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ELECTRICAL-INSPECTOB RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OTXNET'UII,I)EX UEI'AI' T&)N
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<br />olrri.onr tor ! Fmn iubj.d! lE ipplicanl lo troyilp.Btyormr mE $u liv. hund,ld doll$ (lscul
<br />-1.
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<br />prorid.d rnlr such rpmEEdr e d i'rnLd nolraln Lr.L l( hnN.0r lliBr8 inlhftmd n n! *ihhor F4
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<br />L aowErofrlr l]n)o.ny, rm.rlusivcly.onrNths *nh lk.M{ condarontu ons ci rtE pNJ.d (S.c ?lxa. Bulrs
<br />lrl Pbhrs Coi. Th. Conturo.! Lic.ns lrr der ri .p?ly r, d 016 ol nt)Fny en' bild. or inlPruwt thdM
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<br />DECIjXAIIO!
<br />I h.rby tll nm uid.r Ftr.,lty of ldjury om oi lh. n bwinS dcLdioB,
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<br />_l hlh rDd sill Edr, aorls .onp.ur$i $unE.. .r EquErl t, Sdrrn 17@ of th Lbor Co&, for rlt Ffl,rrlr. ot
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<br />soddi one.ndbtr pDr$rEotSatui J?ooof E Llr (iBL, LdL ldh*nh $rply vith rLE ForElB.
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<br />rivil lnk! ulr x' n'E I,uDlr.J
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<br />,,",..q14t 120
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<br />UlEdlqqANISACMB
<br />UTqAAAIION
<br />I EEh,dItru a ,.rty ol F rr., lhr I sr lruEl uDLr Fotirn of cLprd I (ffilu vrt Saru 70Oo) ol Dirii'n I
<br />of ft lrulEsr !i PsfBioB C.J., .rn mt la.M n m full fo@.tn.116!
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<br />s61517
<br />ZL)e?t tl-t6FrJ,{-1 IJE>
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<br />t lEt, lmrd u,*r FMIy.r,Er!ry rhr th.6 ir . oddir H,t .rc, rM DE pdrffi. or ft s,t f.r rt'ih rhit Ftu i
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<br />AITUCANI.DEIIdMIIOB
<br />I h.rtry dfm ui.r FBly ot Flu, oG ot rh. fol}rrht dekdrD:
<br />D.Bniko PtrnirlAiisur Ndf.rbr f.d6.l Rcluhb (Iilk ,(o. Pd6)
<br />-Rcquird
<br />lAs or Ndi6.!i,i
<br />_t csril, rh, rlE kn r.l r.8!hriB Etldjnr t t6rd EDvn e dr +tirbl b tni. FnF.
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<br />*-,*-*,,.",, Mttz€ FLr,Rt=
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bualdinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER t0 ,k*t1
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners I I
<br />Roof Top Equipmenl a zo 0ry.Y.
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)I I
<br />Meter Release ti.t c\1t)tkrf&7
<br />I
<br />Rouqh (t
<br />FINAL IC q tu)h,w1P,a
<br />Notes, Remarks, Etc.
<br />,
<br />Rev. 08'07 2015
<br />Service Meter
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