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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<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 Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Bouoh)
<br />Itrleter Release
<br />Rouqh
<br />Service Meter \Itt l1.o\?,tFINAL
<br />Notes, Remarks, Etc.I t
<br />OWNEN AUTLDrI DELCARATION
<br />I &86, dtnn !ftL. txMhy or Fr,llry th.r I $ .rrqrr ihn llE C! trlon Lirn- tir ror rlx rnlh*r3 E n ls6.m1l 5
<br />Bunn.$ .d Profssion C'od.): Any Cil, or Cou'Iy $h(h trluim r Frmi' ro R,nrM, .h6- i,r{mt. d.mllsh or EU uy
<br />srructurc, Eior kr ilr iss!ffic, dar EquiEs rrE+nl*d t r!.h Frmn b fikI ri3rcd {ldlcEnr rh.r lror rlr N li.cN.d pu d'
<br />to th. pn'v,sn'ns of rlr ConrDcxn r l-iccn*d L€q (Chaprcr r). Cdn'nc in8 wirh s.crx,n 7uD oi Divisn,n I or lhe Busimts lnd
<br />Pmfcsion\ Cqh) o, lhar tEor rh. i!dcdpr rlErclioo d8l rh. bdtu ror fic .lLg.d .tcnpri.,n. Any viol.ri,n or sdlbn 70ll 5 hy rny
<br />'pplkll b. r Fmi( \ubjdk rrx dp0lic.nr to r civil FMhyof ml mE thd nn hlidnd dollrs (!5m)
<br />-1.
<br />( oed ol E FoFdy, d m, c'q,loF.s wnh M3!r st llEr :,k os4crr.ti.n. wiu dn lrt lut !n dE rdE it d
<br />id.nldl dofid.d ror ek (Sd.?Ora, BuliRr Dd PErc(DB Cnl.: Ttx Cdm rl-mL.,&am{.pt'|,roootuol
<br />!fi. I'DFn, wlb itri*k d inf.o6 rlEEa ud vlD d6 Bi *{i hilrlf n h.*lr or rleu3} ht G h.r o*n.qfty.6.
<br />rmrid.d rh.r *h inqroffir e mr ir.fti.d dofidd r.r ol li torlE. tlE lrildinS or inFoErd it $ld *ahin oE Fr
<br />oforyLrbc rlr O*mr Builds *ill har ir hhknofr,hvirS rhrl lror slE d an tnild or inp,lE tlE F,rEr,lor . FrrrDs ol
<br />-1.
<br />e\ owftr or rlE FDFny, d .rcluriv.ly codrdin8 uirh liarri cod'rcro- b 6n{d rrE Ftj.$ (Se 704a, Busrs
<br />ad tnft$imAxic: Thc Co rroirLkcnr b* dcr m'.,?ly'o mowffi oltmFny *ho briB.or imthEr rh.tstr
<br />..d *lr) o ds for 3uh FF.1r wth. Co ndnlr ltecd IxaM ft,rlE ('odrdrt Lt..E t *)
<br />_l !'ncrcnu uklcr S&rkrr
<br />"""2-Z aoal
<br />II(JIAAII(IN
<br />I h.rcby alrlrmuntld p.MhyolFruryom oltlE followiry d..Ur ion\
<br />-l
<br />hlE rn Bill minr.i, r CcnifEd. of Consr b Scll-lNuE fn wtc odvtnt lbn. B FoliLd for lt, s(ri l?Oof lll
<br />t,ltr Cd., tr rL Ff(,ffi of rh. m rd *ttil}E IEma ir ir$.d.
<br />I h{vc ldl ! r ll roinrain *orlcri .umptnsaiidn i.\or.rc, !1 r.qliEd by Sc(r bn l7u) .f t ha Lltxv G'dc. lnr rtu ldfolrlgftc ut
<br />rhc *o,[ ntrwnichrhis lcn r i\ t\stl Mywork.rJ. nrFnsrion msur!rccldid ud F'lty nlmttr a.
<br />-l
<br />(.nrly thlt in rlE F formrc oi rrt wort ror sh.h lhN Ffrn 'i i\ruai. I {ullfrn..r9l,y rn, Fmn h.ny turtr
<br />s fii. hro r rlbj.rr ro rrx *orlsr on{Endbn Lsr olc.liromi!. lnd uN rhd irl fi ld bt.om ohFr t,rlE
<br />woAdi N,m|Envrion ,n'rtbnr or Scd ion l70o ol lhc litry Or]., I dEll- tonhenh comrly uirh rhoc n$virn,ns
<br />,-)r,".,./-
<br />comtlcnsrion (tr!6sc i\ ula*tu|. a.d sh,ll lubFi M cnploFr ro rin Ml Frlts r
<br />dolhrs (tlu)-ux)r. in !d.lnb. ro di .od or.on{EMlion. &m34 r ,rov{Fd for llE
<br />1-"lott ^^,#,-)*a:,-*t/*
<br />I lctrr{-\rfiI tlrNTn clon
<br />DICIAEAIAN
<br />, hchh, ul]l n undcr !,.Mlry ol F.qurylh{ I un lienrn u.d.r rNvisnrn.lChaprLr I (r,frnarcing sith sd1i,n ?ux}) olDivhion.l
<br />ot rhc llu\in.rs dnd Pmt rri,ns Cu.lc, url nr,ltcn$ is r tullli,r.c udcftc.l.
<br />srNs[8urfl.rNLENDAclQllsr
<br />I hcrb, crlirm und.r Fn,hy ol Frury rhl thR k . conrlrudi,n Lnding aBcm, lor rhc pc{oniMe ol rh. w.rl fn whah dis Frni n
<br />n.ucd ts4. lorr7, civ. c.)
<br />AITLICANLDECIdBAUA!
<br />I hodry !fim undcr p.nalry o, lcdury dr orih. rolldwin8 delnlions
<br />D.mlirion I'.rmnlAsbcso! Noiifi(llion F.n rll R.BU Lr i('.r (Tnt .r0. Pd6)
<br />-R.q!iid
<br />t.tr.r of lldifr{i,.
<br />_l.diry rhd lll r.n d Egu!.tir6 Eradin8.O.$. rcmnn e mr +'tltrbL k, rhB I'oF.l
<br />-l
<br />c$fy rh,l I hrv. Ead rhn .tdkrrion s,n n.i. rhi rh. rtrtvc inlorMion n (oNr I r3,c io or{)r, *nh lll Ci' y r l counry
<br />odiMrc.s Md Sr.r. Llwr Ehint to h{ildinS.odsM io., r,n h.rchy.ulhriz. rctrcsnllliw{ oflhn Ciry and C6!.ryro.md lpon trr
<br />nhtrc rnrtr c.l nn,ncny lhr t,'pcgi,qnurF^F
<br />^ oou-"" * ^*-,,*-* * &q &&4.,^,,'2-X:24(
<br />""-,u**..,,n,E( 6R/ {t I cl /1 oR0 p ez,9
<br />I
<br />III
<br />I
<br />R.,v O8'O7-2015
<br />APPHOVALS
<br />ee4a.4
<br />4"#y-
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