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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER 3-1c-74 VoJti
<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 />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough /x
<br />Service Meter )-7A *7r)'dwl \
<br />FINAL 7-a: -7)',Yuw v 4,ntA
<br />N s,R arks Etc
<br />'.7fuN..h - fltlL tA-c6 To AAvl I
<br />r)\\\tR l|l ll Dr RDr rr \x \ ll()\
<br />I hs.by afrm u.dn pollry of l!.9u.y rhd I m nmF l'on rhc Codocros Li.ce lrw forlh.lollowng Bsn (Se7011.5
<br />Dsin6s snd P.ol6ior Cod.)r An, Cily.r Counly whkh r.q!t6 r rEnn lo cordN.l, tllq. inI'1rt (btulih or r+in oy
<br />$tu.ru... Fi, to ". isue.. .le cqi6 rh. nglicdr ror $ch Fin h 6L.3i$.d rran rha lE or dE it !t6.d Faar
<br />lo ilE FDrLbB of rlE Conrr-ror'3 Liclot d t.w (Clt prd 9. Com*iry $ nn Sdi)n 1000 of Uvnhn ] of rh. BsiB rd
<br />PFfdoB Co&) or rh.r hc or !h. i! ddpi rhd.froh dd rh. b.sn for lh. .lks.d adFDn. A.y vDhriotr ol Ssrion 70.1 I 5 by My
<br />dppli.d for ! ldsii subj<6 rh. eplica.l r. . .ivil pcrllry ol.or noE rho n!. hundrcd doll& (!too)
<br />l.a o$E.tlh. FoFly. m m) arghrc *nh tr.!6 a E $LsnsdBdion. rilldr llErdt.n Einrrc. rcl
<br />inErt d or ord.d ld nt. lS< 7Mr. BuiB ed Entush6 ('o<l: TrE (n,hrld 3 LrGe t^ {t6 d +lr lo s .*E ot
<br />lh. FrrEly wh hril& or itrpro€ th.Ea rd who dE sch w* him.lf or h-Elr or rhFl8r fiir u hd os dphrE,
<br />pmlid.d fial iu.h imFDffi( @ mt i.lod.d oroftu d fo. sL If. ho$!E. lh. hilding or i@ro\ml b sB qnhin orc
<br />'sof o,q'Lrio( rlE (nE &ild6 li[ h.v. tL hr&' of FDrit{ rh.r & d +. dd rcr h:ild q i,tFDv. fi. pNFt, 6r t E FrpG oa
<br />L a o*nd o r rh. frepqt', m .r.lus'r.ly contrlrg *i h li.atsai mdhdo6 b .odru.i ilE fmjd (Sr 704,1, ttuffi
<br />aRl thkhn (-od. 'l]l. Conl..clu r LiccBr l.!w &B nol lpply to an osoo o I prop.ny who build! or nnprorc! rha6..
<br />dnd *h. cond. for iuch tmFls wnh. ( oddort., h.E d puud ro th. Conrd.r'r Lt* lrwl
<br />lm.rmfl u.da sarirn
<br />Drle, O*..r:
<br />lvoRk r Lq' ( onfaNsdi'roit
<br />IIIC|JEAIIA!
<br />I hd.q ,mm un&1 po,lry of,E!ry ok of rh. lo,lor ins &.lnd.G
<br />I havc ed s rll m!,ntsin a ( .n ilic6t. of Cotudr ro Sclf.lEur. for work6 .om!.Nr ioo, 8 Fov'd.d nr by scrion .r 7uJ oarhc
<br />I itr. ( od.. fot lhc pafolrllm. of tlE $!rt aor $ hich lh. Finil ir isu<l
<br />I hN. rnd *ill uidri. *ortd' conp.Mriln iMMe a r.quiral b) Sd6n l7m ofrh. Ld.. Cd4 for dE Ffm of
<br />.-*,. ohb Fnn 6 is.d Mt$0116 mdFM6. i6u@...dH dri nn'(\ nuobd,.\ .^f Gr--(IYJCl\ C\.,t'\Lr.V \--L1 Y-5 01|1j Lt--,*' -( \ l5 l 1 I
<br />I cditrhdr in'h.p6forn!.c.ofth.qork fo.*'hichrhr pd.rn is is!u.n.l shall nor dnploy any pqlon iI uy6un6
<br />tr, N ro b.coG lubjdt to rh. uorl6'@mFositu. hE of ( llifodi& Md is6 tha if I rlbuld b..ore $t er ro llr
<br />{ortd' omFMr6. Fovir.N ofsdi6n l7m olrlr ljhor (iiq I {Ell. lodhsnn 6ntlt $ hh rt$r F.rbioB
<br />$ARNINC F.rlurc ro Gu. qsrl6' comFMion .0\6.!. i. unl.uful. lni shrll shja' & dplors ro ainiEl FuhE ud
<br />0ivil fin6 uI, lo onr hu..lr.d rhousn'j dolls (1100.0m), in addilion u lh. cod ot conp.Mlion. da!.s6 s prov .d lor rh.
<br />Sar{)n 10?6 ofrh€ l,bo. ('Dde n6d ,.d d k,llE's fd
<br />k nrru-,,X rrv\ {a.\7l16rt
<br />u(I^-rurgDl3ruat
<br />ur(l"rB\-uar
<br />I hd.hr rr@ ud6 Fuhy of pdj-r,. rhd I e licq!.d usr. Fovaioi of ( hrprs 9 (codn@ing $'nh sdbn ?000) of oilnio.I
<br />of Ot BBi6 !.<! ftotdod Cod.. rd 6y l.o4 i! n full forr d clr<l
<br />V
<br />1c L)
<br />to (12;
<br />n.r"' (z ff!,C[4!\ @q
<br />j.IIISIBILCIIAN.LXIDIIIj.ACINCI
<br />I h6chy am und6 Fnah, o f pdjury thrl rh.. n r .odrud on kndi4 r{dy for rh. n(nrnn&c. o l lh. $ od for rh'ch lhis rsftir i
<br />isu.Jtsd 10Q7, ('n c)
<br />I .ftLr \ N,mc
<br />AITUC'IIIECIAXAIIO!
<br />I noir dtur undq rElly of Frry oE of 0r folhq itr8 dElelbB
<br />l).molnion Pcmik-Arbdor Nori6c.rio. F.nn.l R.8ol.'ionr (Inl. 40. Pd6)
<br />R.quir.d t..lt6 of l{oliftdnn
<br />I .6t iry rhr iE l.da.l rcsuhrioB r.si{'ns at .or rd\ rl @ r, +rr..bk lo rh. FoFr
<br />,YL-I '! cd ib r hd I hlr c rr.d rhit lFplicrl on ,'d r!r? rhd rh. .n'v. i.aomtion ir .oE rl. I lltra to cohply *nh .ll City lnd Counry
<br />odiDtud Md Srd. L$ Ehhta to hoildiq.oNtudioG ,n h6ct,.dlh.i,...FMldtr6 oar
<br />ahnc n6'irm{ r,n|En\ fo. 6rEd
<br />,tpplh. orAa6l shn.lurc^
<br />-.'2v--0 \\,
<br />t)(^ \,\L,\Pflnire rmclp rl): X
<br />_.'I'ia[i[r
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