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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<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 />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar RouOh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL t-zf- /1
<br />Notes, Remarks, Etc.
<br />OWNER BU!LDEI DEI-CAT TION
<br />I hdr6' rlrm uids F!.ny of Fjur: $r I D adlpl 6on ir Codr..ld Ltd* Ld 6r tlE follo$tg ,a- (Sa 70! I 5
<br />Bsrd dd Proldion Cod.)i Atry C y or Coumy whth rcqoiE . Fnh lo snnrud. .lld. improlc (bmliih or EFn My
<br />atu.l@ Firr'o iIr iglee rh. nqi6 tl'. tpplk&t tu uh Fhn lo 6lc. tiglE xrdEr inr lr or tE i lics!.d pldr.d
<br />ro rh. FlvanB ol UE Cotu..1d r Li@rd t * lC1416 9. Conhftins *nh S-1id ?00O ot Divibo I or tlr BGixs d
<br />Prcacsiou Cod.) or lhrl lt n.h. ir .xopl thqdom ed llE b6rn for lh. tll.s.d qdFio. Any violiior of S.dion 701I t bt&y
<br />.pplkd aor.Fhi $bjBrrllr 4pli.! lo ..ivil Fuly otmr @E rhd. fi!. h{xlt{.blkr (!5m)
<br />-1.
<br />6 omd ofrh. FoFly, or n, an9Lt6 wilh w!86 .i rh.t $1. enpdldio.. *ill do ltE $s{ !r! tlE sltElE a t{
<br />iddrLd or otu.d fr rl (Sa.7O,l,{. B6iB Dd Plofdi,B Co& Th. Cod,.dd! lie l^ d6 ml {ply lo & 016 of
<br />rh.FoFry slb hrili or i,g!6 $aEr! nn q,h d€ uh Mrt ti:Mlfor lE*ll or ll@ugh hi. nlE o*i.n!phyG.
<br />rovid.d rhlr r$h irFo6nan e Dl iflqd.d or 6lErd lbr -L l L tb*.q, th. hoiuiq d i,p.E!ai-i L old wirhi. oic
<br />'ooIcu4ldbG E ouE Euitjd q! i.c dt h!(l, of Fo\tg ll'i lE or rlE dil d hri! o. inp.oE tlE Ft Fty fti l,E FIIE or
<br />l- !otrE olrtr Fsrary. m.r.tuir.lt conrduB $il' li.ar.d o xl6lo o'Erucl llE FsFl Isa 7044. hE!6
<br />.,i P,rt3in CodG: Th. Co.rr&loi! Lkru ttw do6 mr .!plr ro o o*E of Fop6ry who buil& or inFtrvB th6@n.
<br />!.d who coluncl! for $ch Itstell wnh r Colnnclorl3) li.d!.d puBud h th.Conlrdoi! 1,t6. t w).
<br />-l6.tdF
<br />un& Sdrb. .B.&PC aorlii! tun
<br />Dtt OiG
<br />$oltl(!lt(' cof, tlENsATloN
<br />DESAAAIIA!
<br />I lscby rfim un(b Frly of Frury oG of ln. lollon ds d.<L.dioN:
<br />I h!v. md will minEin . C.nifrd. of ( on$l ro S.lllNuG aor h.tdt conDorlion, E Fovidqj for by s..rion lr0o oath.
<br />l,bor cdje tu rlE Ffo.nle. of lhr e!* tu witn llE Fni b 6u.d
<br />-l
<br />hr!. od *ill mlinrrh wo*cr' uomFNrtior iMr&.., d rcqut.d Ly sdlion 17tu of th. t,!or ( ud., for lh. Ffdr@cc of
<br />rlE mrt aor whih lhi! Fmh i isnl M, *qltr' comFlrior 6u,sc claE.,rl IDlt, tunbq r.
<br />ti","d ' tJaSo^ Lo l>Tr
<br />I c.niry thd in lhc Ffotu. of $. *ort lM shi.b iht Fnn t is,.d. I .h.ll ml q.ploy.ny Fen i! my mffi
<br />b B lo bdlc $tirl to rlE $. d'onpddion !$s of(difolu !d lsd lhi ill.h6!ld tEoft rlir lo llr
<br />*ortd' onFsrion FblirioN oasc<ion .1700 ol rh. LLtr ('o<k I rlEll. fonnsnh 6npl, qilh rho* pr.vtioE..
<br />\lARNlNc: Fnh,. to Eu. mrt6' comFEdnn or6.s. it uhwtul. arl lhdl 3!bj.< M dploF b (m(d Fr.|b dtd
<br />.ivn fin.i up lo oE hundEd lho@d dollm (1100.000). in 6dd(,on lo ih..on of.omFnulion. d!fus6 6 Folid.d for rhr
<br />Sdron i076 ofth. t:hx Coda id-d .rd.n6rly r fc
<br />tt r". ' L/t"tlt?t
<br />I
<br />I h*by arllh un,l6 p.Elty of Fjury thd I m l'..rki 9lconmocros unh sdion 7000) of Dnirior l
<br />of rh. acilB $d PmfdioB ( o&- ei mr li@ ! o tull
<br />t*r'r*:._4ELtLt**x-"t* ' n-? 5'?5L
<br />-",'1n1L r -r,""r* )(
<br />I hq.l,y lmd und6 tE.hy oa pdjory lhd thc. i! r .otr$E(ion l6xl tu rh. FrfoflMc. of llE ssrt lor ntth rhn Fmi it
<br />st!.d {sa 109r. cn. ( )
<br />l,..dd ! Nrm.
<br />atfLlcAtrr.D&cuaArl0!
<br />I h.d, !trm ur& F![ y of Fju'y oc ol rhc folh*ing (hltdioB
<br />D.molih. Pmnr-Alb6to! Norificlrion !.dd6l REsulalionr(TnE 40, Pd6)
<br />-Rqun.d
<br />Ldrd ol l'{oliftiDn
<br />I cdit thd rh. a.d6.l r.suh ioB rqdnE 6tErG rcm\.1 rc hl ,fiilktbL b rni! F.J(d
<br />-l
<br />c6r ify thar I h.vc rod r hn rfiln(.rion ,rl trrdc rhd fi. ,t v. inform.iior itcotr..l.I lrc lo enp! wnh 5llCil, Md Counly
<br />odiIud r'd 9.tc L.*. Elr,g ro huiniu oldfldstr rn lE.Sl .dhori4 rqerr ( 6 of rhs cn, rd Cou.ly lo 6ls qEn tlE
<br />ilrncnrnrkneJF.n n) fo. r,Er*-...1k,n pulr,G
<br />.{pplic.nl or A86l Slgnrlu.e X
<br />r-nir." nr.crp,r"rt, D(-14 ac, C"h>
<br />_,,: zf^ln
<br />r
<br />APPROVALS
<br />Under Slab / Floor
<br />L*'n - A--.;^n 7-a, t\
<br />--__r_-
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