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 (monumenl)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding i Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Sollit Rouqh
<br />Ceilings (T-Bar Rough)
<br />It/eter Release
<br />Bough
<br />Service lrleter
<br />FINAL t.tz-/9 J ). Ght 'vl)
<br />Notes, Remarks, Etc
<br />OWNI]R IUILDEi DELCAI TION
<br />I lErcby rtlrn undcr FDh, ot Friury rhd I m .ranp' fn,n rh. G ,((B Litrs L.u fitr llE folh*hg Ear,n {nt 70.11 t
<br />Busrmt rtn hofc$ion Cd.) L{ny Cil! or ('r'unly *hrh r.rtuiEt r rmi ro oid .r, !116, inrpbE tlmlnh or r.Ftr .ny
<br />{rudurc. Fi, io ir! iss@r., .lr, rd.lnit\ rl! lltolimr tu rBh lnnir t, fiL r siSEd ndcr th, lE or rlE i lienrn p!ruIr
<br />ro E Forisions of rlE Conrrdr'r Lk.n<d tr$ rcn!t'r6 e, (\rwrins *irh S.crbn 7(rr) oa Diviri,n ,l of rrE Burimri .nd
<br />PFtc$hns Codc) or lnlr lr m {E i! ..cipr rlsritro.td r,E h.rr rin rl& llLsd .r.nprbn Ary rhhrion of Sdi.n 7ol LJ hy ttry
<br />lpplker fo, a l,cmir {hFlr rlx rydicrnr ro . ciril F.ulry or frr rh.n fiv. hlnlr.d dollrs lSJm).
<br />-1.
<br />ar o$Fof rlEFDFny, h,.rtbFr *irh tr86.r r! $L orFn!.lion. *iU&,0twl.ddrrndreir mr
<br />inradd roff.Ed ,n sl. (Sa tx4, BuriEs &d ProtdhF C.d. TIE C.nlrrld r Liur Lrr dG @r +ply ro m owffi of
<br />rlE Frodr! wlb toilk d iqft6 rtfte rn db d(n eh *rt hrNlf or lrRlr or llmud tir c ls 06.n?l,FR
<br />Folilcd rh.r trh ir!.DrEE rEd n ri.d [o,H f{, rl lt lt,G6, E hilrad iswld ir ild winin* F.
<br />oaonpbrirllr ouE aufil.r vil lIE E hrrln olFsvirB fi.lEo !& dn ml hlild r ilor dE F{dry ro. dr Frror.or
<br />-1..ro$Eofrt
<br />FrEny. hcr.luriEl,<nr.dha rnh lcrn onlrrr(mh df{M rlr tm}{ (Se 7044. Burcs
<br />rn Asftarin Cod.: Ttr C6.krioa.l-t.n* tr* rh.r r{ q!0ly to m r*E ol FrFny sh h{il.:lr or nq,mts r,tFr
<br />lrd who 6 d! rd kh FtrFnr wirh. (i'.rerno li.lnsn Fr.urr lo rl. A'lrEid i Li:M tr*).
<br />-l
<br />!mclcnlr,I u.dn Sarion-
<br />Dd.: O,M
<br />!!r18tr!&t-t!,t!lu;tsarloN
<br />DE(]I/I&UI!)!
<br />I h.rchy rlfirm u cr p(Mlryol If, r|ur!oR ol rhr n)lk)*tr'8 d.rIr rtr\
<br />lhavcandwillnurnr!fl!(tniff,lrcoi(i,tr{nrr'scll lntur.l,nsorlcc comFn\ariinr, a\ F,vid.drorbys.crn,hlToOolrh.
<br />trhor C.d., fd rh. Frturtunc.r rh. soll Lr {hi.h rh. Frnnr F N{Fl
<br />I have arrd willrn(i rin workcri.onrp.tr{rnr i.qtrri(c. r{ rcquii.J h} s..ri, .l7(x) ol rhc lrhorcodc.l.r rhet lfom! .col
<br />rhc work ritr ahi.h thi\ Iinnir i! i\{r.al Mylorkc^ o wn\rri(r i'r\uBnrc rxris u' F,lry utr$(r rc'
<br />-l
<br />eniry lh.r in lh. rErfo.mrc o,rL *ort rr, ehth rhn Frmii n brkrl. I rhrll mr.rphy.ny p.mr in !try n Er
<br />o $ ro b.sr {bFr ro rtE *rnt6{ on .ndiin L*r ora i'mn..d.{r lh.l if I rlbuu lt 6ftsubFrrorrx
<br />wortac oqttre.io. pmrirt!.r of S.di.n lrur ol lrr lihr ('d.. I rlrll. t{,nh*nn or{lly rirh rh.r ,iovi3ith!..
<br />rd rhrll rlbFi .n .mphltr ro siniMl Fdns .Id
<br />civil nEs up lo.rc hudEd rhouB.d 6lLr (rlE.on or.oqE.erhn. damact .\
<br />S.ction .1076 of the L.ktr ( nt. inrcr().r
<br />I h.nbr_ ,rrn lnLr Frlrlr, .l tErrurt rhd I !m l(nldd r.rsi,.ol(lul,s9r.omr nsf,nhSd.n7UI)of Oivs.nI
<br />,l rhc ausi,Es rnd Pnn s\bn!C.xL dl nN lr.h{ N
<br />'n
<br />full l,rrr rncll(r
<br />a.(2
<br />I hcrcby rmrm ulds rtully o r p.r,ury rhd I :ri,n L.dio* lB.fty aor rtE Frlor.lEc of llE *ork for *hth rhis r.di' i\
<br />trnk (SR l(D7, Cr! C r
<br />lxndcr\ Nanr
<br />AIILIIAII.DISJAAIIIIN
<br />I h.rcby alim und.r lcnalty or r.Utry oft nf rh. ri'lbunr8 d(lxrrin,n!:
<br />D.mlirion P..frls.Arttrbs Nolific.rio" lrcllcal Rqulllanr fl l. 10.l!un6)
<br />-R.auiEd
<br />L.lr.r of Ndifralion
<br />ly,ith!UC yrnd(i,unry
<br />Cnya.d Co0nr, t).nro urm rll
<br />-,?- /, /5
<br />Sub-Panels Cxfticr
<br />)utt
<br />_4//2
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