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ELECTRICAL.INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Slandards <br />Spas, Pool, Fountains <br />Signs (monumenl) <br />Life Satety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bonding / Groundinq / 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 & Solf it Rouoh <br />Ceilinos (T-Bar Rouoh) <br />Meter Release <br />Rough <br />Service Meter I <br />FINAL <br />Notes, Remarks, Etc <br />Thrraltz <br />OWNEf, IUILDER DELCANAfl ON <br />I lErchy rttim unl.r Fnrli, or Frrory rhd I 6 .icr{, rDm dF OrniBl(h tx.nc Lz* li, rn ftnb*n! E.i'n (Sd drl t <br />Bu$..s a l Ptuf.tr$n Codc): Ary Cn, or Conry whrh EquiEs ! IEmxr b conqflcr, rh.r. mFlv.. &mnlrn or E !n :n, <br />(ru( rurc. ,, to rl! rrtue!, alqr rcquu.r !h. lrpltur tn \sh Fmr b nk . {8Md n.lcnrnr rhd lr or nt n h.ikd pxmd <br />k, rh. F,v(rB ol rlE Conr.doi! t-En(d t * (Crrtl.r 9, (1,nwErns r h Scri'. 7(rn of rr'v6h. I ol <br />'lE <br />AunE{ rn,j <br />Pnr.nr{rCdLl rh.r hccstr F.!.npr llEEAnm trt rlE l!r\ lor rt! tlL!.J.rmvrt. A.y vri.lMolScrnn 7{}.r15 byry <br />.mlrrnr lor r Fmr qt'jdt rlr +dunr b r.!rl Fdlry ol mr mE rh:n lir. hunlrc! no : (tt{tr) <br />-1. <br />rl orx, ol rtu Frlrny, or my .mployer w h ,.8ct tt lh.tr a'lc coqEnllr dn. *iI lt) tl$ ktr* rBl rlE dtulE r nn <br />ncBk or{lLrc'i l dc (Sr 7044. Brtitu* rnd Pnna(n,nt CuL Th. contrtuir's LEcn( trw dr! nor apdy ro rn owkr or <br />rh. F{rny ehr l[ d! o. nlr)s rlrB'n. rn *ho dEr un urt hih( lr .r h(rkll or rhn,u3n hn or h.r o*r .r'ol'yt.!. <br />lnrrLJrtur rRh lqr,trdr R n{ d.rldl doli.rEi li* {L.lr. bEtE, rlr h[ lD!q4rNftdnr,Uaihr(trlas <br />ol ({rlltrt& 0r oErr BulLr * l h.E rlr hrd.n ol F)ru! |hr lE q {r ,hl nr hN d lrF E rlE FrEnt nx rtE Fqt{ or <br />- .,, rr owtr.rollh. pn'Fny, rn.rrllnvcly cnnkerD! wih l,e.h{d cotrrrtunn r)LondBr rlr F{r..r lscc.10d4. ltrm( <br />Irl lh'Lsr)n Cdc Ih.Conrra.rr'1l-Kcnt.l,awdo.soorlpplyh own.r"tPn'rx yuhr htrr[lrd. ml,r'v$rh.i('n. <br />rnil *h' $drr(irntrsuchlh+ycw haCi'nra(ro(lrlknc.il'u ulnr i!' i h. (i'nrel('t l.f,.na llw) <br />_l u.\.mF !d.r SdM_ <br />-,4 <br />& PC lorrhr.rc.k'. <br />WORI(FRS' ('(IMPENSAT(IN <br />IEII.ABAIION <br />I h.,.|'y rtltrnrun(l.r p. lty ol F-rjtrry or ol !h. tulk,w hI &(Lnr irFi <br />-l <br />h$r ,,n * l mlru t Cdr,,i!r. or Cotr*t' ro S.L-lnrlE rd wtdr' .on{E.urm .r rrvrlcJ ro. bt Sd'r}n lr{n or rhc <br />Lhtr C'oL. fn llE Frn)l]rm! ol lhc s, nr rnit rlr Ftur ! s0Al. <br />ihw!trkturwl,trhrhrlt'inr'\rn Mv*o.kcs (trrtrtr\rr! uNuru.Lrnf,'ulI'rlittrtr $.rr. <br />Ien ythal Irh. tErln Mtu.olrhc*orkli)rwhrhrhrprronnt\kJ.,rhrllnot.nPl,,yr.vp.sonmlntmun.r <br />!) * i, RL.0B hrlr t' rlE *orl-t (,hFnr.rbn l1*r ol CrldomB. rnJ r3rc rh.r rl l {h,ull h.('tu subF.r i(r rk <br />*ort.r' d,rlllnsr,n lln,vtront or S(rx'. l7m of rlr lrr, (irk. I tlull. l rrhwih dr{ y r rh rh,( ttuvl(rnr <br />IgARNINC F.rlur. r' eeru <br />(^rl loc\ un n) olE hunlrc! <br />c. .nN r r(on., s l.c\ <br />3 3 <br />l.nkr t Addrc(' <br />- <br />rrxt r' d'mFnerFn mt Es. s lnL*lul lrl .hrll rutitr u <br />rhr.nxl tl,'ll.n\ lSllrr.lxrrr r i <br />!.t![8!lt\ <br />I rrFh, rfrm unL, tErlr, or Frjury rhrl I rh !€nEil ud.r F)Er.n ol Clll,d 9 (onmhrnS trh S.!i Dn 7Un) .l Do'rbn I <br />I rt Busmsul PN,.rmns CsL, r l nry lE..{ L. r tull for rri clfar <br />rsrJ(Se .lll97, Crv. C ) <br />{ rrNstl.t'( (,\ t,uNt)tN(; ,\(;1.\( l <br />I h.(ht drrmlBLr Fulrrott'.4ury rlur rh.rc n a (nnur,i tDr[! rs.^_, ntr rlE FrtamEnc olrh. *ork f *hf,hlhs Fmi ( <br />APPLIC]ANT D'CLTQATION <br />I hdr*, .fm utrkr FM! y ol F+ry .N ol llE rolormr &rE.r nns: <br />D.Ennrn P.rn l^rh.dor Ndrff,nrr fqLnl R.gllJ.trr l_f.b ro, P.n6) <br />-R.qu,rcJ <br />kll.r or Nr'ff,xM <br />I(n1lvrlurlklild.rlrcgulJnon\'.rr,'l'n!rrh(nf.(r,vrlJr.nrrrflntr,'hl.n,rh^Ooi\r <br />APPHOVALS <br />I (.nnlrhr I h$c rc.ulrhs xffl.ri n lrl (rr. rhrr rh. rhr.l.!rn'lrnilv*nh.llCrr. (ir y <br />,nrDB.i ulsl!r.lirl Elcry t' <br />rtl'r mntNL{ ln IEdy l,{ <br />"/\D I <br />t1