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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER /o-21- /9 Ec 2\ Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rouqh) {eiuLu blt vvrw Alrt lte .Dt'i" I ol Rough Service Meter 16 2V -ta//" frIINJFINALfillall)tl rb Notes, Remarks, Etc.rr O\vNEN BUILDER DEI-('ARATrcN I hc.tt .lfrm uido Frh, of Fiury rht I m a6t{, tun rh. GnrF6 l.t@ l.{ tor |tt folhshl dN (Sc rlrll ll Uorin6! .nd PNldi,n (tdc)r Ant Cily or Cou t shi.h r.lutr6 . Fmn lo co6hEl, tlrd, rmFovc, ddnotith {. r4.t my rlru.lE.. FrE lo trr i95ll4c. ilso ,.qut6 rfi. eplirnr f.i rch Fnil to lilc. lisen nffii rhd lE or J* i li.a<d porrrtn to rh. tnrrsio6 oa rlr (-odrdft J l.kG.*J l,{ {ch.F. e. ( offiins *',lh Sali,n 7dx) ot l)ari!6n t of rlE BrEiB md Prurdnns (-odc) or lh lEorrhl i.rdo lh6.6om dlhct6$ tor rh. !ll.s.d.rmtrion An!\ioLlionofs.dion70115bytny qtlh.n! ritr . Fsi $bjftB rh. .Ft li.6t t. . .iv il p.Ehy o f nd mor. rh& li!. hun&.d doll6 I l50o) Ldr otr nofrh.rornt,.rmr.mpLir6 whh wir6srh.tr sL.onD.nF!on. \'illdo rrtsfft in! rh.iida a nn i.kid.d or oll6.d fo. sk (sa ?or{. BGiKr sd Pr.fNioB ( i\t : 1n. ( .nrrador\ I adr l,$ d.6 mr q'pl} 'o o\Foa rh. F.Id! *tr) tliltl n lrFor6thd6.. trl \t dG Mh trlrt hi,mlf or lrelf or ihn$ft [n d hd oqn dirh!6. nio\idd rh!! such inl'tr\oHls rc ft,r dqr.H or oilnql lor $k lt ho$66, lrE tlildi.B or imFovsrEn i, bld { irh oE ta of.onpki.n. lh. ( )lE Bd & $ ill h.!r rlE hrrh ol F$ in* fid lE or C'c dd tur hri( or i4i.!. th. riDFi!_ for lhc Frrnr ol l. 6 owE ofrh. propoly. M .t.lueir.ly <.nt.ct ina {irh li.ocd ont6(1orx lo m[(r( rtE F!i(l (S< ?0.14. Aunh6 .flj Prntsihc.d. ft.Conrdorr I ic.e l.u'dtB mr !pt,l) ro oo\6orForEn! sho huil&or ihpm\€lhdon. ed rho conrrrrr for rNh FoJ.(i $nh ! (t n<ro(r,li p{M! !o rh. (tdr*r... l-iIM l ru ) ,,,:?lu'irg I I hrchr rllinnund.r IEak) nrp.Tlr) on.f rrlr n'lINnB d(lnrirk'nr I h!r.rd\illru, r'n r ( drifud. df ftilsr kr Sdr tBuE tu trutdr' omFMion.6 Fo\ r.!Gl ror h Sdhn :r7lr() of rh( litFr(ode lor rhc lqfot'ffic olln so* ror snitlh.Fml . r<u.d I hr!. i $ Il minrri. r.rld .o'llttsd kr iBu,.k.. 6 ,.rrut d 1^ s{d nn u00 or thc Latnr (-od.. for lh. P-f(llmtr. of rlr s.lt fm $hkh rtis Fni a isr.d My $rt6 snpqslhn rNBc. csn6.d palr! .umbd d.: I cdil rhd i. th. p<ao,runc! of rh.\ort ror \hih rhB Fmn '. cud.I sn.llmr .inlo) lnt Fen io r.] nnm k' skiErom.sunjdbrh.tro 6 comF$d nrn ksr ol ( .lifonri.. ud isr rht! ifl tlr,uld b..on. bjd 'o'lE$lld.onl,dslnr.pft\tioBols4-lionlr(x)ofrn.lihor(i..lslMll.lonhs hcodrly *r'h tlhk txolirirN $AtNlN(; l.rlur. to sur. qrLB co rEr.ton .ril nn6 u! lo orc tuod'.rl lhousnd doll',r ltloo trrl :r', I r,lrc(r in Lrrt)',\d n, L' ntrnxl txlrlrr: mll ,i.xnN.. i. r'".,.It\! ,ir.rl,(rh. cor .f .omFNtion. DEC|AMTIA! I hs.i! rmm uni6 Fmht of pdjury lhll I m lic6!.d udd FI nhn oI (lBplq 9 (offiins \dh S.<lhn ?0001 of Divisiotr I oI llE BuiB !.d Prct6td Cod.- tt nv li<.@ ! ( tull loc dn dk IUNIAI(IANU;dDIICiCIIIJ I lElby.lIrm und( rEnlhy ol pcjury rhd lhn. i! t Fn!rudion Lndtu+.!mt foi lh.Ffolrffi. of rh. sorl ftr sfiichlhi! Finir i, Bu.d (s( 1097.('ir c I attll(axr.llEcuaalra! I h.rir .trm un&r FaXr of Fjury oft of rh. aollor ing .L(lrdnG D.molinin Pdmit!.Arb6to. Nolific.lbn F.d6tl R.rul ioa ('I I.40. Pdl6) R.qur.d tn'6.f lt'lfici0 I cdift rlh I hal c rad rhk nppli(iln! od rhll tn.ihv. infom.lio. i cor.d I!{Gloomdysnh ill( hy..d('ounD io.. drj lsch\ durho',. r.F6ddi\6 oflhir (-n, ed Counlylo drd uF\. tlron1run.6 md srar. I i*s ELn iry ro to,ldios Meter Release .FcAl \(hn U76 or rh.l,tnr ( Lj.. mrdd *. -?, Ib Lt { I c.niryrhd rhc f.&ril r.tularioB qlninr sb. s rmn.l !i. mr llrlt.hk m rhit ptF .h\. m k)n.rl F tdt l0