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ELECTRICAL.INSPECTOH RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit),)
<br />Walls (Rouoh)4,bA-ltE
<br />Ceilings (Hard & Softit Bouoh f.!
<br />Ceilinos (T-Bar Rouqh)r'-l
<br />ltileter Release
<br />Rouoh
<br />Service fvleter I rl-c l,t
<br />FINAL 4 n At o-/
<br />Notes, Remarks, Etc.I
<br />OI{N}:X IUILDET I'EI.CAI. TION
<br />I t*b, ifn! urld FMhy of Fltry th, I u .tnpr tum rL (j,rfu6- tie f.w ao. E follrqlu E.s {Sc 70]1.,
<br />Auiin.$ u, l\.Lsirn Cfll.) Any Ciry or Ctuiry vhth ..qu@ ! Fd to con{ruct. .lts. 'opr.E. &mhrn or EF, uy
<br />,utE- Fu b n. Lsr... lllo EqlEi rlE +pli.d lor rkh Fd ro 6b r !i!8d r.lqiH, dr lE or iE it L:N.d flralr
<br />r. rlE FnvBi.d nr rh. Cotudd-t 1....{d l^ lclur.s 9. Col'EE'ry *th Sdnn ?uL o, Ltvirrn I 6I rr BciE$ .td
<br />PDt $.r! Co,.r,trlha h.(, {E r.krIr E!6on nn rE b.$ iq tl' rllrld.r.nt nn /\ry virldDnofs..rn. ?0ll.l by u,
<br />q,pl'co lor 0 Fnrn ruhJ.ck tlE ipplicunr ro d civil p.Mlty o, mr mr. rhu fit. hlndEd doll$ (l5m)
<br />l. a eE .l rh. Impcnv. 'x ny .rphFq *ir' *{6 ! drn sl otr!.Mnl\ sill d. th wt !n r rj1fu - d
<br />ir-rhl 6 ofiddl fd sL lse 7lxa, BlB s{ P!br.ri* Cql.. Th. CodBu . La.u lr} dE d td, b { orE. ol
<br />rh. Fr"sly wlr, tr t! or ftIrdq tFiE rrn *ln dE sh anl hituff or lfixlf or rlhl8h hk d lrr o*n.rlplo)Er,
<br />FnriLd ttd tah in+oKEdrs d incnd.d q,nfcsd tu.L. !L h9t€, LtEhdltua n irF€B itsBlihnlmF.
<br />ol prria Lll (rE Builrr ri! h.E d. hnb orpovrB th ll d d. d, d hiill d lrt.DE rh. FiFr, tu tll Frpc. o,
<br />-1.
<br />a orffi of rtE pDF1y. m.rclurirl, cotu*1int *nh licd-a .orrrtm !' l-dtud rlE Frjd (se. ?o44. BuriE$
<br />.d Erlb!tr (lxr. TIE CodEtq ! Lr.rr L* do.! d.{?lr ro u o*B of Flt dy llb t!id! q IF.DEI thaon
<br />.rd yn m'rd3 16 luh FoFk srh. c(turl, la.Md F ldotlrcffiG.tlfuL.')
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<br />rn'.Etrpt u dS(
<br />]la!f!85:.(QAtfrdsalla!
<br />DECLAEAIIIIts
<br />I hcr.hy 1l,irn u&kr Fiily rf lltrj!.y or ol rlE hu,uuA dc.lrdk'trr:
<br />_l h.E !n rnl nrdu r ( d'fr,. ot Cmc ro S.lrrl@ Ir *dtda dtrFdD^ a FEvdal !d tys-uJ7@ol'E
<br />IlIx, Codc ror rh. Ilr(M. otrlr *.lt lm *tih tlE p6 r i.rEd.
<br />*:,&llrlln{hr.h vtFlf,'$rlrBrrr lNnN.. s nqur b,Sdrri l7@orrh. bburCul.. for rr lEfmm! of
<br />h ih, Fni n \{rd My rdt6! .\Em c.m rd ph, BDlt r.
<br />b.r t
<br />O 77 7
<br />_l ccniry rhi innr p. omm. of rl. qotk for ahrch rhs 0.rmr tr ir!u.!, I rhrll mi.qloy uy Fr$n i! my llmer
<br />$ B r. b.eru $bFd r. trE qx*6 @'r{x@6n !v. of Crlifohu. r'rl l3e $a ir I Jhuld beoft rbrd ro rlE
<br />sdai Nn+cNrd p.Dr6!N of serlo lr@ ot LE t 6.. cirl.. I idl. idrh*rh or+ly *irf,.hE FotuEc.
<br />w RNIN(:, l.JilLn. h {di. rorL.^' !trn|xmlron rnrl suhl.cr dn .mpk,y.r to crmnul p.Mhii &tl
<br />cMl n,B !r, !, oft h!ftjrcd rhru{ d,llr6 (l I of orqrNriun. ddr3.i ! Furd.d fin rh.
<br />I hcb, .Ifrn lnj.r D.Nxy ol Fjury rl l.nr litrEn uLE Fo!!m of Cfi.cra') (@nffio8 erh Sde 7(D0) of Divsi,!:l
<br />oI rh. Bur*s .nd PdLHion Co&. 'il my li.n* i in lull forE rrr, .frdl
<br />b
<br />c?c t-7(.
<br />AIII.ICANLDESAAAIII]!
<br />I hd*,y.trm'u .r Fnriy (l F{ur, oE ol rt fo[!*int d.(bd!o:
<br />D.nDhi,n P(nnrlA.h.{u! Ndificari,. F.dc.ol R.3uld$N Girlc,l0, Pd6)
<br />-Rcqlrsl
<br />tdrs of t{rfd,.
<br />_l..nify th.rrh. Ld(alftEullioM E3rdina sh.{.r rcmn d N d+plr$L ro rhi! rord.
<br />Ad[rr,a ttr*rc;,,-,nnudqllt6 In s'& !rr, ftb,nr r, h,
<br />I [6toonlly *rht Cry !n Ceny
<br />dhro rcFcdliEr o, 6n Ciry &d CM, ro .dd uF tlE
<br />!bor. 'Enr.kd t8't.ny ntr
<br />f7
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<br />ztgl
<br />NliEit
<br />a
<br />Rev. 08 07 2015
<br />APPROVALS
<br />tblLl( l>r
<br />1
<br />I:QISIAIEIIIUSATIIU.AGENCI
<br />I lE(by .rann u cr p.nllly or Frjury rhi| ihcr. n r .D. Mhn k,nint .!.r} f.r rlE Frf..lru. ol rlE po* t r *h-h rhn Fnir i'
<br />i$u.J rsc. 1(,7. cir. c.)
<br />L.rLir llur
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