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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />hrleter Release
<br />Rough
<br />FINAL 7.tt-?t I
<br />Notes, Bemarks, Etc.
<br />(I
<br />OWNER IUII.DIN DELCAN TION
<br />, h.r.by .ffrm uftlcr p.Mlly of Frrury rh.l I e qcr{,r ft,i rlE Col furd' ti..n. L!* rot llE folb*b8 rc.$\lsd 7011.5
<br />Burrcsr snd Profcsia. Cdc)r Any Cny or Counry whrh Equirs r Frnir lr' &trslrucl. allrr, ii{,roE. d.mlnh r rF! rny
<br />{tu.r!rc. nrir b ns i*uft.. ,lo m{ui(1 th. qrli.sl for su-h Fmir lo 6lc ! siBEd sllrcmfl rhlr rE or rtE t lkcncd ,,u(!d
<br />ro rlE lnrisiitrs oa !h. Co.rrrois Lirr*i Lrw (Chfl.r 9, conrmftinE *irh Salhn ,000 of Diriti,n :l or rlt aulit* 8d
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<br />rr owftr or rh. lniFdr. or my.mpn,ye( wirh {a8.c 0\ th.t v,lc Nn\tnsurn'n, *iI do 0E *dl( url EstrlE inn
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<br />rh. F{xny wlr t[rldr or rtroB rten lrn who drEr \Eh m hinsclf or h.rclf or rhft!8h hn or hd ovn cq,hy..r,
<br />Ft,vikn rhd rkn iqn,mB ft rn inrad.d doff.r.d lir rb Il hoEE. rlE tltllire r urFkftd ir $B waho t* Fr
<br />of (xrilcr& rlE (nEr Bui!.r *iI ll.t llE lurkn of rF$E rhr lt d {E dd ni tliu d iqmE 0E FlEry for llE FqIi o(
<br />_l. rr owncrotih. FIdy, amcr.hsivcly.ontering *nh lrNnscd conlrer(n r, on{Mr rh. p'oFr lS.c ?Oa,l, Bxri".}
<br />rl lh,rL\\im Codc I hr C,nrrlcloi\ l-i.$rc l-u! dm\ .or spply k M o*n$ or l)n,lxd y rh. hxinh or nnptovc\ I h.rcon.
<br />rnil slb.onrE.rrfd\u.hlrold\*irhrCudEron\rlf,.nqitununtr)llE('odr"cror'rl-i.cn€lr*)
<br />I d.i.npr und.r Sdt.n_
<br />x ()rmr:
<br />wonxrls' courrls;irtol
<br />DI(:I,Aa^IION
<br />mrmu,rd.r Fn.lry or IEJUry or olrM rolkrwins &{l,nlionsl
<br />!d will tui.rrin x CdiL.r. ol Co.sr b S.lf.lr{E lft rdl6 orryEtr€riotr .r lrovlLd fDr 6y Sdr ion l7t0 of rh.
<br />L.tor Cod., for rlE lEfl)ffi orih mrl rd *tth E I
<br />/traw ana witl minhin worrrcn' comp.n li.. insunr., .! r.qurcd by sali.rn r7u) or rlE tabn cird., lo. rh. Frfornllm of
<br />rlE mrl( lor whth rhir Fmi n k5u.d. M, worlda @tr9.irrlaon irujlm qLr rn poky.umhc. &:
<br />c,*, Ztrrch An€rtcaA
<br />..,.rn".*. \-f[r{595O3 ,,0*,, ia/3llLl
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<br />.cn il.v rhal ir rhr |tnnrNlcc ofrh. wo'l ktr shi.h rhN rfinrir i\ r$ctl, I \lull nol cmploy lny tEr{)t in lny ltui'f,,
<br />y, n\ Li tr$ x subjdr n) rh. uoAc6 . n{rtrsr Fn hw( dl ( llntrnin. and a!rcc rhar if l \E,uld tr{o E \uhrcr to rlE
<br />r lk6\.on{Enurx pn,lni'ns olSNlx)n.\?{x)oftlE lrhtr (irlc.l s}Ell- li'nhs ih .o'qly s irh r h's lrr)vnnn{.
<br />W tNlnc F.ilurc h sur. rcrtcB or{Enelhn $tis. ir unLetul..rn ihdl subFr D.r?hFr ro Mi l Frlir !d
<br />.ivil rin.l up to oE hundrcd thousd d.Uan (Slm.odl). in rddnirn ro rlt .o{ dr.onp.Mlion. drm&r a poviicd for llE
<br />S.crn)n 1076ofrhc Llhtr Cdc, inlcrc( uo.t erlorrcyt te\
<br />'Lli\tLl Sqn .Sabtn
<br />LlcEdsEt])NratlfaB
<br />DICIJAIIIAd
<br />I lErht rllrm uflLr FMlr, of Frury $d I m lianrcd uds F,vi.i,n or OEprc 9 (armminS *dh Setion ,0 )) oIDivnhn l
<br />or rh. Buriftss !d PmL$ions Cod., .,n my ltcns n in full ft,r nn cat cr
<br />r-cm cr,s --------.1010-
<br />D.,, glagtzl '67trtoq
<br />re.sh
<br />I()IEIBI]IIIA!,IEIDINGACEUII
<br />I lEE6y .fijrm und.r Fnrhy of F ury thll llEr L1 r onqntl hn hndins .8eBy li, rrr tEfoffi. ol lh. *trt ,or *hth rhn lqnn it
<br />i.$.d (Ss 1097, Civ C )
<br />L.n&. r Nlm
<br />-
<br />LcBL.s Addrcs\,
<br />-
<br />AfIUCANI.DETIdSAIIAA
<br />I hodry drm !,i.r Fnrlr, o, FJu.y or or rlE rolrowirg daL,rr bnrl
<br />t).mrlnb. P.rhnrA{ErG thiaE li'n tu nl Rc8lLri'nr ('rnh.l{). Ptn6)
<br />-R.quirEi
<br />L.rtd of lLrifrrbn
<br />_l .6ily rh.r rlE Ld.rn EgulatioN ESlnitrg ast*roi ribvrl e tur .pplh$h ro rhi poj.rr.
<br />Vlqtify dd I ltE E d rha .ppli.lb. rn .l.lc rhtl tlr .lor infdmriion ir .@1. I .XrE lo orqrly *nh CiyrnColnly
<br />dicmBti rtn Srsrc Uer Ellirs ro hitji.s .onro.rior ,n hrn, lorlbrr. (of'hr Cny mi Cou.ryr,.,rs ulnn rlE
<br />fttrr 'rnrFEd pmFn, lor lRIElnn
<br />)obEta
<br />ADpll.Hnl or AA.nl Si*Mlne
<br />San ^,", 'Z-la\ lzl
<br />tEp
<br />ID/SIG.COMMENTS
<br />Service Meter
<br />o7-2015
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