ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMt,tENTS
<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
<br />Bonding / Groundino / UFER
<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 />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />FINAL '.2o11 ?Lz,
<br />Notes, Remarks, Etc
<br />OtI'I{ER BUILDER DEI,CARATION
<br />I h@try .mm unds p.tlly ol Dqju.y lha I s .r@pl 6.n th. Conlt.cldt Lic.n* La$ for lhc tolb*ins r@n (Sa 7011.5
<br />BBind lrd Prol6.Fn Co&)l Aly Cny or Couiy whth t qtic r For to @dnKi, r!d. i!qrov.. dcrlirh ot qln av
<br />tuE Ftr ro iE n!4e .lb r.qric dt egrt&r for s.h pdni ro 6k t tBn d rr6el fii lt or tE ii liB.d IiNd
<br />ro rhc Fo!i..E ol r Cont!.rd! L'c.n.d L.* (Chprd 9. (\@ir8 * h S<lbn 7000 or Dnni6. I of th. BBilE sd
<br />Prcf.shN (nd.) or rhd lr oi sh. ir qonF fin.noo !d ln b.ri! aor lhc dle.d astrFioi Any violdio. ofs.dbn 70ll t ty&,
<br />rpplicdl for ! Ff,n tublclt rlE .ppli.ml lo . civ il FuIy oa ml mor. the fir. hu.dt.d dolld (1500)
<br />l. ! olc of rlr FoFiy. 6 6, orpht< *nh *46 s Ei hL @'!pdrio.. $iI tt E sat tn dE ndrE. t{
<br />idqi.d or offacd lo. d. (S6.704a, Bui,6 ud Pmf6irB Cod.: Tlt Codt.cld ! LtaB Llw dG et fply io a om6 of
<br />(h.FDFly who hil& or inpio6 0E@n. dd wlD <tr6 sh Mrl hin*lf or hatclaor tlrcush hi! or na oM mploy..!.
<br />Fovid.d rhn ruch inFoffi e mr i'*d!.Ld oi otu for sk lt lnw, $. tnildi.s c itsorsEn ir Fld *inh .n. yc
<br />of qeliE! rlE (xG Dinbd wil h.E tlE h!tb! otFsvi'E |tr lt or ii dd d hdd !S.oE dE FFy r,r E F,F.. or
<br />-I,
<br />N oMq of rhc Fopdr, m q.l$ivcly co,nrad'.* wirh li.d.J codr.clo. Io constru.r rh. I'ojdl (S( 7044, 88'6!
<br />,d Fots,ii Co{L Ii.(irnkrcror'r l.(@. k$ d.6 rrpl, to e os nd o I ropqly $ h. boildr or ihl,mvd lhd6(
<br />dd qho 6.ldr nf, rcn Doj.{r *ilh ! Co r. rh. ( odrrdr'i l.icde ll{)
<br />B
<br />Dtl t \R \ O\
<br />I h6.b, .flifln nnd.r tEahr of Fjury onc orlhc foltos
<br />'ns
<br />d<Lri' oN
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<br />hrvc in will Mir .in. Carifi.llc otcoen lo S.lf-lMG f wt6t .dp.erhll' B FoviLd aor by Sdba l1)O of th.
<br />t:lo. Code tur ll!. Fforllr. ollll rct for *tah llE Fhn B e,.d
<br />I h!v..,rl will mii rin eol{d, cooF8drb irourm.. s t.qutld b, Sd nrn 1700 of rh. l.bor Co&, for lh. p6folrucc oa
<br />lh. mrt for enich lhir Dcmil t isldl My wdldt cohpnEdion irurNc cnia ai rolicy numbd ftl
<br />Pohcv Nmbd
<br />-
<br />l(pr6
<br />I cdily rhd in rh. Fao,]]@G olrh. $orl for *hkh rhn Fnn i! isu.(I I !h!ll Nr dphy ry Fsn in xy,tl,lG
<br />, s ro bd$G &bjd to tlE $.rt6'omFsdbn Ln orcditohs !d leE rht il I tlFuld lE !@ stt<r b rlE
<br />*nrld' onpddion FovirbB or Sdion l'700 of rh. litd cod.. I ltf,ll fdnu ht strpty *nh lt * F!iri'6.
<br />WARNlil(; Irailur. o Ru. sorls comFslk,tr .o\h*iul. Md $!ll 3ubrca-l M ophrs h dmiml lEuhk dd
<br />.rrl fl6 up ro oE h.n&.d rhoued &lhE (ll(
<br />cdk, i sd.nd rnq6 t
<br />Dr(Lrx,utlt:
<br />I ndrh, lllm unda Fully ol FJU,) rhi t @ Ita&l u.dd p.orsion of (1u9ls 9 nh S<1nn 7000) or Di\ Bon l
<br />of rh. uuind md ProfsioB Co&, {d Dy ltdE B r. tull fitrc. ,i.llsl.
<br />CO!$IIJCIIAUIEdDIEAAGTACI
<br />I lE.br .,lm un& Frhy of pciro rhr 0!d! ir . odMion lddins *d) lor IIE Fflffi. of llr f, t 6r *tkh fiir Fri ir
<br />auct (sc 1097, ci! c )
<br />aftlrcatl.llt:ldt4lra!
<br />I horny.frmuidd porlry ofFjury orcolllE lolhwiry ddhr nr,3
<br />D.mkion Pmn*&bdd Norifi..rion F..l.!l R.lllrioG { rrk {, Per6l
<br />-R.q!iEd
<br />lnlq ol t{orifr.aid
<br />I cd iry lhi rlE fals.l rcsuLtioN rEs.dis slEro! rom!.| t. d 4plictbl. ro lh! Foj<r
<br />I cdrfy thn I h.v.,..d lh!.oca I rgra h omply *' h ltl Cny trd (-ounD
<br />ordin.m6.n,i Sklc t.tr! E
<br />,trJf.,ndb.ol pmpdy fo.
<br />Appli.rnr or ,tadr skrl
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<br />I trmk \umlq
<br />L6nkr'i AddE.
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