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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<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 / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />iq9Roughl. r/- /2 J2aIat
<br />Service lvleter
<br />FINAL /- ?/- /9 -*5./"ee
<br />Notes, Remarks, Etc
<br />OWNFI BUILDER DEI.CAN ION
<br />I hdct'y imm uldd porly of Frjury lh,i I m .xdB fiom llE Conrido6' l-i..nF ljw for th. folhein3 la)n (Sa m] I 5
<br />auina .d Prcftsion Cod.) Any Cny o. Cou y whi.h r.qutd . pqmir lo .oldrud. !ha, iiFolt' darclit or l9.r M,
<br />sortc Firlo ni inll.r.lo r.qut6 rlE .p?l*d for trh Fml b 6k t rci.d niaErn rh. lE or tE ir licqE d F&rr
<br />b .lE FotibB of rlE Con|rtld'r lE.r.d t r {Crupr6 9, Co@ir8 rit S.tli,n 1000 of Divilio. I 6l E Bu@ !i
<br />PFll*ioro Co&) or rh.r lEordE a a@F ridttom id Et.t 6. tlE rlLs.d dq,qio. A.yvbldhnorsdbn?011ttv,.nt
<br />appli.oi tr a p6ril 3ubjB1! th. lppli.et lo ! civil p.nahy ot oot mrc $o fiv. hunrlrcd doll6 ltt00)
<br />-1,
<br />6 orE of rhc FnFry. d m, arplorE rilh $+6 s llEt iL oiF!.b.. sill &' ilr w.t -d di nr*r@ i! d
<br />irdd.d n oiled ftr rL (Sc.704.1, BsiB &d Pior6i,6 Co& Tn Conndd r LtoE lrv ds rcl +d, b D ow of
<br />tlr FFty wh. hi& or ir4.rEt Eq !duno dE$dr sa hiIElror rE*lfor thrc!8h hL! or hd oEmploy6,
<br />provid<l rh6r such imFaEdr e mr idad.d d oikEt for uL lf. h.rwq, rh. hildhs or inFNdmt a hE *nhin orc )s
<br />oforplrbE tlE ()wE t}lilla will h.r U. hrdc! oaFoviry thd h. or nE dA ml hrld d i,rF!r! 6. F!Ft, fm tlr plrF.. ot
<br />L Bosn6 of rlE Fop6ry. e cr.ld,v.lr codrr'ti.s wnh lE Bal cotuxioE lo strrtu l rlE F)i.( (Sd r0.l.l, ltElB
<br />,.d PiDisni cod.. Th.Conlr.cror'r l,ics.l-.w do6 ml arrly lo do*na olrrcFny who h!il& or iip.ovd rhdon.
<br />ud *tn @,nr&1i tor$.h F.jdr $nh a ConlBlons) licalal pu&u'n lo th.co r.doi3 L-i.e t w)
<br />_l m .roF un<ld Sar
<br />D.r. Onnd:
<br />w()RxFRS', (',Onr PENSA1 tlrN
<br />DECIdBAI,IQ!
<br />I hq.h .m,n !nd.r Fulb ol Fju^ om ofth. folt'{ m3 d..h,doB
<br />-l
<br />hi'r Ed will f,r'nro . cdifi.i!. of coB6r ln S.ll-lBur. ftn *qk6a o.lpanrion, s F)rid.d for lry Sdio. l7m of rh!
<br />Llhor (ixre tor rh. pdtomd.. o f lh. sh for *hich lh. p.mil i! inu.d.
<br />-l
<br />l$..,i $ill ftri"t.i! rqt6. .onpdtlFn i6l,lls.- s Equr.d tt S..li.n 17@ orrk lrtrr Cod.. l rlE FfM.of
<br />th. k t fn ,nkh lhir Ddmn i iE d My ftrldr' onpd.dan im ceir .d polt' nudbd E:
<br />-l
<br />cariry rha i. rh. pqaoffi. oa llE rorL l$ *ttrh lhB Ilqnn 6 6u.n. , lnrll mt dtrPh) &, pde. io .n, ffi
<br />$ B ro b.omc lubidr ro rhc uond' co6p6!d io6 hws of crliaomir. Md .sr lhn if I chould h.om. 3ntiat
<br />'o
<br />th.
<br />*ortd' onp.Nlhn pmvisios of S.(laon 17@ oalh! t bor ( od., I lttrll. tonh*ilh comply w'rh rt c F.lLioN
<br />tuL .nd rh.ll sbrd e dphF ro (mii.l Fdi: rd
<br />cirl nnd up ro oE nu'dEd rhousd &tl$lll0{,000), o rh. cor ol cohFMlion. d&.,C6 s Fovid.d for lh.
<br />S(rnr.u,76 ofrh.litnrc.d., 'nrdd Md ifl
<br />I hq.ty rflim und( pol.lly of prjury rbd I m und6 [ovirk o orchiflE e (.Dfrtrrdcinr \!ilh Sd1$n 7(x)o) ofDirn(]h l
<br />of rlE tlBilB dd PtllBtiou (.&. nd ny lk@ i! if, flll fnr
<br />,/-t0^zo/2
<br />I hd.by .fItrm und6 rE.hy of pqury lha
<br />islu.d {sd 11097, civ c)
<br />kndhs.sqc, ,L,lh. Ffomd.. of rn.$vl6n*hichrhnFhi i!
<br />krdd r A&l<:
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<br />aflucall.llclJsarlr!
<br />I hdS} .trrE unda p6th r of rEjur) oE of $. fnllo$i4 d..l,.dioB
<br />DaFliio. P@iri-AltsG Noiirrllih F.d6.l RcsuLroB (Tnk.r0. Pd6t
<br />-R.quiEd
<br />L.rrs of Noifta&n
<br />I .6ri! lhd rh. Ld6d r.suLtnB Esrdu* dtE oi ,!e\.1 @ mr eplad* lo this F$Fr
<br />-lcor,ri 'hr/h,'G el rh6 lpol
<br />onj'n il6 udrll.lr{rEldtrr ro
<br />"b.. \,/4d p.oF"y r,* ,.'ed
<br />ADD.di'AA{o, sEDrE
<br />nd. rh, tlE r!ov. ororonM a.@(.I sa lo mmrly*ih.ll ciry.nd Coud)
<br />;o'drudion. ,'d hs.by dlsd2. rcFMtlln 6 of lh', Cn y lnd ( oonry to alE uIFn lh.
<br />t- 4u/t,+ Pu zto
<br />,^,, / " 1a-2o72
<br />DATE
<br />o.,,, /'^ l rt -2 ai,
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