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ELECTRICAL-INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Slandards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />LiIe Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />OMtbtBondino / Groundinq / UFER t'ta'al W
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Boof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />llleter. Release
<br />a.
<br />Flouqh
<br />Service Meter tu/aFINALte'dt ,V
<br />Notes, Flemarks, Etc
<br />OIIiIER BUILDER DELCARATION
<br />I lBcby calim u rcr FMn, .r p.rrrry rha I m .r.r$ amn tlE O'rlr&-lon Lirtrc b* lor rL aolb*irr e!v'o (S.r 70.] I t
<br />Bunft3s .nd Prcf*ii,. Cod.): ary Cny or Counry vhrn EluiEr ! Fin ro onrnar. ,hd. n+bE. d.mlirh o tFry
<br />srrucrurc. Fhr ro rrr isle.. lls rcqliB! rlE ryt td tur r(h Fmir ro lih r si*ftd rl.rn' lhal ,E or iE k lic.nEn lulMl
<br />ro rlE F v6bns .r (tt Conrfrror'. Ltc.{d L.w lcllll{r 9. Conftrirr *hh Sclion rm) ot DivBio. .l of 'h AB&s dd
<br />Pmr.rsion{ C.d.) or rhlr lE m {E is ctctrrpr rhmfrom !n llE lnris lor rlE dhg.d .r.nFbn. tuy viol,lion ol Sdhn 703 I 5 by $t
<br />apnltlnt tq ' Fmi !!bFt rrE rl',lallll b a ciril Fdlry or mr mE rhrn fiw hu,nrd &,llat (t5m)
<br />_1, ( osffi orrlE F)tdy, rr nr.,pLFs wnh *.9!r $ ilE slc otrFNlrirG *iI dr rll krt rn dE tutE i' d
<br />imcdd or off.Ed fo, sk 1Sa.7044, Busirxi ed Prof.qn,nr Cod.: Th. crndor! Lrcn{ t * dftr rct rllply ro rn o*rcr or
<br />rlE I'r,r.ny *h tlilrt ( iirm6 rl-rtn !d wrb &n th ftrt hinMlf or rEr*lr or ltNrd hit s ts otn cn9t Fe
<br />povid.d rhrr skh i,p.ovwnk N d inErLd dotu for st Il lFE6, r,i hidiry d inyr@cfl n sB {thin om ,s
<br />of oq'lria tlE O*E Bliti. *iI h.r rL hrdcn of tevh! hd & o, {x dn d hild d itrprcw [E FoFty fd tlE FIFE of
<br />_1. a o*E ol rlE FDFny, .n cr.!u.rEl, m rdhS r nh litnrcd codBlo. ro Lurtu i rtE Imrer (sft 7fi,1. B!!fts
<br />ad Er'6\dn Cod.r TtcConltErorr Liccn$ k! dtrr rctatnlyro snown( orfrolrnywho buildror ihPio vc s lh.rcon.
<br />rid rtu, eddi iir ah F.j.{r wirt. codddO lartr<d Nnu.rr ro rlE Cod6da\ Lire L.e)
<br />_l m .r.npr urd.r Serbn_, 3 & P C for $n Erv,n.
<br />D.l.
<br />- --
<br />O*n.rl worxrrs.-;ourrlrsrrior
<br />DEll.AEAIla!
<br />I lEEhy rmrn unds rEnrl'! ol pslury or ol rh. t )lbso! ddh,Ihn\
<br />I hiE.,n eill mil lin ! Ccdiarlr. of Conenr ro Sclr-lroG fn hrtd conp.ndirn. rs lmviiH for by Sdion:]7m of llE
<br />bbd Cd.. f6 trE lqf(ilffi of tlE *ut lm *trh llr Dqirl ir itrkn.
<br />{ t* ..1 .itt -ln,.in *** c.nlEndbn inq.E.- s Bluird by sdri,tr rru or rtl tilEr cc,., rd llE Ffm or
<br />sorl l,trwhichrhi\ Frn tr n\kal My*o r.trrtrrssrtr,n insufumc crid arl,xnry trunif,tec
<br />( q ., f" - ,-,',,n ,+.t(
<br />9]v J rto -a r)a
<br />_l.dafyrhlr rn rh. FrrormN of rh. *rrt fd *hth rhi! Frmr ir !ru.n. I sh.ll ml .rpk y.ny p.r$, in rry @6
<br />$ asto tE$m tubrd lo lh. w*c( ohp.nsltur h*iofcalitumi!. lid a*Ec rhlr irI \tbuld b..oE subFr ro trt
<br />wrts drtrFNlb.p$vir$aiofs.dbnl?m.ldEld..C.d..IddLtdh*irhoriol,*irhrt.,mvnbN..
<br />WARNINC E.iluE lo <w erL^'mr
<br />.iul finca up b or hudE<l ltour d 'josBlnr H)76 0l ilr Lf,tnr csL. inrft( ind
<br />"",.,u/ts/sot,o
<br />I rEEt'y .lr,m uftlcr Fmlty .! rErjury th.l
<br />.r rh. Bu\im* rd Pnf.(io.\ Codc r l
<br />r{En.li,n o,vmic n unEduL rd ihrll ruhFr 4 cnptrFr ro o,riMl FEIF .^l
<br />i-m. drrurc! r\ pn^'dcd ntr rlE
<br />rrvirb. orChrflr 9 (ftnftN
<br />C-'tt"
<br />--7
<br />Iot./0-74r{u/aao
<br />I trEhy lrfirm unLr FMlty of JErJu.y rhd rlEc n r on{nxr bdi.s.Ecry for llE 0sforn4r o rh wl r rhi(hrhi< Fmi 6
<br />islkd (Sic 1097. Civ C.).
<br />L.nd.i1N.r
<br />-
<br />L.nd.r't Ad&Br
<br />-
<br />A@IqANI.IECIdEAIIIB
<br />I hnt, ,trm uftLr Fuhy of Frjlry om of ttE follo*int delrnl ioni:
<br />D.mlii,n Ftrnire&h.nc taoriaEtrhn tuai R.pl.lia (TtL,O, P-6)
<br />)1R.qul,rd t rld or Nodft.rbo
<br />, cdir, $d rL r.d.tul rcslhrbir Ersdins .lbdloi rbv.l e rcl lppli.lbL rc $i! poF.
<br />:Zl cq!,ry rhs I h.k ed $! rppl.{bn !,n rrr rhd {E atov. i,{onilrbn n coGl. I l8r lo onply {nh .[ Cn,.id c]bo y
<br />ddrMrn !,rd srr'c t st EiduB ro l!,Llmgjgn !+rbtr,il h.rr,
<br />!60,c En,i'wd rn,I'.ny nr inlFfli,!rdfoe\ ,
<br />y.urnrM ErErddns or lhi! Cily.!n Coo yro016orFnrli
<br />(.-hnnA0plirhnl trr As.nl si,:tulrF
<br />)r*urtCql
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<br />Rov 08-07'2015
<br />@Lz/Y tr.&
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