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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ilding
<br />Bonding / Grounding / UFER ?-t"-7,l+,r/6>
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Rough ?4 5/L4 ?-rz-z.o >-llo,l
<br />Service Meter
<br />FINAL 3-12-?D r--S,rgt
<br />Notes, Remarks, Etc
<br />OWNER BUILDEE DELCAAATrcN
<br />I lE.b, .mm ui& Fdry of pqjury thn I m qm$ trd thc Cofiaro6 Li.qE t * aor llE followin8 ra)n (Sd.ml l.5
<br />Bci::4 !d ProfBbn Co<l.) Any C'ry or C@n, rtth r.qE€ . FDi to odrucr. .1.. i'!r.oE &mli or rFn u,
<br />hduc !.8 'o
<br />ia !s{ee .h. EquiE rlE +plkrr for Mh Fhn b filc ! itsi.d .trand thr h. o. tE ! li.aE d F,rEi
<br />ro rh. FovnioB ol tlE ConEacloit Liccns.d Irv (Ch.pro 9. Connocing wi$ selio, 7000 ofDivirioD I oflh. Buin* ud
<br />PtufdioN Co&) r thd lt or 3h. L ddp{ rha.noe &d rlE hGi aor th. .lLg.d .rantrir.. Any vnrLlion of Selion 701 I t t e,
<br />+plic..r for . FEn Dbjcrr ln qPli..rr ro. ciril pdlyordr mE ln& fir. hui&.d&[r! (1500).
<br />I. s omd of ih. FDFly, or my mplorG wilh wg6 u lh.ir sk anFadion. Mlldo tlE $o[ dd llE nr'rtE it mr
<br />i.rdd.d or olt6.d ad sl. (Se.7O{4. Bui6 xd PrDfdioE Co&: Tn Coturroir Li* tnd6 nol .pply lo o omd of
<br />tlrFDFty slb tlild inq!€ s@.n *h dGunNrt hirulfor tE*lf or rhiluSr! hn dlE o$slpblc,
<br />Frvd.d rhlr $ch isF!64! c or ndda, M otu li, r.L l[ hol@, l}l bildla c ry.oEcr ir -td wino o4a
<br />of.otrpkion, dE O"E &il& wil lNr tlE hmh of FDvirg lhll lE d JE ttd ml hrld o, irerow $. FoFry 6. r,E FrFa of i
<br />I, 6 o*c of6. F?qry. m.rchsiv.ly.o dlrs wlh ltqE d @dr-16 ro.olrnt.l tlE F.F (Sa 7o+4, BB,E
<br />!d P,lfst Co&r Th. Conrrelo.r t,ic.M hw do6 nor .prly lo o om6 of FoFn, who &ildr ot inp,ov6 fi6on.
<br />lod who co ra.l! fo, ruch Foja:1r wnh r CodEclo(i) licds.d punud lolhcCoitriclor'3 LhoM t v)
<br />I m ctmF unk S.clt._.B &P( fo.thb@n
<br />ua8ll[85:(Ou.tldsallo!ltclJf,allo!
<br />I hd.6y .mm un& Frny of F,try oE ofrlE followi,ts d(le.lbB:
<br />I hlvc rd rill dirr.i! . Cdifrd. of Cot6r to Scl r@ aor mrla .omFBnio( s FlviLd fot by Sdlioo l?00 otlhc
<br />llbd codo fd rlE Ffolr1ec oirlE xdi d *tah tlE Fhir i! is.d.
<br />D I lEv. rnil *ill mrim.in *ort6 compcMr irn rsuram.. 6 r.qun.d hy .(q1nn 17m of th. l,bor Cod., for llE Ffolruc. of
<br />rhc worl lor whEh rhis Fn ts isu6i. Mr tr"rha (ompoddn 'Bu'd.. ffin rt! pol'c, numbs .'
<br />Z.rgqAa?r?Lc4.r, -rs
<br />,"","*"* |DLA1X3AjO _*,""1*e1-?p*
<br />all cdrtrhr i. rh. rE aorltm. of rlE $ort ,or shrfi rh'r Fmil it u.d. LDllmr 6ph! mt F$n in &y seE
<br />, Bto h.om$bj.rr ro rh.*o d $dFBdb. rN! of (-drfomil.d +r thd rf I thou!.!tiaom 3ubel ro tlE
<br />wor*6' compoerio. pmvirioB of ssri.n l70o .f thc t bor Codc. I drll, lonhMlh cooply wilh lhor provirioN
<br />ndl sbd u oploF to qEnd Ful6 .rd
<br />clrl fir6 ur ro oE nun&.d rhourel d,l6 {rlm,ooo). i. .ddn
<br />serior 10766arh. t br (-od.. inra6r ed db.By s f6
<br />or comFrq'on. <b s6 . Fotd.d 6r rh.
<br />I
<br />I hdrhy .,Im urda FElly of Fjury lhd I m li.6!ecd uidd pfovilioi of ch.pr6 9 (aMUu rnh s.dbn 7000) of Divi.ion l
<br />.l th. BGiB rrd Pmf*i,B Cod.. !n my ltq& ir in tul foE ti.lfcr
<br />/oo q(€L
<br />"'," OZ'-F^rD U 6 fgr65
<br />CAIIIAUCIIINTEIDIIGIqEN(A
<br />I hdtty .llm u,xla Frn' of Frury rhn thd. it . coinru<ran lcldi4 .sary for tlE Ffm. of llE *gl t'r *iin $! p6Di .
<br />isid(Sc 1097, Cir C.).
<br />AITIISAILIECIAsAIIO!
<br />Iho*y!trm!.(b pdrhy otpdjury.E of{h. follo*in* d<Lr ioN:
<br />I}@ln.. Porn}tutqrc Norinc.Ion F.da.l R.sulabc (Tnb 40. P.n6)
<br />_Rc{uncd krl6 of Nor'6ation
<br />_t cdlry rhi $. lcdd.l rc*lbrio6 r.grlrirs ahdG lmrn e mr {Dlalbk ro lhi! F*xr
<br />k.*,0,n,,**.td,* appltixon &d sr c rhli U. ibovc iorormdo. n.otu. I .sc ro onply wft llr (ry &d couny
<br />dnlilmd.n! sr.r. b$rr.hlila ro hildiry coBl
<br />rtr)r. lmthEJ Flpcly for iBpq1n. FlF!6
<br />iv6 oithlr( ily dd Counly to 6ts qnn llE
<br />App ..nr.r Aral Skn.lurc
<br />Pdlr(qm.(prlno: A Do dtr2 G.*z--
<br />OZ-lq'tpzo
<br />Rev. 08-07'2015
<br />Under Slab / Floor
<br />[/eter Release
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