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ID/SIG.COMMENTS
<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 />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />e)FINAL 'f lqolt4 ,.(,(,/q(t
<br />Notes, Remarks, Etc.
<br />ELECTRICAL-INSPECTOR RECORD
<br />OWNEN BUILDER DEL'ARATTON
<br />I !s.by .ITm uiLr !6.1t, of Firy lld I h ctmF non [t Co,rndd Lt.@ L.w tor tlr aolb*ng ta)i (36.70] I J
<br />t16in* ,id Profdion Cod.)r Atry cny or c@'ny rhah rcqln6 r Fd ro olatu r. tnd. d4.oE &mlit or ,r+.t ,,
<br />tldcrrc Fior ro ilr irleq.l$ r.qur6 rlE rpglicul for ruh Fnn to fiL. lisi.d llaaGn $r lE ot tlE it licq!.d FE!,
<br />ro rh. ForilioB of tlE Conlrtl( r Lier.d Lt* (Ch.ptq 9, ( omtrin8 wirh S*lkrn ?000 .l Divitbn I ol r BsilB 3ri
<br />Pmft..i,N ('od.) d $r tE r rlE b satp( ta.too rd th. t-!! lor llE.llscd darqbr A,y tblri, of Seibn 70t 1.5 bv uv
<br />.pplic&r to, r Fnt rubjdr! rlE r{pliurl lo . civil palry of ml md $e liv. hun&.d dolle! (1500)
<br />-1,
<br />! osE of ttE FiFly. c ny 6!91016 $ih w!3s G dEt sk odudrbc will (l) lh. *at rn d. eudE i mr
<br />ilnci.d u oFE d rd r& (Sa rol,l. &Eir &d ProadioE ('o& Ti. Cdrrcd t l.to& Lr* 66 d +lv lo d off ol
<br />th. FlFry *lb hrl& q i'ry6€ rhdE( !d t'ls &s *h wn hn@ll o. hdElf or dFurlll hn d lE om drylo,6.
<br />prolid.d rhlt lrh ihP.rvo6rd @t i,!ci.d orolH 6r EL lt, holrtc. tlE hildiry or inEDEIdr i rB wnhin orc r@
<br />of orpldi)rr ft ol.c Buib f,i! lBrc llE h!d, of Foyirs fii lt d tE dil tEl hild 6 iryDw dE FDFIv &r tlt F D...oa
<br />-1.
<br />6 o\l@ of O. FoFlr, m q.lBiv.lt codr.d,u w n li.qE d col,r*l6 lo NriNd tlE Fral (sc 7044. Bdind
<br />.r'd hDbi{ Co&i Th. coddd ! Lke Lre d6 sl pply lo a o9E of P'lFly *ho bcil& or inFlE lhdd
<br />od *ho onrd! fr $.h FFIE {ih. Cofln ldlt) li.q!.d F!:d lo ltE Co.lr.dd r Li.aE L.*)
<br />-l
<br />e.rdpr urdd s<rion-. a &PC forthnl@n
<br />Drr. orrd
<br />N olrKa-tas' co[iPEits rloN
<br />DESAAAI]A!lhd.b\ amnnu.&' F.lr\ oltEJur) ox.f rL fdlo* '.3 dalararNE
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<br />hlvc ud willroinrain a( 61iicalc of( on6l lo S.lt-lNu. for rcrtd. coht n.trbn.6 pr.vid.d lor hvsdio.I700 orlhc
<br />l,bor Cod€. lM rh. rsfolr1e. of d. f,ut for sikh lh. Fnn a Bu.d
<br />-l hrv. rnd rill ftrinr.ir uorrda onFsta'n iBuffi.. s rciun.d by Sdio.lTm of fi. L!t$r Co& aor rlE Ffo.rl@. or
<br />tlE "$L for wnich thi! p6mil a! ira.d My wo*d, $npqsrion i6ofu.. .ai, r Flicy rumbq a.:
<br />Policy NumtE-E$nc
<br />I cslrfy rh, in rh. Ffoll,e. of ilE wort fot *nth tha Fnn b irqE! I nEllmr @pL) ut F$n 'n
<br />ev @6
<br />$ s ro trmm. $bid ro lh. wo.td' compddion t s oacrlifomit E d lsc thd if I nruld hao'E subj€' to thc
<br />erld omFNr b. rroviriod of Sdio. -1700 of th. trbor Code I 3h.l L fdrhsith .nmPly s nh rho* prcltio6
<br />WARNINO Failur. lo cd. "srl6'$npq$nirn covdts. 6 unl.sful, d'd 3hdl iubjd { dphts to ooiql FEhi! t
<br />.i!il [o.i up ro oN hun&.d rhousd doUd (Slo0,lxlo), in dldiion to lh. cos ol coBp.Mtion damEs.r a prclil.d for lhc
<br />Sdrbn:10?6 ofthc l,horcodq i .din.norr.y, tc
<br />I hdtt'y .lI,m und.r Frohy of pqJury lha I e lka$d u.d.r Fn\ .ion of(luFq 9 (Nm,mc ins wnh Sern. 7o0o) ot lli\ tion r
<br />of lhc llu\trrEand l'rofGnnr (id.. dn,y licd* B
<br />'n
<br />lullnn..and.ll<i
<br />-Li.teN
<br />I hdb, rrm und.r FuXy ot Fjury dli rlE iri d;Ndhn ladi4 tg4y for ltE l6hlr1m. of rb. s* 6r uhth thi Fnn a
<br />q.d (sc. 1097. civ. c )
<br />A.SfIllANflECLAlAllo!
<br />I hdlby rfis uiq F.hy of pqjury oc of $. folldsing dcltrrioN
<br />Dqmhu PoTit!-Albd6 Nolifrdkn l.dcrl R.suLlrcB (1i1.'10. Pd6)
<br />-R.quird
<br />l.116 of NdiEcrion
<br />-l
<br />.dif, rh, fi. f.d6tl Esul{bs r.lrdins Dt6lor !dm1.1 G .or +li.bL b rh! prli.tl
<br />-l
<br />coriry rhd I hrE @d thn .rpltdion dd ttc lh, rh. .t v. infomrbn i! od<l I .gra to .omply *th lll Cilv ud Cou.tv
<br />od,e6 .d sN. L.s Erril{ lo hildins .o.iodioc rn ha.bt .rnhiE (fsdir6 o f lhi! Cily .d C.Mv lo als t4on d!
<br />rh\. lrnrxnkrl [{ot<$ lor nrrE-..r'onprli,s
<br />^pprrdnr
<br />or
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<br />shn.rurc N- .c/^r /L(.'I .7._//4
<br />APPROVALS DATE
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