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ELECTRICAL-INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS
<br />Sile-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Founlains
<br />Sions (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildanq
<br />Bonding i Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Boof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflil Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rouoh
<br />Servrce Meter
<br />FINAL l'u'z',ut/.5 6tl
<br />Notes, Remarks, Etc
<br />OWNItR BUILDER DEI,CA Rr{TION
<br />I hcahy rmrn !'nd F@h, or Frtlry rh,r I m .r.m,, iirm tl: Conrtrlm Ltcnt Llw lor rlE ri,llowinS E $n ise 70.tl.t
<br />Sula*$ d Pror.rikrn Cdll Ary C y or CNdy *hih rquiE. r Fmr ro o.rtur. .xd, rnprow. &mlirh or EFt e,
<br />docrur. pdr lo iB issum!, rt{ rcaliB lh. .Ppli r tor st pc'nn ro nL r iiSEd {d.rn' lh, lE or rlE ir litrtd F@ri
<br />L' rhc povirions nr rh. (-onrri.ir, r LiIn$d trw (Ch.plcr 9. ConmEina eirh s(riin 7m0 of D'vnbn I .f rh. gusirs rd
<br />Pmr.rsirnr cod.) m !h.r lE slE k.rnpr rtdriom rnd rh.lh{s tu rh. h8.d.rcmFion ADy vioLlion ut Sdi,n 70,r15 byr.y
<br />rmlk! ror o pcmir \ol,Fh rlr q,tlt.m k,..,vilFBlr!ofmr m,Eltar lit hondrd dolrts (!tm).
<br />-1,
<br />tr\ owtur or rtr potf,ny, or nry crq'lo}trs rith worct ar lh.i, s,b coqrndbn. *ill&
<br />'rr
<br />ual ad tlE rlndr n [x
<br />inr.nd.d or ofscn nn sk ts€ 7lx.l, Bo'ifts and Pnrf.lsiotrs cdc Th. Conh.ls\ Litn* tlw d,€s mt q,ply to !n o*ftr ol
<br />OE F,'my *ho tlillr ( iqmB rlFm rd *tb d.a uh qrt hrelf oi lE.Ell o. rkor8h hk or h.r ovn cd{,httc!,
<br />povilcd rhar 3kh inFrmtrs ft r, irl€r.Ld r ofidd fm etc lt tbrfr, {E t{ildo8 4 'qrMrd ir sU rinir om Fs
<br />ol snphrion, rlE Or*r Buitj.! will lEt llE hrd.n ol pmtins tltd h. or {E did br trild or in{roE tlE ImrEly fd ttt I{IFE ol
<br />_t. ,\ owtur ol rtr p6Fdy. m.rchsiv.ly cotrrrr hs *irh lt.n€rl conxurG t' 6Ne dE lmr.ri tsa. 7o{. 86ffi
<br />.Jd t\oftJri Cod.:TncCo eiff\ Licn$ L!* de: nor lpt'ly k, .. own., ol pruIEny eho build!or imp.oEilh.rNn,
<br />.nd *no s r*rr rd rEh FoFri wirhr (ioddorlr) lirnscd l,orunr ro rh ColiEdois Lius L,e)
<br />I lm.rcmpr u.dcrscrion-,3 & PC forlhnE sr
<br />EAEf,EIN:.CAMIENSAIO!
<br />IIEqIAEdIIO!
<br />I [ichy .firn un&, IEulr, ol lryrry ot ol rlE f,nhrm3 .ktLttrionl'
<br />-l
<br />h!v. ud *ill miflrin a Ccdir.dE or Con*nt b Scll.ln$R rir *ortcr' arrl|ttrdnn. 8 F vi&.l r(tr by Selion 1100 of llr
<br />trkE Corc, lnr rlE Fftud ot rlE *ort ror ei.h llE Fn ir Esucd
<br />-l
<br />tur Md *iU tsinrrin work.r: .on{EN.rb. iNunE...t rcquiEd t'y Sathn l7ltr of rlE tilEr CdL, fM llE F fomc of
<br />rh. *Drk r,r whrh thk lFmrn is n.Erl. M, wor*6 Lrmlxtrtdion ieurucc.eitur trn trlky nunt t m:
<br />-l
<br />c.nity lhlr in liE tEriorBm. ol ltE sorl aor *hi.h rhn Frnir t $sud. l shrll n cmPbr .ny ns$. h rtry mnEr
<br />s N ro tBnm srt'Fr h rhc wi)rl6s .onwhdion hws ol Cdin,nir. rn.sN lhd iI I rbuld tsont hFr to rlE
<br />kl,Is' conlltna' ion pn'sci,B nr s(1i,n l7m .r rh. trbr Calc. I nElL Ldtv li comply e h rh.t ,)nrvilnns..
<br />bn ot.6i. ir unhrf!!..nd rh.ll rubF.r fl{,hF
<br />i"r'y L"m, 9i"./42
<br />tuuwxl doll{i (tlm-(rD). in ard bn i0
<br />d.r.{ onJ rrntrrv . lts
<br />DECIAIAIIO!
<br />I h.Er'y .rlirh !.&r F.dry ol Frjury rhar I m liqsd u rs Frvario. of Ct F!6 9 (d'.mmm8 wnh S(1ion ,frxr) of Dirhion l
<br />ot rlB Buies orr Pnirnri,nr Co&. .,rl my la6c 6 in tull aua &d clYsl
<br />C20 7 7/7 V3
<br />C(}NSTRUC'TIoN LF\II)ING A(iENCY
<br />I LEh, rlfr6 undd Fnnry or FJo.y rhrr rrEr k r oncMb. LndinS.scEy for rlE Fii,fum orrlE worr ror whihlnK Fnn is
<br />nud(S( 1097. Cir C )
<br />AfILIIANLIECIJIAIITd
<br />I hdt}t rfinn uah F..ty of F.jqt oE of dE folhwitr! &.Lr.l bns
<br />D.mlirbn Pcrmir*Aslt$or Notific.lhfl FqLd RcBllrlionr (TirL.lo, Pd6)
<br />-R.1!icd
<br />L.n.rof Ndirdbo
<br />)al .dify rh. rtE r.ncd dsllariois Esrdins st dd! Emvrlm .or a.,plinbk to rhi' r'Dixr
<br />c.nity rhlr I h*c rcdl thk +pla.rhn 6,rl $rc thd llE abvc inln di,n yunhlllCi!!r Coun'y
<br />.nlnrn..\trDn srrI Irqlrl rr! k) hu'ld18 .otr{ru.rr)
<br />finr nnrr d pmFny lor rtrspc<lio. pu,IxNs
<br />.{ppliunl trr ,\$tr| SilBlum )tAled 44e{4 4
<br />:;ry;"
<br />BllV 08 07-2015
<br />Under Slab / Floor
<br />..,,-",..I.*-.12
<br />dt
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