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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Liqht Standards <br />Spas, Pool, Fountains <br />Sions (monument) <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bondinq / Groundinq / 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 />Ceilinqs (Hard & Soff il Rouoh <br />Ceilinqs (T-Bar Rouqh)I <br />lVleter Release Dk-rUor__.+E' <br />Rouqh <br />Service lrileter .*ffiFINALr(1 I4r Voosc <br />Notes, Remarks, Etc.T <br />-- <br />owi.I Ba,iLDEa DELC: R Ttotri <br />I hcrchy .lfm !toLr Fuh, , Friury rhd I .tctr{{ riDn r& G'drdx lr.ns b* i, rtr rolluwm3 E&tr (S.{ mrl 5 <br />Uusincs ul Pd.skr CDdc): Any Crry or Counry rhrh rcquKs r lrmil r,' drnrnd. ,rr.t. in{r,vc. '.,.Dlirh or EI,l( ev <br />{turE. rni h {r rru.N. sr cqur\ rrx.fi aar fttr lkh F1nr nr fik r rt8Ed rlrl.m rh.l lt o, nr u lf,metl F@.m <br />l.lh. riovsi'n. of rtr Conrakr's LI..EJ lr, lcn{ .r 9. ConmLm! * h S.cri'n nm l,f orvnxr I ol rlr aurtEn md <br />lhlf.*(!nr CdL).r lh.r lr or dr !.r.q, rh.(kom.nl rh. hcnr fuI rh(.lkS.J.r.nPil[ Aryv!n.&,nofSerr'.7011.51,y'n, <br />rJl|ll[ar lor. Fm,r sutI.aB rh. .t?lr&l lo . errrl,'cuht of tur e,r rn fiv. huBlrtJ J.lla (15fl)). <br />-1. <br />$ .wr .l rrE F Fnr. .* ny .rr{'r,F.r * h *ls.. rs llEr oL oqf,f,.l{n. *ill & rlE wrt 1n lh .lric k mr <br />uroLl ltr d0.rn aor qL {Se.704a. BcrlBr u.t Pnf.ni,N CirL: TIF (hrtaroi r Lt-... tiv trB Bi .t'il, r' r orffi oI <br />rh. lnltdy wh' bu r,s or II{'fl)G trcr. lrl wh) &Es sh fr)d. himr.li ot h.rclr or lhn,ush hn or lEr ow. .mnlivccr' <br />IturrkJ rh:r iufi oF,EmnB e Dr ,16r.rr orofitftrl ru rf li h'EE, {E hr\rlB d ulhftmd n a j w.hD od F( <br />rl.rrq :ie rlt ()16 BulU.r *il h.E ilE hliLr ofF!,tu8 lhr h. d rlE Jr, d l![! M uqhE E F!6y frt ilr FnF]. ot <br />-l.,iowdrotllr <br />pn,Fny. rn.rclunv.ly.ankkrs8 Pnh lE .(n c.nr&tE ro.odtut rh. F)r..t (sd. 7044. aurffi <br />rd Pr{cssmCqlc'rh.Conkrrk'sLlucnsclj*(nErnlllrmlybuoen.rulFr.IEnywhohtrLho m[.v.!lhcr.on. <br />tnJ ,txl u, E-t lu rEh F'Frr wnh r C.'dtutu(!) lr.n..d Porurr kr rlr (id.rnr'r LEnr L:*) <br />I rmcrcnDr unlcr S{uon ,B &P( ttrrhrrcJ\ <br />woRKF&S', ( OnPFNSATION <br />llfctlSalrox <br />, h.r.hy rrl rn uid.r lx alry ol nflrry oR of rh. n,lbr h3 d(lnrrr tr)ns: <br />I h,\ rd * 'll mor.6 t Ccdrlirrc .l ConFnr h) S.lll nsur nt q{ts' onlp.nqrir, ri Ft'tlcl {ttr by SarDn 17Ur trl rh. <br />L:b{tr (irlc. i{ rh. I'.rl.lrrr2rt. of rh. w * fttr *trrh rh. p.m n s\x..j <br />-l <br />hrE rrn w l mur.u *orts onitNrir n$rs.. ti Erludai by S&hn lntr ol rlr Lthor CdL. fr llE Fflm ot Ilh. mrt l phih lhB Fmir B tl.Ibl. My wortqr o6p.nqrir ururm. ffi &l polry n!frt , ft: <br />Policy Nun$.r <br />t(.rl irh.lmrh.FdomRcollh(w{ nn*hthrhirl.m ir r\!cd.l \haU rur .nik,y rnv Frlrn r.rvmrndt <br />{r as h, h.om rubrar k' rlE *,rt6'd,nlltn{rx,n Lvr.rc.l tmir !d rad rhd f l rh,ull h*om tuhj.tr h llr <br />h,t$ oqEn{rirn tnrvnnN of S..r$n lrfir ot rtE l:hf, Cirk.I rldl tudh*nhoq y r h rhDr tovlmi. <br />WAININC F!'hE n, <R s,t n $np.Nirn okE{. t !.helul. .nl rlull \uhFr m c,9krv.r b suurl p. lF.rn <br />.ril linct tp t, oE hullnd llbuqnd Jolls lll0o.lr$), in rlJrm h ilE co( oI on{ENrk,r' dm3.! 8 ln'rl'rl ror ih' <br />Sccti'n ll)76o1rh. tf,htr Cirlc, inrcE\l $,l8rn,By ! l(r/a /a./ <br />IEC|IIAIIq! <br />I rrEhy.rtr u*lcr p. hyof tE jury rh.l I u lieN{ un!.r pnrvnidn oIchl,td 9 (Lnmtuftu8 }nh Sclsn '7(100) of DoFo. l <br />ol rlr BuliMn .il Pnrldsi'ro Gilc. .n my h.tr Lr u tuU tuN tnt.ff( <br />,zat. /7.t f <br />c0!lrar{Jlq!..l€N[Bcri!!iJ <br />I h.Eby rrrh uftrcr F lryol Fruty rhd ltE. !.onnturnn L,{bg rFBy lir llE Fi,]|lr@. ot rtE *rt i)r *hi.h rhh lrmr 6 <br />trrkJ (Se {rr7, Civ C } <br />lxo'l.r'! Namcr- <br />AIS!IIANL!':CIj8AITq! <br />I hcr.t'y rfimunlcr Fnrlry or t'.rjxry.rc.flh. nnbsrs dcclarr!'n\: <br />I)<d,!ii'n P.rnneA$c(os Noxiizixr F.d.r.lRc3uLri,ns (-lnh lo. Pd6) <br />Rrlr'tril l.rrr.r Nohll..rhtr, <br />-l <br />c.n iry $, rlE r.rkr.l EluLlEd Errn68 rdlnor Rmvl e ft, q'PlErbL to thr Porc.' <br />-ldnyrh,IhrEEithr.pd.ar-nd{{.rhrth..bEmbl <br />rirELfriI.88tootr{'lt*"h.[Cn,rnclDnr, <br />oiltrtu.r .ll Sl.l. Lrq rcLdu{ ro t[Nm8 .on(tu1nn. .Dl tmby rurhtru. s|i*nl.trEt if rh! Ciry rd Counrv ro .nrs ulbn rlr <br />rlxn. nf,trrrNrl |nrN v <br />Anpli.{nl or Ag.nt Si*nr D.h '/ C) "7 / 2 <br />P.rrnr( 'rn r!rl.o: <br />I <br />Lile Safety /Low Voltage <br />lJnLr's AddFl! <br />-