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ELECTRICALJNSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFER <br />Torqueino <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rouqh) <br />Meter Release <br />Rough <br />Service Meter I <br />FINAL y--tqtq ,.rbl'{/ ) <br />Notes, Remarks, Etc <br />OWNER BUIt,DER DELCAfi TION <br />I h6.by llliim uidcr p6diy of pgjury thal I m cr.mpl from lh. C.nt.cioB l-ic.nk lrs for rh. aollowhS r@n (Sd 70lr I 5 . <br />Bunnd &ri ProlBiou Co<t ): any Cil, or Cou y *hi.i r.qut6 . Ff,nn b .uddd, !llE, in{ro!.. &relih or EFn uy <br />srodu., Fior r. iB i!.!e., .h. Eqnir6 tlE rppli.di for u.h pqnir to lilc . risEd rt.lodl lhr. lE or !h. it li..d.d p,ed <br />ro rh. p.r'vilirN ol rlE Cont.cr ! Li..nrd lrv (Chlprd 9. Commsing tr nh Sdio. 7000 or Davilhn 1 of ilE BriB dd / <br />Pmadioc Cod.) or thll lE d lrE k adB rnd.fto..nd fi. bda for th..lh.d aoFmn Any vi.ldionof Sdion r0llJ by.ny <br />.r,plicd for . Fmil lobjdB rlE rppuul to . ci\ il p.Eh y o f ml mrc lh& fir. hun&.i d.rllt! ( l50o) <br />-1. <br />e 0*6 of rlE FoFrr, d Ey onplotc *nh $.s6 . rh sk ..wldion. *'ill dr tlE *ci !d ItE .riEtE ir d <br />i didl orofi6.d lor sl. (Sd 704.1. BGilB Dd PmadbB (-od. 1L(od,ddrli.Ela.rEd.rplytoDotrGor <br />ih. F.Fry *ho lliL{r d iqD\6 tha@ rd *ho ttE *t Nrt hinulf or lEElf or llmush hir r hd o*n a,pb}q <br />Fovn drlllluh EForErdr e'Dr nodcd doFEld 6. rl. l[ t-r6d. E hri!,8 r rr.slEi i $ld *ihD m ]t <br />ofcod+ldi^ r()sE Brilda $iI lIE tlE h&16of Fori,{ fii lEc !n {tn lrrl hrld d int oi! 0E FtrFy forllE pllp*ot <br />-1. <br />- ow ofrh. Fo?sry- n cich6ircly cod.Erins unh lK6a.d..tud6 ro odrud <br />'lE FoF (Sa 70.1.1. Eac <br />an Pmkim cod.: Th. Conrn lq t LtGe b* do6 mt 4pty ro x orF oaForEl, *no burld. or inpro\6 th6@( <br />ed uho conrd! fd t$n FDj.tr! *itn. Conrdo(rl li6!.d F,xd to rlE ('o,rmld'r li6* le) <br />-l <br />u c\dpt u(k Sdion-, B &PC for ihir ra)n <br />D.r. orrd <br />$oraxrns coir.iia,ts{TroN <br />DIICIAf,AIIO! <br />I n6qr lmm und6 Fn I) of pqjury oE of llE follovins &clrdi.n3 <br />I hr\c dd trill mirrdn . Cdriftarc of Conhr ro S.lf-lEur tu *l,ldr $nlllflnon. I Fujal aor b] SalDn 1700 orrh. <br />t bor ( o&. lor rlr pqfo,I11m. of rh. wort ad *ikh lh. Finit t su.d <br />I hn!. lnd q <br />'ll mainhin uork.ra comFBar ion iEurlNc- s rqtutr.d by scr k)n r?(x) of th. t.sh), (ird.. lo rh. pdfoflmc. of <br />rhc \uL tr shtrh rhtFin n i.Ncd Mywmldr <lnFdslion rBurm..cui6 a'!Bnicy.urnbs u. <br />'*^^ Tttiul/t <br />. tJclolLol> <br />i. th. pdfommc. of lh. work for*hi.h thir Fmir n ii$.1j,lsh.lln( <br />ar d to b..on. lubjer ro rh. wolt4' comraEd ion las,r of Clhlomi.. dd !*rd thd if I rl$old bcom. uhjEl to lh. <br />so.k6' comFMl ioo povitioa or S61ion 1700 orlhc lrt r Co&. I .ldl, fDdh*nh .omply wrrn lh* Irovan6 <br />IiA|NING f.ilurc ro Ku. q,ork6'compqsdion cor6!r. B unL*rul. dl rhnll luh|dr d dnploys lo siniol Fahi6 bd <br />.tril fin6 up l(, onc hund,.d lhousd doll6 i tl00.0OO). '" ldiilFn t, I romFNrion. tl6!s6 a lrod.d for rh. <br />sdn)n 11176.frh. r,t r a.d. i.r.danirh <br />I hd.b, .rm utuld Fmht of Fjrry rhd I m lrqi.d u Ct4rs 9 (onffin!8 *nhsdion 7000) orDnnb.l <br />of rlE B6iB rd Pio&sirN Code ad Ey ltG ir h tull f.ra rn.,I*l <br />LIO /L4L 7 7,l-ltr-& <br />I ffir.llmunddFrnyofFr'ry$rltaci!oldrud <br />Eru.{ (sd 1097. c'v c) <br />for E F f(,rje. of <br />'h. <br />trsl ilr *trh tli! Fhi i <br />ATII.IIANLDIiCIJAAIIITi <br />I h.Eby lfm undq D.nrk y of Dgjury onc ot th. follosinll d..l&!l Fr! <br />l).n$lron Pd,nitr-kbcros Nolificalion Fcddal R.8uldions I I ilk.r0, Prn6) <br />R.q!r.J ld16of NotifEalion <br />I cdily rhd rh. aaldrl .+ulalirB rcBirding abc'os rm.v.l d. .ol .ppliclhlc to lhn rrnj.cr <br />* I.dlifylhor I hrvc rcad ihis application ddsralclhalrh.abov. intonnati(,n n..fte! llxRlo$mplyqilhlllCiryandcounry <br />ordinlnc6 and Stlrc l-8ws r.lali.fl to builditra consrruclioG <br />^thr.n'd rui.J lfund, ror itrf ion purpos <br />Appllonl or A86r slgn.rurl <br />rmh*nr-.(p.rr,): I L:.y Lt;> <br />f tnir Cny &d Colntyro al6 (9on tlE <br />^, I btLPl <br />Pole Bases <br />Transformers <br />t lzql t4t(