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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough 5/zt /tc,-a-U^
<br />Service Meter | ',t L
<br />FINAL Ulroll/t o gvr,
<br />Notes, Remarks, Etc.
<br />O\NER BU!LDER DiLCARATION
<br />I lEd, tffm s.d6 pdrr! ol Fi,, dlr I 6 ddF ft.m $. colnr..loE Li.Cc L.* aorlh.lolbvnS l6n (sc.?o]l.t
<br />B6ina !,n Profdhn Cod.): Any Cny or Coully rt*h r.quiB t Fni ro @dtud. .h6. iEptove dnmlah oI r4.r ,,
<br />nociuc FDr to tu Bu!e. .ti. Eqlirq !h.4Cltd tu r.h FEi ro frlc t rigrd n.@l illr lE or rlE i licdE d P6!an
<br />to th. Fovitior or *. Cb.lEior! Lie.!.d lrw (1+q 9, Co@in8 snh Sdion ,000 or Divition I of th. B6ind rd
<br />Prcl*bo Co{.) d th.l lE a rlE b a@E [Er6oE !d th. bGi! for rlE dLs.d cxoI,lion. Any vbl.rio. of sEri.n 70! I t ht uy
<br />rp?lkfl lor . Fri rbjcls tlE .pplic!, lo . civil pmhy of @l ma fie llv. h!.dt.d d.'ll4 ($m)
<br />_!. 6 0*6 of fi. pr.Frr. or ny dpb'€ pilh s!a6 E 0rn sk o F6r.io'! sil & E $ql ,!d dE nntie a d
<br />iddrj.d orolIa.d tor slc (Sc 70,1.4.llunB ed Profd.io6 Cod.: Tt (odn.rr*'rLitclr*&6d4DlyloEo*ndof
<br />thc FDFry *h. toiklt or iEF!E ltEE'! -d *hr d6.Eh Nrl hi,s.lf ot lE*lt or rkoush hn or lE osn @Plorc,
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<br />of conplaia dE (nE Built f,iU lIn tlE trrl6 ofForr.8 r LmJEdil6l h'ld o. i4rDrt $. FoFry lot l& pt,F,eof
<br />l. 6 oxc.f rh. F$Fry, m d.tundy.odtuli,s wnh lraE n coolrdoB to connrud llE Fni.tt (S< 7oB. aGiS
<br />&d hDlildr Cod.: Th. Conlndd r Li.6. Llw &6 nol stplr lo & nwE oaFoFry *ho hDildi or inFors lh6@rr
<br />md sho olfur ror !u.h F!i.tr3 vnh . Cotui.:r!(t) lt@.d plnu, lo lh (onr..l,, r tiu* l.*)
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<br />I ha.by rmm u.d.r Falt, of Fjury oE
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<br />_l h3r. in $ill minrlin. ( dilrc{cof CoMt ro lBur. for mr 16r ..nrr.NtiDtr B Fo\ ijol lor by Sdn. !70o o f th.
<br />I ltnr ( (l., td rh. pqlamrc of lh. s.rt lor {ti.h fi;
<br />-l hav. &d will mnntin woll.rr' comr.N.lbn iuluq B r.qurdl bt Ser io. 17m of rlE t bor Cod., foi lhc p6folr@c. na
<br />th. mrt for rtu.h lhn pcni ir i$.il. My wdld, otrFErior iElJllN @ir ri Fli<y runba el
<br />I cdib rhd in rhc Ffotu. otlh. srt [, whi.h rhis Ff,d ir isu.d, I ndlel s,ploy.ny F5. i. e, ME
<br />b s ro b..!d $t!er ro rh. *utd ftmFtrdion Lvr of CJitomL d lsc th, ill d$uld b..om st*xl lo llEqi 6 coiFqrbn provnioB of Sdion lTooollh. lltE Cde l Jdl. tdth"ilh comply tilh rlF- IioBioG
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<br />nr.n. h!!&.d rhoMntl doll6 (tl ). in oddiriJn ro th. cor .f .omD.utior dh.86 6 Fo\iH fot $.
<br />(lR ELA
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<br />ot llE BuilB dd ProfBio6 Cod., tnd my lidE b n full fom !d.fid
<br />Cq! TAI(IIAN.LEdUIGIGB(I
<br />I hGby .lrm un li fFrlr, of Fjury lhd ltE b!coldrudbn ladins lsfty for lh. Ffomd. of th. rml tu. $ii.h rhit lEhir i!
<br />isocd (s6 1097,civ ( )
<br />AIIIJ(AII.IECIJI{IIA!
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