ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<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 />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />FINAL
<br />Notes, Remarks, Etc
<br />OWNER BUII,DER DELCANATION
<br />I lE by .rm unda Dcdty ol Ddjury lhd I m dmpi ton llE Conlnclor' Lk.B. t w for lhr louowins llen ise 701 I t
<br />B$ina a{ ftDlsioi CodG): An, Cily or Counly whkh Equic a Fmn to coietucl, .lla, ioFort, <lamlit d EF ty
<br />rh.t@ Fi, to n! isue.. rLo Egrid rh. +plt-r tor ruch p6tn lo 8lc r rig.d ndmr lhn lE or tlE it l'.na.d t6-r
<br />tu llE Fvbiod of rlE Conr,crd! l.i@Md L.w (Ch.pr6 9, Conmtrins *irh Sanior 70{o of Diviliotr I ol lh. BNi,E 6d
<br />PmfdhN Co&) tr rhr L or rh. i .rarpl th6.{ro6 .rd rlE b6ir f6r (h. rlkS.d ddFion. tuy rbhiou olselb. 701 I t b, M,
<br />.lplicdr for . pdin 3ubj6u rhc .pplior ro . civil Fun, of mr mE the I'vG hutldcd doth! (1t00).
<br />_l,soffiolrh.FlFry,dmydrlo)6*'nh*.s6arhcu$komFMi.($i[&tlEsstrntulrur@6nx
<br />doiLd or orGd, fd 5L (Sc 704a, auilE ed ftD&.loG Codc T6. aolrrrld i Li!& ts <lc rcl @1, to o o,E of
<br />rlE FiFtr eho btriLi or intirc ln.o( td wb &Erd' N* hi@lfor hq*lfot rDugh hL d bc o"n a.pk',<.
<br />Fovilcd rh.r luct iEF!!!cr, G d ir6d.d d olE d 6r sl.. l( h.Kq. ir hitliry d ilqsuEr i! sld dhn m !a
<br />of otrpldia llE (xE t {ilb sil h.E dr hnlsr of FDvilC th.. E d !& dn d hr! d !4.Dv.lh. FlFrr- i, E F,Fcol
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<br />B o*E of rlE Frqrn m a.hsn.l, .odr-rdu * nh lkd*l.onrdc lo oldnf,1 llt Fi..t (sd 7044. I}!6
<br />lrt hDkir co& Th. Conl6.ld'r Lice llv dE ml rrTly lo d 6tr.c of FoFrt slb boild! n ihprevB ltEaL
<br />ud sho @na$ fd Bh Fotrr. wnh. Coffiont) li6.d Flllld lo tlE Codn.rd'r li6e t^ )
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<br />@ddsdb! . B. & P.C. brrlLla(
<br />D.r.: Or!1
<br />la8liE8li:cgutEts^raN
<br />TICUAAIIO!
<br />I hadt .fiim u.d6 Fs!, ol Fjq. oE ot rh. folh*hg dcbtrioc:
<br />-l
<br />h.r..d will mid.nr. C.niftd. ofcoEr! to s.la-tM 6r wtd .dPd!.li,l a Foyirod for b scrhn 1?m olllE
<br />Ld( co& f6 rlr Ffofuc of rh. *o hi rtah {E Fni i! iq.d
<br />.. 6 ftqlt { h} S.crioo 1700 oarra tit r Cod.. lor rlE rEfollrlm. of
<br />bn icuffi. (ffi td Fl.r.unbd E.(tCtt r
<br />I
<br />-l.dr'ry
<br />rh.r r rhc p6folr1rB. oroE wod for which rhi! pcnn n N!.d. l.n!U ool @ploy !., Fen in dy m&E
<br />e ! !o beom. tut {l lo lhc m 6 onpdslhn Lqr ofc.lifohn, dd lsErhd ial dhuld bcom lubj(1 'otL*0lt6'.omr,6di.ntrovirioBofS.ci6nlT00oflhcLrhorCo&,1lhrll.fonhsnhcooplywilhltr-F!vi3ioE..
<br />NARNIN(;: Is,lurc ro BU. *orlds .onDddn'n covdaBc is lnl.waul- od sharl su
<br />$ on. hundr.d ltuuland dollsr (ll00.0dr). in odd,lion lo rh. cor of.o
<br />S.rrk)n rlrTt.rrh.Idr! (iil.. i, 6d d rion(v . L6
<br />IECBAAIIAN
<br />I h@6y rnrn uid6 Fndly ol Fjury lhi I 6 licd!.d un<lcr F$vk{6 of ChlFa 9 lcoMing { n S.dion 7000) of Diri!.n I
<br />ol rhc t\!aB.4d n f{6N cod., di mr lt@ is i. tull aorc. !d clrdl
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<br />q)MIAILIIO!.IIdDAG.AGEUCI
<br />I hdlby .rfm uid6 Fdy of FJury rhr rhq. i . sEndioi latdilB rgdy for llF Ffqlle. 6l rlE wL fo. stth thi! Fnr .
<br />i$dl tsd !09r, civ c )
<br />IIII.ICA TDEOJSAIIO!
<br />I lErb,v.trm u'id Ft hy of FIry oB of llE folbwos &lrriB:
<br />D.mli6n Pdn'Altad Norifrdioo r.d6.l i.guldb6 (TirL .O. Pd6)
<br />-Rqur.d
<br />ldr6of Nd'ftnin
<br />_l Gr'ry rhd lhc rcd€.| ,
<br />to omdl rnh illc !.nd(i'unt!
<br />'6 oI rhi! Cn y &d Coudy to anc upon $.
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<br />Service [Vleter
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