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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underqround <br />Pole Bases <br />Lighl Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Salety /Low Voltaqe <br />Fire Alarm i Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bondinq / ft6[frdiDq / UFER V-ro:2/Lc=?4 <br />Transformers <br />Torqueing <br />Sub-Panels <br />Arr Conditioners <br />Floof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Soflit Bouoh <br />Ceilinqs (T-Bar Rouqh) <br />l\,4eter Flelease y-r4-2t PL-T 27 <br />Rough <br />Service Meter <br />FINAL y, /? -21 /L O,q /el.t's vZA <br />Notes, Bemarks, Etc. <br />OWNET AUTLDEN DELCARATION <br />I h.(hy lrftrE qndd p.nilr 0r trjury rhx I m rr.n$ fDm tE (btueron Lt.ns. L.* ror llE folh*itr8 u5r (56.7011.5 <br />BuriNs3 irn Pruf.$bn Codci Any Cny or Coudy *htn r.rt!n6 ! ,Eni ro .oirlMr. rl|cr. irq,n'vc. {hmni or EFt ry <br />iltud!rc. Fin lo itr irstrrd, de ,cq!n.! rh. .pp,i.d tor skn Frml ro nk . lisrd i.r.a rhr rr or cE ir lkcB.d pu$.r <br />ro llE Flvnions of E Conretor3 Larnsd L.r lch8pls 9. CottmMin3 *ilh Salion 70(10 oa DitGb. :l of rlr Baixn .nd <br />Prefc$ion Cd., or rhur lt.tr str F cr.r'l,r rhqrfn h !.d rlr btrir for rli .lk8el .r.nFbn An, vk,LiionolsdiiroToJl.5 bt.., <br />rprli.lnr ror r p.mir rubFk rlE rplli..nl ro r .rn F.Elly or nol n,E rhln nv. huftlrcd (ll,llB (t5o0) <br />-1. <br />ar o*Er of ltE F$Fnr. or my.nlplol$r enh wa!.r.r <br />'hcn <br />5k oqEnsrlhn. *dl &, tlI edt !d tlE fiBfu t B, <br />i .id.d m ofi.Ed fq sL ( Se ?(X4. Blties ed Pbfcaionr Codo TIE Co' Eldt Ltt.c 1,,.|.! n, qll)ly b o o*B of <br />rh. I'olEn, wb rrildr d inp.oB irllEa rd who d6 uh $d hihrclf or h.Rlf or fimu8h hk d tE oM.n{'bF.i <br />protilcd lh.l rEn in{mvftdr e ml i .t'd.n ffordld for sE lf. tolffi, dE tDildins or iryffimnl t $ld wahin w Fr <br />olo.qllrb( rlE O*Er Bdrd.r v lhlwrlEbo Ln or Fainc $c lE G {E dii trr roild d inrrow rtr FrFty 16r ih FaFe o( <br />-1. <br />$owmr orrh. rren ny, amcnluriwly co.rr*rin8 sirh lt.nErl conrrcr(,Ero n,n{d.r rri F)Fl(sd. r(x,l. BusiEs <br />nrn Pb&.rbnCdL Th. G,nt&tr'\ l.iccnr lj* dfts Rx rpf,ly b & o*d of fiop.dy *tb builds or improv.s ti.r.on. <br />ind sh) d,nrrls for .uh FrFl. *irh 0 O'nrm.rlno lmnrd nlnurn' k' rlEcld*u r Ltcrc L.*) <br />I rm.r.nipI utr,lu S..rrn' <br />Dci. ()*n.. <br />wrrnxrns, rirriprrsr nos <br />tlEl;LASAlleli <br />I h.$v rlln'n un,l.r |IMlry.l F-ttrryo'r olrh( l,)lk'*mS Jr.Lrrri,n\ <br />N h.E ud srll Brnrru. Cd'fEic of ConEnr h S.lf'lBuE (o, tunft ddpcBdi,tr $ FovBdr ro. by Serion l7m of rL <br />Lilor Codc, ror dE iErfm.fllE 6t ld Ehth rlE rEmn i irsucd. <br />_l h.!c rdi will mirtrin *o cB' cor{xn$lion itr nre. B EauiEn by Scli,r l?m of iE t tnr Cod.. ror lhc rEfollr.m of <br />llE wI fm whih lli. Fmn is ir$.d My uort6' corqEndion i. re @ir !n poliy Nhb.r e: <br />*t eniry lhlr tr thc rrformN of rhc wo* fq *hth rhit Fmr ir i!s*n. I $bu er .npby r., Fsn o rn, @m <br />s alo h.flE sbFr lo tlE srtd of,qEnsri.n hws of cdilmi.rn {c dd if I druld 6eor llbirl to llE <br />w,rtn'otrtEErbnProrni,Nofsctbnl?0oofrh.L.E Codc, l nr[. fdrhqnh onplr $irh rho: pDvirioB <br />WARNING: Fniturc x, su. *o,Lr' etr{.,srior .oEraac <br />.'n'l finc\ un h, um hunJ.al rh,u*nxl ln,l|J\ 'tl0o.ll(r)r. 'n <br />N utrlrwh'|. xl shJll \uhA_l ,j$ L, mmtulFUks irl <br />tr drm8cs ( tRrvi.l.d for lh <br />serr,. 1076 ui rrr btn cod. d.Rrr <br />"",.,09[o-UzD/i- <br />DECTIIAIIO! <br />I lEEl,y llfrm unl.r p.ndly ol lt.rjury thd I nm liNnsd uftLr Ftrvnio. olchapls 9 lm'tmrcin3 *nh S.dbn 7(xror ol Dieihn I _ <br />or rhc Busiffi! irld Pr$f6si,rs Cod.. !d ny lim€ B in tuU loN arn .fidt. <br />a-rnl.Etr!. CL\ L V <br />o,g{!r1]aoZl <br />r{q }L <br />AII'.ICANLDECIJBAIII}d <br />I holt'y ltrm undcr pcnoiy or Frrury om of llE follorin8 &rlar.l bnt <br />D.mhi('n Pdnik &t nG r,trrntrri,. F.n r.l Rc8uuri.n! ffnlc 40, Pd6] <br />RcluiEd L.(cr ol Ndifrnrbn <br />_l c.nrfy rh, rli. acdc[l E8!l!ii,n\ resdinB Blrior rcnbvrl m mr 'tplr.bk ro lhs pnrf<. <br />Il.d'ryrh! I htrk h.,i rhtraprlrd <br />od'lE'r.r lrd Srrrc Ir*. ElInU ru bo <br />r ion ,,rl nd. thd ttE lrllvt inrotu ion il .tu-..l. I r3re !o convrly qnh iU Cny nd A,unry <br />ofrhi(C y Md Counry h.nrs u,nn llE <br />nhr. 'mtrIx,rd pn,F r lar i', <br />A <br />Appll.ul or 8erl SlEn.luE <br />p.mneomrprinr):61 \\\Y <br />..0!lull20)l <br />cali,trBuqrrod.lJidDtdc-AclBcr <br />I lrrby dIm lndcr Fdlry o, Frjuy ib,r lhoc i! r onntudb. Ln<t6, rlary fo. E Flo,rlInc olrlf uorl lor whrh thr Fni i! <br />r$c'i (Ss 109?. Ci!. C.). <br />L.nlci. ,l,m <br />-