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ELEGTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<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 Meter
<br />FINAL V11-lol *LW-tt
<br />Notes Remarks Etc
<br />OWNEIR BUILOEI DE!('ARATION
<br />I lE ty .lTm u!d6 pa.]ty of Frry lhr I o a@F ilh lh. Cdr,.cldt L'c.e t *' for lh. 6llo*ia ,an (sq mll ,
<br />Bci.6t dd Profqio, Cod.)r Any Cny or Colrly which r.qri6 ! Fnn lo s'l3rud, .hs. ioFov., damlirh or lq.n &y
<br />nacrc Fbr lo il! i&Ee .Lo Eqli6lh. +plt.d for sh Fbn lo fih. risicd iradEn fir lt or rlt it lkd!.d Fr$d
<br />ro rti Fvuiod of tli Cotutui ti.d!.{ t * ((t!4rd 9, (tffin'3 *nh Sdnn 7000 of Diyabn I ot (h. Bailr rrl
<br />PEfdbu Cod.) or lhll lE d th. n .r6pi lhr.fron 6d lh. b.!ir tor lhc ille.d .r@Firn Anr viol.lion of S*iior 701l5 by dy
<br />ir?lter for . Fnn abj6l! r,E .CplicDt ro . otil Frlr! of mr mrc rhr nr. hundr.d doll&! (1500).
<br />-1.
<br />6 o"M or$. FDFry. or o, dplotc wirh wtg6 B rh.n $b comFdhn. f, do llE urt id tlt riEr@ ir mt
<br />ind!.d o. offrcd fo dc ( sc.7o44. &si,d xd PmfdioE Cod.: TIE ( ollr.dr! LioE Lr* dE mi .rplr lo & ow of
<br />E EiFry *ho hilt d urs!6 $tu.. .n *'b da tdr q,t hilelaor lE*lf or rlmu8h lir c lE oE 6rpb!6
<br />F)ri,.d thd luch inqo\€rE*e mt ir.i.d dotu turrl..l[ hossa.llE hildi'\s ( liFnlqcn !$ld wi'hhft ]r
<br />of .o@plii,\ dE ()*G B{ilts wi[ luw dr n na of p.rwlg tu lE or !& dn mr hild or nrsDw dE FoF y tur rh. F,Frof
<br />_1. s o$G .f rhc Fopary, m q(lNiv.ly conrrdirj with licB!.d oilr*ro6 ro .oBdtud llE Fq&1 {Sd. 7044. BB06
<br />rd hDE t Co&: TlE( dnrtud r LtGc L* do6 6r rrtlyro uoe,solF.Fly$ho h{'kl! or idgrov6 ttd6(
<br />lid sho 6d8lr aor 3kh Fri{r *nh. Co rulo(r) li.dE d Fr:rn toUEcontn.id'r tit@ t*)
<br />Policy Nunb6, Erpi6l
<br />-l
<br />.qr'ry rhd in rh. Flolrm. olrlE q orl lor sn.h rhis F.rn L iso.d, I Jull hr dnphy ay Fs. in uy ffi
<br />$ sb b<oft iubar ro rh. wo*6 mmpcBrion hH of Cllifod.. .d ,gE thd ifl rl$uld b..o@ sb6l lo 0E
<br />m 6 o'q6.riodFovirbdof Sdior l?(]0ofrlt l,bor Cod..l JdL f.nh$ nh ontl,! anh lthr Flviioa
<br />WARNINC: Frilurc ro k@ vorl6 .onpa$lion covcEs. i! unl.sful. dd rhlll lobjdt D ntloya lo (ininil FEhii! od
<br />o 6nd up ro om nu.n d lhoutlld dolls! (tlo0,0o0), r! .ddilFn lo tlE cln of .onq.Mio.. .hD+6 a !.oviLd tor lh.
<br />SarFn .1076 of rlE libor ( od.. i od r.d ddEy t
<br />xo.,., 2- ZC -11
<br />DECIJSAII'I!
<br />I hq.6y .ftm un.la !a!h, ol Fjury lhd I m li.qs.d u(h Fovir6. of Chtprc 9 (comMinS wnh Sdibn 7@0) of Divi.iot :l
<br />ot tlf &ffi tn Prot<o6 co&. !d ny ltgg ir in tull foE rn .fial
<br />Y<7 1 Z4
<br />(,-," ?..- 22' t1 1.",,,,,
<br />qqNilaucuaarENDrlclcr:act
<br />I h@by .frm uds Fdry of Fjurr lhll tlE ir. @ldruction Ldnis.sdcy aot rlE pdfollM. ollh. mrl for *'iich rhi! Ff,a ii
<br />iged ls.t 1097. Civ C)
<br />APPI ICAIT NFCT AQ TIOII
<br />I l6!tt .trnn u,!dd paih, ol Fjury oE ot tll lolb*h8 d6b.lbB
<br />l)oolition P€m lA.tdto! Norilic.ro. Fqrqal R.guldi.B {Tnt 40. Pd6)
<br />-lcquitd
<br />t rraof Norifr.iin
<br />-l
<br />.d'ry rhd rhc f.d6n EguLt hN EBrdrnS Bb6lo. mr.l &. mt qDl(sblc lo lh! pFFl
<br />-l
<br />cgrilyrhi I b... rai rhn applallrc. dn $d. $d trE at v. lnfomdnr. ir cold l.arElocooply*ith.llchyod(ouiy
<br />odiMG dd Sr!i.l,s Eblg ro hraldirs.o({tu ri6tr dn hr.t rlihorn. rcp.dsrniB or$i! Ciry !.d Cou yloarcuFnllE
<br />;"," rZ-z)..\.tFrc nErioEl p.ilDary fs lERrrr/'
<br />^pplonr
<br />or Atdr sltDruEE
<br />Pdh& n.n.(prl.O:
<br />-ll,
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<br />o cioF lidd Serion ,a &Pc forllir 'a)4.
<br />D.r. _ On6:__woftF{s'coMlElls^TloN
<br />DICIJAAIIA!
<br />I hd$, rrm lndd pd,Xy ofFjlr, o* ofth. folb*nlg d.d&.lio6:
<br />-I
<br />ls! rn *i,l oii.n. Carifi.i. of CoEr ro S.tf-lM rr dtd srFErior\, Fovi,.d 6r t, Scrin !?0o of tt
<br />Lttd Cod.. lor dE F6,t@c ot fi. F* fd qnih tn. FDi i i$.d.
<br />_l h.E Id vill dirr.i! *dtd' oiFlrb. ielftc. Fqui..d bt Sdli'tr 1700 of dE rior Cod.. for th. FfsltrE. ol
<br />rlE slrt for *tth rhir p.hn b i$.d Mywt6 or'F6r.tr im. ni, .n poEy leta ft:
<br />cr.E
<br />-
<br />Under Slab / Floor
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