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ELECTBICAL-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 Satety /Low Voltaqe <br />Fire Alarm / Dam pers <br />Communications Cable <br />Building <br />Under Slab i Floor <br />Bonding / Groundinq / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Ceilings (Hard & Soffit Rou <br />Meter Release <br />Walls (Conduit ) <br />Walls (Rou sh) <br />gh <br />Ceilings (T -Bar Fouoh) <br />Rou h <br />Notes, Remarks, Etc. <br />FINAL <br />Service Meter <br />OWNFI BUILI'ET DEL('AR NON <br />I &rcby rlrirm unLr lxBly,rl Frrury rt r I D .cn{i tn'a rlE CotrBroB' La'6y lr* |,tr rtr f,it wo! m.$n lS.!.?O11.5 <br />Bu\ocs ,rl PNf.ssn CsL): A.y Ciry or Counry whf,h EquiEr . Fmn k) dnnrurr, .n6, rtr{h'vc, d.mltrh or EFr ,y <br />nnrLrur., Frtr x, ic L$urn(c. rlso rcqurcs th. {rn({nl lnr ru(h IEmn n) iL r rlncd nar.mtrr rhri h.or slE Ls li(nrl FuflMr <br />o !h. F,vtrr,nr ot tlt Contrrn*'l l-...rJ lre (Chrnr( 9. Comh.ncmS wirh Sccton 7UX, ol Drv^on I ot lhc EunN( ud <br />Pn)f.\rk)ni (ixL) s rhrl lr or rh. r.r.mF tlErdnrn turl th. b$s rd rlF dk!.d.E6prbn. Any Y.hr[r of Sarr)n 7(lll t hy oy <br />lmhrrnr ntr . Ffll luhFlr rh. ll.fll.nr lo r (rvrl FMlty .l d fr)rc rh.. I trr hunlr.! dolln i siul) <br />L .\ (*rr of rtE FrFny, nr my .qll)r.r. pnh *.a.r ir rrE( slc cdqrlgt bn. *dl U' rh( rtrl rn di i&rE 6 n <br />dcrktj,rot.EnnnsbIS(7{x,1,SuGsr.nlPn)risi,BCaL:]lr(imtturr,rLun*trwllr.n{.a'plyloMo*mr.l <br />rh. In'Irny ubtdildtn EIh)E(h.Nh..'l *h, &B.Eh urrl h6!.llor h.rklf or rhmulh hu or h.r oM .ipk'y..r, <br />Irov'd.J rhrr r!6 mpolcnr sm to, orcdLrl or oli.ar! hn sL.ll, bME, rlE hurllry or mtnEnr nir!wirh,no*ytd <br />or uBr,li,'n. rtE Ovrcr Bu[,j.r willUk rlE hd.n ol F)es rhar h.or{rJrl B tllrl or mlk,E <br />'h. tntFny fdr r FulF,ror <br />_1,r\owmorrh.F,p.nr,rn.(h(wly.odftr!t!*.hh.n<rlrodrxroFt,urrerrh.F)FrIS..7ol.t-B.rEr. <br />ul ht.!ruCoL: TIE (i,'ir.roa! l-r.nq ljw dr! r,.r't'ly ro u o*mr {rI'U|tny rlx, h!,Ut.r ml'NEs rh.ror. <br />rnrl wh, .ndars ntr rkh F,rdi * h. G,nrdollr l.rnsn tlurun' ni ilE ct' rkroir l-.r.r l,w) <br />_l r .(nl,l unl.rsc.uon <br />ltoEaE8E.sqlrf,t! ra! <br />TEIIJAAIION <br />I lErhy rlltrhu.&r Fu!yol Frury ox ofl|E nnhra3 &(l[..hns: <br />_l hrv. rii w l moru r c.n di.rrc of Consnr r,r s.ll-lnsurc fir Rrtcn' conpcnr.rlrn. N F'vd.J ,ff hy S.d)n :l7m ol r lk <br />L,txtr (irl.. ld th. Fdnmrnc. nf rh. *o* for whf,h rh. p.mir s asu.d <br />I h.v. rd wrll m.inr.'n vrlt.rr' umpcnlar,n hturB., .r GNr.! hy Sdr nn ]7u) or rh. lrff (ir!. ror rrE Fd{BL. ol <br />rlE k nr *hrh lhs Fmr 6 Fqd My *.xtcn' LultE.t rnn h!!Ia_....er. {rl p.li(y nuhrtt ftl <br />P.l(y Nunftr: <br />_l..drlyrh.r ,nrlI tErIolfrN.oith. wort fttr wh.hrhrFrmrt s rr!.d.1rhrll frn.mpk'y.nytErun u uy llu*r <br />$ n ri) k om suhFr b rrE u)rl(i q|lt!.nsrsn L*r orcdl,rom, drl rrr rtar <br />'f I tlilll liLom shj.t <br />'o <br />rrE <br />H).t.^' L nrEn.r$. F)v!$nr dl Sdlrr l?(l) ol 'll l,h, Ccj., I rh.lL tn hw.i $qry snh rtiri !nrsst.. <br />WARNllt(; l.r uR r! s.' w q'rtcn'om!.hs{kD..w.t. r unLwlul. r rh.ll shrtr .n 6{'L'F t, (Ml tREl.. r,rl <br />.ivrl lhcr up lo .k hur r.d lhou{nj nolla (J100,{Xr,l, m !ri(r,n (,' rh. .o{ of conpctrrrnsn, dim8.r r. novrlal Lr rh. <br />Sccr i,r !(|76 ol rhc L.htr C,rlc. mrcrcll ad ott Ey ! ri.s <br />U1;EISrIIIOIIBACIAA <br />DSCtlaAE{A <br />I h.rby rrlrm unL, Fnniy or Frrory rh, I 6 lxrn rr ud.r Fov6$. ul Chqrd r) (lonmBnl! wnh Ser$n 7@0, ol D'vnkn ] <br />or rh. Butfts.d PDlcsr).1 C.it . lrj mylr.trE ! u full li'N ulcld <br />colirBucrr0NlrauNglliEN.!:r <br />I h.Nby rlltrmudd p.nrny ol lf,rrlrr rhd rh.r. ts. con(urbn bftlni.ScBy ft rh. Fno'mhr o, rh. qxt fitr Phf,h rtu Fmr $ <br />is\u.J (Scc. l(l)7, Civ. C.) <br />A[jLI!AN[DECI,I&!UI]! <br />llrrhv rll'munl.r p€nrhy or p.rlury on. ol rhr ,,,It,!'nt .l(lJrlrx'n\: <br />lxm,hu' l!crnnrsAst (os Norrlciri{'n Fc'lcdl R.3ullrtr'nr ('l 1.4(,. l'M6) <br />R..ttrtrfd lJ cr it*r inrrnr <br />_l.cd,tyrld rh.lalcrrl rSuLi$r rar.JDt rllEno\ Rm)lrl m n, {nlr$k b rh( lh'F! <br />I ( rly rh, I hayc rc&l i htr .ppl.lllB .nl (tl. rhrr rh. fi,r rntumri'n tr .otr.d I a!re n, omtl, ]ih rll c( y rnd (ru.ry <br />odtruturl!ft1Srrr. L3wsELrru t'hurLlhf cotrnru.nm. r h.rctylurlnrdcrcf.\cnrar'!fiolriF(,r,rndcounlyr.c.ru|r'nrlE <br />.hvc trKhu md In,pcn! tor rrpc.r i rn luqnrs <br />,tt|pln$nl or .\E€nl Signllrft lhr. <br />P.nill( nd rpdrt):_ <br />DAEIII <br />/\'2''2 <br />L.nd..r Atdrs: <br />I