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ELECTRICAL.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rough
<br />FINAL u nw-rq
<br />Notes, Remarks, Etc ll
<br />OWNER BUTrl,ER DEI,('ARATrcN
<br />I ha.nr rfim utd6 F8n, of Fr'.r+ rhr I m 66Dpl fmn th. cdrdB Lic.@ b* for llE Lllotritr{ lan (S< 7031 5
<br />Asrne d Prcfesb. Co&): A.y Cny or C@try *hih Equi6 . Fhi b odru<1, .!4. itrprorq &rbld or ltp., -v
<br />rttucruq Irfi to itr isl@.. ilgr rcqliB lnc lpplksl for $.h FB lo fi|. ! iJn.d n.lml lhn lr or 3hc . li.d.d I,uEUal
<br />ro rhc For!66 of dE contrElr'r Lieir.d Lsw {clupla 9. colM*ing snh sdbn 7000 olDirnioD I of lh. BditB Ed
<br />Phl6;oN co&) m fid lE d r|r a ddqr llE non .i rlE t-ir for lh. .lLs.d dd+n. AtyrioldbnofsdbnT0ll, bt D,
<br />lpplicur lor . Fhn rubjeri rhc .l)?li.!nl lo ! civil Fuhy or tul mr. rhd fiv. h!n&.d doll&s (t500)
<br />-1,
<br />6 ou@ oltL FlFly. ( ny dlplo)d wnn r.86 6llEit sL onq'diion. ril & dt $!.t.!d dE !r'ld4 i d
<br />idadcd or o6qd fd sL {56.104{, auilE ed Pmf6ioB Cod.: Tlt (t trclt t Li.e tts d6 ml 4?ly ro n orF of
<br />rhc proFly who build or irqmv6lhaE( !d vho do6 $ct Et hiru.lf or lE*lf or lhouih hB or hq om mplort6.
<br />prori,.d fili rct imFor@r. E @t nqtd.d dolk 6r rL l[ fioEs. r. hiiunE or it+.M i,U *ihid oR r-
<br />ol.iqki^ EO*E B{ildd siu IEEft h!&r orFotitle rt lldtlEdd6lhdddhV.nEdEFFry6ilt F,pcor
<br />l. 6 ow otrh. Elpqry, m q.tliwly @ffins rilh lks!.d conlr-r6 ro oldirl llE Fitl (Sa. 7041 t,lliE
<br />&d hDliin Cod. Tn Cor i.<ior! Lt.E L.* &Etul epltro sosdolFoFrysho build! or 6prc\6rh66n.
<br />ud who oDtrdr atr Nch,bj.r1! *ith r Co n ro(,li.str dFEudnbln.(onlncl t LkN lrwl.
<br />I m.idr unld sdbd -B &PC for'h.@.
<br />l).le l)rrcr:
<br />$ oRrulRs' ('onl ir ris,(iioN
<br />PECIJAAIAIi
<br />I h6cby lmrn undd poaty o f faju.y on. ofrhc n,lh\rin8 daldarioE
<br />I hA. rd *ill Einl.in. c€tif.d. of GMr ro S.lf-lEu tor k,tdr' CmF.ario., d Iftvid.d lo. b, SclDn !?m of 0a
<br />t bd Code fd llE Frtu. otllE {,1 6r $trh rlE Fmn ir is.d
<br />-l
<br />ha..!d will sri.t!i. vort6, orp6.rhn 6us.. ! rcqon.d b' Sa:1ion l?m of llE t!!ot ('o&. lor llE FfollMc of
<br />E srt lor $hih rhii FEn ir isrd My wstd @npadbn itEllllE c6it .d Polky "unbq ft
<br />-l
<br />.diry rhn in rh. Flolllu. otlh. *otk aor shkh lnn Fm n dEd. I slEll nor 4Ploy lny pds. ir rv r&ns
<br />$ c lo b@od sutin lo lnc *\,t6 NalFBnbn Lr: orctlfomri. od 4r rhr ir I lh.uld bcoE st cl lo ll.l
<br />mrt6 conFB.rron FoEil6 of S.<li6n lT0O or dE Lrhx Coda l Jdl. fdh*'nh @iply snh ibr Ftrvirbd
<br />UARIiINC ldlur. h su. rorl6 ramlEsr hn mr..sc E unhtrtuL ai sn.ll $bal & dnphtq ro ainnd FrxE.d
<br />rilil fr6 !p ro oE hud,.d lhoqui dollG (t10o,000,. in .ddn6n h th.f conp.Brio., L!&!l6 & provt.d for dE
<br />s<rion:1076 ofrhc l,bor Codc. inr66t Md rnorEr't fc
<br />I lErb lttui u.& Fdry of Fjur' lhn I o licd<j ihlirion orcluFd c (omffii.g vnh sdri.n 7000) of Dirn6, l
<br />of rh. tluiB and PrnldirB (-od., !i my laG . in tull rore trj .lld
<br />Lk.@ CLs:-LtcB Nunbs
<br />I h6.hv.mm und6 rE lyoID..juryrhd rh6. i!. codruclion Lndos 686cy ln Ih. pofo,1,@. oIlh.f,o ti,r $hicn
<br />'hn
<br />painit i
<br />su.d (sr 1097, ci| c)
<br />L.da', Nm
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<br />Lcndd r Add<
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<br />ATIIICAILDESJAAII()T
<br />I h.!hy dEm un& Frthy oa Fjory .n. ol th. followi,-s ddldtlbd:
<br />Dn6lnio. PmiEArhdd Noiifrahn F.da.l R.tllrlioN (Tnk,10, Pd6)
<br />Ratund Lal6 of Noaficnion
<br />-l
<br />cdrt rhi th. f.ddal r.luldioB cEedin* sbdos r.m!.1 e nd aplitbk h ini! pr.l.d
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<br />csriry rh, I hrv. F.d ll* l9r tdion 3d 316r. rh, tn n s .oflal I asrd r. c.npl, *ilh dl Cny &i ( .un!t
<br />ordi1s6 .,!d Srn. lres Etr,x ro hitdins cointudi.(.dhoE EFsnin 6 of lh! Cirt !d couny lo 6rq +oD dt
<br />dtF\. mar('n.rj proFny for
<br />*" 7-3o-/7
<br />IIIEI
<br />Service Meter
<br />CllE-
<br />,onL. t479JR
<br />*"/- te*7/
<br />\ptli.0ro.,1t6rSi*n.ru(
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