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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Sarety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<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 (Rough)
<br />Ceilinqs (Hard & Solf it Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rough A
<br />Service lvleter T\
<br />FINAL 1-\\-ru ft{r}'y,I
<br />Notes Remarks Etc.
<br />I tmby rfm uds Fuly Dl Frrry th.r I e .r.npt 60B rlr Ciod.*16 ti.* t , fn dE follr na lwn tsd.roll-J
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<br />ipprksr fo' ! Fnil rubFb r spplicdt ro a .ivil p.Mhy ol mr mE $ri fiv. hundEd doll& ($1r))
<br />l, s .*E or r FDFny. my.'l9bF vih r.F3 r rll, $L dnp.di4 vI& 0E v i ri Ut li,tdc i fl
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<br />rn Atr*snn C.xL TlE Co r&k{ r Lrc.N lr} {rB mr.p?lr ro u ow otFoFdt *lb hoillt ( EpDw.6cEtr
<br />.nd *,tii .otudr Ior 3uch FsFrr w,th . Cod rod, lhi-d FNir ro UE cotudt Lile L,s).
<br />I D, .rry{ u'ds S€rio'
<br />raEfl;E5:gl!ltl!lAll!1!
<br />DECLAII TI(It
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<br />-ltuE!nr
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<br />LrrE Code fd th FlirM. ol rh. *dt k! *tih th. IEhi i *{i
<br />I h.v. rd wnl isrrrn worl.N con{ENrrx,n mrurr., 6 Erluftd hy Sdtnn l7@ ofih. Lrhn CcL. tur rl! FfdEr. of
<br />rh. ro fo. *h*h rln Ernxr n iiscd. My worLrJ otr{roeion itrrura. cimr 8ld folicy.un*Et {.1
<br />rlur
<br />'n
<br />t). Frlornu,r. , 'l rl'N *orlntr wh(hrltrsltr.nr x ulucJ.l stull nor .n{,lo} my F, r,n dy turnc,
<br />b.s* ruhict t. rh. krrt6! conp.ndon Lrr oI Cdrromtr. .,n .gc. rhll if I 'rhuld b...m {br..r h rlE
<br />*od6c conp.Nion povi\lB of SNnd 370oot dE I:Ltr odL.l rldl. fdn*nt $nDl, *irh ih- previs6..
<br />WABNNG fllu'. r. su. *116 mrp.d.n co anplrF ro {:)llwlFEt- drl
<br />uel turs uI k'.rr huftlr.J tlr'usnd Jourr itl ion, durt.r a prDvt:Ld for ilE
<br />ur};tsul-(l|ll&rllga!.r!!LuaIM
<br />I lrEby,frmu Lr Fn:lty of Fqury tur I m U.trq! unl.r Flvsln of Chp.q 9 (Nnrllt[-'iry ,il, SBrDn 7m) of Ortrli l
<br />or ih. BusmsrDd l'n,lc$mtr\ (ixl.. dnd my hcdn. N
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<br />?fr(..ttr v
<br />1i
<br />g}rlx.lII&u.riJr]ri-!1ir}1l
<br />t h.Eby .ltm utir.r FElry of p.rtry rh dsr i . dllfuir Lndht qsy lr dE Fflfuc oI tlE *dt *'. \ll-h rL Fd i
<br />iEal (sa. ]ir7, ciY. c.).
<br />Attut rlp[clJ8angN
<br />I hqdty ltrrn ui.L Feiy ot Flry or ol rlE rt,U,vBt daLrrioD:
<br />t!.blirion P.rnnEArh. or Ndrnclrxh F.d.rrl R{ulrbro (IirE ,ro, Pd6)
<br />R.quiEd lJn.r of t(xito.rtr
<br />cgrify ln, rlE r.nc.rl rlllni$ E8rdid! &t ru r.mrrl e d {?lr.bl to tn F,Fd
<br />iIy rlur I lrw Erd tlu! rpp,rr$n ud {r. r}d dkr n c6rEl I rara lo @trp|, vnh rD Cty rnl G,u.r,
<br />hrk rcpr*nr.liv.r of trs
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<br />I
<br />ELECTRICAL-INSPECTOR RECORD
<br />Rev. 08 0 i' 2015
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