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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)1,t ,Lblt t b*&t 7
<br />Ceilinqs (Hard & Soffit Bouqh
<br />Ceilings (T-Bar Rouqh)
<br />lvleter Release
<br />Rouqh
<br />Service Ir/eter I tl /41
<br />FINAL t-|.,Kl-14 \)67
<br />Notes, Remarks, Etc.rl
<br />OWNET BUILDER DELC RATION
<br />I hcEhy llfirm undcr n Nlly 0r rErrr, rh, I d .r.mpr fDo rrE G'ffios Lftnc trr tu rlE folkwi,i E!q,n (S.r',IrJl ,
<br />auri(r\ ! i Pn,l.\ri,r C(i.): Ant Ciry or Counry *hi.h rc1uiEs r lErmn to c{nslrulr. !hs, rtr{mw. dcmlth .r cro, uy
<br />nMu.. Fior tu ns nrutu!, lls rcauircs rlE rl'rltsr lor iNi Fmit b nb r rigrJ {d.ftnr rh, h. or rlE ir lacn-d pusd
<br />fu rh. provktun\ ot rtE Conkkrolr Ltcnkd L{w (Ch!I)t.r 9. Commrcinf wiln Sdion 7txl) of Dirtion ] or th. Br{ri..nd
<br />h.r.rlhnr Cod.) or rhd lE fr iE i{ crcrpr rhGdrom !n rlE bGb ,or rlE rlLrcd.!.qra!n An, v6l,!nnofS(lionr0ll5bylny
<br />trDplic!.r tu d pcmir ubcx rlr lttlic,nr '. a drv il !,.nax, ol N' fr)E rhrn fiv. hudEn dolln (5500).
<br />_1, as o*ncr ot rh. FoF.dy, or my cmphFs *irh wrx.r ar rrEn $k .oqrndi,n, rill & E *ria,n E(nr1Eid
<br />inr.hddl o. orcEd fm sk (li(.1x4, alsiErs anJ Pmn$ions Cdc 'l1E Conrrcroi r Ltcae Lre dEs nor rrtl, ro u oem of
<br />rh. F)Fny *tI, lullt or nr!m6 rlrrd sd $n, &B sh *Ii hih*lf o. li&lf or rhN8h h6 r ls own cnrbyca.
<br />F,vidcn lhlr such in\{ircnrnG e mt inlc,i.d or o6rBl fo! {t.la hrwEr. rlE t{ruh3 or lrrrcwmd nslil*irhin,tr F{
<br />or $npkrrn tlr Ower BuiU.r rill h.r rlE hrd.n of Frwq lld lE or nE dii d tioild q itrF)E tlE F,Fny for rlE Frrlny of
<br />I. asosxrofrlE !n,f.ny. .n cr(lusEly codrkli4 wnh li.nsn co do6ro mnrBr rrr Foral (S< 7(X.1.86'6
<br />lrl ErrfdsirCdr.-lhcct,.k(roisLk.nlctrwdrrNlrl,plyrorn.wn.rof,,n,pcnyrhohuildso.imlJmvcsrh.rcon.
<br />!.d sb onrr&i! for *h !.DF.-lr wnh. Codrxiorl9 lirrd pn,rtd rn rh. coddor's LirM l,*).
<br />_l d .r.nir, xniLr Sdre._, B. & P ((r -', .&(
<br />I lrrbt alfirn !n&r frMliy of Frlury om of rlE lulhqr8 d.{!..rbnr
<br />_l h[r. rn r' ll miniain ! C.n if({r or CDtr€n! ro S.lf.lnsur. for qork6 sn{Ens.rirn. as pn'vad for byS.cli('n 17OO olthc
<br />I alrr cld.. ntr ih. Ff.)mr. 6a ih. *dk rd ehih rh. pdma k LrEd.
<br />l.rnn\
<br />_l.cd'fy rhi in rh. Frrorfrtu. of rlr snll nr rhrh rh6 tErmir h Fsud. I sh.llmr rq'br_ lny F \oo i. rny.u'f,,
<br />{, ts !' bcconE \uhrd ro lht $orkcr' conlF.n$t ion h*\ .a Ctrlii,mu. rnd lgm rh:r if I ttsuld tdom \u6J!\r b rlE
<br />rorlch' Nnqr.eri,n tn,vnionr ol Ser im l7ll) .f rh. lrtrtr Cxr., I {bll, fodhqnh onrply r irh llF{ Fmvisi(trf.
<br />WAINIIC: FnllE ro Blr *,{kcF ('trpctr{lion low
<br />.ivrl lin s up kJ oft hurxlr.d rhousii dolhr lslo().Un
<br />Sa'i'n 10?6 al rh. lltxr C.xlc. inrcrcsl unl alk,nry\ Lrs
<br />.,rlc i\ trnL'*lul m,i \,1,11 \rhl..r ntr u,pn,rs ro (rmiDxl,r,ulr.\ iid
<br />'vo
<br />I reby rlltrn und.r rEh! ufFrurr rhd I &n lirnt d unds Fsvi\ion or(.lurrq 9(connEtuinr enh Scdi.,n ?qxD olDivilhn,i
<br />o, rh. Bulrss anl Pof.rsio.r Cod.. !n my lrcn( 6 r full loe ,n.ll(r.
<br />Itr.n\'( lJ$Liccnrc Numb.r:
<br />-
<br />QNIalJCUq&.LENUA{iACllrf,
<br />I h.r.$y rilirn u,i.r Fnrhy ot F,Jury lld llsc i c ondBrbn ladhs lscry ro. rtE FrromlBr ol llE wtrt for whth rhis IEm l is
<br />is{al (sc 1097. (1v. c.)
<br />AftucaNl.Dtsct aEAuq!
<br />I h!6, !trm !'i&r FEx, of F,pry or ol $. rolb*in8 d.rLnl $.rl
<br />DcfrnIion Pcrmi8 Arbcsk,r Norincarhn F.ddul Rcruhtion*(Tirlc a0. Pd6)
<br />R.gun.n L.tt.r of N{rifEri,n
<br />_l(difrrhlr rh. t d.hlrcglbrbnr EErdinS lsh.rtot (mul m d qrplinbL lo !tus p rlr
<br />-l..drft
<br />rhd I han rcrd rhir r0plarti'n!n { c rh, tlE rh,r. itrtnmrirn n cfirc!1 I rrre t, qrily *nh lll Ci' y rnd counr,
<br />orJhlm$ and srur.liws rliin8 b building .onnddn,r lrxl h.Eby.urhori,. rc,'.Rnratiw! olrhn Cilyod Cou.iyii, cnrd utnn rlt
<br />2 -7'uzt
<br />I
<br />I
<br />Rev Oa.O7-2O15
<br />APPROVALS
<br />Communications Cable
<br />Sub-Panels
<br />I
<br />I h{!r !d *rll ruinr.h *ort6 o.qEnrrnn ieu.r., .\ rcqlld by larbn l7c) or'h. bhor Odc. n, ,E Ffo,r'EN oI
<br />rlE work for *hich lnn pc.mil is hnxd. M, *o 6 s,trrlEnsrion inruntuc cei. cn Flty numlE. e:
<br />t li\Aidr.$:
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