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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Spas, Pool, Fountains
<br />geLile Safety /Low Volta
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Bu ild ing
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Sub-Panels
<br />Air Conditioners
<br />Factory Wired Unit
<br />Walls
<br />Ceilin T-Bar RoS h
<br />Meter Release
<br />/1
<br />il
<br />FINAL /// /z,O u,M1.
<br />Notes Remarks Etc t/./ , -r" v/
<br />(,wNuR BUll_DEt DEt_CARATl()N
<br />I htrchy oilnn und.r Fnahy or r.rrury rhrr I anr crcnfl fn)n rh. (i, rrn'B l-tcrlc li* rarrhc tulk,wi[r Ncin (S(.70.1t5
<br />aurm\\ r'd Prolt*i'n Cod.): Any Ciry or Counrt shih rc{tutc\ o r'.rnri h c.n{d.r, rlrd. inlrnrt. d.nt,tnh trr rcI'ji,,!try
<br />nructuc, prirr n, irs tsxrmc, al\o rcqun s rhc .t'Ilf,M( tur luch Frmir ro filc n ri8rcd rlltcmnr thor tr or \h. ir ln..n<, tDnudnrt, rhr lrnvisn,n\ of r|E A'trtrrctors Lrcns.d ljs (Chlpr.r 9. Co nrErf,ilS Iirh S(rn'i 70(n ot l)ivnion .t trr rhc Bfiik(! !n{l
<br />fnnisn,n\ Cod.,uiihir lI orrhe ir crcmpt tlticlioNi*l rhctE\k f(trrhcall.S.d crcnrprirn try vi'tlrt'n ot Sdr)n Tolt i by !n,
<br />aFplicanr lhrap€mit suhj.\F rh. aptl&nr b !civilpeMlryofnorntr rha6l[r hunrtrcd dolltr^(:!5(rD
<br />-1.
<br />ar owRr ol th. l'.Fdy. or my cqrLyas sirh !,8.s ds rh.n r,k cory'..d io.. *ill .lo th. w* un tlE (ulE E r,
<br />in(.*J.rl q nllcrcd for sL (Se. r0t4. Busiftrs end P.ofc\ri)nr Cdc Th. codmrir\ l-irn{ tr* &rt hr rrll, b rn owr or
<br />rh. poFny who huildr d nq'mk\ dr6n. rrt qtn &F *h hrt hin\clf o, hcrcll or ilnrutn hi. or IF own .n!rloF.t-
<br />,iorilcd rhlt iuh inForrftdr rc rer inr.ftLd d offntn ftr qk Ir. h,rG(. rlt tlildh! or rntmBmnr ! ott utha. or 'w..!r.oq!kri)( rlt (nrm, Build.. *ill h.E irr hlnkn or F.r'ins rh.l ,E .r sh. 'iil mt hit'i or iqnxr r,E ,r{dy ror rrquF! ot
<br />-1..roud.rrtu
<br />pn,rEiy. rmuclusir.ly.odr..rir8 $irh li(ned.odmroF to $.cruc1rrE FrFr (sfr 7(x,t. BBrm$
<br />.in hnLarih Cod. Th. conrft(oir l,k.nE lj* dGi mr +0ly n rn oc m or rroFn y slr' h.ildr or imrriv.r rh.r.on.
<br />rnd slx) .$ntd! for \kh IrtrFr sirh . Coddun 3, liroqrd purud tortrCodrdn r Lr.i€ ti*)
<br />I ! .r.mflr udjr Slcr
<br />D.l. o.ft.
<br />ttour:rstompmrserrr rn
<br />IIEIIASAUITN
<br />I h.rh) alfirm unds |EMlry of rBlrt om ofrli foll'siry dc.Lrdrnr
<br />-l
<br />harc md will mnrrin r cdir.,r. orcorenr ro Sclf-lnruE rd rrrtn conp.Mb.- r rmil.n ,or l'r "s*r-r lTrn or rlrl,tg C{r,.. ror rh. tEtur of llE so* fc lnah itE Ftu k ilrkn
<br />(l hlv. rnd *ill m'nr.h mlts cortENri'. insnE.... Equtd by s(i an :r7{n o( rh. lr'r, (-.d., t rlE Fifdtu o,
<br />'h 9sr Ii, *tth lhir lEmn ir is!d. My etrkn onlxnlrion iBUr.Nc..n; .,n Fnry mmrE e
<br />G 8,.n*.0 2
<br />-l.cniry 'h,r
<br />i. 'lt Frrorfrft ol ilE sorl fttr uhthrhnFnit n ir{xd, I ilull rr cq .yliyFmn in.nylMFy, r t,lt$r \ubFcl lo tlE *Glds mnFndi,n L*s of CtIr.rni.. tfll {N rhd rl rhrtld h.frm sbFr h rlr
<br />Mltd drpctr3.tbn Dmrisbns of Sdirn rrm 6r rtE ljlrn Codc. I thll nr hr nh NrIiy Birh rrbr pmvth.r
<br />\yARNING: Farlurc t, €rc so .r ompcnsrrn d,sc h!. n unh*ftl. ,nd 3lDll \ubFl m dr{'LFr l. aimiMl F iir rd
<br />.nn 6ms up ro oft hnndrd rb!$Jxl(hll.E tsl .m),, i. idnir'tr t, ili od ot co.qtNrbn. dtmlcr I I'Ftn.n tu rlE
<br />::"v/ily'r-^
<br />I hrbr amrm und.r lf,Eh! or FrFrt rh,r I am lirnrd In,rtrir of (-h,pr.r r) l conlrm,ry q irh 56l hn TnIr r ot l)ivni'n I
<br />ol th. au.ift$ rnd Pnrl$\bns Codc. d mylacn* n in fulll{,cs,ncth1
<br />Z?, e''Zn r.(ctrlc Nun,tr,
<br />7
<br />I h.rhy af,ir undcrrEndkyofpciluryrhar r .n Lndine 0eck, r(tr th. Frforromr olrhr *nk f{n *hth rhr lf,rm s
<br />AIPLIIANLDE.CIAAAIION
<br />l H,y r im undc, Fnlh y of pe rjury onc or rh. r',lk,s iis d(larir ior
<br />I).nIliri('n Pcnnih.Ashcn.s Norificarn,n F.dcrulRqul!rions (lirlc r{). Prn6r
<br />Rcquned Ia erolN.rific.rion
<br />- r..(.!,h7tu..,r,,,,{,',.n.r\,.F*r,rr.rh.n,a'r'r.,.,r:..,,.'rf'n'hr,.,r,hi.r',,n.1
<br />t. -r1\y'r.". r i,r,r.a ,rfr,,lri,1,.,r.r ^'hJ1...'h.!. r{trrrr.h.,.r.!. I"r',r,,..{r,1drr.r. r.r)ql r.,q.,..L,n!.nhu'u' r\i.r{r,ria, rx,h,'.h\ rr'r nrtr(! ,1;.,,r'h^('
<br />xh*r N,tri,,ftrft{{n) h{ ,n( rDrt!4arF
<br />.rnu.",, ". r""n,,,,"nuru*^ '<-z---
<br />r,rr.
<br />*-,**..}*n/ /4q f//--z-t a g
<br />Pole Bases
<br />Liqht Standards
<br />Siqns (monument)
<br />Torqueino
<br />Bool Top Equipment
<br />Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Solfit Rouqh
<br />Rouqh
<br />Service Meter '9 Zo
<br />i1\ucd (sd 1097. civ c )
<br />l.Btclr Nrm _
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