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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Founlains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<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 Rough)
<br />Meter Release
<br />Rough
<br />Service Meter I
<br />qrttr- VzrD la-- 7r.Lt/L N)
<br />Notes, Remarks, Etc a
<br />OWNER BI]ILDAI DELCAXAIION
<br />Iia.t,lftmund€po,ityofFrjurythrImdapltronlhcCo...106Ltdetvforlh.followi.g@n(5e?0ll5
<br />Buinq t rl Pmfcrion aod.)r Any Cily or Coutiy $hich Equic . pdmi ro coNruct .Xa, ibprcte damlit or EFr sy.
<br />nru.rc Fitr ro irt ir!@G. .Lo !6.l!n6 dE .ppli.ot for Nh Fnil to frL ! si8r.d nddEn lhti lE or JE i! li.q!.d po.$.d
<br />ro rlE FlvtioB of tlE Conl'-ror'r Lic@!.d L.w (ChrF6 9, Coffiing wnh Sdion 7000 of Divilbn 3 ol0E BsilB ad
<br />Prnf{i.N Cod.) or rd lrd rlE L qorr rha.non ud rlE tGn for tu ilLg.d qol4.ion. ary eiol,lion of S.dbn ?Oll.J t, myr
<br />lpglr&l for. Ddhn sbjd rlE ipplicsl to r ciril p.Ehy of ml mGlhe fiv. turdtd dollc (1500)
<br />.l. B o*G of rh. FDFry, o. my @dor6 silh w46 s llEt $L snFEdbt, will &, dE $qt.d dE r,rdE ! @r
<br />inddcd d olta.d for d. (sc ?04a. BuiB !d ftDfsirE C6dc Ttc Codr*lq r Lilg t w &6 lor tp,rl lo a osE ot
<br />ilE FrFy ulr hlrlim rsrE tlEp( !d who d6n h Ea hi@lf or lExlfot llloqh hir d lE oq aplo'@
<br />Fo\ rLd rhn uh mFDffied indrLd d o,H 6r st l[ low. tL hildids d iry&dld it sld *ithb m rd
<br />ofoipldior dr o^c Builb {d h.6 llt hndcr olF\t rhi & d aE.M Dl trild s inqDt lt FDFIy 6r dE Flpcof
<br />l. ! o*G ol rlE FlFrr. m d<larv.ly.offirg wnh lkdE d @irrid ro oi!$.r rE Flitr (5c 7041, &6tlB
<br />.,i Rrbi, ( o&: Tn! Conrdoir l-t.e t w dc mr *ply lo - ow ofpropdry *bo build! or i-F!6 rtdotr
<br />.rd *tF onr.r3 Iq lch FJel' q{h r Conr-ro(r lkaa.d FlM ro tlE CodErr'r t o& t^J
<br />I m c\oii unto s<ri6n
<br />ll!86E8llsrllfEdllrlQ!DEclrtarlQ!
<br />I hdd,, .Irm !.da pa.Iy or Fjlry on. oarh. fulb*lU &deii'6
<br />im@. Carif.d. of Codar ro s.lal@ for srl6' ohFlrbE 6 FDrid.d for t, Scri,.lru of lhc
<br />ih. Ffoll1@.6f rh. *olr fff unEh th. Fni ir isucd
<br />hrE .nd will nlidrin wo*6 conp.dion lEurNe 6 r.qun.d b, sdio. l7m of rlE t:bor Cod.. lor tlE Ff lffi. of
<br />E 'hn Fnn ir i${r.d Myso.l6 co!'Fannn
<br />u,l< i aS v,o^q P,I
<br />Po'ryNunbo / 116ll6 €4{4-/'zozo
<br />I cdirythlt ia rlE Flomn(. of rh. worl for whi.h rhi! Fnil i. is.tl. I $!ll.ol @ploy 6y pc$r i uynlJr
<br />s a ro b<ne $hF.l k' UE mrld'6np.Mion L*! oacdilomia lrd lsr lha if l rhuld beorc subjd to tlE
<br />$ or(a' {mFurhn pNvirirE ol Sd ion 1700 ol rhc t,tor Cdq I lnrll fodh*nh @nply with thoE pmvnioN
<br />WARNING I'ailu.. ro ss. worl6' NmD.a!d'.n .!rras. is onl.wful. 6d lhrll subjal e 6ploF lo aimin l pqdli! ud
<br />civil lin6 up k, on. hundrcl lho@d doll6 ($l .os of conp.Nlion, daha8B a provid.d ror thr
<br />serion 1076 oflhc l,tr,( o'lc, inrsBl od
<br />/ '( c 'z-;,
<br />DICIASAIION
<br />I hd.by .lIm lndr podry of Fjury thd I m lic.ns.d unds Flvtbd of Ch!flq 9 {co@cin8 snh S.€1bD ,000) of Diviion l
<br />of rhc B$i,B od Pnrlsion! Co&. !d By liccG ir in tull fod ad.lfdl
<br />**.* .K'-,. l4<'-7?
<br />c /->L Z-,
<br />cglllauguorilJaDlxc.acExcr
<br />I hatby .rm u':ils Fd, of Fiury rhi rlE! a . @i€ocbi loinlS +dy for llE Ffotu. olth. *ut b. *tit lht! FDi i
<br />su.d (Sc. 109r. cir C ).
<br />affllcrxrDpclr8arlo!
<br />I hatt.flin u.dq F.!y of Fiury oE of rlE lollowEi d6ltrrbd:
<br />DsElirbn Pmdetut ror t{orifrc.rbo &.1 i.AULrbN (Tnh,(). Prl6)
<br />R.q!i(d t-dra oltlo.ihir
<br />GtU
<br />J*o,-
<br />lr lh. td.d Eadrbd Esrdina r!.a6 @v.l @ m| ,rlitt& !o tb Foj.{
<br />I h.v! Ed lhi @liri,! El r.l. rhr th. &v. ilror i{ ir6rEd.I tElo@ql,eit Cn,D.l Co!d,
<br />ornill46 rd Srr. t B E!lu* lo rrrldtrrs conrtu.ri[ nn olthn Cny .rNd Couoiy ro dr6 uF. rtt
<br />.bo!. lEr6n.d
<br />'..psiy
<br />ro.
<br />^prli..nl
<br />or Aa6l shn.luF
<br />tA,--At
<br />/'tfiz,o
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<br />Rev.08-07-2015
<br />ELECTRICAL-INSPECTOR RECORD
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