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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround tt.b.n uba/h qe
<br />Pole Bases
<br />Light 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 Al t r?a ll-tn I
<br />Bonding / Grounding / UFER trl/5/'O b(ilw1171 A ft{fll 0Yt'{:'HtruU/lf''
<br />Transformers U
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter ^t" l^
<br />FINAL t{rt/11'12'sLV,w4)
<br />Notes, Remqrks, Etel'b'b.I
<br />OWNEf, BUILT'EN DET-CANATIoN
<br />I ha4 .nm uda Fdry orFJuy lhr t d a6npi noa rh. Conld@ Lt* Lls fot $. folbwdS ,q$nise 70ll.t
<br />Bui.6r .d Profdion Cod.) Any Ciry or Coufly whkh rcquiG r Fnn lo oinNd. dld, inFotq darclirh or lE.n ey
<br />lrodo.q Ftu lo nr isMcq .tro r€qun6 $. lrpltd lor luch pqon io nl. . riSn d rlllffil th.l lE o, ii. it liccs.d pusrl
<br />lo th. FoviioE of rh. Co ,*roa3 Ltor.l ll* (C1Drr6 9, Coffiog wnh Sdlion 7000 of Divirion 3 of thc Buitr Dd
<br />ProlBbN Co&) o, rhd lE r ir n adtrl $c.6!n d tlE b.tir for UE dlecd qqnFirn Ary vioh6n olsalbn 7011.5 by ey
<br />rDeliri for. pq6ir lbjcu rl! orltol b. ovil p.Elyof mr mE fiE fiv. hu,'dr!d.blld! (ltm|
<br />l. s ow ottlr FDFry. d my alrht6 wnh *rs6 6 rlEn -h comFurFi. rd do tlE xdr .d dE !r.Ec i! @r
<br />ir drlol tr o,t6.d for slc (Sr 7014. BBir6 ed PreaasioB Cod.r Tt. Co cloir Licde t w &6 .ol ?ply lo u omd ol
<br />th.Fspal, vho toild or mFE IIEEG ,rl who d(E *h wlt hi@lf or lE*lf or lrvouSn nit or hE oh dploye.
<br />Fovid.d rlur u.h i6FqEtG,D1 irdrr.nnotu 6.rL.l[ how. tlE tlarlng or irgiD\dd ir -ld eini. E Je
<br />olof,pldis 0EOrd AlUa *i! hs!l,thlin olFovr8 tL fi.G t (M d hild 6 !q!E dE FtFr, 6r th. F,F*of
<br />,)C*,,*,"-,r. -dctu,wty(o,tcru's*,rhr.aBa,.od,ndonro onirud rrrFoF (sd. 7044. &si!6
<br />'*a noa* coa., rt co*rrroir L(d. Lr* &6,o1rpplyto D owtr6 olprcpslyvho buil& or inpov6 l!66n,
<br />ed who @trr!d! for .u.h Fojd! *th ! coirrxlo(, ltau.d puRud lo llE cortreld s Li.@ L.*);,"W ,8. &
<br />DECIAAATA!
<br />I hs.hy !,Iim unda p.n hy of pdrury oM of
<br />'h.
<br />nnbwiru d.clurk'N
<br />$$--aantaj,aatcarif.rcotcoMtr ro s.lr-lDJE lb. wl6 odpdurion s Fovit db,t,sdiEl?mot0t
<br />L.td coilq fti rh. FId!*. of tL rqt tua *nth rn FEn i i$.d.
<br />-t h!v..rd eill mirrlir vorla comFlrlion iM.. 6 !.qui..d b, Scrio! l?00 of tlE Llbor Co<t . fd dE pdfolrla. of
<br />rh. s for $E!gi Fmir ir !e$d My wmlq-oipcwFn nule..6iE an Fhcy numbq fr:.*,_s/n-E /'uP) ,',L"" -,)-rr^*'*^*-
<br />I ccnify rhd in rhc pstortlur. of th. erk for *hich rhi pdmn is i$u.d. I ihll ml oplot oy Fen i. @rf,ffi
<br />$ d ro b.roftc sbirt ro t. m qs comFd]{ion l,ws of Cellodia. dd tsE d, if I ihould b..oE. $q..1 lo tt
<br />wortd' omFsrio. pmvnioE olsclion l?00 olth. L.bor Codc I sn lL fdhenfi omPly wilh lho* ptlviioN
<br />WARNIN(; r.jlurc ro m. wd6 comp€eion o\d*. u unh*ful, &i rh.ll rb,..l e 6phF lo ainiol FnlE.d
<br />civrl nn6 !p ro om hu.d.{ rhour.nd doll4 (llm,ooo). r di nn
<br />srri.'. 1076.frh.l,lnr(irL inrdd Md nrollE
<br />o.,,. /o/r-z - nJ
<br />^oo,*,
<br />DECIjAAIIO!
<br />I fiddy rllm und6 p6.ty ot FJu r_ rhr I e lGE d !,id Folilion of clrpl6 9 (@ffi!B *nh s<ion 7000) of Divitiot l
<br />of rlE Bui,6 sd P,nt6!ia6 Co&. dld my lkcg b h flll fo@ rn c,Ial.
<br />5L ,, o ?i)g:-
<br />( oNslRL( Tlo\ I tllIN.'c,\(;tri( \
<br />I hdht rltm und6 Fdryof FJwydm thd b. o.r crbi ladi,g.g*y for th.Ffot:lrld olln &rtl vt'hhth! Fni i!
<br />i.$.d (Se. 1097. civ. c.)
<br />Lar& r Nhc'-
<br />-
<br />AIfJ,ICAITLDESIM]1O!
<br />I lEdy.trtu un&r p.n yolFjuryon offi.fouowinSd*l,r.lionr:
<br />D.oohon Potire^ltaror Notilicdio! f.ddrl R.suhri,6 (Tnt.O. Pd6)
<br />- R.qlitrd Ldra ofr*.'6.tim
<br />I .drry rha fi. fc.lq.l r.rlldioN r.gddng st6rG rmv.l e. not lppli.abk lo thi! poFl
<br />I cdiry rhd I h!v. r.!d ths lppla.rioo avl3rrtc rh.r 0E !b.rc in ir coEl I uclo aBplysnh r[ Cily and Counr,
<br />ordiM.6.rd Std. tar Ehh!ho'i4 r.p.edn 6 of th! Cny !.d CounU to dr6 upon ttE
<br />rbo\r ngr6n d FDF ) fr !ap<rio.
<br />Appli.rnr o. Asdlshn.l!rc
<br />Rev 08"07-2015
<br />wl (W- 1
<br />tvLL t9th*nlltrl ) lwrl,
<br />d&,36 a p.oviLd aor l&
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