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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\T Nf-N BUILDER DEI.('ANATION
<br />I lE t'y .mm und6 p.El'r or lqrury rhd I m a.nDi non rh. (inrdor' Lic@ liu' lor 0E rolbu'ra lisn (Sa 70ll 5
<br />AuhB !d Prof6lion Cod.) Ary C y or ( ounry which r.qur6 i Fon ro ordto!.l, !nc, i6tmtc. ddnolish or qrn try
<br />3rtu.ru.. Fior ro it! suil.c. lho r.qun6 rh. agplkd for 3uch Fml to fi1. . !i8..d ndmr thd lE or !h. i! lirord Fr$ l
<br />lo rlE prnrilirc of ilE (onrffroi3 Lbd*d lr* (Chapt6 9. (omm.ncinS unh S6ri(). 7000 of Divnion I ofiE Bulrftg dd
<br />PrcfBrnN Codcl or rh.r lE d rh. ir dcrrPl rlEctom sd rh. b.it tor rlE .lksd .r@Fni Any \ iou$n oas<ri.. 70.i I 5 b, u,
<br />rFIlCG' r", r Fn,t rurrq r! rh. rpphcDr ro i ctr 'l Fuhr n I mr m,. rhs a'\. hurdr.d dolls t tr0ol
<br />{Sh*rrl't *ri J;v.3',Itr;r';:ri,#H.I i,Trffi ,r,rr)rl*hy**:I#fr ['"Tr-.,
<br />th. FlFly rh hril& or idFov6llE@tr ..'d *ho do€ un *!.I hituclf o. hcrll or lhrou8h hlr oi hd o*n mplor.6.
<br />For iilal thd rch irlrlu€1xfu E mr t'rard6i n oFsld tur xk rf. lr*e.
<br />'lE
<br />hriE,u omFqqEr i bld sirhi! * d
<br />.fotrpldir llE oeG &ilila $iI lE\! dr h,n6 ofForrB thi lr M ir dn d tlild or ur+ror!
<br />'h. F!Fr] 6r tlE F,Fe oI
<br />l. ar otrE of rh. Fipql y. ffi .rclEr.l, cont!!1ins s nh h.olEn ({ir!doa ro $6od rh. Foj.d ( sd r04il, Bcnd
<br />r.d lh'(snn Cod. rhc(.rrnr&ror's l.i..B.l-.wdo6 nor !!plyb mow.6 ofrrcr.ny*ho buildsor imtrovcslhd$n,
<br />.nJ who conlr.d! tu such Fojdrs *nh ! (-ontEdon9 litasJ lxuxMl lo lhc( o.n,&1orr Licd€ liwl
<br />I m.\mp{ ordd S<nn
<br />'
<br />(*"-
<br />-,,--"a-,,,""H#**f fr- or*-1L 5
<br />DICIAAAIIQ!
<br />I h6cly aflim und6 Fn.hy !l pqjury on. ol rh. rolh*iry d(l&!rt'd:
<br />I h.\. lrl sill milr.in r Cdrifrn. otcoBdr ro S.lllNr.6r *!116 N6Fair'! a Forrld f6r b, Sdbn !7m ol r
<br />t hn (irL. ftr
<br />'lE Ff(ffi. of lh. urt fd $'tich
<br />'lE Fnil i ecd
<br />lhi\(and \rrllnrainlirn u orlds' comltnsrrn,n 'nsurnnc.. &r rqL,i'.n hyS(rn,n r7(xrofrh. trhtr(-fd., i.rrh.p€tornrn(.ol
<br />th. q orlt for s h'ch lhi! po nnr I irsuql My r orldr' cohpcn$r
<br />'nn
<br />inruran.. .eiE dd Brli., nunhd a.
<br />Frl'(vNu'rhq' I tttrFn&k-
<br />{! I (difl rhir ii 'h. anl,,rn$!. ofrh. $.{ n{ $h'.h rh'. rd'n( R isu.n.l shall n.r onploy.ny pqv,n in uynen(I s sro lEomc subjd k' I hc $0116' comrmBl ion la\ s ot ( al,tomi!, lnd asrE lhd ( I rhotrld b..om suq(r lo lh.
<br />soil6'coDp<rerionroririoEotsslrnlTu)ofrh.lihor(i{..ln6llfodn\(n.om,rl!$ilhrtbslmvilio6
<br />\'IARNING Failuc ro Fr. *..L6 omFdon cnF!r.. B u.L$ful. di ih,ll $br.( odol< lo simin l FrhE rnt
<br />ro or hund.n rhotrlrd d.lr6 Itlltr,ooo), m ddnkr h rlE .d .f c.hp.Brion. dldsd a proridd lor lh.
<br />Fit-:1
<br />)76 of rhcl-rt r( od., im66r md.uo.e-- s fG
<br />IICIJTAIIOE
<br />I lErct y ilfm u(k Frty o I Fiqy rhr I e lt6.d uns Fr66i dlclr4lc a toffiiig *nh Sdbn ?000) of Dn'sion ]
<br />of lhc BBi,6 ud Ptsl6i.N Co&. !n ny lacu b in full for rn dldl.
<br />ih,*
<br />(ANIf,UEIIA!]!IDI!G.AO!!(I
<br />I heby smh: u6dd ltnrlryofrerjuryrhar lhd. ilr coNrtudi.n hdinl.s6cy tu rhc pdfomancc oflhc*o* fir shi.h lhi rflnir ii
<br />Ei!.d (s( 1097.Civ ( )
<br />dITIIlbtrLIl};(J.dAATO!
<br />I horl'y flrtnn und6 p.nllty ofll<rjuy on. orlh. rdk,wio8 d(hr0ri(,.r
<br />D.a,lnNn Pmhl^rtE k)r Noxlicarion lr.d6.l RcgllnDG ( lnl..l0- Pan6l
<br />.!re ro comfl\ (nh all(,r) fln,j {i.utrr\
<br />tr!:olrhir( tr\.d( (\inr) n, mr6 trF'nrh.
<br />-0. lL $ l(
<br />R(tur.d L.ll( of Mtra(inn
<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 />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter h\\
<br />FINAL vb-a kJr+\t]
<br />Notes Remarks, Etc
<br />rhar I h.v. r.rd rht rpplkarn'. dd .rd. rh.r rh. a$v. inLmdion
<br />dl]j Shr. tltrskldiir ro boilili.s
<br />ahr. n0 x'n ti [xo[{n) f(Y
<br />Applkrtrr or sdr !ii.nnun(
<br />C
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