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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG., -COMMENTS Ol NER BUILDiT DEITT'AR TION
<br />I ,ne.* rltm undd Frny ol Frrury rht I m d.mpl 6on llE Conr&r6' Lie l.{ lor rlE ftllbsiB '6* (Sa 70! I J
<br />It$in6s !.d Profsion ( od.) Any Ciry oi Cb!fl, shich EqliB , Fnl lo onnrucl. ilq. imprcvc &mlsh or (pan ey
<br />3rudue Fn ro irr iM.. .L '!qun6 llE .aDltDl tor uch Fnh l. ilc . r€n d nr6Ht rhr h. or tE a licar.d pi!&!tr
<br />ro lh. Forirh6 .f $. corldd r l-irtE d L.\ ((lEFa e, ( omi.s nnh scrh. 7000 ol lrviri,. 1 of rlE AciE rd
<br />Pmlcssion! Codc) or rhar lE or !h. n ddF rhcdrof, md rhc IErn for rh. nkg.ri crdp(ior. Any vhhlion ol Sdi'n '701 I 5 by !.y
<br />rppli(.fl fo. r FmI $b6k rh. .rtli.Dr io r .ivil Frh, ot Rtr mE rhrn fiv. tunrH &UE ($500)
<br />I. s 0"16 of !h. FrFny. or my mplo)(r wirh *.s6 s lh.n $k odpoadion, will& thc hfi dld dE nixlw ir ml
<br />i d'd.d d o$sd hr e]c (s6 ?o,L. BsiB ed Pr.fdio6 ( eL T1r c.ddc r Lt.E t!* &6 ml ,9ty ro 6 ow ol
<br />rh.FoFrt *t txitlq in!1o!6rha@ nd *'h. rt6*$ $.* hiIEllo.lE*lfor lhFu8h ht d hd o*n..phtq
<br />Fovd.{ thd s.h inF!\EEft E rcr i,(drd.d or olL.d 6r slc Il lh*-s. ilE hriEin8 n ltF.sdEn i rld w
<br />'n'
<br />oE }a
<br />,lliryPt,^-*'h6willhx.tlEhr&,orF.viqsrnilEo'tlrdndh,ilddhFovrlEFlFq6'dEAlFror
<br />W"*". *rn n"n^y. mcrclun.ly (omdhs wirh licoE d conhcloRro o'rtu r [E F$jdl(sd 7or4. BulilB
<br />l2El'n ra"- c"a n'. c,it*r-i r"-* 1." aol *r lprlr ro r o*n6 orFoFiy who build! o, inr6.6 rha6..
<br />Dd $tb or..xls 6r sch F!j.rl, *nh . Cofrsio(r) licqr.d Fcun b
<br />'lE
<br />coffiM r Ltde Llf,).
<br />I o,.r.mpr uods Sd.oi1." t44y-t
<br />OESTAAI,IN
<br />I fid.by !flim und6 p.ndly ot psjury on. oflh. follos irs dElt.rioB
<br />I h.\r.n f,ill min.h r Cdirr.l. orcoe t. S.lt-l@ lm *vtd omFcrFtr a Frit d 6t b, S*rbn !700 oalL
<br />l$or co<h fd ilE F6ffi oalfi. mrl fttr *iich llE Fnn it is.d
<br />I haE.nd *ill tui .i *on6 comFurb. iuB.. 6 r.qlnd '.9 Sdion :uoo of rlE L.bor Cod.. aor lhc Ffolrl@. of
<br />rnc $DrI fut st(h rha Fon ir isrd M, w.rt6 snpGrion iEff. ffi od polty nunt r k
<br />fffi il-*----'s,;xr"rn :,".m*: :t** rL*:'*:m; *
<br />trortd' .oqmrhn povlliod of sdion 1700 ol rn llbor ( .&. I Jull. fonhu'nh comply u'ilh lhs prDvirhG
<br />WARNINO Foilurc to sur. wrt6' conpslrotio. covolsc B unla$Iul, and rhlll subl.tr m mploF t' dimhal
<br />'l..hi6
<br />and
<br />cnil fird up ro oN hun&.d rhou$nd dollrE (troo.(loo)- ir iddi'irn nr rh. .or .f comFMion, rkrEBd 6 ForA.d for lh.
<br />/S<r.n lOzO otrt trtor Coac, notr oa
<br />'^* t44'1 ^
<br />I hE.l, .lIm undr Fult, of Fjury rhd I m li.dlGl uBta Folirion of (1Epl6 0 (omwiry sit
<br />oa rh. tlBilB ,nd Pmfdnd cod.. nd N lk.G 6 i. tull i)rc in.fid.
<br />lorsBltclaNi,llDllli_&cE!(t
<br />I h@by rflm urr6 rE!h, otp.rjury rhlr rh6. t r con{tuclion lndins .rro.y lor rh. pcfollM.. oarh. $orl for whkh thi! Fhir ir
<br />Ncd (Sc 1097, Civ C)
<br />Atrl.l(alt!&(ltaaua!
<br />I ho6, rfm uida p.ntny or FJUr- oE of tb. folh$'ns dB&.r io6
<br />I)tmliion Pmnr-Asb€ro! Norific ion F.d6!l R.aul.rbn!{Tirl.40. P[l6)
<br />R.quftd lllq otl.lodfrdD.
<br />, l.lia thd rh< l.do,l Rsuh!'aN EardrnB 6tdor rcm\ il d. mr .p9l(!bk ro rh! r'mJqi
<br />ffi,r, tn*, *'r,^ rnB at?l(.hn ad tlr!. rhd !h. rborc rroddion 6 coE d I rgrc ro mmrly trnh.lr cnymd (-oontt
<br />'5.diw6 .ft1 sr.r. lrE (kr!B !. Irrld,n* cndtud iotr ild hd.6y rurh.@c rcFsniiv6 of rhi! Ci!, md counry i. dl6 upo. tlE
<br />rhr. nElirn d rioFn! tu 'rqdioi \44,t:\r,t'li.Nnt o' ,\r0l si,r
<br />r(c ,zgt ^1
<br />G,A
<br />Site-Work
<br />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 tl I .a
<br />Bonding / Grounding / UFER I ryc'flq J6 w
<br />Transformers I
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment a,
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)l
<br />Meter Release laPrb ?
<br />'Rough /lw abqlfu,k
<br />Service Meter 7fr?-z/ct I tuu ,o\
<br />FINAL l/f/2r2o (lle,fu ,,
<br />Notes, Remarks, Etc 7/
<br />X
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