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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liohl Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Vollage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rough
<br />Service [/eter \
<br />FINAL \,-21'r)
<br />Notes, Remarks, Etc.
<br />owltBx lutl-Dta Dua t TtoN
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<br />asrlr rn Frtrrsn C.d.): a^y Cty d Cdd, 'hrh ,.qllG . Fln ro en{n*r. ,'liE. nr+roE &mLrt d E!.t x,
<br />lrrrlr, F& ro it. io!e,.BoEqlBitElrlxdf{rr(5Frtb6Lr3ig.d{i!ld rlulrdltili.ntl IIDd
<br />ro tlE pmvnloN .l fi. Conx&toir l.E.n*i b* (Ch.Fd 9. col'ftftins qih S*lhn 7000 or Divhior I oI rtE Buims !d
<br />Prei.$Dr Co&) 6 rh.i lt ( {E i\ Gr.n+i rffioh !i rh. h.s ror uE .ltr.d .&tr+rhd A!, vel'ib ol SEti,! ?01LJ by Dy
<br />.pplisr ,.r . p.m. ubF! lh. 'pilr.n ro !.itilp.Mlyolmt Im dEr iy. hctnEd.,o,,a lt5ll)r.
<br />-1.
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<br />id-rlql d olld.J rr rk (Se.7044, Bonr$ Dd PNL i.tu CoL T& Codd*i littrr l-r dc d +ply to s uw of
<br />(tl IntEry *ho txild! ( h+.r,E drla ul who d6 iah ert hid.llor ls*lf or rLD{8b bjJ or lE om ?qllo}*r.
<br />Fodt d thr lEi ,qmwtu e d in.dLd sofldd rrr.L.lt, L'*E, tE hrildq diqrEcd it $B *th{ Fr
<br />ot.mtltim tlE o*E Blitlr *i[ lrE lll nda ot FDy-t rh tt r dE Jd d hri! ( ursE 0. FoFr, d. rlE FrPo- ol
<br />-1.
<br />u.vtur oftl& p.t'l.ny, rhc&lulirly.onLdh3 *{h li.tr€J NnlrEroB lo r!tr{tud th. FtFlt (s.c. ?or4. BuliEs
<br />!n h scod. Ttt(. -rof r Lk.hr ky d6! d.9?lt ro u orE of lrot d] {lb buildr or irrpDu tiretr
<br />&d it! turrd *h FrFr! rin.Condnirli..rd F{!l6 rothcffi t l@ L.v)
<br />-I
<br />s'.rn{r u!&r S6ion-, B &P.C lorthlErs
<br />u.r.
<br />-
<br />]taEfE&r-cQlrrL5AnoN
<br />DECIdEAITA!
<br />I !.Fb, .lf(m un&r ,EMly ol IE J4v !r dr dE fouoruv ddlrii8
<br />-l
<br />h.w .rd *ill nqinrrin r C.nifrrr. of CoMnr t, S.ll.lME lc *drlo' @trr.trdbq a FDvi.l.d for by ScrDt 1700 of tlE
<br />Lrkr Cod., fd Lh Fr.rlffi. o, rlr *dr Ior whih t& IE it i! i$u.d
<br />_Ib.E! iwilltlMrrsort6 !r{l'4du lErE., d rqoftd t, Sald lr00 ofrlt t tqCod.. for rl F (Mof
<br />dx rgt f6 *hth rhn Frd r (o.d. My urar' Nr(Edn. i'M@ ffi al FlE, N!tb., ..
<br />-I
<br />cdlfy thl m rh. lEl(flrE ol nr ,ort aq *hich rhr Fmi tr $u.d. I $rll frn .tpb, u, Fb, n 4y lME,
<br />e 6 h bc.or sbFr h rh. *dkdl ..rv.ndion ,rw. .lc.liro6r, .nd ltE rh! iI I 'houh b.tom obFr ro th.
<br />wdo.omFerbnpo!trhBofs.lrnilTmofth.bto.CaL,lrtUtdll*nhNflplrwirhrllapoEioB..
<br />ItARlil^il; ['lu'. r, {.u,. *trl\.^'(,'lrnsr frv..{. iJ unL*lul. !i srrll NbFr o aiprtt.l ro ffil FBtiis.rn
<br />r, rlr uod Df .onp.Nrion, drr8.r r ptuvrlld fo. tlr
<br />I h.rby lrrun unls Ftrrkyorpcrjuryth l.hLc.nstrlu vnion otChapB9(&I@king w h S*rDn 7000, ol lrvaio! l
<br />of rlE alJss.tl Pbf.aioN Cod...^l hy littr{ ir n
<br />o qq{2 t
<br />I lErcby .llim und., Frhy ., Fjury rhd rlE n . codMtr
<br />issu.d (Sa- 1097, Civ. C.).
<br />4.ry lor rlt Ffl']ft. of rrr *,rt tu rh.h rhir !ao. .
<br />AP?l ICANT DECI ARATION
<br />I hdd'y rtrm urkr FEi, ot p.rjuy oE ol ilE rolr)siDt .l.l.Ir!'o
<br />D.eln.n PdniFAltBtr t{&fdD. lfrsn R.auLtM Cr . a{, Pd6)
<br />_R.quftd tad ol lt frlM
<br />_l ccnily rh, rh. Icd(il r.Suhrioa E3rd|na arbgitr rcmvd m t .rpli.bL r. rlut ,inj.d
<br />-l
<br />d'ry lnr I h.w Erl rt!! rl4lrlB ..d d. lllr t& doE infodx. 6 .!fu I .t c to ord, *.i rI Ct, r'n Gd,
<br />,riilldcr rn Skrc liqr EhrrB r. t lllhl .!n lrr.5, uh'riu r.r..rdrE .frh! Ciy.!d Coudy lo oid uroi ir
<br />!bo'. trEnirnql prcr.ny tu inip..rt
<br />ApDlio or Arar Skuror
<br />G
<br />IIIIII
<br />BrtE,
<br />Rev. 08-07-2015
<br />I Fyr !a*.4.t r'-
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