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ELECTRICAL-INSPECTOR BECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilin gs (Hard & Soff it Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Bough a
<br />Service Meter j'r U^l
<br />FINAL 2/%;;/zu uea@ aq{a
<br />Notes, Remarks, Etc
<br />OWNEN AUILDB DEI-(ARATION
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<br />ll)pli.anr fd 6 Frnir obirh rtx rptl{rnr ro r .ivil p.tuhy ol d,i mft rh:n livr hudrcd &rllrr ( SlUJr
<br />--1. !\ ow.cr ol rhc ropcny. or my .nDlorcs *irh wra.\ !s licir s.lc c.,{Eoul t'n. will rlo llE krk Lnl rh. ddm t m'
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<br />ih. F)tnv *L liilk n rIIoB rlEu !,i *lI) ds sh rrxl hinr ll $ h.r<ll or rtm{8h ht r tfl .yn .q,loye(.
<br />nn'v dci thrr su.h inlmrftnrr m mr i .utd or oflml fm slc ll lx'*cvLr- ltF hlillin3 oi itr{fl'Enr ntr,EwiihinomFn,
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<br />-l.
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<br />',n hDFdnCod. l'h.O,nrrEroar I k.n( lr*&B mr.nnl) ro!no*ffiollln,rEny{b hoild\or inD,orsth.rsn.
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<br />I am.r.nrrr lnkr S.{tin
<br />D.l.: Ovn..
<br />wonxrts, colrpr-,rsetron
<br />lllrJAaArlrx
<br />I hcr.by ltlirmlndcr,Enrlry ol|crjuyon. ollh. nnhwiry dcclnrdionr
<br />-l
<br />h$r nl {ill ruinr.in t ( difr.k of Concnr ro s.ll. lnsur. lrr Hrk6 oqEns.rirn. !r F,vit d for ht sdDn l7u) or rlE
<br />Ijhor CnL. for lh. Frforrom. of trE wolt tu which trr Fmir ir ilsuL!
<br />I Lrdiltrhlr rn rhcrxrtnnumcol rh. q.rl fl, whf,hrhislcnnn is ksual,I $!ll nor.nDloy.nyn rsn h uy n{trBr
<br />w, s r., ti$m sul,Fr h rlE *o*d\' con{..qli'n L*r ofcr|nmi( afti +E rhd irI sr$uld bt o'tu {hFr b rrr
<br />r n6\, d,mrEnqr kr Fl *i'B of Sel ion l?(r) or llr LE (ii.- I rlEll. ronns I h rarn{'ly *nh rh,r ln*ni,.r
<br />r\ \R\t\o t.trr, ,,...tr,r nnmlc r unLrrrul. lnl \hrll suhFr cn .rnttl
<br />I}EqJSAII(Id
<br />Nny o, tBrnry rh.r I .m lisri oi&r Im\arhn or (-lEprd 9 (omftk,n8 r h S€tri.7(,(Dr olDiriis.r
<br />,'l rhc htrtrr\ nl holt*i,tr,\ (itrn.. rrlary i..nk L r liill ntr( J'kl.lld.r
<br />qNSIAUqIOIJAOIIIiIGE!.I:I
<br />I h.rby .fiirn uD.Lr Fn nt ol Frrur! lhlt ftn n r dtn{tunn trdini .'tE, lor llE Frft,mE oa rh. rqk trtr xiih rhr Fnt k
<br />krucdtsr lm7, civ c )
<br />A!?I.IIANLIIEIIJXAIIr!
<br />, hddD rmm ulncr Fnlhy or Frjort oE of ltE n'lhrine kLl,,.liors
<br />Ixfr,liri,n Pcrnik Ash.rror lllrifkrrnn tu irl RqoLri,ns ('l''rkl0, Prd6r
<br />R.quncd bn.r uf t*ililkuin
<br />I ccnilyrha! rh ltd(ll rcEubl i,,n{ rca dirl8aslf,{ r rcm'rrl rrc nnr {'dt!hL li, rhis
<br />I .s,ft rhd I hrF Erd rhn {flirrhn an {.r. r lolt snh rll Cnr r.il Coun
<br />orl n.trrc\ rkl srn. l r(\,rlr,trJr ri |,tr,1!l,r.on
<br />rtr,lr nrnrinRl px)r,.dy f(tr in\p.{i)
<br />Site-Work
<br />Air Conditioners
<br />4124lqn
<br />I hr\ c x nd r 'll 'Mnrr:n *ort.rr' .rryrn\rrfun nur r.. !\ rcqrnd ht Srr tr,n r7(X) of rhr tjh tr Gdc. n, rhc ,$nrmh c ol
<br />rh( work lor*hichrhi\ pcrinii i\ nskl Nlyworkcrr.on,pcnsrrkD nNtmm..am.rrid F)licy nu'nh.r drcl
<br />Poli|yN0mhcr
<br />-f.(prc<
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