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ELECTRTCAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER t)-tr- 11 !,u-J)t
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduil)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Sollit Flouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release l0-1.11 hE"ht]lxd l>*>t-t1
<br />Rouqh
<br />Service Meter t0<-t1
<br />2 -7,o-ot
<br />Notes, Remarks, Etc
<br />OWNT'A AUII,DEf, DEI-c)\TATION
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<br />Lsr ownc..frkF Fny. r my.r,t'loFs w h wrS.s ar rtEtr 3ft r.turEnsro.. w lrtr ttr\rl rn E{aiNBto,
<br />irrorjGi ffolltrcJ lq sL (Sr.I)ll4, Burtrs rftl Ptrf.($n! clrr.: IIE Conrr{trr t U..nr li* d(B m{ {tiry k, oo*F ol
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<br />-1.
<br />r! owrt of rtf, pn p.n y. !h . (lurvcly .o'*r&1hr *!lh li.cn<.] .1llrra18 t, onnrud rh. tlnrF (Sd. tu{4, Burtrs
<br />rDl Pr$crun cdL: l h. Conlruru r l-&ctrE kw dtE! nor q,pl, x, uowM ortn,Fny vh huiur or helov.r rh.t 06.
<br />.nd wno d,nrEk n, tun FrrrB e h. c(,.rtulonr lknellurd t hc Codrcoi! LEr l'l)rl
<br />o.r. l0
<br />l.r1! tu](^
<br />I rf,rchy 1l,om uid.r FnJlrv hl Frrury,
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<br />l:lsr C,ri.. itr ih. IErlo'rrr4. ot rlt krt ld *hrh rh. Fmx n 6tu.d
<br />I hrw anl wrll m.d.m *orl(r on'{,.ng!r)n rrurrtuc. rs Fqu!.J h, Sa!,n :1700 or rh. l:lir Cid.. for rlt Fdotrrmt ot
<br />llE uxk tr ehrh lhr Fmi ! !nd. My wo.i6a .nnlxnqr.i mur.^*c l5Er .il J[l.y nun{Er c:
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<br />s'ncn' conqE.ei $n pmvrsi,B oi stdi,n 17u) ol rlE hhtr cul.. I \hrll, (rhe h urq y *uh rhor ln,vBrts
<br />WARNINC: frlnrc t, klt h)it rl !-n{Enr.lr{ lovdtc rs unlfwlul. .d rhdl \ohJ(r d .nfkrF. ro rt|lml FE!6 rnl
<br />LMI nml un r. dm hunlr:rl rh,urr
<br />sdrs. ro?if,r rh. Lhr cat. urd!{
<br />,^,, L"l!41(1
<br />d.ll,tr{ r3lrxr(,(xr) r .nl,hr$n [, rh. dn or otr{r \!n)n. J!mt$ I lrcvN,., hn rh.
<br />ll!!!.r-8-u!!!
<br />I h.(ht.lrrn unld Fndlrydl tf,rjury I
<br />ol itu Aunn.\rrnJ Pn,l.1si,n\ C,xlr.
<br />rtr Frvlilo ol Chrrrd 9lonmm,n8 rnh SculIn Ttrlr) ol Drnkrh.r
<br />lrn my h.n( L( r trll nn ! !i cllet
<br />Lrcnv CL$:-
<br />Drt: Cmr ror:
<br />CONSTRUCTION LIINI'INC AGFNCY
<br />I h.Eby rfltm unLr Fulry ol Frrutr rhi rid. ! i lo.(turri Lnld!.8cry lir rlE trrli,lll{a-. ol rhc wnrk htr whkhlhs Fmr !
<br />r.ucJ rsd !tn7, (iv C )
<br />APfl TCANT DECLANAIION
<br />I lrl'y .nim uBLr Fntli, ol Frjor, o* or rtF nrk,wh! J(hr nnil
<br />fnmnnhnlc.6ttsArtE{o3Not'(rt(,nF.J.r.lR.iuhik'n\11,r,.41,, Pd6l
<br />Rc{!rcti l: crol Mriiah
<br />_l Gr'fy'h!i llE fGlorl R8uLrk,n\ EErdhS l(b.(.r rcfr'v.l.r. ft {rluhk t, rhn FUiu
<br />hrr ltr rlr'r Ea.tur.,n Gi(lfri I rsre t'.r'ry'ly *'rh llt C{y,fl| Counr,
<br />h.rby rxitrtre Elr.*nl.rircr.l rhi\ Cn, rn! Cr
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<br />----A
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<br />FINAL uEl
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