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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS
<br />Site-Work !l-I\Underground -,
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications 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 & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Metel Release ... /1 ^;l,!,iltll&t*oVtt, UZI*0|:,lHrllr4 w
<br />Roujh tll .a
<br />\l/nfuil{tService Meter tNnlll Vrz
<br />FINAL tlltllf lUrtruU 5W
<br />Notes, Remarks, Etc.
<br />(,WNER BTIIT-Df,N DEIi- RATION
<br />I ha.ty.lrtrn undd F.ally ofprjury thsl I m.r.mrl fiom lh. (bnlreloB l-icru lrs l.tlh. followinS ra$. (S( TOll5
<br />lt6'n6! rd Profsion Co<Ll Any Cnt or C@n! *hrt ,.qu6 t Foi to .6dtud, .hr. inprore d.mlih or EFn 6)
<br />sttu<l@, Fior k, ilr BUd... rbo r6ll]n6 rn .pplicer f.r $.h Fnh to 6L r ri8n.d idml lhd hc or dE a lic6.d rirsln
<br />to rh. ForsrN ot llE ( onrrrrois LraN<d l,$ (( lEpra 9. (\M inB snh s.di'n 7000 oi Dn kio. ! of tlE BuiB ud
<br />PNrBmn. (-od.) d thi rE or.lE L aanF rha.fom md th. hdir ,or 'h..lL8.d .rmpiioi Any vsliirn o[s..lDn 70ll t.r-&y
<br />4'''lic&l for ! pcnit tlbjais rh. aprlcol kr . ci\ il p. hyofnol mor.lhe lir. hun&.d dolldr ( r5m)
<br />l. a osM ofrh. F.palt, or ny mployg wilh w.86 B lh.n sk coDp.E lion. "ill & lli wdl ind 0E 3lute n mt
<br />t di.d or ofr6.d fd rk (Sc 70r,1. A6ilE ud Pmf6hB Cod. Th. Conrrld'! L.o4 ln rlE d li9ly b a o[E oa
<br />rh. Fopdr, stn hril& or inF)\€rrEac rn *{E &E *h si hiN.lfor hE*lror llrcuSh hB or ha o*n nployG
<br />Fovidcd lhar tu(h nrmvdc$ c tui ilod.d or olbld tur sl. l[ b.v6s. llE hrildq or inquuEr i $ld sdnt @ )d
<br />ot..nplir dr o*E BitL sil b\rln hlddr of F!1t d, lE m sh. dn m' hild or in9rtrE tlE FFD' for iE F,po-of
<br />l, 6 osffi olrhc lr.tEry. m qcluiv.l, conrrodins *nh licds.d mrfi-loa ro @drucr rlE prord (Sd 7014. B6il6
<br />,aj h!tu in Co&: 'th. conr6.ror't l-ic@. ri* .166 er rpplv b o.$a oa prcFny *ho tuild! or improvG rhs@n.
<br />rnd *no N dr f.r sud p.oj.=l] wht ! Coffio(r) lilE d
<br />'[Ruir
<br />ro rlE Conrtlft ] Li.!e l&J
<br />I m.rmB unda sdlion
<br />D.r. (),r.r
<br />u onxr:r-r' colrrnsettos
<br />Dli(]rlBdll0!
<br />I h(cb .lnm unikr na!h! ol pqur! .rc of lh. folk'tr mr .k h.d k,c'
<br />I h.v. dn will mint.in r cqritrcr.olcoMr ro S.]f-lBuc for *sl6 @6!a5.lion, a Fovidqi for by S.dion 1700 ofllE
<br />t !d Co& for lh. Ffolffi of tlr $ut fd f,nth lh. Fri a Lrtr d.
<br />I h!* rnd *ill tuinu'n woll6'.nflFqrh. i6n@.,6 (qnir.d b.r S<rio. ]7m of rh.libor( o&.6r tlE Fftxlrm. of
<br />rh. $.d fr whah rhb F{it ! isld My *ort6 onFsaion 'aul . .ais !d poltt tumhq a.:
<br />AWLV ILAA ZU?JOII
<br />VJL<(A|Lob uW tz-S'pa
<br />l.qiif! rhai in rh. Ffo@r. of rh. $ort for *hi.h $t Fnn i. bu.n, I shlll nol 6nphy .ny FBon in.ny luoq
<br />s (to h<om rut'rd ro rh. $ut6 NnFMbn Lq! of ( rlif.ml rd *r rhn if I lrbuE tEcoft stirtl
<br />'o
<br />rll
<br />wo 6 comFNrion pmvLioB of S.dion lT00 of th. L.tnr Cod.,l slEl!. font\rnh comply wilh lhos rovilioa
<br />W^RNIN(;: Fa'lurc r{, h@ work.r' compddion .ov6rSc
<br />(hrl nn6 !p !' rk hundEl rhorsd &llB (ll(..uool.
<br />'n
<br />is unlNlul. mrl rhall luber m
<br />'o{., mrdd ud dronEyi f6
<br />I hd.ty .trm und6 rEulry ot p6j,ry rha I @ licaB6d undr Fov.Fi of Ourtd i) (omhacin| *nh Sclion 7000) of Oir ilan I
<br />of tlE AuiN dd ProfdioN Co&. .n ry lkog b b 6rll lore dd.fkr
<br />Cto qna$\o
<br />Ltll toF4 \\( I v\< 9o\^e-
<br />(ANIIAISTATJ!:XDTdIiIGIaCI
<br />I hs.by llIm uid.r rEilry orF)ur- thi lhd! 6. clt ruclion loits,sfty tu rh. Ftonn,G.tth. "srt to. rnth tnir Fni i
<br />n&.d (S4 1097, Civ. a )
<br />ATIIISILIEUJSAIJII!
<br />t hcdt rtrm unda F.i, of Fju, r. o.. or rh. follo*i.B dalrfl.nr:
<br />D.r6hion idn]tubdld N(,if(.riu F.{d.l R.suhrioN (Tn!.40. Pa!6)
<br />Rcqurrc<t Lrra of ttti6.d ion
<br />I cdlift
<br />'har
<br />rh. fcndrl r.{ul{iom E8edrng alErG movrl . mr dlplic.bl. to rhir t'tr,..1
<br />I cdilr llln t harc tcrd lhB rr,,lrrrFn t'd iilc lhd rn .b\c lnforndFn 6 cotr.al ro congry*nh rI Ch).nd Colnr,
<br />frhis cnyed colnryto 616 upon lnordtr'in.F !trd sl.rr I a$rrcllrins k),ld n! cftr{'!crk,n- ulh!reh} rtrr
<br />rtr\. nHrhftd p$Fdr ,c
<br />.\p0li(rnr or.lp6rl Signrl
<br />14\
<br />ulz rt lr<
<br />rD/srG.
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