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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.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 />Sub-Panels
<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 Rouqh)
<br />Meter Release
<br />,/,1
<br />Rough .I -t1
<br />Service Meter t,/u
<br />FINAL cla- l, <I lt€,rt /<,
<br />Notes, Remarks, Etc.
<br />OT*NER AUILDER DELCARATION
<br />I hsnr.-lrm und6 r6rt, of p6JU,y lhn I m sdrrl ftu6lh. conIr.don Uc.M Lrw aor th. folbeilg t6o (Sd.'r0ll.5
<br />&si.B rnd PNf6ion Cod.): Any Cny or Cody {hi.h r.qun6 . Fnil lo cordrud. Jla, in9rovc &nEli.h o. Ep., ,,
<br />{odsq Fi, ro nr isu&.., .to rc{uiE lh. @pli.sl for sch Fnil lo frL !.tstd rrd6r lnr lE or tE a li.qE d IiEd
<br />ro rh. prnvaioE oa UE C.nrEl6! l-ieM.d L!* (Ch.Fs 9. C.lmtrin8 s'nh Sarion ?00n of Drilbn I of th. AcitB ud
<br />PrcfsionsCod.)orrh.llEorrEird.dFllEdon.drlEh.ritorrh..&scdddFb.,{.,vblrionofsdlion7011.,byony
<br />irglicet lor . Fn sutidr! llE .p9li.er ro . civil pdhy of rct @rc lhD nv. hln&al &,ll,r (1500]
<br />-1.
<br />s owE oath. F.Fry, G ny cnlPb!6 *hh u.86 s lh.n Dk orqEBilo.. *ill do tlE *r,I nrl tlE nrElr a el
<br />inlo'd.d or oFs.d ltr d. (Sd 7044. BsiB od PlbldioB cod.: Th. Conrrctr t t-t.e r& ddd mr +rly b m oms of
<br />rh. FIlpdy wlr nd& or uFDE dEE{ .i *h6 dod sh u,t hirelf or lE-lf or threurh fin or lE ou oploy6.
<br />provd.d lh,r $.h n FDtqrd! G d irdrLd dolt.d 6. rl. lf. lsEq,llE hlrtdla c rqsicn a $! "nhir oN !s
<br />of.omrldiotr tlE (rE B{il& *i! ltsr rlr hltlor ofForrB dr lE m {r dd ml hild or i.Erorc dE FnFry 6r rh. FrF* of
<br />-1.
<br />s orE olrh. FoFry. m dcunrry .oncros *nh k66q, .6 dm ro ftrdtud $. FoJd (56. 7044. BBin6
<br />.nd Plnftsis Cod.: Th. Contrelor'! l-k.M L.w do€ mt .!Dly ro x osnq or p.oD.ny who t ild! ot inpmrB fiaon,
<br />Md who conrBrl ao. kh FFlr virh. Cofitro(.) ltdE d Fda ro ih. Corir.cld r Lic@ tlp )
<br />-l
<br />e.ro4 utl{,.. Sdion-. B &PC forthllen.
<br />l)rte Oin6
<br />woruo m corlrirviritrlr
<br />DES4AAI,IN
<br />I hrch) amrm und( pc.ahv ofpdJuryon. ofrh. folk \n* ddb'ario6
<br />-l
<br />hav. d vill tuint.r. Cdlifm. of Co6ar ro s.lfiM. fq wl6r oNFndnr, 6 FotxLd for by Sdhn 1700 of rh.
<br />Lbor Gde for rh. Faollrm orfi. s for *tih lh. Fnn i isEd.
<br />_l h'vcan,jutll namraln wo .rt .onp.erh ..itunai bt lid io. 1700 olrhc L.bor Co&. for
<br />'h. Ff.mm. oa
<br />rhc *o ror whrh rhir Fnn ! isuaL My wt{Ld iMe. c8ir ed Brlt' nunbd r.
<br />I (drfyrhar in rh. Frornw. otlh. worl *hih thL Fhn ir isu.{ I s|ll rn dploy &y Fe. i. uy ns6
<br />D a ro b6om. $bet ro th. work6'(mFlaDn h$.lcrlifodi.. ard rec thr ilI rlBuld b.com utixl lo lh.
<br />u!rt6 comFelion provntuc of sdbn l7o0 ol rh. Lrk{ C6&. I ibll. fonh$nh Nf,pt wirh 'hs Fn\iroB
<br />WARNING l_.ilur. tr Ru. *o 6J m,Ip€Mion ros. i unhEful. ud 3h!U suhrcl d 6npL)t lo 6inid FEhi! drl
<br />cnil lin6 up ro ok hon&cj rhousi dollB (ll h.. d,ogd a Fovid.d for lh.
<br />sdr$. 076 olrh. l.t$ (-cJc or.dmd.n
<br />ElCI3AAIla!
<br />I h-tby lllm uxt6 Frly ot Fjuy rhi t m t.q!.d uid6 Fovn6n oacnrgq 9 (oIffiirg wilh S.(bo 7000) of Di!i.io. l
<br />of E Blll,E lrd Pr.ft{ioE Cod., rd ny lk.* ir h tull aore ed.fid
<br />I rE by dfm undd Fulry ot Fju,y fir tlE! b . oErBibn ldxliis igcy for lh. Ffomm ot lht worl tur slu.h lh! Fni b
<br />irtu.d (Sa 10e7. Civ. C )
<br />L!d6'rAdtd:-
<br />ATErcAILDECI.ASAIIIN
<br />I hdir !trrn und6 pc.alry of Fjury onc oa rhc aollo\ in! d..la, ioc
<br />&mohon Pmns-Alb6loJ Ndific.lion l-.dsrl R.*uLlioN(rik lO, Pd6)
<br />-R.quirq,
<br />Idrd oa Norificd0n
<br />I cqi' ry rha th. lcddrl r.luLtioE Eg&diqr a!-rG rmr al d. mr +tlalbk ro lhu Ftri.rr
<br />-l
<br />cgrity rlEr I hov€ r..d rhir lpplt.rion ad ritt. rhi lh. .bov. !.toriinn a .onal t ,rG ro ompry unh rll Chy lnd Counly
<br />odinanc6 ud Sralc lt$ Elain* lo hildi4s .oGrtudbi- r'd hs.by arlnrir r.Ferrn 6 oathi Cny dld (-ounly ro dna upon tlE
<br />rto!. nmrbn*i pmp.ny aor -,.$,222
<br />/:tv-?--\ ->'
<br />tirlrtilll
<br />"^.,:/c,/4-
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