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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lighl Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />4ilr'Od;Bonding / Grounding / UFER 6ltr114 n .q)
<br />I 0t
<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 Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />r*'tp,?,/r.1)Meter Release 6h/t,t fi a__//q
<br />Rough
<br />Service Meter
<br />Mtt*JFINAL0lrrlL4 fa.,,a)
<br />Notes, Remarks, Etc.ulll
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<br />OWNET BUILDEi DEL(ANATrcN
<br />I ha.tt lrm undd Frt, of Fjcry rti I n 669 toi fi. Cd,.dc l,i.o* t r for llE follo*ins la. (S< 70ll ,
<br />BuinB &d Phi*nn Co&): Ary Cny or (@ny whi.h r.qun6 . Fnil lo odru.l. .ns. idFolc domlifi or lq.i ry
<br />ctucruq Fi,r ro irr ixl[x.. rto EqliG rlE +plaur tor iu(h Fn,r ro fih. risro, !rd.l6r thd ll n nE a lic6$.d pded
<br />ro rh. FlvbbB oa rlE ConrrErd t Lis!.d Llw (Ct s e. CoMi.s $nh S<rb. 70oo of Dirni,D I or dE BdlB .rd
<br />Prcf$ilN Co&) d rhd lE m nE ir ddq( rhccioi &d rtE boi hr rh. .lk!.d aalFion ny violtlion of Sdnn ?01I t L, e,
<br />rgplic.ltl tor ! p.tr ebjclJ llt !ppli.@l ro . civil pcElly o amr mor. lha fiv. hun&.d d\.lhi (1500)
<br />-1.
<br />s o$ru orrll. FoFn,, or my 6rploy6 wnn s.s6 s rhci. hk.omF!.ien. wil.b llI *ut rn dE rndE i tb{
<br />i,rd{t d or o,Is.d lor sl. (Sd.7O44, B6ind ud PsfBioq ( od.: Tb. ( or r.dn! Lkee l.w &6 ml @ply lo D ow of
<br />rlrFopciy *tFt ild d inElr€llsEc d }|D &E$dr Nrl tiMlf m h6EllorlhreuJnni! lE oM.rq,byc6.
<br />Fov'd.d rhd .uch nno.od G d nci.d n otu tor -t la, h.*-c. lll hliLllq s,'FDEEi ii ild dni. m rc
<br />orcon9hh.. tL ()916 thilda will h^t rt h,*n of Folirlc thd lE or JE dii d tlild.. dFovc thc F.Fly for r F,Frof
<br />I. 6 o*nd of th. FoFry. u cr.lNivcly codrBlins snh lica!.d colnrtlo6 ro .odfud rlE F.jd IS6. 701,{, BclB
<br />dd Eokir Cod.: Th. ( o.trclolt Lic.M tr* do6 hor.pplyro M oRn6 oftropgly q'no buikL or impro!6 rhds..
<br />od *ho olnla for kh FDF wnh r Coffionr) liq!.d FlBEr b rh. Codndd , l-aoE l,w)
<br />_l d.ronfl undd seti,'
<br />D.r. orlE
<br />WORXFRS' ('ONiPE\SATTON
<br />DICIASAIIII!
<br />I hd.t, lrm !n.ld Frny of Fl!r) oE ofrlE folhs iry d6hrrr6
<br />-I
<br />h.!.edwill minrdin r c6rilicl. of CoMr toS.lf-lNu.c tur worldr omp.nEiion. d prrvidal forbySrlioo]T(x)olrhc
<br />trbor co{.. aor rlE Ffm. of rh. w* tu rfiah
<br />'h. FBn it is!.d
<br />-lh!v..ndwillmiinlrin*or[.
<br />coop. al'o. isurik.. s r.qut.d by Serion 1r0o oflhc l,bor (ndc, for rh. Ffmndncc of
<br />n ir i<o.d My wdlsr .rnFMn. iNuruc. @i6,n plicy nuDbd t.
<br />t/o
<br />I cdiay lnll in rh. p.rf.rMc. ot th. {o for shich ltis Fnil ir sucd. I 3h.ll mr dploy oy rG$n h dy odc
<br />e d ro b.rod {t*tr t tlE *0116 @mFdb. L$r ofcrlilohir Erl Br thi if I 3hould hdom.uqd b rlE
<br />yorr6 @mF.GrF. ForlbB of Sdi,n !?m olilE tlbd Crne I Jrll. frnh\ nfi onply rnh $.* FvtioB
<br />ro su. rorf6 omFdh. cor.rle 6ohlc b sinird Ful6 t <l
<br />ion. ddrls6 B Foril.d tu Erhou!..d dlllB (tloo.mo), in
<br />tl(.llB..}ra-!
<br />I ha$y .lfm unila pad' of Fr(y rhr I d li.6.d odd Fvitioi of (1r9ra 9 (mM!g vill' Setb. 7@o) of Diltitn l
<br />ol 0E asil@ .d ProtdioG Co&, !d By lt@ ir i tull foE tn cIr6l
<br />G-t?/8/;{isle
<br />l:q!$axcl1l]lLtElDllc.6oEA.cx
<br />I ha.rt lrm udn Frliy of Fjurt thi llE. t ! odruclion lddos.stry toi lrt tEfoll1@. oath. rul f.r yt.h da Foa a
<br />ir,.d (Sa. 3O9?, Civ C.).
<br />L.rd6 r NlN
<br />-
<br />ATIITCAILDESIAAIIOA
<br />I h.d! rrE6 u.&r Fuh) of Frrry oE ol rlr follof,in* &(hrd ioNl
<br />D@olirion Pdnir!'Asb6ror Notific.tion F.a6rl Rquldions t lnt 40, P3n6)
<br />Ra$na, L.rra of Mtrndion
<br />-l
<br />.sli! rhn lh. f.ddll icsuLlEc r.sadins abdrN r@o\ il e. mr +r,licabl. kr lhi! p(tj..l
<br />I cdily rhd I h,r..6d rh6 rptli..lhn ad
<br />ordiM.d Md Srdr. tr*s Eldrq ro t{il,l
<br />.lE* 6rpdd FoFn,- ad
<br />I i*E kr armpl! {nh rlll'rj .nd (i\unr)
<br />dN;otrhBcir\ Mdcolrr h, dr, uF.n rrE
<br />-,.s/rsfF
<br />Transformers
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<br />t., .d6'r Add6: _
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