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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE I COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / 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 />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough lr rlt .a
<br />Service Meter I I WA,lltltLlt w)'hl,{\rilt!.FINAL t7 Lry
<br />Notes, Remarks, Etc
<br />OWNER BI]IT,DER DEL('ARATION
<br />I h(d,y rlIm un&r Fn h! r'r Fjwr lhd I m .tmF fmm rh. CodrtrloB' I @ l^ ror lh. follorirs lr&n (s< 70ll 5
<br />BG'n* dd Prold,on (.d.) Any Cn, or Cou.ry *hah rcqut6 , Fni to $BM. .hc. in{rore &mlirh .r q$ ,y
<br />,ddu.. Fior 'o
<br />hr isuN., ltso r.qun6 rh. edi.d for.,.h Fnd ro 61. ! siln.d 3rddd lhd tE or dE i licd.d pumd
<br />r. ih. ForirioN ot rE Conrarorr l-i.d6.d lrv (Ch4iq 9. Coffirs trilh s<ri,n 70fir ol Dir€io. I ol rh. 1t6iIB Dd
<br />Proa*ion! Cod.)orrhd lF or 3h. n.rdl'l rhBnom dd rh. hdi! nr rh..ll.!.d.r.mdion Ant violarion ofs.dion 70!l J br.ny
<br />.pplkd fo. ! Fmil ubcrs th. pdicst ro . cirilFMh, of mt mE lha lir. hln&ql &rllds (150{}
<br />l. 6 o*G ofrhc FoFny. d n) opht6 *nh *rs6 a rh.n $k coftp<! 'on.
<br />will .to tlt trnn at th. nM@ i! ml
<br />inldld.d or of,a.d tu sk (Sd 7014. BBilB md Pmfdh6 ( od. TIE ( onrdd r lilB ls &€ ril 4rly !o r ow or
<br />rh.F.Fr) *tn hildi or inq..1s !hd6.. d who dE sh N.l h!rolaot tGlf or rlmush hi! or hq oq .dpLrlt6.
<br />F.vij.d ih.l such rrrcEi. ! e ml hoi.d d otuld fn et. l[ ho6q. rrE hildi'B d iiqpGcr ir $ld *ihh @ t*
<br />orodpldia
<br />'&
<br />o'*d auitb wil llrr lh. hmln ofpm\i.g lnd h. or JE did mt hild or i,q.ov.ln. FtrFi, 6r E FrF..ot
<br />l. a o{ffi of rlE F.Fry. m d(l6n., c.tr-,B $ nh lk.tE d cod.d.R ro sddd rlE FoFrr (S{. ?o14. hEi6
<br />lrd h.f3o (i,dc It Co r*roi! Licc.* I rv &,8 n rpply to 6osn(orFoFrvuho buildror ihpmr6rha6n.
<br />.nd trh. odd.tmkhrmj.<t{nh.co ko(i} lk.6.d puRud lo'h.(.ontndors l.icd* t,{).
<br />I M.wr, und6 Scrx'n
<br />Drr.-_-__-Onnr-_*
<br />I hd.t'y lrlitu unda FE y otFjury oE oa lh. lollor iry delrili,E:
<br />I h.\. rn uill mi! .b r Cqrifr.l. of ( oler ro S.lt-lle. tor wrld' @dF!ii,r B Forlt d for tt sdi,.lr0o otrh.
<br />I lF, ('ode rq
<br />'h. Fr(fuc. orrh. trolr tor u'hkh rh. Fni! ! iscd
<br />ffi".*a*r,*tot*. o' (onFBnoi ierm. s r.qun.d b.v s<rFo r?00 orrb. lrsor co&. tlr rlE Ff(]llls. or
<br />' rha \rnrl tu *'hrh rta Donn ! ad Mv {ort6' Ndpol{rpn tuutucc (!6 id pol'ct nunb.r,.,J*utwt)n fvultu+t t
<br />.*,*.o,?,1,/C l.+{+''{5 ts.,,,, lol2oLD
<br />I c.(iry rhar i. rh. Ffo,ruc. of rh. wort fo. *hkh rhn Fmn t islcd. I ildl mt dpbt oy F$n in D, nsE
<br />i a ro baom sbjcr ro tlE wt6'@mF!.ior lts!.t CdilomL .n tr rhi if Lhuld baonc autirt ro rlr
<br />wrtd' ohp.nsrion povirioB olsdhn :l?@ ollh. t t r ( odc I JEll. fonh\nh odrly wnh r[o- FDvirbc
<br />$ARNIN(; F ilur. kr Gd. $. 6'comFdion o\6!*.6 u.l,qfol. dd nEll $hr.d s dploru to mniElFEhE Dd
<br />cirrl nnB W lo on€ hundr.d lhoM'j dollm (lroo,(xro), in &ldnion lo lhc cos or co'rFs.lion. de.is6 a Fortcd lor tlt
<br />i'liii?ia"*l!!r \\r D{ 1)\rxv rllR
<br />DEGIJaAIIO!
<br />I h6.b.r .rm unld F..[, o f Fjury lhd I m licGat unL. Fo1 aio. of ( 14ls 9 (oltllffiirg snh Sdnn 7000) ot Dnthn !
<br />ol $c Bu'nB &d Phfdiod ( od.. at my lic.e i! in tull for.c &!, .Itcr
<br />."*.* e4b L b lsK !a+
<br />-,.\\LllL4
<br />c0!$ar(Ila.ti-Lfd!ltca(il:lc]
<br />I hddt.frtrm uLLi F hlofFluD_rhd thc.irrsdtudsn ladins !86c1for rhc psfonndncc ofth. work tor$hrcfilha ps'rn ir
<br />issr.d lsr r0e7, ( iv c )
<br />L.trdq r Nrn.
<br />AIILI(ANI-PICIJAAIIO!
<br />I hdrby rfim un.Lr Fnrlry olFjury ofl€ ofrhc follosins d(llrdrnrns:
<br />Ditunnion P(mtu-Alh6ros Noriakdirn t.dd.l R.Xrldirn.(T l.40, Pd6l
<br />Rdtrr.d l.dr6of NdiftdM
<br />r.Bsdr3 &rtE$ rmo\ al !t. nor lpplc,bl. !o r his In 161.
<br />n nid rllc rnrl ftc abor c inlomt nn ir cotr.d I asr6 ro conply wirh lll Ciry lrd c.unry
<br />in8 conrru(b[ !d ha.t4 MlnM ED.6dd^ 6 of 'h! Cnt ..d Counry ro 616 uF. rli
<br />It
<br />tt (v +0
<br />^K
<br />l\zt\q
<br />lEEi-.iJ
<br />IUIilIhTEI
<br />Light Standards
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