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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />S S Pool, Fountains
<br />Life Safety /Low Voltage
<br />f!4r Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER c/-r{'l'l J J,.( rr t Q4--
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rou gh 4 ,s.tt .\dv,2
<br />Service Meter a.l.'')daa )
<br />FINAL Q-r(o )\uHl rq
<br />Notes, Remarks Etc.
<br />OW'IEI IUtI-DlrR DEL('AR TI()N
<br />I h6.tt, dlm ui<tq pody of Fjuy lhlr I I .xmrl 6om fi. Co rxroB Li.ru ll$ aor rh. fdlhwinS r.en tS( 70ll 5
<br />Buitld !n Prof.sbn Cod.)r Ary Cn, or Couiy $tah Equir6 r Fni ro mto.u<r. ri6. i4rore ddmlirt .r l4.! a,
<br />ntuclue Fior lo il3 isucq dlo rc{ui6 Ln .ppli.d fo, luch Fnil ro frL . ssid naddr rhd h. or ih. a hcda.d n!e!
<br />l. llE ,.D!!b6 oa E Conrrrldr Li6i.d t u (Ch.Fa 9. Coffih8 wit Sdion 1m of Dirirhn t of rlE BBils.rd
<br />Prof6ior! CorL) or thd h. or th. i amF fiG.fron od rh. t6n tor rh. dkg.d ddFioi Any viol.rion ofs.dFn 70ll Sbyey
<br />.ppltel lor. Fhi oticlr llE +plkd lo ..iil FrIt otm! erc rh., fir. tua!.d doll$ (ttoo)
<br />-1.
<br />s ow of lh. FrFlr, or m, @ph)6 trth s.s6 6 th.ir bk NoFadioE trill {,. rlr son rd 0E lrndft i mri ad.d coturdtu .lt (S6.70a,a. B6iB -d Piofdbc Cod. ,1r Coffid r Li@ ls dE Nr or 'ro&orEof'h.Fipciy wlF bil,:h or i,qrc60EB'! td *,no do6uh $$ hirulf or h6Elf or l,mush hirot h6 o*n hplo)s.
<br />Fovi.Ld lh, ut i,rFlEEt G ml iiai.d qolEld &tr.l.. lC ho*!6, tlE bufinB q ant.unEr b iE *iho oE )6otorpldit! lh. ()*c B{'Ll6 *i[ h.EdE h!d6 olFvilB dt lE o da dn hild d il+.or!tlEFr[!l! tlrtlE IUId.ol
<br />l. u o*G of rh. Fnp<ry, m dclBnrly s r-rin8 *irt lic6E d codkor io odM rlE Fol<r {Sc ,044. tt6r6
<br />td hokin Co&: Tt Conraror'tr Lk.G trw do6 mr @rly ro h oq6 olproedry q'lE t{ild! or inproe6 rhd6n.ud "lb @fian. for $.h Foirt! wih . ConMoni) liq!.d Fqd ro rlE Cotu-lq'r Lt6E t^J
<br />I m .roF u,(b S<lbn
<br />D.t Or.d
<br />*onr<rns-cdnirrrriirton
<br />I)ICLAAAIIU!
<br />I lscby dltrs ui.Lr FBI$ of pqu4 6G of rrE louds.hs &rls.rirE
<br />-lh.v.,nwill
<br />i,hh ! Cdilicd. of Con6r 16 S.lt-lnuc tor *orld (nrEn.nion. a p,oriddj lor by ser ioi 1700 o a th.
<br />t bd C.dc lr llE F6.llft ofrlE*qt 6rsta.t EFrit itN.d
<br />LrE .rd will i rin $0116 o6p.Bdion iBulrr., G r.quiEd ty Sctior l70o of rlE l$or (-od.. for rh. p6f.l1ffiG ot
<br />llE sut 6r *h!h rt Dann i! iri.d My s,ld onpdliion ilm 6ir !d Flty nuhba G
<br />-l.dirylh.l
<br />in lhcFformk. ofihc w.rt for whth rhi! Fmn is i!ru.( I lhallei @plny oy F$i in.ny mmnd
<br />- 6 ro baoc st*!l to ll! *utd'@f,rF!.iion LB olc.li6mi( -d +c rhr il I nFlE b<oE rntirt lo
<br />'lEsrrt6 orFE rion FoyiiioG of Serb. l70O of rh. L.t r Codq I iblt. ronh$ nh mnply wnh rhoE Forii.E..
<br />WARNINC f.ilurc ro m. coil6 snlFMio. ornr8. n unhnfu .rEll iubjd a dplqr ro dinidl F hb rnd
<br />.ivil lin6 up lo ok hun&.d thoo$d &lllr (tl of conpndion. d,f,as6 d lruril.rl 6r rlE
<br />I hd.6y !,Im undd Flll, of Fjur, thi I u lkd!.d 9 (N'lllffia'B unh sdbn 7000) of Dif bi,. l
<br />nf ! hc Bu!'nd dld P6fd'oN ('od.. drl ny ll (e a h
<br />q&A 5bjo1
<br />Eleekrca.l
<br />I h.ttt, .ftn ci& pdly or Fil', tL thqE i . @lrnElin bt s r@, b. ir Ff!.trc of $. mlr tu *t!il' Oi FEi i
<br />io.d (se 1097. civ. c.).
<br />La& . Nmc
<br />-
<br />AFPLICAITT I\FCLANATION
<br />t hE*y .ftn u'd.. F.n, of Fjqy @ olrlE lollowins d6h l hN
<br />Ddrohl,i a@ils^lbd6 Norifi.diotr F.dal R.suhn,6 (Thl. .O. Pd6)
<br />i.qoi.d L-ard of tlodft.bn
<br />>r'f) I hd
<br />'h.
<br />t Jdd rqlLt m Errdrg 6tBo ,.m. rl !' c ft{ .r]plr lhk r. rh. Fl,F '
<br />4di6 ltd I ha(,6d rh. rpplur,.i {O{!r. rhd rh. !tr.. I r arre h' com
<br />ddrrk6,/6d su. t^r EL"c ro hl'ld'ia c"tsM Dtr d h6.b\ !d r$D. ,.F.$d tr 6 .r rhs t ih
<br />rb.V malrcn.d mDsr\ ror iBo&ion pur*r6
<br />o,oX.-*^r-,.r-."^ Dr.
<br />".4,*-1/,,n*r f,SJn..,,* ltll*s 1irui/l
<br />I
<br />Siqns (monument)
<br />I
<br />I
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
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