe olrh. f0l16\ ns dclrf.rioG
<br />I hrw an uill Did.n! . c.niir.i. of Coisr ro S.l!Ie.. for *!116 coriF6d irn. a Forid.d fo, by Sctrn 17(r) o f rh.
<br />I dn ( od.. f( rhc Fttu of lh. Krl for strh th. Fnn ir is&d
<br />I h.r( ud t0nnnrin $.d6' ..nFMhn rMm., d r.qnir.d t, sdiotr ]r(x) of th. t tsr ('o&, ln E Ffffi. o,
<br />rh. s{I lor,trrhrh! Frr B is!.d My *ort6 triiFtlt-. i6ur MCG cmd rd polic} numl( E.,* /lfusrtco-' {-kycl/\-
<br />pori.rNunrE bcSoaGszaz_ **- Jbl-ly
<br />I cdify fia in th. Fforfle. of rh. *.rl for *hkh rhit Foir i! su.i, I Ctsllbr dpht Dy Fe. i. &t ffi
<br />a, a lo t<aft ruual lo tlE ssra omFadbn h$r or Clhfoni& ud r8R
<br />'hd
<br />if I dhrld t .oE $bal lo ilE
<br />worl6' .onlqBllion FovnioN of Sc.lion l?00 ofllE L.bor ( o&. I rhll. fonh$ilh comply $ilh ihr ForitioB
<br />WARNINC Fliluc to Gs. sort6' conjpaBaion c.yors. i6 ulr*ful. dd ihrll rubjd a drphF ro cihirl Frtt .d
<br />$il Iiffi up io om hu.rH rhotrei &llo (1100.000,, an aldnion ro rh< con or .onFddior der86 - Fo\il,.d fd rh.
<br />Sdion 1076 ofrh.l*or('.d., i 6.roddlonEysfG
<br />Lrcf,Nsf, coNTR c-I10R
<br />I&CIIEAIIO!
<br />I hct y lrm und6 pdahy ol psjury lh,l I h licgB.d u.d6 Fovisior orcnrpis 9 (snm6dns vnh S.clion 7000) of Divitior I
<br />oI th. BBir ad Prefdi,o6 Cod.. rn mv lk.e ii h tull ijE nrl.lEd
<br />,**,*.1yy'c/o
<br />-" [o-a>18
<br />caxfla!,&fraNt[lDllc-acEx(r
<br />I hftby lrm lndd F..li, of Fr]lry tna 'hr. it . co.rtucrD. Lldns isocy tor rhc Ffoll11,c oath. "ort for $tkh rfiir Fni b
<br />i0.d (sc. 1097, civ. c.)
<br />AIIIICAILDECTISAIIO!
<br />I ha$y rlfm uidq p6.Xy of pdjury o.c oa rh. tollowins ddl&n ioN
<br />D.mhnr Pom(9^rb6r6 Norifrc.rbn F.dall R.3uld ioN (Tdl. t0, Pd6)
<br />R.\tund l.lt6 of Notif(dion
<br />ro omdy*nh.ll Ciry$d ('ou.!y
<br />.fihn cny!i coury to d6 upo. ilE
<br />ab4e
<br />-,,1Oi>16
<br />Pole Bases
<br />,,*Ll,t4l
<br />/n\
<br />Y-W\L: )
<br />Y\
<br />Y.uft\dl
<br />Notes, Remarks, Etc.
<br />u;;,#"w-
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