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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltage
<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 Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Ivleler Release
<br />Rough
<br />Service Meter
<br />FINAL J/cJ a
<br />Notes, Remarks, Etc.
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<br />I)WNEIT BUILDER DITLCII'ATION
<br />I lErcby .Ifnr undc. p.ml't or F0!r] lnnl I m .x.npr film rlE C:otutoR LtcM L,* fot rlE folbsn'! EMn (&{ ?0l l.ll
<br />Burncii ,n E.ftsmi Codc)r Aiy Cny or C@ny llttfi r{!'B r Fd to sdMl. .lrd, itr?.or, &mli.h or EF, r,
<br />rlneE, I'n ro irr nid.r.. rLo EquEr rrE rfl iu, aq lxn Frx ro 6k r .rC'Ed i&ftfl tl'i lr or cE ir litNdl plErd
<br />r. rlr r.yninh oI rl$ cffidn ' l-i...ad l,* torrc 9. collwEin, rth sdbn ,000 o, rrivnhn 3 ol dr Buirs ..d
<br />Prolisbnr Cqk) r rld lt d nr 6.r.n+ rh.r.fn d lrd rlr bsir for rh rlqln .r.o+in Ary virrtutr ol S..lirn 7031.5 b, uy
<br />.pglkonr lo. r Fnrn ob,..k rlE appl(o.r ro ! .ivil p.NIy ol mr mr. rhu fiv. hundEn dollur (1500).
<br />_1, a orncr nr rlE F.rEdy, or my.mphy..i *i.h urSs a rh.ir $k onF.dirn. *ill d. 0E $rt !d th. tuE a d
<br />trcrll d ofi.r.J aq sL (S6.r(xi, AGiBr Nd PiDI*$ cqL: Th. cotuja r Lirrc L! ib.r d .rrly b o orE oa
<br />lr. FtFr, who tlild! a intFB dtBa d wlb dr6 rili urt hilElf d tdrlf or rLolall hn c lE os .n+lord.
<br />Forilcd dil r*t improEm&c d irr.rd.d.ro0crd Id.l lf.lrw. d. tlillru or ltImwmd L$! wihn tr Fr
<br />otcom0lti@ tl! O*M Bui!& uilr Mt l,l t{n}. of povuq tt{ lE ( dt dU d hiu 6 inrrlE d'. FlFry ld tlE FrD.r or
<br />_l- 6o*E of r pDpdy. rm.r.tusnrb.oedu3 *nh I'c.trGl.odete to coDetur rll prlFr (Se.7O{,1, Buin.s
<br />rrl Fb&si{ CdL Th. CotrlI(tor ! t.Ernrc b* drE\ B rl,ply lo D o*Er o, prop.ny *ho burtdr o, ntp@wr rh.B'n.
<br />md *rh conrds ro \u.n pr('j(c *nh 1 coildrod, lt.tr\.d pnnun hrt cotu.do s tictr{ t *).
<br />l d,.urr rl*la Sdrr , B &PC tu x. r.!en
<br />lralr[&tlauf}xsarlrn
<br />DECLARATIOli
<br />I h.ttby.llto ud.. pcndrtu,FrjurroF $trlt 6ll)sin3 d.cl,a rBl
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<br />h.E dn will nlorlin . C.d,fk{. or(i,lw! ro S.ltltror rd rdlaa $nl!.M.r. 6 Fovi&tJ tor by Sartr ]m of E
<br />t tht Co.k, ror ili F (6r. ol rlr *oA fq *'hri rrE Fn' i! u.u.d
<br />I hrE .nd will ,lrnun rott.^' unriEMrkr nruri!., u Equi6d b, Sdrnr l70O of rtu bhor C'oda. ntr rlI Fftn1:m of
<br />dr wort rrrl[tr]'rrnr tirn s Mvr,trksi (iqEns4bnmsur c(fl u
<br />'#1t"4/rl,
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<br />.cniit rllt m t,. FrrornEN of rr. vo tu,nrh $! I'crmir !tr.d,I ielltui.!p5tuyF$nud,nmr
<br />$ 6 ro h..rm suhFr to rh. ux*6 .oqrMion Le' of Cnitodr. drl lgN du il I irhuH bcc.ft sbj.rr ro rh.
<br />sltm (an,Fnqrion pmr o'u of SNrn 3?00 of tL Lf!o. Codc. I aEll. ,Mhvirh NtDIy eilh dr& pbvaEm.
<br />WAI{NINGT Fdlor ro su. *ort.^ corp.nsrion cot.d8. n unh*Iul. ,rxl shrll ubFcr .n lnph}.r ro ml r.Ml6 r,n
<br />civil |tr. !I t oE ludi.d ild$nd ddll (!loo,Ulo), rn ddirrn b rl. $r or oqEtrern,r. d.n{.! a ptuvil.d forah.
<br />S.cti,r 11,76 of rhe lxlxtr C(ili itrr.r.{ a.d diorryi le\
<br />ItrCl4tArqB
<br />I lEEby .n@ u(lcr Fuly or Fj!r, rllr I $ !an*l ard Fovnin or OIprc 9 lonftrina *ith scrir ?(m) ol Divll,n l
<br />of tlE BsiEr ul Prcf.sbE Cod..,n m, lt.e ! i. rul od.d.n&t
<br />{1r< it
<br />cqx$f,!l.Ill]!l.li8l||!G-d$r8l}
<br />I h.r.hy.ltuhutrd{ Ftulryolpcrjufrrhd rhcrc n r c.n{Mrirn tfili.! llrky nn Lh.Irrdllffi. or$. *nrl lnr rhah rh* Fm i
<br />$ru.d (S&. :1097. Cit. C.)
<br />afg,l(ANL0Ell{lidlod
<br />I hsdry rtrm lrLr D.uhy ot rEjury oN oI lh€ fouowiu &chr.ri,nt:
<br />l,.nDliri! Psrnu-Asb.nor fidinccpn Fcdcrrl R.!ul4i@ (Tnk,r0, P86)
<br />-icquirql
<br />hG of t*iifErm
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<br />ccrify tl{l dE r.dc.rl EBUlabd rr.djr! Eb.ndr Emrn e er +plt bk to tlri! p^iFr.
<br />hOo, u-, ** *"uu",rpprr.non rld !,.rhd rrr rl!,w Dlonn tu i! q.c. I{rro@trdy*nbrxcryddcM,
<br />Iltus6rldsr&t rr rh,E t, hlLli.! (odlwr4 {n h.86,dhxisrFG-driE ol dli' Cily rd Co81,lo.dd uFr dt
<br />rLn. nErrrEd pol'.n! ,or 'mp.d
<br />AD liuntorAr0lSirn m
<br />4
<br />Rev.08'07-2011
<br />ELECTRTCAL-INSPECTOR RECORD
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