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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/stG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER l0-27-h
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)
<br />(l&btrRelease lt1->n ld-zg-a J )t
<br />Rough loLPl l0-"7"r0 I
<br />Service Meter
<br />FINAL 0- L7-70 vANy",
<br />Notes, Remarks, Etc
<br />8@tt ,A - [^6*{eFL
<br />trlt\t.t ltt _DtiR Dul.('aRA I tot
<br />I hdcty .m.m un.ld Foahy of p.rrury I d .xdp rroi rtE Co.ido6 Licoe tlw tor lh. toUowins la'n (56 70ll.J
<br />B6'n6t d Ptofdnr Co&) Ary Cdy (ddy whth r.quiE r Fni ro mldrud, 1116. i"woe &mlah o, rt,.n ay
<br />irtu.i@, Frr ro nr iBum. lko r.q!n6 h.4lplicui lor ruct !60 lo frLi sb..d ndmr (h,lE.t tlE t licdE d plEEr
<br />kr rh. Flvisioro or llE ( onrrrroar l,a L.v (clu9l6 9, ('onm4inB wirh Scrion 7000 of Divtion ! ofrlE BBiB &d
<br />Pmtdn Co&) d rhlr rE or .h. ir a.npl
<br />.pplicel aor 3 panit $bjdtslhc lppl'cer
<br />Dd rh. bG! for 0E dks<d qdFDn A.t vrLtion.f S<io. 701I J brsy
<br />!qvilp. xyofnot mor.rh nvc hun&.ddollus (1500)
<br />L a os,F oflh. FlFny. tr ny vnn $ rs6 6 'h.t sk mmFEnion. $ill rto tlE vqi .d lrE nnlG ! bl
<br />Dd Pr.lsioB C.d. TIE Conrr*oi, U..4 t,* &6 mr ryply to 6 ow ot
<br />wln &d r.h sd hilMlf o. lEElf or fiFush ha d hq om 4plorqi.rod.rl or offs.d ior eL (sr 7044.
<br />t ov sl rh8r su.h mpmlarMr r. mr or ord!.I lor d.. lr, ho66, lrt bu'ld g or mrm ffi i! $E wntn m )r
<br />of conpldbE tlE (rE Buildd r lEr llE ofFovi'B rhi lE or rh. d( mt hlld or inp..( dE FoFq for rlE pl4os ot
<br />l. ao{c.f rh. FlFry, mctclBndy ins snh h.osal.odrd.6 !o.odM rlt Foirl (Sa r04.r. BUuE
<br />,i P,DAriin Cod.: I hc Conl rdloir t!* {,06 mr appl,
<br />'o
<br />m ownd olFoFly *ho t{ildt o. inprov6 rhd@n,
<br />lnd who Nnr6ds tu 30ch pf.jd! {irh d ) licdB.d pu6ue torh.Co.t,adoi. LiccB Lw)
<br />.l m crcmpt undr sdion
<br />I hqcby lffm un{,6 Funy olFlu.y oE of
<br />EQari[ati:c(2llf[lIAllo!
<br />DECLIaAIIUI
<br />I h.r. .'d will minlu . Car'rrir. ol C
<br />l-$or Code for rh€ Fftuc o f thc md
<br />ro5.ll-l@ fm* t6 ohFErb( s FDvrLd torb'sdrb.l7mof rh.
<br />*tlrn $. Fmn 6 isu6l
<br />I lu*,ndrill m6,nt.'n *0116' .o niffiea r.quiGl ty S.dD.l7m olin Ubor Cod.. fd ll: Fftu. or
<br />rh. erk aor shi(h lni.,Emn i! isal. My .orlpssxlin 'arNc cMid t d poli.y numhd E.:
<br />-EipiB:
<br />I
<br />-l cdit thd rn rh. Ftorrrl4. of rh. *orl tor qtth thi! Fo n iu.4 t duil Et dpto, &, Fed i.DyD&E
<br />D B lo b<.c $t ct lo 0E 6lta 6mpd.bn Ls of C.l'fotu .n ryE $r
<br />'(
<br />t lhould t .!c di( to t!.
<br />srla ompagoon pmvEioN or sdFn rF orrhc ubq codc I !hdl. ronhni 6mdy * nh tl[* F!68ro
<br />L
<br />waRntNC FrhE ro se $ml6 -.p{u." -"-ac a uL*tul !r<l ihrll eber e dploF lo siEind Frrin d'd
<br />c^il 6r€ u! h or hul&.d rhould {t ,ll4 tl100.000). in .ddnion ro th. cot ot .oDFsdkrr ddryd s Fovid.d for 0t
<br />seriot 1076 or rrE tlno, cod. ddd rd .ttdry r rc
<br />I
<br />^Dtd.r:I UCEISE-CONIf,ACI9BDtcllaaro!
<br />I ha$r .trm uldd Frxy oI Fjury l,hd I i4 lia..d d,& F!vi'i.h orcttdd e (@illlEi.e *ilt sdb. 704) or Divirion l
<br />ot fic SutrB.nd PE6BTE Cod., r,!d myllf,* ! n tull 6r !n.trd
<br />I h@by .llm udq Fdty of p€jlry rhn
<br />it r.d{s€. 1097, ciY. c.)
<br />n ! enrrudion k'ditrs ,so.y foi rh. polonnuc. otrh. "orl aor s&ch lhi! Fnn L
<br />I hdrt rfim u.dd p6rhy ofpojury orc of
<br />6!tll( li.fIqqAS.llllXl
<br />DrtuhDn Pft ne&b6rd Ndilidi,n
<br />Rcqut d Lcir6 of Nofifiorion
<br />R.3uLhnr ( lilk ]l0. Pd6)
<br />I cdrry th.l rhc tusrlrc3ultrhoB abGror r.mlal e. nol .pplKrblc !o rhi,s rroJdl
<br />_ I ddr,ry rh, I hn.6d rhb +plrxbr.d rhi tlE lbort inlotuion ! .nd I .3c lo onpl, snh .ll Cny &d Counry
<br />ord@ncd dd srar. I-as Elari,! n, hoildin*io.. rod hq.by.urlnd.r.FMrdive oalhi! Cilyud Counlylo ori uF)n rh.
<br />.hnr nh'hn d Fopat, for i6F]1Ei pqnse
<br />ApDli..nr or Agc r Si8tr.l0e
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<br />Rev 08-07-2015
<br />Transformers
<br />I
<br />rh. r.o!-ty sno h,ild or !'qorE OE@'r
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