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DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service ltrleter I
<br />FINAL 6/tt//t --14't^
<br />Notes, Remarks, Efc.
<br />ELECTRICAL-INSPECTOR RECORD
<br />OTA'NI',R'UILDER DI]LCAf, ATION
<br />I lErby .mrm lrdcr FMlry ot Frrury rhd I m cxcnfl tn,n !h. C.nretm Lito* Llw for rlE n'lh*hs E $. lsd 70.11 5
<br />Burinc\s rd Profc$b. Cod.) Any Cily or County whth Equirct . Fmi ro o.{rtct. .}d. irte$. &mli$ or Eff,t &y
<br />\rruduE, Jrhr ro iri is\u!mc. dl6 tqxc! llr q,plior ,or lkh Fmn ro iiL. liemn {i.m th{ h. or .lE is lt.nan Ntunr
<br />to ttF pm$r'ns of ltE Conltur'i l.i!.cd llr lch.pt.r 9. ConWNir3 wirh ssrion 7Im or Divkion I .rf lhc Busin.s ud
<br />Pn,fcsi'nt Cqk, o, rh.r t 6{F k.(n9r rlErcrron rin OE Mra\ r(,lh. alkecd.r.nFlion Anyvi(nalionorSErhnT0ll5by!.y
<br />t plid n, r Fmi ruhj$rr rlr .Ftlic.nr k' , .ivil l€Mxy uf nol m,E rt n fivc hundrn dolar (SJ@I
<br />-1,
<br />(wM oa rh. FaFny. d mr.q'loJt r $nn *ltr3 s! rlEir $lc oniEtrdirn. will & or rGI rt d. rrrre b Dr
<br />inr.,i.d n offdrd Ir sL lsd 7044, B!.i6. .rd Pol6rhnt Cd. TlE Codrr.lMl Lius L.w dar ml {,!ly ro o*Gr or
<br />rlt F{rn! }ts hrilds i'tIms lhcEe crd *ho d<E{ qh nrt hrmr.lfor lEEllor rhoulh hii s h.ro*n.n9llFn,
<br />Illoviic'l rhor ru.h impmwnlledi cnLd trofr.{d tor st.lt llec, d!. t{i]d!t d hrprerd n$!wlhinom }{U
<br />or oiphtbn. rlr o\rE ari*r wil h.E llE hlrt n or Frvin3 rL h or rL dil Bi hild r inF,E llE F.Fry r.r llE p'qb* ot
<br />_1. ui owNr ol rhc pmpcny. ri crrlunkly .odr&1h8 s irh li.cn<al c.da1.^ ro $n(ru.r rh. Irer..l rS$ 7tH4. Burim(\
<br />r i Pbfain(ixlr Th.Conr*-k'(Li.cn(ljBdcrmrrnrlyr,,!niisrcrolpn,ptnywlilhuil&.r,flprov.slhcrcon.
<br />!.d *tn conrrsrr I{r cNh F,isr\ wi'h r Conrructn rr) laenEd pununr (, rh. co ndr.rl-kcnrIis)
<br />_lnm.rcnnl u c. Se-rion- B APC.forrhan$n
<br />l)rl.
<br />]Il,a[ESliiolllllilarlof,
<br />DECttX -UA!
<br />I h.,.htrrlnfl oDdrrIxnrlr\olFrlor,o colrhrn)lk)rnrgdc.hr !Dtr\
<br />-l
<br />havc .id ,ill dinrdn . Ccnirxd. otQ'Md h sdfiME ror w'rtdr- o"iEnsn ion. rc F)ril.d for b, Ssr io. l?m or $.
<br />L.hor C.d.. fr llE tEf(iffi oa ilE eql am shth rr. Fmr is ir\ucd
<br />f hlr lid will hriirsin *"rt6 @qr.$rhn in!mm., .r Equirr{ by s<!on r7m or lh L:rDr (-odc.lo, rrE Frr{rllR oI
<br />rlE srt fd *nih rhis Fmn i i{.d My rdl6 on+.n{i,. insurm. cai.r td polky numtEr m:s,te.-k
<br />n,., n".*, E!419€93t? og ,./, /rS
<br />I c.niry rhd in rh. JErf(rnuK of rh. *ork for *hih lhis Frnn n h\u.n. I rh,rl mr.npk'r r., Fmn in.ny IuNr
<br />s $ l0 be$E rul,..t ro rh. *ui6 .!rF rhn L*r ol Ciiaonil .,n rgR rhd if I slr'uld lE om subi.tt
<br />'o
<br />rlf,
<br />swl6' mnF.$rhn pmrthns oa Sdhn l7ln of rlE L.lxtr Cck. I tldl, ronheirh ondy *ilh rk s pmvn-,nr..
<br />n]lRNlNl;' l,iilurc n' a\uc trorlcr! comp(n\ali{tr, rov.ruEr ir unlnslul. i.d \h!ll nrh,.d .m0h)!r h.nnntul Fnhs a l
<br />.ivil lnr\ up t, nne hunJol ihot\a*] dnlh^ (!lfi).rlx)r. 'n d r)n t' rh. c.i o, c.mFn{ri'n. ditruscs r{ 8nil.d n, rh.
<br />:.:.TiI ,r, CdL. inimr.trl dk{Ey r fel -_At tb
<br />^pDtiLonr:
<br />I h.r$y lrfirm unLr Fn lly of Frrury ltsr I m liccn<n un&r F,vnion otChdprd 9lommNins *nh Scrit 7fin, oroivnbn 1
<br />ol rlE Bxsirrc cnd PoL$i,ns CGlc, .rn nry lic.n* ir m tull fora lrn cfiEr
<br />,,.. c-
<br />el= I
<br />b3'lo?1
<br />rb
<br />I hfth' erfirm uLt(r FMrry orBrju.ylhr] rlEc n a con(ru.1i'n lcndins trrctuy nr rh. lrfonrudc ol th. *{rk nn *h.h rhr Fnln n
<br />tiu.d (Sc 1097. Civ C.)
<br />l.nd.arNom
<br />-
<br />ilIlLtlAlLlEgJrarIIIQli
<br />I lanhyrlllnntrklc! j{nnliy olrrtury oft or rh.l,)lt)f,rng d\.'Lrnr,nr
<br />l)cnn'l (r l'.rrn(s A\1E\ro\ Norri.rrrn, F.,lcrrl R.8uIrx,n\ rl ik ]i). l)rna)
<br />-Rcqun.d
<br />l.llcr rl MlilEari'n
<br />_l.difyrhrr rh. l:ddl rcgrld ir.r R8ldint $ltn.r rc.nvrl!.c ftn amltrbL k, rhl\ F)Fr
<br />Z .diry rh, I Er rdd rhi. s|lplidion lrl sdt. rhd lhc !hov. inri'nndion I cder. I .gtE lo snllly wirn r[ Cn].in c$.'y
<br />tol$isc y .rd Counry ro drd nF,. rh.onhnnncc\n n Srnc lr'*\rlrr'nF k,burl nB
<br />llr,rc mniiom'j poFdy ft, 'n\Frrir
<br />A0plimnl or lartrt sl,lnrluE
<br />_).-s
<br />,^" slz 1,6
<br />APPROVALS
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