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ELECTRICAL-INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Site-Work <br />Underqround <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Sions (monumenl) <br />Lile Salety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bondinq / Groundino / UFER <br />Translormers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinos (Hard & Sotfit Rouoh <br />Ceilinos (T-Bar Rouqh) <br />Irr'leter Release <br />Rouqh <br />Service It/eter <br />FINAL v5- t1 Y-Vl;rdl <br />Notes, Remarks, Etc. <br />OWNEI BUII-DFI DFICARATION <br />I h.rby .ffrm nd.. FnJry or F,lry rhr I m ckqr 6rh rlr Co' 816' Lrm* l,w ror rrr roloslu Easn (S- ru.ll t <br />Blrmlr .nl Prof.$n C,rL): Any Cry or Cdnry *hxh .qo{6 r Fd ro dnrur. .t6. iqmE. &Dtrr d EFr f <br />iturr. Iry ro ri E!tle!. rlq' r1ur rlF .pol.$r lM ruh Fmr o 6l . qkJ {r.ftnr rhd tr or .Ir ! lrm-J Frq!, <br />n, lh. F)vr.F .l lh. Conrrad\ l...nhi U* ialrq.t 9, (i'nmtm8 rith Scirr 7fi, of Divlion I or r 6uriE$ dnl <br />Pnnqnont C.&) or rh.r,Eorih !r.r.mo ttErcrNn.,n rtrt.ar tu ll* dks.,l d.qxirh Ary vn,Lrirn of Selion 70.11.5 hy.ry <br />lmlD.nr for r tErf,r {uhick lh. rpFl,c.nt lo r .r!rl p.rolry dr nor Rtrc lhan livc hutolrcd d.lltr (iJlr)). <br />_1.rsowmrolrh.FFnr.,,hychnkyerwrhql8*rtrhcrs,kuDntrdion,v d rlr rdl lrll)r slriw ir !n <br />ddJdl doficrcrll {k (Sr 7(,44, Busi[s u.i Phl.r\n'n! Ciri. 'nr conkltr r LraE b* &xr m, {plr r. s owEr nl <br />tlr tn{dy wlDt Jd. o. m0.,8 rh.Nr,.rn wlll dF uh Rrt hhrlfor fi.elfd rrs'lrh hr ir lEr.s.rpl'r..\. <br />lfl)rrL{ rhrr rEtr !Il(h,wn! & brd.dal or.Ocrd ttr r! If.bw.dEhr rEnrrl'ftlrdca r.hoorFr <br />ol.r,,il'Lrr&r,EohrBrllLrwJlhrEr,Ehmlnortn,vl*rhrtI.lEdnB*h!!,rlrF{rlEFrdy6rtllF,FEor <br />l. r!o*rcrol rh. I'rlIEny. rn.rrlur(lycD netntt r h lk(nr.J onrr!.t'n t' (,nnnf,i rlr lfi'Fr (Sd.704t. BurBs <br />,rt th,hsrn Co.k: Ih. O,nkkioa r Lkcnk I <br />.nn rho conrhcrrnr!u.hln*!rrwnhlC( <br />loFdy rl$ hu'[r or mproE\ rh.Eon <br />,:W (',n rtrdor'\ l.'r.ns. l.x*) <br />Irn,.\.mfl u J.r S.!rrtr, <br />tt(rRtit:kli' ( rJtlnu\sall()l <br />Mslll&urct <br />I lFRh, rllm !n&r JEEIty .l Frrry , <br />-l <br />h2v. .rl * l tud$. cd i.t. of Conhl ro S.lr:fnaE r,n urts' .ln{f,tullsn. r Frvr}d ntr b, Scrpn llID or !h. <br />lrhtr Grlc, for rh. Fftlfutu. ol rhc wdt rd rhrh lh. Fm{ 6 Frk{ <br />rl{w!trknrqhrhrh\ltrnu1\^{ulNIy$or[c^'!rnl{tr\rrtr,,trtru'Jtr(.(,u]trliu F,l(ytrtrn$.Ltr. <br />P,n.y NuntEr: <br />I ..n , rh:r r rlr lxrlorEL. or rh. rod( fr rhrh rh! F.nrn tr FrEi. I {Ell n .n{i.y rny FNr b .ny lurr <br />r' .( h lr$m suhFr r. rlr knl6 dlll{ rerxn l,w! oI cr,noh4 rt+rrh.t I trdr,lE.r(hiRr rorlr <br />s,ltdi d,nrJEnsr i'n ih'vtrr,n\ of SRrrn lTtD of rtr lrhr (iilc, I rh.ll. fodh* h d,q'lt *nh rh't pfl,v$.nl <br />WARNIN(i I'r'1 ,. tt {-.('. lork(1 (oirlxtrlrrn, <br />(tr'L rtrr\ trt r' oN [tr'tsh..| rhou\,n, d!'llrF (1ll[ <br />l.rqlul. rJ \lrxll {rlJr.r Jtr e ,r'lL)v.. t'.rimni Ir'L'lrr\ rrl <br />ro{ ol rcnrEn{.in)n, Jom.ics r\ t('v'd.d nn rhc <br />\.rsn r)760r rh. rrhtr (irr. nna.{ rnJ { <br />Lt( t:\st.t, (tr\l R,\cr()R <br />I h.n'l'y lrfrh uDlcr F ulr, ol lrrrur, rh:r Fo\Nrn or Cruflr 9 l!.mnrhm! r hS(rnn 7Ouol l)'r\i!n l <br />,l th. Burtri( md lhn.(!)nr(irl.mylf,ctr( tr m lUll r,nr. rnl cflNr. <br />1.tr.n!.Cltrs: <br />gqIiEIB.II{:ITAE.LEDI&CIGEX!} <br />I lt,tri, rfm uaL. Fru, or IE irry rh.l tlEr ir . .m<ul an Lnlhs rs.B.-, rs tlI Frftm ,n rlF *xl fd qt$ rh! Fhr 6 <br />n$<n (sa 1n97. crv c) <br />ATEII!:ANI.IE!]IJEAITON <br />I Liiy rlim uBr.i p.nrlry.rF,lry or of lh. n,fi'eitri d.(lxrriB: <br />l)cmnlDn PcrhneA.lrlro! NdtJiur!'n Falc.d R.gul,rrit (tnk tl(,. Pd6l <br />Rcqulqj L.rr.r ol tld'r.lri <br />-l <br />rd <br />'fy <br />ih, rh. fdLrrl rSuLlrr\ ESduS .rtt{o\ km'sll n. n rail.lbl h rhr Jtorcl <br />k)n r.sIG'1 I {rd t!(,hflt wnh rll CiryloJ Cotrnry <br />.urhtrrc rcprc{nrrr'r.\or rhNCnyrndCounl}r,,.nrcr!rn,rh. <br />D.t.r- <br />IAPPBOVALS <br />Ceir:- <br />l.(.nt. Numh, <br />kd.ir AJJn$. <br />- <br />--------T------ <br />I