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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 />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER 7lllt 1 ,L4aq/,D
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wrred Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release l?hc/ r4 /.(rrF!)
<br />Rouqh tlllr't ,{,12t S I
<br />Service Meter
<br />FINAL lo -2,t1 &E,.a lt>,
<br />Notes, Remarks, Etc.
<br />OWNER EUILDER DEl]cAN TrcN
<br />I tEGb .rm ui& Frly of Fiu., di I d adlp| 6DD fi. Cq$xr6- Uce t.$ to. llE folh*i'B t&o {Sd 7011.5
<br />B$ir6 sd Prcldio. Cod.): Ary Chy or Cod, whth EquiB . Fm lo Ndrun, .lra, trtrtrcre (tftlch or r.p.n 6,
<br />ntu.1E . Fi, ro irr i!!lm.. rlo rcqd6 tlE +plicsl lor trh F8I lo nL . riSn d rnandtl lhd lE o, tlE t licq!.d !u$rl
<br />ro dE FDrib6 of rtE Cdsdd.' tEnt d trv ((tuBa 9, CoMi.s *in Serio" 70@ of Divibn I ot dE tlai6 !d
<br />Ptulsbu Cod.) or ind lE m rh. n adrl lhs.nDh ed lh. b..n lor th. .lk8.d adp(ion Any YDldion oas6lbt 70! I .5 by uy
<br />tqplicgnr for ! Ffrir tubjer th. +plicul ro r civil F tyofml mr.the liv. hu.&.d rLll&r(1500)
<br />-1.
<br />s owf,6 oalh. FoFly. or dy cnplorB eth srgd s lhcir $L onFbftn. *iU & dE sdt td dE rnIrE i! ml
<br />i 6d.d tr ofra.d for sk{S6.7(x,1. &!iB ed ProasioB C.&r TlE (odndor'r l,t@ lr* tto€ nol,Ply lo u o$cof
<br />rlE FDFry *h. hrr(bd i+..1€ Eq rn who d6 $n *a,r hielf or hd*lfor llrou3h tit ( hr os.iplo,6.
<br />pro\ i,.d rhd uh hForEEir G mr ida.Ld q olE d f.r sl. l( fio$6t tE lnildiB r i,q!!sEn it sld *inin m ,6
<br />6f.6ii$triotr tlE owE Blilds *ill lrE ltE hldor ofFovilg ltu lE or .lE dA ml hrild or idFor! $. FoFty tu tlE FrFe ot
<br />l. d own6 ol th. Fopdry, m crclNivclr..f,k{rin8 *ith li.6!.d codJlcloa rc coM.t rh. Pmjel (St ?u4, BBn6
<br />un Pioki@ Cod. Tn. (o r.cld t l-icN I.w &,6 6l .r,9ly lo a o$na olFoFry rno h'ld. or islmv6 lhs@n.
<br />.nd sls onrd! forsctFlr.tlr*ih r (tiffi.(r) li<aud F6ur lodE co.rtud. Lic l$).
<br />D.r. orr.r
<br />woRxaRs' ('oMPiNsAiioN
<br />DECIJIADq!
<br />I h*by ,lrm undd po.lry ol paJur, oN ofrtc follo*E3 ddlullioa:
<br />-l
<br />hlr c r'd q'ill id.in. Cdifrrl. oacoEn lo S.lf'trr fd wtdt mFMrio( B FlviLd lor tt S.tlion l7(r0 of llE
<br />t tEr Co&, fr rlr Ffol r. of rlE mn aor *trkh rlE Fnn ir 6u.d
<br />-l n v. .nd *ill midtin $od(a conpdEabn iM.. 6 ..qui,!d bt Sa1b. 1700 of 0E rrh.r Code f.r lh. Psfol1rB. ol
<br />rh. *!rt fd whth rht Fnn ir isrd. My *dl6' oopdrio. ilEltlt. 6it rd Fliy t@bq a:
<br />-Erpt6:-
<br />I cdit rhd
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<br />th. Ffotu. of tlE *ort for whi.h thi! Fnt E 6u.4 I tLll kn d,'ht sy Fen D.nt M
<br />$ s ro b6.r. objcr b rh. rorrd omFsdFr h$t ofcrlfom,t Md l8r llld ill .tnuld baoft $tFl lo llE
<br />trortd' onp.Elion F)ttbN of Srrion 1700 of rh. l,bor CnL. I !h.ll, fodhrill onpl, slth rlbE Provliod
<br />\'IARNINC: lsilur. lo sB. wDrkd. comrEc.li.n rovda*. ! unbwrul Md !h.ll slbjct u @ploF lo min l Furb ad
<br />IECIJSAI{I!
<br />I h6.hy .rtrm u.dr parlly o f pgjlry lhal I m hsE d uda rmlision .f Chaptd 9 (.onmoci.r
<br />oa rh. lluE.nd PNfdioB CorL, rn m, lt6e B h tull tore in.fidr
<br />Sdion7000) of l)nisin :r
<br />c-r.*r"71
<br />SI!iI8UCIj0!.I,INDI!G.AGII!I
<br />I hn !v !flirm unns !.n.ly of pqury rhd rh6. i5 . .oMtud irn Lndinr qt@y rur
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<br />pdfo,llffi. of work aor "hicnrhh Flni i,
<br />isu.d {sa lm7, ci! c )
<br />AIIIICANLDECTSIAITO!
<br />I h.dy .trlm !n& FEhy of Fju., G of rlr folbwh* .Ltlr.lnN:
<br />ttnohbn Pamil!-Asb6lor Notific id, F.datl Rc!!!!r6B 0 nL 40. Pd6)
<br />R.qlit d kiaotMxrfidnn
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<br />cariry rhd 0r Ld.r.l r.Suhliod Egrdiry ElEloi tEmv.l ec Nn .p9ltabl. lo lhi! Pmitl.
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<br />qtit rhr I h.!. rad thn !!?lkdhn tt 3lil.lhd tc.hor. infotuion i! condr I tsrc to omd! wnh.I Cirod Colrn,
<br />o.dna(6 8nd srar. liw! rcldr ms k, hlildir8
<br />itt\\.lmrirn d !rop<n) fiY 6Flx'n
<br />^ppri.lir
<br />or Asdr srstrlrur. )4
<br />Pdlri rm.(prlnr):
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<br />I ecrmpt uojd S(kin-, B & P( forrhll@.
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