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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.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 />rra.rP ,o3Bonding / Grounding / UFER Slrgl rq
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough 9l13lr9 *'Jv, lcl
<br />Service Meter Q lol rq ffi lO>
<br />FINAL /c-?2-t,Etzltt>
<br />Notes, Remarks, Etc
<br />Ol+N'X BUTLDET DEIT ARATION
<br />I h6.ty lllm uidd Dduty of Dcjury Od I @ aarpl frcm d! Cfrdd Lc.B Lrs aor lh. t,llo*iie .!&. (S< r0ll 5
<br />Bsild rnd PrcfBb. cod.): Any cny or cout y wtkh Eqon6 r lff,il r. otrnrud, rts. iBprcvc &oolnh or rq.ir ev
<br />nodEq Fior ro ir! &rud.c, .&a rcqur6 U. .ppli.er for $ch Fhil lo fiL . lisn.d .l.l@r lha lr or dE i' licd!.d pr$!!
<br />ro rlE Fvib6 of dE Co'nrr|( r Li@r.d L.w (ClllFd 9, Co@ftir8 *it Sclio. 7000 of Di.bn 3 of lh. Bui,E &d
<br />Pr.fdi.6 co&) d ih lE ( rlE ir sdpr ln6tto6 od rhc tE! for rh. .Ls.d daipaa A,y tioldhn of Sdbn 701 I 5 b, e,
<br />Wlicur tu . Fmir $t 6i] rlE rrplkd t r dlil Fsny of ml mt lhe 6!. tut .d dolbt lltoo)
<br />t, c own6 of lhc D.oDcly, or o) oDlo'6 with srs6 s rh.ir $1. omFBriio[ willdo tlE wort.d llt ndrr ir Nl
<br />inrE&l or orald fd !.1. (Sc 7o4!, BBin6 ed ftlrdioc Co&: Th. conlr..ioit Licru Llv do6 Nr tpplr lo u oNM.f
<br />lt FrFry sb hiil&or irFoErhd@ id wlb 4E*h sn hiMlf or tE*lf oi rhrc!8i hlt M h- o$r ctqlorE
<br />Forirdi rt[l kh in4.o\6il6 e d hdrd.d d otu 6. sl. II. r.uet rlE toildiB M rqrwqEr i' sE *nnh m Jd
<br />of corpli,o. tlE o*c B{illc {dl tft $. h!d6 of FirrB ttr E m lri dd mr hrild tr inPrDE d. FlFrr- S( dE FrF! ol
<br />l. soM6orrh.Fotdiy, m.tcluiv.lyconlEclins with lica.! $dr&loGro.omrucl lh. proj.( (56.7044, ANmG
<br />ad Plbt rii Co&: Tt. Cotrl...loi! Licdc l!* <to6 Nr tpplt !o sown6 of FoFly *l$ build. or imProv6 thdd,n,
<br />sd who odrrre for uh F,j<r! rirh. ( o do(s)liaE dFiEu, rodE Cdr.cltr r Li!* l.s)
<br />_l m.rmfl md6 sd n . B & P( nnrhsl@n
<br />D . Ontr6
<br />.u!8trE8S:(0!rlIMArq!
<br />IECIJAAIIqB
<br />I hs.6y .flifr ur<td Fdry olFjurr oE ofrlE follou !u &(leai,6
<br />-I
<br />h,r. in *ill mbtlh. Calirrdc olcon5l lo S.lf.l6urc tu wlda 6p.oton, a Fo!'d.i fr'. by Salion 1'7(10 of llt
<br />Llbor Cod., fd lh. pcfolru.. oait wrt ftr rtict lfic Fa i su.d
<br />Q['t ma *,tt mrinrrin *,11.{' comFglnn Buee 6 r.qun.d ty s*lnn lT oo of 0E kb.r co&. lor lh. pcfol1rj.N of
<br />ilr l.A for *h*h rhE Frt ! s,.d M) wr6' codp6trn rffic m dd polr) nunbq c
<br />-Eipi,6,
<br />-l.dirylhn
<br />i,llE Ffotu. of lb. sort fd rhkh thL Fnn it isc4 l.hrllmr oPlo, uy Fx'n h &) MF
<br />r s ro bdoe stixr io rlE s,td otrrFlrion Lsr otc.nfodi ,i leE rtr if I Jruld hcotr $tiat to tlE
<br />m d ooFsrion FovirioB ofscii!. a7oo orllE L.rxt co&.I JEIL fdhrth ompl) r'ith rtbr FDririo6..
<br />WARNINC. l'ailurc lo kuc *olk6 .onpdsthn .ov@sc is lnlawlul. dd lhrll rubj(t e apl(,yn lo lrihi.tl Ftrftis aId
<br />nrn. drtus6 a providd lu lh.
<br />DEIIIAAIO!
<br />I h.ftby rjlm od6 FElt' ot FJury lhd I m lEa!.d oda Flvition of Ch@16 9 (.oMocin8 wnh Salbn 7000) of Divirio. l
<br />I oI th< BuE &d PtofdNB ('o&. -d Ey lE6r it tr tull loN sl.fid
<br />,n*-",*,(
<br />gl}l-r.B.lru!r:-L}.:DAti-xil.)(I
<br />I h.Eb, .rm undd Frty o f Frur, $d 0i@ ir . codMion lanrs .stry lbr llE FfMc ol tlE @l tu whth rhi! Fni ir
<br />isu.d {Sr 1097. Civ C)
<br />ATSUIANI.ITCIJSAIIO!
<br />I hd6y .iIm undd Fnlhy of Fjury oe of rh. follo*mg dftle.lbro
<br />D.nohion Pmnt-Albdor Nolificdior F.(kil Rcsuhlionr (1 ir1. 40, P!n6)
<br />R.quL.n ta16 of f,lolifrrion
<br />-l
<br />col'fy lhi rh. &n r.ruhio6 Esrdins slElor rm\ J e. fr{ eplk bk lo tha Foid
<br />Zl .dlr, that I h.". rcsd rh6 apFlic rrion l rtrr.rhnI rh. ah)v.on iscon{r lasrc ro cnmdt $nh 0ll City&d (i\fly
<br />odiMnc6and sIlrc l-,*srcldinr ro bri
<br />abr c nrdlk)n."J I'rep61y r{n '6ndFn ""',.,:"Yri,Ii?''-
<br />,\ppli..nl or ,\rdl sfn.lu..
<br />I r/ru
<br />I
<br />Sub-Panels
<br />6" Uq
<br />Ldin'r Add6:
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