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ELECTRICAL-INSPECTOR BECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<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 & Soff it Bouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meler Release
<br />Rouqh
<br />Service lrileter I J
<br />FINAL 4lu q l)v/
<br />Notes, Remarks, Etc l
<br />OWNER BUIII)B D!'ICAR TION
<br />I lEr.by rfitm uftlcr FMlry ., F rury rh.r I m cr.q'r fmn llE Co'nrrta l-i..n< l,r fo, rrE roll,a,B mr). r s.r 70.r 1 5
<br />Buxincs !,n P.orc$io, Ccra) A.y Ciry or Cou"ry whrh rcqun.r d tEmir kl .DNM. drd,
<br />'mpmvc,
<br />d.mlish r cp.n .ny
<br />(rudu.. ,ri" b ns hrum., rro r.quir\ lh. otdf,rnt lor iuch lf,r.il ro fil r ri8En slolcmnl rh.t ,E or {E is licocd lurol
<br />b rhc rmvAnn! or rh. Conhkr\ La.nrrl tll {ClEfld 9, ColnmdD8 wirh se',n ,{m o, Divih. .t of dE BuiE$ rd
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<br />rtplicanr lr { pcnir subF{k tlr lpplir!.r ru r.ivilF.Mlrrofmr mrrhs flv. hundrd dolLrs (SJm)
<br />_1.N u*er orttr lfr Fny. d ny.npldlrls w h wie6 .. rh.n $h omp..di,n. rln d) :w.t.,n E.'lfu!d
<br />inr.flidl or ofi.rcd ltr sh (Sd 7044. Suimss ud Prof.$ions Cod.: fh. Contr&kn s LicctrE Lre d.tr @! .rtil, ro s D*ftr of
<br />rlE tn pdty rho hilL d lqnrh rh.r\ !d wlb .tlB *tl k t himlf o. h.rclror rhouSh ht d lEr oen.npb!s.
<br />phviLd rh, tuh i'qhwd! m n nr.d.d d otrd.d ftr !l li lrffi. E tliBing ., in+.wlld ir $B *irhh m F
<br />ofconplcrhn. rh. O*ncr BuiEs sill hlr tlt hrd.n Df p'ovi,E jl lE or {r dn nn hild or lrpow dE FDrEry fnr th. FrFi ol
<br />_1. &s o*rc. of rhc ltr,pc t, rm .rclurvcl, .o.re1ing *nh ncenrd conl.rron kr co.ntut rhc ,r,t n (Sd 7{X4, BtrliE$
<br />6nd l\olsri,n Codc th.Conrreror's t-iccn€ tjq des mr.rrlyto unownn.Iroltrlywh. buildror imprulcs rhc.con.rnr! rlb otut tr skh F.FB *nh r C. n.&*ln litn<d pluM ro rh. Codrdd s li.nr b9
<br />I umcictr)fl und$ SNrn r_. B & P C a$ lnir rcusDn
<br />D.l. ()r(r
<br />wonxeiui iovi,ral$i ox
<br />lEndxaua
<br />, hd$y rflir m u.d.r ,xMhy .f F]!ry om of itE n,lbvin8 d.thhri.n\
<br />_l hav. trd will minuin a Cd i,lc{e oI Con* hS.lf-lnsurforworkcn.omp.ns0!ion.rs pmvidcd for bySaiion:U(I) ofrh.
<br />Ltnr Cod.. fd tlr Frfi,lrr9ft. o, tth sffl f6r *hrh rl* Fmn a L$kd
<br />_l hav. a'rl *'ll irrnra'n *.rkcrr .o rFnrrrbn 'n\ur. r,!r rdquft,l by Sctr x)n :l7LU .l rhc till, Codc, n, rhc F.rornDmc or
<br />il6sr.d My woil.ri dqEnsrnrn insurituc .ai.r .dl Frli.y nun*i.. e
<br />PV\
<br />Ww65a'>/V\5 lrL $.06.L1
<br />-l
<br />ccrrily lhar in rhc pcr{orruncc oI rh. sork ntr whi.h rhn,'crmir n n\ocd, I \h!ll nor.'npk,y my FMn in dny trnnlr
<br />!, A b b.aoft \uhFr ro rh krldi.o qxnqri,n lrsi olClliLmi!.,rl +N rhd ill rl$uld bccoor subrd ro tlE
<br />$l'rin' .d.!Eneri,n IDvi*rB of Sdr'n l?fl}or rh tltr, Cri.. I rlEll. lonhrtrh ondy wnh lh'. ImririN
<br />WARNIN(; Frilurc k, sur. etrkcrJ ..n{En$'nrn ov.ro8c ii unbqiil. ud rndl ruhFr m .nll,t'tr. h anniMr FDlii Un
<br />cMl fiN. !p
<br />'o
<br />oE huidtErt rhrue.d dolhB (llu).uxr), in .ddiihn lo llE (od of cotrtE$.rbn. d,ms( .! Frvn.n for lli
<br />>*J{ld pur
<br />I hrrthy rllnnr!tulcr Ii 'trlry
<br />ol Ftury rh,r I !m l'(tn<n u F.viiir of Chlpr6 s (omErcin3 *irh S..1i). ?omr or Divi.in l
<br />ol rh. llurBs rxl l\of.sxnx Cixic.:uii f,y l.Ln{ n in lull ftn( dd clT(r
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<br />ct0 h6LAO
<br />WTEA NIPA INL
<br />calllBlcll9!-lElulcdil:lila
<br />I h.chy allirN undrrynllry or Frjury rhlr rhcrc i\ r c nsr ru(l i'n Lndi',s lcky r'tr rh. Flnrru'kc ri rhc sork tur *h.h thi! Jrnh k
<br />t.u.d (se 1097. civ c.).
<br />APPI IC NT NECLAR TTON
<br />I hodry lrfm ur&r Fmllt ol Frury oE o, rlE lolbf,inr &tLr.rionr
<br />D.mlinr P6mic A:trtro. Norirraiioo lskBl R.3lhiionr (Thle.l0. Pd6)
<br />R.quiEd L.(cr ol t()lifEdion
<br />Ml*m;l"r hrs .Ilnlrlion !,n iat.
<br />'hd
<br />tlr.n)E infornElirn k qrEd I!3Eloo'rr'ly*nhrllCn) rid Cour,
<br />ii,n. rd h.Eby uurtuE EFEnt.riv.r ofthn Cny ad Counrylo.nrq up.n rlr
<br />rtx,!. trrtrrntrrd po!.ny lnr
<br />*:m.r:| ()Y u*t6wa
<br />0t.14.'Lf
<br />I
<br />I BL'
<br />Rcv 08 07 2O15
<br />Pole Bases
<br />t dcr's Adrlrsll
<br />_l ccn'lt rhrr rhr lrd.rrl rc8ulnhois r+ril'n8 r\h.{o\ rtrrrd ur ior rpflrftlc tu rhn Fr]c.r
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