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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 />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor A\ <br />Bonding / Grounding / UFER 6-lzJ1 xwi0t <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rough)/7(\ <br />*4eter Release 6-47-t\Jr^rL \x <br />Rough )bLlY 6-tL-|1 k"wlil) <br />Service Meter >1 <br />FINAL 6"b-n ) <br />Notes, Remarks Etc <br />OWNER BUtI-D'R DT:LCAR TION <br />I llcby rmm ui<16 Fultt of Fjorr rhd I m .roA 6.m rh. Conlr.ldt' ttr..n* uw for th. foUosiig '!ei (S( 701 Li <br />Awin6 8n Profdion CodG) Any Cny or ( oudy uhkh r.qun6 . FFr ro odrud, .n6. inF.orc domlii! o e.n Dy <br />rrudue Fi,r lo ik iM.. .bo r.quiE llr aplaur lor uch rEnn ro fi|. a r,En.d stalamt rfid h. or dE a licEa.d F@m <br />io rh. F tiod of $. (nnuxrd ! Lf,.n*n tl* (Clifla 9. Conffiis tr'nh S<lio. 7(l0O ol D!!nio. I ol ft. BciI6 &d <br />Pbfsio.r ('od.) or thd h. or rt. it .rcnpt lhG.from ud tfic h.!i lor th. tllcs.d crdFio6 nyviolliio.of Sdnn 70ll t or'&y <br />q'?licur fo. ! Fnn $b6r3 th. .ppl'..nt to r ovil pq{hy of Dt @c lha 6\. ho.&.d dolhB (1500) <br />l. 6 onE oIrh. FrFry. d my dpk !6 \,irh *rsB a rbcn ek @nrEralio.. trill & th. "orl dd tlE irule a Nr <br />i,{drt d M otrd.d td !d. (S! 70.14, asiB Dd [tbBlb6 Cod. nr Cqrrrctd'! Li.Ee L!u'dB bl npry to M o$ffi of <br />lh. FrFly *lr hil& or trnFlE lhaEtr &rd who dc Mh m* tmkll or t€Bll or lt@ush hi! or hd om mplo)G <br />p.or ii.d rhd uch EFDrlEi. E d nEn d m oFqld &r st l[ horca, [E E,L,nA d mvnrdEr i ild f,ill'h oE ra <br />of.onpbiotr tlE o$n6 &itb will llE tlE tEdar of Ftr$s lL lEoiJFddhl hrJd c li9rort tlE FoFy 5. r pllDorof <br />-1. <br />s o*nr of th. ForEly. m .tcluiv.ly conlrElrs vnh lic6a.d co,nr!.roB ro codtud llE p(s).d {Sc. 704.4. lta,6 <br />.i hbas$ Co&: Th. Contr&rd , l.k@ tr* dod mr rpl)ly ro m os nq ofForsry *ho buildr oi inprcvo rhdof,, <br />!ftj sh. (ddr td such F!i.r1! trnt r Coi.lcioii) lEdE d F,Rud lo rlE Codrd- , Lid L.r) <br />_l m .rdF uld Sdion <br />ltqSrifBl-caulENsara! <br />IECIAAAIIA! <br />I ha.$t .rm !..1d Frht of Fjlry oE ot'lE folhtr il\3 dcL,.rioc <br />I h.v. dld will roint.in . CqriaKrl. ot CoMl lo li.lf-ldurc for s*dJ onpmnlion, c pnvd.d aor bySalion 1700 ofltE <br />trttr Cqla an rlE Ffm. of ln. f,.* fn f,ti[ tlE Fnn i is.d <br />-l h!r. !r'd * ill ruinr.h wod(dt omF6nFn ie,B.. B Equn<rl "r( sfrrion u00 of lh. L.hor Co&, lor $. pdfoll@cc or . <br />rh. *ul t \t{h rhi! Fnn ! s.d My qrld omFurhn iBulm .air an poEy NmtE ft <br />-l.dilylh <br />inrh. pdfolrje. olrh. worl lor whkfi rnn Fmn it &ucl.I sh.llml d4lo, b) Fsn i. e, ttljlE <br />$ Ero hcom $t d ro th. wn6'rcnFliion LBof C.lifodir dt lsG rhd if I rlsuld b.(om rutial to lh. <br />wo 6.omtMrionF.vti.Eofsdion1700ofl,EL{torCo<l<,Ii.Il.tonhrihonplt$hhrlrEF!\LioB <br />ITARNING: l!nu. h su. $ort6'snFE lnn covos. a u <br />civil fin6 up ro onc huM!.cd tho@d dolld (5lLU-000), in lddrr dmos6 a ForxiGi for rh. <br />sdri.n 1(176ofrh. t!h,'Pr-(? <br />I hdtt! .ttm u.do Fr!, ol Fjuy fit I m liEs.d urda For bbn of Ch.pl6 I (NltljrBins *i$ <br />ol th. B$itB eld PbfdioB Co&, ad mt lrcaE ir in tull fora nn.fi.<r <br />c1t31' <br />I hdlt!, lrm und6 Fuft, ol Fju', lh, lhs. n . .onnrud ion LndirB lstry for lhc p6fo,l1@. of lh< stt 6r whth rhn Fni i! <br />is.d {56. 1097, Cir C.). <br />alllJcall.DlqdsaltQ! <br />I hadr ifm unds p.nlhy ot Fjuy onc of rhc followins {alE ri.n!: <br />D.mhF. IaTn'Alt eor NolificdFr F.d.nl Rcsuhr6N (TnE 40. P,161 <br />-Rquircd <br />lnl6 or Nc,rifrjio, <br />-l <br />.diry rhr th. a.dqal r.gulalioN Egrding stBlou rmolal s. ml apliclbk lo lhar Fojd. <br />-l <br />cdi ry thd I hrw Ed rhi! .ppltdioi !d ndc rhn tlE ilovc intur.lrion i .rirrEi I tgE ro stuply wih rll C y tnd C.udy <br />oijiMc6 Md Shr. t,n3 Eh,B lo hlildio8.o[drud r.FMknv6.f thir ('ny sd Counlylo dla uErtr lh. <br />.tbR nmrion.n t oFr) fM t2 <br />ul7\q44^p?[...t <br />or&61skurur <br />P.rmnF n.n.(pnnr): <br />^w <br />t'ol a/L7 <br />III <br />wrt <br />_ErpiBr _ <br />o