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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/sic.COMMENTS
<br />Site-Work
<br />Underground
<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
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lvleter
<br />FINAL ,-9-tc 2cz1
<br />Notes, Remarks, Etc
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<br />OWNER BUll-DEN DDK-ARATION
<br />I h6.t, .llm undn Firly ot Fju.y thr I e ddF nDm llE ( o,{,.dorr l-rcm- lr* aot th! f.llosinS l@, (54.701 1 .5 '
<br />BNin6r Dd Proaai.i Cod.) an, Cily or County which r.qund ! pqrnn ro Nnnrucr. 6ld, inprove danolilh or ,q!ir dy
<br />strud@ Fi,r ro ir1 iwe .lo rcqllG th. +pltd tor sh F ro nk . 3rgn d riffil ltr lE or iE a lt.nr.d lrddr
<br />!o rL FrilbB of dE Co rkrdi Lr@!d t s tch.Fa 9. Comfti.s rnt Sclrn 7@0 ol Divirbn I ol
<br />'lE
<br />BGiK &d
<br />PrDf6i.N Co<l.)dlhd lEorrn ir 6onpr lhqcfoo.d th. bG! lor ltE.lLe.d.EnFbn Aty rirlnion ofs6lb. r0.lI tbrD,
<br />.pplic.nr for aFh tubid3lh. r!?licst to ..ivil Fn.fty ol mr mr.lh& fiv. hund.d dolln (t500)
<br />-l,
<br />B o9@ otrhc FoFty. or mr @ph!6 wnh wry6 6 $.n rL mhFaril! *illdo t]E trlrl dd E$udwird
<br />irarbl ofrad frf, -l. (Sa.?044, BuiE sd Profdis Co& Itu ( odtur'r l-t6B l^ &6 ml +pty lo i orE of
<br />rlE F,pqry *'lD hlill G iFo6 rhd6.! Dd *tb d6 idi st hlelf or lErllor thmusl hir s lE orr qlgl.rc
<br />Foli.ld th, Nh inFo\61Et c mr i'id'd.d G otu n e]. lf. ho\w, llE bJd,r d il4.sqEr a 5ld witi! oE )t
<br />ofomdabl! $c o*oq aul& f,ill hlE lll hmlar of Foviig $n lE or Jr. dij ml hi'ld o, rplo( lhc FFr, 6r rh. F)rF& of
<br />l. a onc ofrlE FofEry- e dch!tr.|y .otu.rq unh &dB.d .o 0E rmj.d (56 ',0{-1, &!,B
<br />un Pfr{si.cod. Ih. Conl[dd t t-i..& t w&6mr.lDlyrou ib b{ildr.r inpm!6 lha@n.
<br />and qho conrridr nn su.h FoJ<1s s h d Co.ta(,(s) lKd&n
<br />i,' ,,.^,,>
<br />I t6.by smrm und,r rquhy ol rEjury o.. of thc fo
<br />I hlr rd will Eid.b. CdifEx. of CoBd ro S.lf-lBuE rd wl6r omFErion. d Ftid.d fo. by Sdri{ 1700 oto.
<br />L,Etr Cod.. 6. tlr Ffdlm of llE *vi ftr trttt llE FEn ir i&.d
<br />-l
<br />h!rc lnd *rU nrinr.i. w6rk. ' conF alion iNui.n.a s r.qun.,.l try Sarion 17(, ol lh. Lltpr ( odc, for lh. fEfomoa of
<br />rh. wo* lor which rhi! Fdn i! iqdl My pqt6t NmFrdio. iruuruc. cai6 ad policy nubd r.
<br />Erpi6
<br />l.ditthr iI rnc rEfotrrs. of lh.*o for vtich lhn Fni i! n!u.d. I slull mi mPhy uy F$n i! dt nME
<br />s ! 16 bd{@ sti{i lo rlE hltd otrpcrbn bs olcdifomi !n *r 0!i il I .lbuld b-om 3uh lo llE
<br />s.rl6 @mFdion FDririo6.tsdion l7m oarlE t hd Co(k I {dL fonh*nh 6,nplt $irn rn * rrotirn6..
<br />1!ARNINC: Fnilurc lo qu. 10116' cooF6ll i.. .ovrar. I unlt$
<br />civil fi.d up to on. hun<lr.d rkusd dolla (lloo.0ool. in ainri
<br />I hcby rIIm uorlq Frhy of Fju, r- rha I m licosi u .l(lBprs e((o rnFcms rirh s.dion 7$0).ll)nision.l
<br />of rh. tlliB md Plnl6bB (ndc. !d n) liag 6 6 full loc lrl.ifc.r
<br />collrallcuolJ.[lllllElcrB(I
<br />I hd.by arm und6 Fnrlry oa Frlury lh.l ln@ i! . N.xdclbn lduli.s isdcy tur rht Ffol,Mc. of !h. *srt ft), whih rhai Ff,ir n
<br />i$ucd (s{. 1097. ('r ( )
<br />aPPr l( ANT nFCr AnATrOrl
<br />I ha.l,.frdutir, Fi.xyoaFrury omofth.6lheinB dchr ioN
<br />lni,rn PdBnlArbdor Ndifi.'lDn Fcdd.l Rcsu!.ri\d (Tnk.r0, Pd6r
<br />t ll! th. foddd r.eqLrioN Grldiis &!dG l!m!.j E mr .pdi.bL ro lhlt t Djer4
<br />S rhd I lE\. icrj
<br />'hs
<br />.r9l..rm rit nrr. !h.r
<br />n.6 di $d. lrsr Elduu ro t!,ldrn8
<br />xh,rc 'trc tr,iAl.n d\ nr insmdu
<br />-r,-, * *-, o*-,*. F Tr
<br />Sub-Panels
<br />1
<br />Sfrrn,n 1076 of rh. l,trtrCoda
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