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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transf ormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />IVleter Release
<br />Rough
<br />Service lvleter IJ ,t ,r I
<br />FINAL t ^l'u YlA U'OA't7
<br />Notes, Remarks, Etc.
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<br />Busincxs r l Pr.lasrion C.d.) Any Ci(y .r Counry whkh rc{uncs ! !.rnir tn @n(ML allcr- i'np k. d.drish .r ftp3il My
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<br />pr.tid.d Lh.t ruch nntNwmnk ft mr idcflLd or oltcftd Ior &lc. Il. trucr. lhc bqihin3 or !,trmmd i! $U wirhh .r ,tr
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<br />.nd wlr .onh.k n luch F.'l.cs wnh e ai)dftkrG) licctrrd pusudr h rh€ CD.rrdols Lt d* br).
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<br />m.x.npr und.r S.diotr-, B &P.C lor rhi! trr..
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<br />lru codc td lhc p.rtoalw. ol r& vod( Ior *hich llE pmir i iss*d.
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<br />tla wX for whah rhii lErrrit ir issn. My *dka! omFniarion i!N@c. ffir an ro[cy nun$.r {c
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<br />rolt.h umrenerion pNvtrions of S. on:J?Lrl.)oltlE Lbor Co.l.,I sMll fodhwirh conply wirh rhoe pEv$bN..
<br />WARNING: F:ailur. ro s.cur. *ork.d Nmp.nulj6n c.v.BE. ir unl.vfil, ind thdll rubF.r an .nploy.r to ominul p.n,hi6 rnd
<br />civil 6n.r q, tu orE huBlrcd rlx,us rd doll,r (SI()o.u.)U). n, addnir b rlE cos of cod,P.,soon, daM8.s d previdcd for rh.
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<br />oI lh. AusiEs aid Pmlcsidns Cod.. ad my lt.ns is in full roe .nd .f,<r.
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<br />CON,IIAUEIIAtr.IEDIXG.A{iENCI
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<br />I hrtry .ftrh ond.r lt nrly of pcrjury om of rhe Iouo*iry dcclearn,nl
<br />Dcmtuion Poda-As&{os Ndificdion F.rl.ral Rcruhrionr (IitL 40. Pd6)
<br />-Rcqurcd
<br />Lcrrs or Ndification
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<br />uu,r. Ention d pop.ny nn insp.(n,n purposs
<br />".,1o1'rf/2"----7"""""'
<br />Rev. 08 07 2015
<br />DATE
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<br />worxrrsffi
<br />DECI,ABd.IIIIN
<br />I h.Eby aflirnundcr lcnahyofpcrjuryonc ofrhc following dahrati.tr{:
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