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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<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 (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />Mr\^' rcrl,FINAL 4ltplto - |"?))
<br />Notes, Remarks, Etc u,- rItl
<br />OWNET BUILDER DEI-C RATION
<br />I lE t, lrm u.d6 Fdry of psruy lh.I I d ddpr tln {E CollrlcroE Lic@ L,w for lh.lollowins B;n (Sd7orl.5
<br />BLlin6r ltri Prot6rion Co&): An, Cny or Comry which rcqli6 t Fnn lo cointu t dr<, inFow, ddnollt or rFn .ry
<br />rtude Fu lo ir! islffi., .lro r.q!n6 th. rpgltd ao. Mi Fnn to frL r !iS,.d lrlaMl lha rE or dE it lica!.d Frnn r
<br />lo llt Fovabd of tlE ConE tdi l-t4!.d bw ((i+6 9, CoMdins enh Selo. ?000 ol Diviriot I of rlE BBilB ad
<br />Ptof<iou Co&) d tld lE or tl'. i ddF rhadrln .d lh. tGii for 0E .llecd adFbn Any violtlor of Salion 70.! I 5 b, &y
<br />rp?liculr far a Fnn 3ubrd! In. .!pli@! lo , civil Full, of ml mE lha fiv. hundEd dollB (1100)
<br />l. d oM6 oath. FoFry. or my ci9lor6 wnh srs6 4 lh.n sE conpqBnha will &r ltE wl ,!d ft nnEG i rcr
<br />idsrl.j s off6.d fr r]. lsa.rott. &BllB &d PrcaBbd C.d. TIE Cotidm r Li!& tiv &6 |er +Flt h d orc ol
<br />rh. F+dry *lb bddr d drsoE d.!s sd *'lF <iE rdr srl hirelaor lsElf tlmql! tn d na oE @dot6.
<br />Fovij.d thd uh imFoEri.ds e hr idatl.d orolk 6r sl. l[ hoEE tlE h d!€ irybaE1di$ld*ilhhffi)a
<br />ofconqki.r ttE o'^d Builir will firE lh. hrddr ofFnvtg tlu h. or {E dd et hild or ir4.orc ll1c FtFly 6r $r F!po$ ol
<br />l, s NG orrh. FFry, d dcldi!.ly.odd n* u{h licqEd .onr-|m lo 6*irud r Foir (!t6.,04,1. Bllllr
<br />drd P$bsim Cort : Tt. Conrr-loii l-ic@ Llw &E 6l .+ply lo m o*nd olFDtdy sho hildr ot irpDv6 $cE^
<br />dd who @nrer! Io. s.h pr!i.t$ *nn . Coit.r.r.(O li.d!.d prEu,i to llE Colnianors LkoE rr*)
<br />-l
<br />e.rdF urdd Sdion-
<br />E0a[E8l:COUtl:lrArlA!
<br />DECtAStuO!
<br />I hr.hy lllim un,is pd.lry of pojtrrr dn. dfrh. fDlloe i.g d(lad iooi
<br />I h.t.,n will mid.h. CEri6..r. olcoMn ro S*lf-l6@ td sdt6 orpsuii,a - Fovild fo, by Sdl.n l7m of l[.
<br />trhn ( odc ftr llE Fftffi of tu s,t f( *t!ah lh. FDn t b$d
<br />AhI'c ud $ ill driirrin *ork6 .omFNolion iBuN.. 6 r.{urcd b Selon :1700 of rh. l,bor tudc, for lhc psfomuc. ot
<br />rlE *orr f6 *hih lhn rqmt ie (.,^"..t @iFEaion iEure. cana ,,.1lnlt, numb.r e.
<br />lq\'c{zslr: t 2_o
<br />I ldiry rhlr in rh. Fto.rmcc of rh. *ork aor whih rhis pmil ir isu.d' I stullnol oplo, m, p6$. in ey nMnd
<br />& B ro b<!G $bj{rr 16 tlE *!116 comrd.ion Ls ot Cdifomlr .!d tc tnr if I tlould b..od $hcl lo llE
<br />erl6 omFdFn FoviioB of sa1u lr@ of r,! llbo codc I JdL 6ih$nh omd) *nh fie Foiri,6
<br />WARNINC Failur. kr sur. mrld' comp.Eoln'n (ovsas. t unh*lirl, ed shsll!ut'j(l m npk,y6 to simiul FEll6 &d
<br />.ivil nn6 up ro on. hu..t.d rhoMd dolls (t100,fim), i. ldJirk)n ro rh. c(r ol.ompc,sdron. dnusd d prclid.tl ror rh.
<br />code ini6.n ,nd nbnEy'r
<br />O,
<br />l!xt!!-Btlrl].l
<br />I hslty ,Ifm unr, po.ty of Fjury fid I o lie!.d uda FDvtbi of ch41g 9 (Effiin{ wnh Salbn ?0OO) of Divnilo l
<br />of rL B6iB rd ItDfBirB Cod.. rn ny ltoB E r tull foc.d.lf6r
<br />r/uf uze
<br />col\sTllucrtoN LrryDlNG aGFr\cv
<br />I hfrby .Irm onda Fully oa pqjury thll lh@ i! . .onnrudion krJiis .stuy lo. 0E pffo,rMc. of thc uort for Btih lh! Fnn ir
<br />isu.d (Sc. 1097. Civ C).
<br />l,rdE 3 Nm
<br />AIIj.ICANLDECIj8AIIa!
<br />I hodyrfn ordd F.h, oaFjur_ oE olth. folloru3 &.1&rbtu
<br />Demhion ioInr' rtd6 NdifrrFn r.(btlR.sohioc Gnk,l0, Pd6)
<br />Rcau@d t!r6 of Notiff,.lbn
<br />I .aliry rbd $c lcd6.l r.srldb6 i.err6.8 Bhdd @ul E mt pplilbk to lhir p.oitl
<br />2i..4,6 'hi I hr* qd rhit selkdon rn dd. rtu tlE .b( Droinr.n ! ffi I lcr to onply
<br />ordiMcd ed Sralc lr*3 ELhU ro hrllin8 coMdio...d aulnrr@ rcFelldi!6 of fii! (ny
<br />,abo\.mdrhn.d p@pdy nr iNp<ria.
<br />rpprf*r*,r*arSffururc !\
<br />Fu.a-!- B\oC.ar(
<br />drl ('ounry b ors ugr.lh.
<br />//z/zozr-
<br />Rev.08-07-2015
<br />APPROVALS
<br />Under Slab / Floor
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