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APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (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 />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Mele1,/ _ /. _F|NAL tr/z'L//7 fz >J/Z/"/
<br />Notes, Remarks, Etc.
<br />OWNER BUII,Di,R DEI,<'ARATION
<br />I h6.hr lttu'n uid.r pd6ll, of p.rrury lhn I m dopl fod lh. (-odrdm l.i!v l.w for $. follo$i,B lu. {sc 70.! I I
<br />B6ins rxl PrcfBion Codc): Any Cny or Coudy *hi(h Eq!n6 . Fti lo odM. .hd irrrove dsrcli$ or Ep.t ol
<br />srMui Fn to iB iMc.. iL. r.quiE rlE tpplkd for luh Fiil lo 6k . 3'gn d tl.6E lhr lE o. JE a lic€E d F@el
<br />ro rh. ,.ovilio6 of dE Conrr4roir l-icold Law lchqrd 9, ( omdins * ilh S..rirtr 7m) of Dltiotr I of ih. Fui,Rr md
<br />Pr.ldbN ( o&) or lh.I L or.h. a .&mfl rh@fiom .nd rh. t sis aot th. tlh8.d dsnFio Any r iohlirn of S.tlion 70!1.5 htDv
<br />.rplicel lor . Itmil ubixr3 rh. ip?licsl lo ! civil p.nany or nol nor. th.n fi\. tun&.d &,116 (l5m)
<br />l, 6 oqE otlh. FoFrt.. or my mplq6 wnh $ !s6 6lh.ir sl. comFsion. *'ill dr llE sqt id ErerEit ml
<br />ilrdrLd ( ofr6.d foi elc {Se 704{. Buind bd PrcfsoN ( od. Tt Conlrxroar Li.@ l^ &6 ml @l} l. ! o*c of
<br />ltt rqEry rh. brilC.or impmvgtlEs'r, dld *ho &6n'd $. him*lror hd*lfor tltsrsh hir ( hG o*n mph)!6
<br />ro\ l,.l rh,r .u.h inDmEE r ft ml i'noxld o.oilml tu. s!. l( lDs6s. rt hoildiB d itrqoruEr i.hld sihh oE
<br />'rof.onpkt6tr trE o*nd a{iEs trill nlE dE hd6r oaFo$.B llt lE d !h. dA mi hill d irsrx. 0E FlFry frt tll FrFs ol
<br />l. 6 oMd oarhc F.Fny. m sclcndy.onrdins $nh lic.c.d onr&loB ro coldrud llr For..l (s( 7044. &!ind
<br />md P$tusnn Codc: th. ConlGror'r l-k* l-.w &B ml stl) lo o os nd oI Fop.ny s'ho brild! or ihprcva lhaon.
<br />lnd who 6dkr for $ch prcr..rt *ah r Corir.ro(rl lian d rlBurr lo llt Cdfttr.at Laru liul
<br />Ln.(anB un&r s610.
<br />D.l. oi.n
<br />\t oRxts [s' cont Firisa l roN
<br />DI:CLAAAI]O!
<br />I h(.b aflnh undd pttulrrolr(jur!. .ncotlhc r{nk\ins ddl .rdr
<br />Iht\..+srllmrnld,(.n'fictr.of('oBdrrosdr.lruut.foru$rkd-.omFdhn.sFDtid.dforbtSEIion17molrh.
<br />t,rn ('od.J for rh. E r.tuc. f th. tr$rt fnruh'chrh.Dmh i ie.j
<br />,
<br />"'. -l*,u ..r., ***-' comr(ddnn 'EU,M.. B Eqltd br s.cri,n lru orrh. t.tsr cod.. ror rh. Fiolrucc or
<br />:::':"'t"'ti7t&{}
<br />*Drrd 6nFM'n'M'"* -T"X i,.,*,"^Mqrfu4{s fi"4 ** t//{
<br />I lt
<br />I cdit lh.l in lhc Fro,lffi. of rh. *!d for *hth lhR Fn,, i! its.d- I tlEll nd olhy ty pdfn r ltt me6
<br />b sto b..nmrqd b Eq.n6 onFqEn L(r olc.lrfonL. ud ryc rhd If I slbuld h.(oft $bd ro rrE
<br />E*6 onFEd ion FrrlbB olscdio. i7(xJ of lh. l.h, Code I !rdl, fonh\th mnply wnh rhd* prolitioB
<br />$ork6 .omFM.n co\rd t! dininol 0<ut6 dd
<br />drm8B 6 provd.d for rh.
<br />otFjury rh.d I n licar.d und..Fovnion of Chqir6 9 (..nmftins silh s.rlb. 7000) of Di nio. l
<br />'r i', full h'(r .lTc.ts
<br />(
<br />) ot Fgury rh, rhc. i . ord ion loldinr .8tr]_ for Ihc Ffome. of rn work ft'r*hrhrhi! lEmi i!
<br />is.d (s<. !097.cir. ( )
<br />ldrddi N'ft:
<br />Arru(alllllclJ8arlIl!
<br />I hdd, 6ltnn undd p.nrhy of tdjury oE of rnc aollo*i.r dtL('lnnt:
<br />Dcmlir i,n PmiE-A3tEror Nor 'liclr n\. ra.ldll R.8ol.r ions ( I nt .rc, Pd6)
<br />R.qun.d l-d'd of Ncr,rEdk,n
<br />I cdlrlyrhalh. f.JE.l r+tr
<br />l.6riry rhd I har. rad rhi.i,n 6codd l.*re locon,pl\ $irh
<br />oni,mnc6 Md Sr.!. t.\s rcln n/.,cnMrdi\6 ollhis {itv dd
<br />al c tr,ol i,)n.d lI op.n\ aor
<br />,\pplionl or ,\16l shnr
<br />.r/t rt
<br />1 K \1
<br />ELECTRICAL-INSPECTOR RECORD
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