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ELECTRICAL-INSPECTOB RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER l}ELCARATION
<br />I h.rcl'y rlrirn u.d.r rEn.lry 0l pcrjrrr rh.r I d c\.n{ liDh rh. Co.tr&ro6' Lr..!. L.w ror rh. r,rbwi,! E.$n (SN?0.!15
<br />Bun..r rdl l\olctl,n C,rlc) Any C y or Counry wt(h nquRs . Irtu ro codtu1. ahs. mtnrvc. &nn!h or qrd rny
<br />nrurruft, rrtr r, \ rruuc., llo rcquE( rh. q,pl.mr for tkh Fmir ro tik . tamd srrrcGni
<br />'nd lr or rh. ( l..nGl pumd
<br />h rlt InlrlsD of rlr C',,nr8ldt L(.nkd bw (Ch+r.r 9, Colimtume rnh Selion ?(|o0 .f D'yrhn .l ol rlE Au!t{ nrl
<br />Pn,L\($nr ClxLJ q rhlr lE .r rlE n .\.hpr rh.Etmm .il th. h.rs f.r rh. all.saj cr.nltlron. Any tDLtlr ot S&rrJn 7ol L5 by rny
<br />.fl,lEl,ll tu. Fmn ruhl&l\ rlE rpt'lMnllo r ovn FMly of mr mE rhfl fi,. hudr.! Jollu t35m).
<br />&. * ,**,,,* *,,.nr.,, my.npklFr *nh wr8.r.i rlE, oL dmFnerrn. *rl lr, rh. $,{r rd ft.{turm r n{
<br />d..hl or nlI.Ed t'tr !l (Sa.t(,{i, Bulrs . Pn,l.rqBclll:TIECo,{frrtr\Lxd*bwJG.d{",hd.pEr.l
<br />rh. InrFdt wlll lturur ,r ,rFrFr .ltF).. rrn *b dB rh hrt hm€lt or lErclf .r rth'ulh tu or ,Er osr .qtt!y..r.
<br />!n,rrL.l th.r rxh !qn,rrd! a Er .i.nlnl orofqEl fq sL lf.lbM. rlE h{ llrAornFNEd!$UranE,nFa
<br />or ({r{'Lri{. rrr owEr Budlr *il h.E rlr hon a .l Flyrtr lhll lr q nE drl tEi hxll or lqhw ttr lhrdy ,or rrE FrP'. or
<br />l. Io*rr.l rh. F'Fny. m.r.lulEly(odrrrh! wdh lx.nrJ.od'ar6 b oNur rh. FFr (S.a. r(xl. Burc!
<br />n h{6.rn CGL Th. (t rrloir Lf,..€ t:w dc! Dr rltly h a owK of,'sFny who hlrlJr or mpNhr rh.r({,
<br />rnl }li, odtur! iitr ruh F,Fls w(h r Co'{81,,1, L.n.d Faud ro r& Conb-t'r rr.,* Ir*).
<br />_l dc!.mfl unL. S.dr,n
<br />,r*.Y-M tf,ruS4ullr
<br />I lEr.hy rl!16uni.. FBly.lrxrJudor ol rh.ll,lL*rg &rb.rr.s:
<br />IhrE.dwrll u{ru r (.n'ft.|c ol Cons.r h Sclt-lnrE rrn h,rt6'on{n{i,n. ( r,nviiql ntr h, S-r,n 17($ol rr*
<br />bhn (ixL. fi, th. Ffo'M..l llE Dlt lir *,h.t rlE Ffll 6 tru.!
<br />I hir. nrl r rll m.or.!n *oikrr (onFn\:r i,n rru.rmc. r( rdlutr.J hy Ser ion :r7ltl IrhcL.titr(i!c,n,rlErnolrul!or
<br />rh. *orl r,tr*h.hih^ Fm ,s r{cd {y *or*d' $nyxnqr r,n o{rre(lmr., Inl.ynunh.r&
<br />CrNr
<br />-
<br />Polry Nu,nh.r:
<br />](<orryrr* . ," 1"4,,,",trrco1rhc arrt,d *hf,hrh^ F fri A N{rcd.l shrll nur cmpl,)y any rxnotr rn rny nremr
<br />!, r\ n, hc(dnr nrhrrr r' rhc *olto\ (onlp.n\rrtr'n [wr.l ( (l'1,)m',. arkl agrc. rhrr 't, dx,uu h.(onr s$Fd n) rh.
<br />s cr\ ! nD.nulrrpn)v^!,tr\.t SNr(r lTtx,ol rhr lrhtrGxir.l \hrll,l,,nhw h.tnrflyw[hth){povi\itnr.
<br />WARNIN(; l'srlur.l') sur. w,trk s'Nnrp.n r$n u,v.r4c r\ unl{wrul. m! shull suhF.r sn.mnloy.r hr lrmBll FMllEr rBl
<br />flv'l lr.! up n, om hundhd ihous.nd d.llu. ($10o.0(U), h.drliri,n k, rh..on ol .ory.nrrr'.n, rtlmecs rr Povllcd ntr rhc
<br />Sc(i r l(,?6 1rhc l1htr(iiic, or.r.( !n'l llomy \ lcc\.
<br />n",-?-?t-l?
<br />DECIdBAIION
<br />I h.Et',rrlrmnnd.r Fn.hy or lErjury thll I dm lk!.rn ! l.r lxovnpn or Ct.rrq 9lconrR mE * h S.{$n 7(ur)oi Drvtrr'n.l
<br />ol rh( Eutmn. Pn,f.sUnr(i'dr, rl hy l(.n* il ofullfoM dn.ft.d.
<br />caNslBlcllaNrEdglc-&Gllla
<br />I h.Fby rfinm ui{d txrty ol Frpry rh, itH. ii ! grNBlnn LftlDa .E *.-'y fi, rlE FfuI@-. of rh. srl fttr *h.h rh! Fml !
<br />^IILICANLDECIIIAIANI hcld,y .liim uniq Frd y ol rErlur, or of rlr rol5,u! 1,.{lr,r -ni:
<br />Ixn,lrr,n P.m&A'h({dr Norrrldrn klc.rl R.3uLrpn.rTIL 1l0. P.n6)
<br />R.qulqi hl.ror Mrlfr{ih
<br />I Gr'ry rh.l tlr r.d.r.|,.8!lir8 E8!{ ! $rEnoimvrl( mt {'t .tkrolhtsFoFr.
<br />11.d'lyrhdlh.Ercdrhhrnnlrdrn.rn{rt.rh!lrEttrwrn,m.rnns(mrl.3Etr.@ryry*hrllLr(y.dC_outr,
<br />o.dmn.r rnlshr. t *. ELl,u h hor|jri .o,(rud.[ lrl h.El,y.ulln@ rcFEtrdrws orrh,r C(y lrl G'udyio.trd utu rlE
<br />rhnt nrnifrJ lln'Iidt ntr o\Fdi,n pu{r,{(
<br />lrdnrtrr r \!.n! si!nnh'n lot h,. - )'4-t'/2
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab i Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meler Release
<br />Rough
<br />Service lr/eter tl-
<br />FINAL u//7//o .,)+1 t/ ,/
<br />Notes, Remarks, Etc 77- "V
<br />-,
<br />t,t ' 3'\\zl1
<br />---7..Z_--t.__..
<br />Lkne NumrH
<br />nrE{i (S< .Xlrl. Crv C )
<br />lJ,tL.r Ntm
<br />-
<br />Site-Work
<br />Air Conditioners
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