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ELECTRICAL.INSPECTOR HECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lale Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor I
<br />Bondino / Groundinq / UFER L.I('1,\ \w6-/
<br />Transformers I
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solf it Rouoh
<br />Ceilinqs (T-Bar Rouoh)t
<br />Ivleter Release bt^lt19
<br />Rouqh \I
<br />Service lvleter f)A>*>7
<br />FINAL 1 ow8 I
<br />Notes, Remarks, Etc I ',t
<br />I
<br />OWNER BUILDER DELCAN ION
<br />I lE(hy rfin D undcr Fnrliy ol tr.r,lry lhtrr I dn crcnll fm'n rh. Conlra.roE l-i.cn{ L,* ro, rh. ,ulluein8 ur{ r lid.n}:l l 5
<br />Brim{\ rl Pftrisk,n Crilc): Any Cily or Couory which rcloicr a tEnit ro sn{rud1. !hd, 'q,ro!., &nFli*1tr ,qu .ir,
<br />$eluE, pritr r' il\ issum.. also ruquircr rh. appli.rnr f.r sr.h Fmn ro filc s ri8tr d (ir.rnr ihrr h. or sh. ir lien€d PU|rM
<br />r0 rh. ,flr'<i(,N I rh. Cnnr&rols Li.cned Law l('lBprq 9. C.nm*in8 wnh snriotr 7dD or Di*i'tr I of ltu nu.irxs lnd
<br />hn !{i,'nr C(ic)or rtir lror\h. i\ crcmlr ih.Efion ml r]. b.sn lor rlE dlqd crcmpri,n Ary vi,hrx rorsers. T0:ll.5ty.ny
<br />apIlicrtrr n, r lxrnnr ruhF_h tlE rttlBnr t, ! civil ,cmhy of ml B,E rh2. fivc hlndrd dolLt. ( 3JUO)
<br />-1,(owBr.rrtrFbFny,rrrr.nt,hF.r*hw.s*NUEteksnFNriorwil&tlEqnIddErr8rcirnnidftlql r ofi.Ed fn slc 156 'r(}'l,l. Buiits .!d PYrr65i,N C.n : TIE Codr(lc r LiBE Lis &E nx +!lr ro x osB. of
<br />rlE ltlH, wh tlrur rFrB 16r !d vho &E $h E.t hirelf or tE*lI.r rEourrr hn ot hc ow..npk'ye1
<br />potikn rhrr tkt i.lhEmdi ft d irc.d.d dorccd lor sl li lll{!G. th tniBnE or ltrp.NEd ir bE eahin m Jr
<br />ol Nr?llDn. rlE orvEr Buitl.r wi[ h.E rlE hnr,.n ol Fv,le tl{ lr d slE dn d hild r trlmE tE F,pciy td rrE FIFE of
<br />_1. !r o*Er ol rlE F{Eny, m.r.tu3irlr.odtuine *irh lirn-d.otuo^ ro otr{rul UE F.F< (5& 7ora, BurE:\
<br />.d ltstr.rr clic Tlr ContElo. r Lic.ns t s {t6 Dr rp?lr ro s owffi olproFdy *tn bIill3 or inpokt rhcNtr
<br />riil sl$ dn rdr rr, *h IhF. wnh. co.Norls) lired porsDnt ro rti Cotudd\ Litm Lw)
<br />I d .r. mfl !nr.r silirr_. a & P.C. lor
<br />'hi{
<br />rca$n
<br />D.l. o*tE worxr-ls'clxrdserrox
<br />DECIABAIIAN
<br />! llrby rmra !.d( FMky ut FJury oE ofrlr rolbuing &rLElnH:
<br />I ll.w.trl,rll minlrin. Cdiarar. ot Cdn.m rd s.lr-IBurc rd srts otrp.n ri6., r\ tmvil n tur b, serar 17fi) ot rrE
<br />lrrx, On . nr llE Frf(,ffi .f ltE wlt rq wttn rlE Frni k tsu.d.
<br />11rr* o,,l *llt *ino,n *, m (omrENdlnn iniu6*.. r rcrl!red by strion l?m of tlE Llho cdi.. ror rri Fr(xlffi or
<br />trE Htrl lor whth lhit Fml i! Bnid. My *0lt6 sllpcntllb. ins,m ffiT.,t polay numh.r re.
<br />a,.l
<br />I(zALu)?au I I XZ
<br />7OLr..n,r! rr,r * rr. r.'r,,,'Ltrrr.,l rhc r, [ 1,tr rhki rin nrrm F n.urd I \hJlr n,-" ,^r.t\.(,{ir {,hF.r r'rh. tr,r[ .., 1ti1hrrn,nL$\ Icrl'rn'n'J. rtr8rc(rhr 'llw.dcr\.onlll.n\lrinrln,vni('n\olScrrid.lTmolrhcl-'htrCdlc.l\h!!l.tonh*irho'
<br />T-
<br />.nrrloy !.y lErq,n in iny nuF
<br />\honld trco E subj.rr t' rh.
<br />rlply unhihrc Ftuvni)n1
<br />WAIININC lrtrihrc k, c.urc sork.h compcnr.liotr Nvcnsc is unk*tu|, ud shall subror dn cnltloFr kr rininllFrlil md
<br />.ivil nn$ !I io onc hundrcd rhourml dolLn ($loo.fiD), in rddnion ro th€ .o$ of corp.nsrirtr, d.nq.s .s Provllcd lor rh.
<br />Sc n'n luThof,rlE lrh, (oJc. Drft{$dutrorEv t Lcs
<br />,."2L1''i- -- ;; i-v,+ l,"eI I LraEhdEr drNTrA(-ruRp*r{rarroN
<br />IhcNiyrm n udc. FmllyorFrjury ltul I'm lieosl und.r pr$viinn of ChlPts 9 (omErcio3 sarh Sdbn 7ffx)) urDivirtrn ]
<br />or rh. surirErs d PmLrsirn. Co{k, i,n m} hcn* n in tull tor ind .ffdt
<br />,n" 7 {'"{
<br />L'ltt
<br />LI
<br />trl9e4\
<br />...,.*..x I'-*-Tr^r
<br />IOIEIBI]qIT'NI.EBIIIIC-ACEI.(.A
<br />I ltE6y lrtrm lnLr Fenyorrryryrhd rlEft k. rnnrrdion Lndins .3.fty ror OE Frf.{rl6R or'lrq ror whthltnFml ir
<br />R3mn rsd, qD?. Cir C I
<br />dEICANI.IEII.dMIIIJX
<br />I hsdry .nim un lcr IiMn, ot Frnry or or rrE rolbwir8 d..lrn'b.l
<br />lxfrnnr)n P.rmn(Arhcioi f*rific.lb. t€d.r.l RcSuhlhnr tIilh rO. Pan6,
<br />-R.qurcd
<br />lrls ol f&iifrdid
<br />_l cdrlyrh, rh. frd..lrc*lLrtr,tri E8dilin8 !{Eck
<br />fdrdiry rhll I IEE 'rrl rhi. rarltariotr !n rllrc r
<br />!,dtrrru\rkl sr . ltr*\ rlr'n! r)ntr'l(1tr'g.on{h.r.by aurhornc rcpeenl
<br />rh,vc trE.rur(l,n"Fny i,tr iNnNr
<br />u T^eG;
<br />I {r ro sn9ly wnn Cir, r,n C@r,
<br />di6 of rhit Ciry rnd F6u.'y to 6iq ugoi rtrl/
<br />,-,. Zllolz r
<br />Rov oB-07.2(115
<br />iAd 1-l
<br />2-
<br />Apdi0 l or lrrnlsildluF
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