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ELECTRICAL-INSPECTOR RECORO <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />ht 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 lz4d-11 x{I-! <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />us h) <br />Ceili ngs (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Roush JV',14 1-7-1011 X.\IJI <br />Service Meter <br />FINAL lz.to-A <br />Notes, Remarks, Etc <br />Ol'VNER BUII-DER DELCAR TION <br />I hd.tt llfm u.d.r FEh) ot rEjury lhi I m d.oF nom rlr (-otudm Lite tA ror ib. aolh*i.B l6tr (Sd 701I t . <br />Borr* .nd Prcf4$n Codc) Any ( <br />'ly or Counly shich r.{uir6 . Fhi lo coNld.l, .hc. inFov., {tamltfi or l.p.r mt <br />nrudue Ftu 'o <br />tu iMa lL. r.qliE dE +tlt.,n h, och Fnn 16 nh, slsi.d drtur thn lf or J. a liGB.d Fru.,n <br />to <br />'h. Forsio6 ol tlE Conlc|d i Li.6!.d t:s ((]qi. 9. Com*'ns trnh S<rbn 7(m of Diln.n I of rlE B$il6 'liPmlcsioru Cod.) or rhlr hc or !h. ir .x.npt rhd.ftoh md rll. ballr for rh. allcs.d qdFiron. Any viobtioi ots..lm 701 L5 t'y Ly <br />arplic.nrfor.Fni'rbt6Brh.@h.dtro.cniltErhvofmrmrcrhan\.hundrd& ldf!5m), <br />L a ow.d oflh. F.psly, or ny dplo)E r h \rns6 8 lhcir $1. compd$lion. sill (h llE sort md fi. rME is ntr ' <br />i drLd orofiacd aor st (Sd 70411. BBil6 ud EDIBhB Co& llE Coitoctoir I tc |ls &6 ml tedt lo e o*F of <br />rh. Fitdy tr rF bili or EqDr 6 dE6( -d $ b dG ern $ort hiN.lf o, hdrlf or lhmu8h ha ( h.r ora anrt lc, <br />pro\ id.{ rhll i!.h iml'uffir e mt mrad.d .r orE d fi, Blc ll tb*6s, rh. hium* or imln(ctrd ir sld wnni. on. yw <br />orconpld6( llE O*G Brilb trill lEv. llE tr&n ofF.riig rh, tt n !h. dd hr tliti or i,r{frrc dE F)Fty tu tlE rDrFE of <br />l. ao*colth.rmraly. a.rctun.lyconrnlrlg wirh lic.6<il codrdoolo odo.i tu Fnj<l (56 70{4. 8$d6 <br />.rd hD*snr Co<t : Thc Conr.roi! l,(.M l.s dG mr qh ro d o$nq of Fopdt $tb tlrl.tr or inp.ov6 rha6n, <br />6d trho (r dr tor ruch Fsj.(s snh . cbdndo(r) li.d&d l'unuer to rh. Codr*lor'r I-icB l rw) <br />I m croF und6 sarion .lt &PC fo, rh6.a)n <br />D.r.: Ownd: <br />It'otxrns cot[pmslrtoli <br />OICIJAAIIO! <br />I hs.nt ifirm undd Fnrlry of Fcjo.y on. o I rh. nnb{ins ddldarioro <br />- Ih.r.!drilldi in ! ('difrd. oacolg! h s.lf-lBur. td *nld' mmpnsa.n, a Fo\iL<! ror by sEtFn 17(, of tlE <br />Libor (tde fo! rhc pqfolrjffi. of ih. mrt for {ii.h thc Fm't a isu.n. <br />I hA. lnd f, rll md.in sorlo cootF8.ri,. iMmc. s r.qur.d b S6rion lTttl of lh. trbor Co&. fo. tlE Ft(ffi. of <br />rh. work lor which rhir lE6ir i is.d M, wort6 mslqsnion iNuffi. .niq sld policy numb6 Ec: <br />,.n, A ln-Cficqrl 2t,f tCL <br />"ou.,^-oo!&fc bYql*n ;.;_|!llo <br />I cditrhr' in rh.Fr.m.N.oalh. $ort f.r *hth lhs Fh n isc( I !h.U mr dploy my Fer in uynuF <br />e a lo h..oft subjel lo lh. wortd comFB.lio. 1,"! ofcrlifonL od 4rE rhd il I ll!.uld tEron. robjd to rlE*od6' .o,pslrnnn Fo\ilFB of S€lhn 17@ oalh. L.&r coda I rlElL fMh"th omdy tnh rho- Fori!68 <br />WABNINO l;iil!r.lo su. norkqs c.'npNrnrn .dl b ubwadl. !d !tull 3ubj.{ dpl6F ro aimin.l Fuii! d <br />cnrl in6 up kr orc hundrld rlFusrd 6116 (ilm i. .ddnbi b rlE .o! .l.omFMiol! d.n €€ a Fo\it d t6. tl,. <br />2 <br />I hq.tiy.ltm uid6 FuXy of Fjuy thi I e lEsE d urta Fovirbn of ChrFE I (mffiiit rnh Scri 7000) ofDivtirn i <br />of rhc BUIB rnd Prtrt6io6 Co&. id hy lkoe i! h tull foE,n.ft.r. <br />L LC2 q7)1lQ <br />LTzr/ k1 De11ysf L3.S,-S <br />I hdrb,.trmt da FMn,ofFJry lhl <br />iiru.d (sd 1(,7, civ ( ). <br />ld'dinr ud! for lh. psfm. of rrE tr.* aor q hf,h <br />'hi! Fni i <br />APPLICATTDi(IT{ATION <br />I hod, a!',o u.dd p.ioh y or psjury orc of rh. followirg dqlmrion!: <br />Danolni)r Fmir!&b6rd Norifrnh. F.&d i.BrLim(TnElo, Pd6, <br />i<luir.d l,cxd of Norificlr0n <br />od Courl ro 6rs uFn rlt <br />ulzrle <br />k-u/v) <br />I (dliS <br />'h. 'lr er9'l E3uldbB E3dq 6hdd rm"l r. d 4pl(rbL '. rh! Fr|al <br />l) y <br />, ..,t, ,rra\...y'*u rrprr.rhtr rd i!t. rh. !h..ts\. rrorunn s c.Ed I .s,e !o s'qrl <br />odM6 &d Shr.\Ir ELiry h hrildqr .otubtr nd hsalD rdho@ r.r6srrn 6 of ths Cn! <br />.hot mntoxd pro1f,I}6r Bp.drn Fipu6 ,,r.t A V <br />^-*.,*^,-/"r-,'*,/ ?Pllq- 2 D,. <br />*-u--..hr,*z( D-qn;6 | larqaS