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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/*COMMENTSI
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicatrons Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ce ilings (T-Bar Rough)
<br />Meter Release I
<br />\-
<br />Ro ugh
<br />Service Meter
<br />FINAL Iv"
<br />I
<br />I
<br />TX
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<br />*,
<br />OWNEx BUILDEi DEl'ARATTON
<br />I ta.by .trm uD& pdriy ol Fiuy rtr I E aalcl fon rlE Cotrn to6' LilM l,w tu rhc follosi.r ra)tr (Sc 70ll 5
<br />BBmB d Prof.g6n Cod.) Any Chy or Coudy snich r.qun6 . Fmi ro odrucr. .hE, imFove &mlih nr r.Fn dy
<br />srrudu.. Fir ro it] isueq ds rcqun6 rhc rp?ltd for 3uch Fni
<br />'o
<br />6h . 3iei.d nxlrmr rh,l hc or rlE i! ltft.d pors.
<br />lo lhc Fovbioa of tlE Coorrxoa! Li.@.d L.w (Ch.F6 9. Comftins wnh Sdtirn 7000 ot Divilior I ol rh. B6i!B &d
<br />Pmfsiod ao&) or rh.' lE d rlE t 6aF ihd.froo .d 0E h..a to, 0E .llcsod q@Fio. An, \ ioLlio. of Sdnn 70ll , b, &y
<br />.pplicr for . Fnil ruuFt rlr @licd to r civil FEty oa@t mE rho fiv. hu*lEd .L,llq ($m)
<br />L a olG of lh. F.Fly. d D, aqlotB wnh s.A6 6 dEn -l @nFBrion. *in d. dE *<rt .d t E ffE i! m'
<br />irll.rrLd dotu fort L{S- 704{, Buing sd PEtaioB Co&: Th. Co rrldrLk.@lrwd6ml+plyloDo$Eoa
<br />llE FoFly vho buii& or ioF!6 ,E6i. rid sho dE $h mtt him*lf or hd&llor rtoush hL or h6 oM mpldy6.
<br />prolid.d lh.l .uch ihs!\!6ll & rct i .'.!.d or olH tu r& lf, lrM, E t rildlg or tnFt]\mr is sld rihii oE ,aofqipkin! tlE O*G e E will h.E dr hrla ofFsring $i h6tE drd lbl brild d in$.lE 0E FoFry tu. r F,FEol
<br />,$, ..* r,* r"-.r. m q.l6dy co dDB *irh l.!E d.om-r6ro €Brru.r rli Fid (sG.7or.l. Buirt .a r'"an c.* t* CJ"ho.r Li(tM Lr* &; @t @1, ro d 0*6 orFoFr, *h6 io <!r or inpova rhamn.ed *ho odr.cl! f tu.i F!.i6r3 vth. Cod*io(r) licd.d F,nusr ro rlE Colf*rq. Licge L.w).
<br />I m .rcnB ddd Sd io6
<br />l0-Lb- I l- ".
<br />I lE.b lmrs uftla Frl'y of Fjury oE fd.follo*Ia dckdb6
<br />I h.v. dld *ill mint.h. CditKit. olco.sr lo S.lf'l6uE for Eort6 snpdBllion, a proyd.d for by Selnin 1700 ollnct bor ('odc for rnc pafolllm. o{ rhc m* lq *ni:h th. Fhil i! is!.d.
<br />I h.r..nl sill Midri *orto .ooFuri,. !fum.. r r.qcild br sarb.1700 olrlE t &'r C6<,e lor rlE Ffolrll'e ot
<br />dr m.l rn whifi rlir p6rir i isxd M, wta @,p@ian ilj.lJlt. @ia id poli, emh.r c:
<br />PolicyNunb6 Expn6:
<br />Itti
<br />"or,ry
<br />rr,a i, rt r-ro*" orrh. *o* ro. *'hth rhlr FEn ir i'xEi- I ndl mr oq'k y uy pa$n u ey M
<br />b E lo bBom $l*{ ro tlE wt6'6,qash. L*r olc.libmi. !|d tE 0lr if I rhould b6or $tier ro rlE
<br />Eltd'otpqidbtrFovi.b6ofsarbnlT0OofthbhdC.deItrll.forrlirin6rg!rnhrho:F.vtbB
<br />WARNING: Filor. ro 6d. tro.k6 comFdn. $\@rc it unh*rul lnd shdl slbidr u oplolq ro onnd Fuha..d
<br />civil lincr up to on. hundr.n rhouund dolld! (ll(xr,oog), in rdd'lion to rh. coJ ofconp.tu8tin. drm!*6 a lovidcJ lor rh.
<br />Sdr6" 10?6 olrfi.llbor C.d.. int6.r ud omy r as
<br />,.,., . ?A _ Lg -t t"
<br />Itf,(!l!!!ra}
<br />I hdtty .lTm uftLr p6!ny o I pc)ury thd I
<br />of th.llulin* d Proasi.N cod.. md
<br />undd Fovirio. ol('h,F.9 (.omfti.8 "nh Sdion rmo) otDiirion l
<br />lico{ ir in rulL f(ncc ml .ll.(r
<br />cad altlloN.LElDMi-AIiElcl
<br />I heby llrm u.dq Fdty o I Fjury lhd lha. i! i connrudior k dinS !*6.y for thc psfomm. ollhc $orl ltn shich thL FDn i
<br />is.<l (Sc 1097, Civ C.).
<br />AIIITSANIDECIIEAITOX
<br />I hod,yrtrm!n.ld F hy of Fjlryoe of thc follo*hg d..lt .liou:
<br />D.mln6n P@a!-tub.gor Nor,nc.tDn F.dc.l R.suLrhN (Till.!0, PM6)
<br />l.quir.d t-rd of fJo.iftii
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<br />I cart rhd th. rrddrl ..rulrirE lt8rdins ahdG lgmv.l G d tplt.bL ro lhi FoFr
<br />lE(orltyrtr"r r r,",.,oa rr,t.pptic.rior &kl n c rhd rh..b.v. uromtr ion n corer. I .gc ro.omrry w hlrrc ylnd(ounry
<br />otdidm6 !fl1 Slilc t s! ddins ro i ildin8 ,urktrr.rqi6drdiva.lrhB ( ry ed coun'! h o16 utb.lh.
<br />ahor. 'mrhn d Fopdr} lor
<br />Appllc.rl or Atdl Si3nrlurc o.n. lo-28,-4
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<br />(tL-
<br />Notes, Remarks, Etc.
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