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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lile Salety /Low Voltage <br />Fire Alarm / Dam pers <br />Communications Cable <br />Buildinq <br />Bo nding/Grounding/UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Roof Top Equipment <br />Facto ry Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rouqh) <br />Meter Release <br />Rou gh <br />Service Meter I <br />FINAL ? h, lu; <br />Notes, Remarks, Etc. <br />OWNER AUILDER T'EI,(./I RATION <br />I hrrrhy lltrm xnd.r F.tky i)f l.!!r, thd I m.r.n{,r lhrm rh. c(r r.()R' Lk.e l.* lor rlr r',lL*ut r.r(,n (S.r 70.11 5 <br />Bunnc( ad PruL$i'n Cftl€)r Any Ciry or Counry wh.h r.quwt r F.trr'l ro $n{o.r, rlrs, rt{hrt. {kfrrah trr ETan dy <br />(rudo,c. I'u b rt! !!ud.. rlq! r.qlNr !h. .fi'hur tur luh Fmr h r'J. 1 itFJ {4.mnr thd rE or tlE s l6rJ Fr$.I, <br />r. 'rr F)v6.8 or lh. ai'nlftld r l-rcr<rl L.! tclq'tcr 9. cl'mmB'nf w'lh Sd$n tltto oi DNlbn :l or dr Bunt< .nl <br />Pnn (r'n\CqL, rh.r lEo. sh. n.rcsq rlE lmm!nrh. h-N !(nrlr lllrcJ.r..qr)n Antvk.iK{ lS4',.7011Jbymy <br />r0rl'(r.r l(tr r Fm ruhF( (h. dfflhr,! ro 1ervrl p. lryrrno( m'E rhan livc hu*lEdJolls! (Sim). <br />l. owrcr ol th. FrFny. {{ my ci{'t,tlri * h w{c( .t rtEr $lc .oiwnsr[n. * .h ih e,*l lrl r qrrE ! r{ <br />d.dhl or oll.Er! t , ek r Sd 7(X,4. B!\fts! rn] Pn!r.(r,N CoL Tlr (-,!dr&tr't l-rc.c L.u tlt. ni 4lf,ly h u o*r. ol <br />rll F'frny *iI tull! r qnrr rrEEh an *lI, *E un sxl fim*ll or liB ll or rlstulh hs ,* lrr .u .rgllllyt!. <br />pov{.J rhrr such rF)Erds e nr dcdoj q oli.ral tn eL li. h,kE. rlE h r! nr rlhvcmd 6s,U *ihorw rr <br />ol r.n{rlcrnn. dr OwN, Bu,U.r *d hrv. rlr hnU.n ol F'vnB dd h. or \h. drl mi t{lll { unpovc llE p Fny tu rlt flrl$Eol <br />_1. .. uwBr orilE FrFny. m.rdnv.l, oddm! w.h lffiJ (odrar,E ro..rrei rh. F Fr rsd Tol.L BorlBs <br />!d Pr${a\uCal Tnc Co"rBioir l.(cn{ t wLtFn r@1, k' ! o}kr dr |nrFny rh hurllr mCoE! rh.r.'.- <br />..d wlx) 6d i.t sulh F!Fd. vrrh ! Contr&1o(,lEnsd |'!FU.d rorh. Conr.-kr'r Lirns l,*) <br />I rnr.\cnvr und$ S.crDn , F & P.C tr rhA RrF.n <br />i"r"..Z_2y-(7o"*,Y-- _--.4-<--* <br />:lll8f,EBtsolrflllarlo!![ctA.BAIr]I <br />I hcNhy r trnr undcr !.nrlry.lI'crjuryd.c olrhc trl()wfl8 Jc(hr.rnnl <br />_l h.R ril *rU Bnr.o . C.d 'Ltr. nf Conc kr S.lr-ln$E fd u.tdi lorlEndrr,.r Fovr]61l[ $y sd|r'n -r'rOJ of rlE <br />Lrh, (irL. fq rt ltrirur of Or *rr f6 $,hxrr rE Frdr s lruJ <br />I h{( lnd wrllmnrdrr *orkcrr ...Fn\.rio. insurituc, !! rcqukJ t'ySe.'rl'n lltx)r, rhc lrxtr(ixk, nrrh. P.rlormn.c of <br />lh( s k ritr whrh lhnr.rmil is nnGl. Mywork6 ..nD(nrdion inuaEc.amr ml F,lf,y nuhhd u!: <br />P,nry Numl'.r <br />_l(cn'ryrhl m rh. p.no.mkc frh. vo.k tur ehrh rhn p.rmr r Nucd.I sh.llnor.6pL'y any nc^oo Dan,'mmr <br />o .( n' h.('E luhl(lr (, rlE R,.t$ .{mlnerir ln*\ ol Crlfom!. rnl a8d rhr 'l I rh{U h.lotu !!hF! ro llE <br />*{ q..on{r.eti,nFrvur}nrolSc.ri'nl7molt|llrhnC.nc.l{Ellndh*nh.o.ll'ly*ihrho<ln,Yrrnr. <br />lVALNlN(;: Frdur. r, $crtrc worl.r\ ( Fnsrttr)n $(ng. rs trnhwrul, !tuj shrll qrl,l.cr an cmpl,,y.. b ljmhrl !i hr! md <br />civrl l,n.r ut t,) on. hln{Rl lh.ls!tol dnll6 ($1U,.(Xl}1. o dd krr t, rhc u.( ol..mllcnqlon. d.Bg.s ar !hvd..l fttr th. <br />S(ri,n 1l)76 of rtr lrrtr CGL. lrcrcq rnl dtorry r l..r)- L9 -,2 l<a-=Z-'Z-.l.- <br />UCEBIECqNBAqAI <br />DECAEAIPN <br />I h.rch, !rlt6undcr rMlryof Frjlr, rh{ I rn !*n<l unLr ttovlr,n o, Chapt.r 9 (ottmftr8 e h Scdrn 7000) ol DrviDn l <br />.l th. Burmsr.Il PF .s.ns (iric. rrn m, l..n< n e tull Lr rn ( ar. <br />collsrntk-TloN Lrnnu\(; aGENcv <br />I h.(hy.lltm und.. FMlty or Frjury lh.! thcEf rco.nut$n L.dm!.3fry ntrrlr,r,lomcolrn knkforst'.hrh(F E <br />isru.d ls.r. 1097.Civ. C ). <br />lrukr ! N,m <br />- <br />trnlr'\ AJrIt$ <br />- <br />AIIIICANI"DEIIJS{IIAE <br />I hdtty rltim urk, Fhix, or Frjury om or rh. rolr'wr! rktl,r.tr'.r <br />D.Brl.r.n P.rhre^.lE{oi Niirrtrlrrir FrLhl R{!l,rnnr (T'!k,&l Pd6) <br />_R.quftJ Ir(.rol f*nlds <br />lredilyihltlh.l.d.r!lGBUlaitr'n\ Egdh3 arlxnot r.m,vd *rc ftn rt rahkt,rhnptuFr. <br />_l.drryrld I bEEl] rhri rfi r .rirnlrl{.r.rh,rh.rhntrn I .tre k, lru{ y $.rh rll Cry rnl Cou y <br />(n{err,tr nl h.Eh, rurhrr. EF.rrn.nEr ol rhF C,y.nl Cou, b.dd uFr rlr <br />rlnrr nf,flntr'.J nn,Il.nt l(tr trtrr{-(rrn' <br />,\prlnn t or,\!rnl Si{uluft <br />aI,EZIL <br />-Erl'rc, <br />\,-ll-t2 <br />Under Slab / Floor <br />Air Conditioners