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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />t //<t)rz nbu )'. /,Underground
<br />Pole Bases 7/7+t
<br />Light Standards
<br />Spas, Pool, Fountains ,ref( u\tii, t.&fs>)
<br />Signs (monument)l---/
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />firleter Release
<br />Rough
<br />Service Meter I
<br />4//l/t
<br />Notes, Remarks, Etc
<br />o'm-tu'l&DEldifi
<br />I hs.by .fim undq p...lry ol paJury firt I m a.mpr fom lhe Conmaor' L'enE lrw for rh. follownS r.&n (k 7Or I t BuriBt
<br />.!'d kof.eon Corlc) Ary Cty or Cedy which r.qun6 . Fnn b @druq .lrd. iBproE, d.mlitn or r.p.n uy rl]fu., Fis to i'ritue, .ls r.q!n6 d!.rplid for E.h pdnd b 61.. i8r.d tuiou. lhr lE n iE ir licar.d Fi,,M ro tL F@i.i(E of dE
<br />Con!..td'' Lient d Lrw (Cb.O6 9. C6nm@in8 wnh S*don 7000 of Divition I of lh. B{dna !i Prcftleu Cod.) or lh.l h. d
<br />.h. rr a6rr rtefron.nd r b.ri. fd dr rll.A.d @Fih Ary vi,ldM olsdion TOr l t b, ry +pl,6r fd. Fni! abir$ E
<br />.pplictnr lo r civil p.Mhy ofd mor. lha fiv. hundrcd dollr! (rtm)
<br />I, u ow of . Fo?6y, or ny cmployq sth Ha€ u dii rL ompcnlrDt\ vll do d,. wdr &d r ntutu. n d hrsn d
<br />or orr.d for d. ( Se ?044, aunmr md Prof.$ioM cod. Th. conrEtd'r Lie4 Lr* d@ mt +ply ro a olmr ofrh. pop.rq
<br />*te build. d imp.@ rls@r .,n *tu d6 ftt rst hta-lf d ls*lf d rl[ed h'! d hd oq mploy...\ p.ora.Ld th.' Eh
<br />rnprov.mmr & nor ' .nd.d or otrs.d for rh Ia, howd(. rh. b{itdiry or improm.nr n hld *iriin oc yd of @Epl.!i6n. tlE
<br />O\l@-Buil.ldeill hr*.icburd.nolproving Il h.or,E norbuildorimp.ov. forlh.Frpo.of d.)
<br />_1, I oMd ofrh. prop.ny. .n dcluliv.l, .onkrdin8 aith l(.r*d co.r&br to o.,rrud rh. projd ( S* ?044, B!,n , rnd
<br />P6lcs'oo Cod. IL Cont adl Lt.* tr* d6. d.pdy !o u orc of FoFry *ho buildr d i6rro6 rlEs, .ri rto
<br />co.trd! for Nch proldr wni r cohtdrl,pdiUr to lh. Conrtuof rLkn*b* i
<br />I o cx6pr ud6 S..rio6
<br />I lE.6y.f6rm rndd F hy 6fF.iury oE oltlE
<br />I h.w.!d will mioi,. Cdi6o! of c*d ro Sda-ltft ld dtd @69a!.r.q ! p.wi.Ld fd b, sdi.r ]7m of .l'.
<br />Lrbor C6d., lq rh. FfmM oa$. wul for wlich th. Fmn i. ie.d
<br />I h.v. !i will Miui. wtd cnp.n{rio in',lrc, a ,.qcn.d by S.cDn r70o oadE 1.h.. Codq fd dE Ffolrll.@ otdE
<br />*o.I for whi.h rhir p.mn n io.i My worl.rs' 6mp.6r.io. rnDrMe ffid.nd policy nnmb.r u.
<br />Policy Nuhbs _ Erlno _
<br />(Thir r6t'on rccd not b. compld.d if rn. Fmn n for O.. hndrd dollu {ll0o)orl.s)
<br />I c.n,ry th.r ir E Frfordncc of tlE *orl fq thrt FDr ir iuEd, I ndl d ongloy ry pqrcn m rny nU6 s ! ro
<br />b.a.m. ubr€l lo rh. rorL.a @mp.nslion l.rt of I rnd rgr* th{ il I nDuld beoft Nbje' ro th. wd.r'
<br />cmp..dio. Foviroar of Sd,on ]70O ol
<br />WARNING fr'lurcro *cur. *orL.6'.rd rh.ll sb,..1 !n .mploy.r ro cif,'nll p.n.lno .nd crvrl
<br />6!d !, ro * hDdr.d $ds,a d,olls (,lm,m).,i
<br />fi.Irb.r Cod., i sd &d 1lh.r'. fa6
<br />io dE coi ot @nrt nsrirr', &nlsct s p,oviLd fo. ,E S.ai6 1076 of
<br />I I(INSEO CONTNA(-TOTS DECI- R TION
<br />I h.r6y lfiim unt r p.olr, of Fj!ry $rl I u lic.nr.d ua<16 p@!i!oi of CUF6 9 {.mmcncr6B vnh Sdioi 7000) ol Divirio" I of
<br />lh. lBiEs.t! P.of6iou Co<L, .,!d 6y l'c!* r in tull fo@ &d.f.d
<br />coltrBltcrolrElDldcrctrqY
<br />I hEdr.fiirm u.d6 pc..lry ofpqju.y lnr th@ n I onnN.ri6 l.idii8.8c@-y fd 0! pdforune or$. wnl fq wlich Uit F6n n
<br />rerd (Sa ,o97, Civ C )
<br />6tluc6xrtDDgal4lla!
<br />D.mlirion P.hnl^tb.s. Noriicuion F.da.l ra8ul[io OirL 40. Pd 6)
<br />_ R.q!n.d L.na of Nod,iqtio.
<br />I .gr- !o 6doly *il ill Cit, Ed C6!8,
<br />.rjE of ttir Ci, !d Cody ro dr uFn rlE
<br />-"". ,/tr/u--
<br />M \wP51\P6rm ln3p&tDn nrr€cton R€@d d@ 03 31 06
<br />rm
<br />Air Conditioners
<br />FINAL
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