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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lite Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bonding / Groundinq / UFER Io.3o -t q lY, rra lrn <br />Translormers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Rool Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilinos (T-Bar Rouoh) <br />Meter Release t 2-r- tl D-r.dl la) <br />Rouqh I2-1 '11 )d /o> <br />Service Meter 12-q-t 9 o,-?/tz <br />FINAL 2-o<,vl ,4 <br />Notes, Remarks, Etc. <br />OWNI:R DUII,DET DEI,CARATIoN <br />I h.rchy alfirm undd FMhy ol F!ry lh.l I n cicfl9 ftr,m rlE (i{rd.^' l-t.trE l,w lor lht fi,lloti.8.E.kn lsc 70ll 5 <br />Aulirs .d horir\ir Cod.) an, Ciiy or Coud, *hth ruqon8 r lrmir to .on(rucl. !tls, imtruw, d.mlnh.. EF, -t <br />{ru.rur. Iri,k, irr nr!rh.... dko rcquircs rhc qrtli.mr ror lEh Jrm n,fiLrrit ti nftGnr rhd rEor tlr i( licn.d lu$!r <br />k, rhc Ftuvirhns .r rh. Cunr.d(r'r LEcn(d lrw lClEFd 9. Commi.! \irh Scrbn 7Or) .r Dirkhn I ol ltE Bu\ims 0"d <br />Pn'f.(rn\ Ckt) m lhr h. or\lE n.r.n{r rlmrio'n ad rh. h..'. rd rlE rlk8.3 .r.tr{'li.n Ant vioblionors.cri,n 71,.11.5 brrny <br />+pli!.r ro, a rEmikohj.rh rh. qlnlir.r !r' a dvir Fnrlty or .nr nhrc lhm filc hundcd thulr (s5G) I <br />-1. <br />N orftr olrh. rnuFny..r mr.r{110)6 *irh r'S.r r\ rlttr y,k d,t{Fnqrr'n. rill 'h llr s,rk un rh. dturm i{ n <br />inrcnl.rl ..olY.rd r {krsd 71l4.l, B!{fti. rnd ftol.$hn\(idcr 1'tr(hntr..ntr r l,iaa* l!r rh.r nor qDlyromo*ffi ol <br />th.F{Eny str) h{ildr or inI'n'rcq rlEErn ud *b d.B {cn $r'd trmr.lfor h.rslfor rlhu8h hir or ls o*n.iphyt!. <br />ln,vidnl ih"r{d.h i'npmtmn6enn d.'n i or.fii'sl hn s! Ii brffi, tlE tlillina n inlrEmnl il sU sirhinr* }d <br />or cor[,tr$tr rlE ()*F 8u'llr *ill hlrr rh trnt oll,riqr rld Morslr dil fr hurl, or in{n,E rhc FoIEny Lr r purF:oI <br />l. n\o$ftr I'lrh( ooFrv. !flc\(l!!\clv csnr&rm3 u irh lrctrsn uoDrru(kr\ r!.otr{nrd rn( trurer(s( 7($r. Bu!ft\' <br />J'rl ,h)k-.Lin(ixlclh.(inrNntr\li.rn\el-rs.nrsnorrpDlyt,mo$n<orltrot{rtB,}'hurld(orimprcrcsrh.rron. <br />r d wlh .ont(h i,tr \hh ,mJ(i * th ! (i ndo(n lr.nxrl N6uor r'rh.(inrrk1.r'\ l l_ff< lr$r <br />_I m .k6F u..t r Srlhn-.ll { P( l'tr rhh rcr\r, <br />JA'ttLu <br />tt( ttKr I{s' ('()rlPfris,r flo\ <br />lllr!I.!ltl-lll]} <br />I h.Ehy lffirnu d Ftuhlnl rf ih. (rlhsrS &rur!ri,nr <br />Ihsv. rxls'lltu'nr n ! (..nrfrrrc olC.nrit t! S.laln r. fm r rrlsi rrn{En\.ri,n. ,r l,n)!ii{ fin bt S..rk'n .17(x I ol rhc <br />Iititr Clxi., ln rlE Fforlls. of rh. rdl fn *hkh rh( Fnir t i\iutd <br />,l h!!c und ' ill moinlain eorlcF' d,n{xnrar ion rn\orlEc. x c{uird h! sdr rrn :! ru, of llE I ahor Axl.. tu, rlt ,,.lftmumr ol <br />rlE wdl lqwhihrhr Fmir t i$aj M,*o,kd! .'dFndi,n in{nk..antr u,n rnt, numbcr m: <br />l.cnrryrhdrnrh.F,lor.Eru.orrlBsorkfd*hrhrhr,'(mil t nisd- I \h!ll rc rlhyotryFn ninlnyrunmr <br />s $ r' lBuE luhrri t, rh. Rrlri.omncnd iinr he\ ol Crl'tornin. rnd ll3m r h rf I rhould tl(sE {bj.a1b rlr <br />wn,kcr conq^-treirrn Imrrion\ ofS(Jtr,n 17Ll) ofrhc ljlnr (ixic.l rhdl, trfihrirh.uI'lt silh rh,E pnririonr <br />tt,\RNlN(l FJlur r) {ru'r {or[.^ d)nlrn\nri (orcnt. n u.hulul. lrn rhlll suhjc.r m .mrhlu k, drniml Fmtil lnl <br />.i\'l lnr\ uI n, ort. hlrdril rh'u{nd Joll*\ rll r.(XX)r, r &l trn{ !r rhc ! { {,t.omprn\arrcn. drm8.\ .i F.rn.d ntr iE <br />S((r(n' 11176orrh( IJhn ((xlc [crc{,trkl k{r :1fu,1L <br />t2l!l_i-Bl-It!l: <br />I lEehyalfrmu ., Fuhyof p.irtryrhar I n lir.nirl urL, pniri\it$ n((h,lrci 9l..nnNRrn3 tr hSsrnnTili)rollhrrnI <br />I trEhy ,nh unl.r JEnah <br />n\ued (sa .l(n7. ci! c r <br />l.d.is N.m <br />c0!uISIJlf:lllN!!N!r!!-&GENTIyol,Erjurylh.lIhcr.s!.on{Mion! ins!scE} ntr rl* Frrffic ol lrE *dk lirr *tich 'ii Fmii ir <br />APllllAll.ll&lld8arlo! <br />I hodry tnim und.r Fnsl y.r Frjury oN olrhc tolh*in3 dth,rrn,.r <br />Drmlliritn P.rmih-Ash.nos Nori6.c'n'n Fcd.rul icgul ior. l'l ilL {)- P!n6) <br />_RatUr.n krldof ll{,rkdbn <br />-l.cnifyrh3r <br />lh.l.d.x'lrc8rhrnnr r8ardin! arh.nosrnr*!1,,t ftl +plailrLr, rhn nn,F-l <br />. rnntrmhn n.otrcJ Issdn,$nlllyrrh.llCillrndArunlt <br />r.6t lntu EF.c.rd ir.r or rht Cir y lnd Counry ro .nts up'tr tlE <br />r . *r. ,r,1r r,,,.,./,r,^ .,p1r*JrL,n dhr i. c ,r.rr r\c rrrr <br />.r,htuR-.mJ\ . t.,\^rld,nE (, hr,[rrni. n{.hrk,n.urirr <br />"h""*"^'hKL' -',""':\'*'/, <br />1 1 | | <br />^ <br />pplknnr or ^ser?Sls'truE V'l, I L t t ',"-,,*-*ar,/ -l-H uz r3ui <br />Pole Bases <br />or llE Buriml. &d Pn,f.rhns Cqlc. erd <br />'ny <br />li.cns. ir in lul nne !.d .fi--.r <br />Li..n\c NumtEr <br />-