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ELECTRICAL-INSPECTOH RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab /-Eleqr
<br />Bondinq t6-rou nd'iiq / UFER 7.r z'2-l /Zc Z a
<br />I ranslormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release f./2'?-/Zc"t(r7
<br />Rough
<br />Service Meter
<br />FINAL 7,/?-2/K (!tt l,teZt-= -ZV
<br />Notes, Remarks, Etc.
<br />orvNat Bl]lt DEt DBlcatlrrrN
<br />I h.Eb, !frn, lal( Fery or Friiry thr! I D crftpl tlm r,E offi6' Lj(@ L.w lor dE flloto3 ,tun lsc.?011,5
<br />Eui@ .ri kolahi C.d.) A.y Ciy Cady shtlt Equio . Ftri !o @nrnE! nld, i,9ioE .hftlkh or tF, e,
<br />tutr. Firt, i3 ore. tL. Eitoc r,l rrlid ftr *iF.d io tu. r'rrEd n.ard ihr h.d $. i lt!6r.d tr@Iir
<br />l. rll. pr.virior ot fi. Conrrrr(! li.Md lr* (Clllrrr 9- CoDftftint *lh S4rhn 7000 ot Divbhn 3 ol uF Buimg .nd
<br />Pror.mB Cod.r (
<br />'d E d {r ! .r"Ir th..tm.!r, r,E hari lu tt. nL!.rl .r.4in ,{,, vioLlir ol Sdi,o,01,.5 t, u,
<br />rprli.on! for o r.mit 'ubFchrh. rpglhonr ro !ciyilp.Mnrofmr mr. thri fiv. hundr.d dolhr (l5ul).
<br />_1. r o*ftr ., rh. Ff,p.ny, d my .rnhFo qth *.!6 ! rh.r FL ortEdna sil d. lrE wrt rn tlE 'fuG i d
<br />id.nlal n olT.El lor Bl. (Sc ?or4, !uiE$ rd Eufr6M cuL: Tt c.lfud r LLrr L* J6 ml ?9ly ro o owr ot
<br />tlE FIsi, *to hilll r I\nE 06a rd q[D dE rdr uto t lr@tf r lErlr or ftsrh hi d lE oq.rFloyq
<br />,mvi,.d rh.t tu.h ntDmEmnu E Bn irt.,J.d or o[.rn Ir sL l( h.e.E tll hrild4 .. nrp.oEe,n B mld *thi'r or Fi
<br />of(rpki4 rll ()vM Bujur *,! h.E t E lrlnl.! or Fott lla lE d d. tlu d hiE d iiFot dE F!Fr, nt d. F F.. oa
<br />_1. r orF of r Ftr dr, .n .r.lu'iy.l) o|hlrt rrh li.!-j .!frt6 ro lr)'lfu dr FDF (56 7ora, E@
<br />ul hdd*r Cod. Th! Coirdor'r LE.ne Lrq &E kn rDrly b u o*B oI proFny *ho h{ild! q ieprcyE rhad{
<br />.!rd *lh mn ar fi* kh F,]..B *rh. c(ffird(r) lr.!r.d tlolld b ECffi 3Lil*Llr)
<br />_ld.r.mpr ud.r S.ction-, B &PC tnfin r.&n
<br />worxnnsffi
<br />DECIdAAIIIUT
<br />I h.r.b, rnirn und.J n rdr! of Fhry .m ol rh. tult]*i4 d.cla.rhM:
<br />-I
<br />h.r !n wil nrdu r C_difkr!. of d'r to S.lf-llrre nr etrt6 mnr.dr4 r FDviLit l- by Sdiot l7O0 01lh.
<br />L.h{ Codq td .ll Flornac of rll }od nr vhi.h th. Fmir i i$ud
<br />/jl hsw .nd *ill ,.!ntn h.rd conirB.rrd ur!nE., d Eq!,rd by ssrion 37m of trE trlu cod., for rh. pqimN. of
<br />(h. *dl f* rlah rllr Frtu ! rrrJ My r.
<br />7-YY""***
<br />rd..n, n6'r ft.*--v 'z fi-'zt
<br />-l
<br />cdrry 6d n rlr Faforrs. o, rlE vorl l( en.h ln! Ftr$ ir i{xd. I idl d .t?rr, , FM in dy !w
<br />F a h tEcom rsbrc.t h rh. *xI6!'cotr p.dion Ls oI Cdifodn. lld $E thd if I trhuld h..nrE rubr.r r. rrr
<br />*rrtai NmF.dbn po$!c olsdbn J?@o, th. L.!r ccj.. I !t ll. td *rh o"Dly rrh rhr. Dowrfr.
<br />WA|NINC: Fihr. ro r.u. rnl.r'onFdiJ. oEn3. ; lnLrful ql irll ub,..t u .iPbF ro f,irl FEla rn
<br />(frd liftr un t, nrE lulEd rhuEnd dolllr (tl r dnln to rlE trk o, con+.Nhon, d E3.r ! ptuvn.d fttr rlE
<br />-,-_3=tz_l
<br />DrctdSarad
<br />I &Eby drm ud.r p.MIy of p.rjuy dd I 6 lilNal uulr Fotirio. ol Ctlcrc I (.onft*inr vth stur ?000) ol Driru l
<br />o, rhc aEiEr drd ltb(dnB Col.. d my la.M u !n tull f@ ,n .rd
<br />b-td u
<br />4 l.a\
<br />l:rBElluc1lgdLEDldli-ecEg:r
<br />I h.nb, .nirm undcr p.Mlry of a€rury rhd lhe k i .otrcNdion Lnding .I.xy lor lhc Flolrr1lE or rlr rn* for which $n Prfrh n
<br />n&alisa.In7,Cn C )
<br />AELICANLDESIAAIq!
<br />, hddry lIrm unds rEn.hy ol rErjury uM of rhc rouo*i!8 d.clr{io.r:
<br />DcDlrFn i!'trusArttnor tldfrrs F.d.rd R.llLis (rik al), Pd6)
<br />-RaruiEd
<br />L,trq olt*iiftnbn
<br />!t \,ry rr'.r ,r. r.a..r "3ul&oM rttd,u slgro. Emrd G d p?L.rbk
<br />'o
<br />Lh! poiar
<br />-l
<br />cdtly d I lsE Ed rtu rpplnton an n{crd rlE rtr nnrMn,n B c.rEr I {F to ( pl, *dh rll cirln Cddy
<br />mli]ra.r !i si{.l2qr rLruE n,.utthriaEF.Edlr:vnof thi!CiryddCou yr..nrduFrllr
<br />.hr. mrinal FIEdr ln
<br />n.7./.Ll
<br />Rev. 08.07-2O15
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