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ELECTRICAL.INSPECTOH RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEI BUII,DF.f, DELCANATIoN
<br />t h.rby sfirm unrl.r pcmlty or FrJury rh.r t m .r.iFt tr,n rrr crflrNm' l-t.N bw tu 0E rolb*ir! @sn ls.c 7o]l 5
<br />EuriBs .Jn Profdrio. cclc): any Cny o. Cdlry whkh 'quK . F rn lo Nn(nd. rlr(. invoE. d.mlirh or EiLn ey
<br />rturrc, Fior nr irs i$lld.. .1$ r.quiB rlE +pltld fo. ruch Fm r lo $k ! sigrd sr.rednr thr' tE or sh. k li.crEJ pur{st
<br />!o rhc F.vnion( 6r tlE Cnitturoir t]e&d L,* (Ch4ri( 9, G,oftftinr *dh S.{i,. 7(IrJ of D'vnion 3 orrE Bu\iEs.nd
<br />Ptut rrirn. Gi.) or rh,r lt d r,r N cknp{ rrEr.fho.nl rrE ll\s for rrE rlk8lrl dcnplion Any vi)LlionofSdriDT0.ll5byioy
<br />.ptli.. lnr.Fmil subFt\tlE .Pplkol lo !.ivilpcMhyolnol rclnd fivc hundrcddolllt (55{n).
<br />_1..! tr*Eof rlEF,lEnr. my nrilo)B wi h rrSc! .\ ttrn sk rir{Enrllion. willd. tElck&n llE slnilh h n,r
<br />inr.d.d or off.r.d ror $l. (Sa.7(l44, BusiB. ed Prtrffisio.r c(xL: TIE Cotudd.r Ljc r L., do6 dr.t{rl, ro r owEr or
<br />rh.Frrry,lntrih!i,hrF,6{EEnuilwtbdr-$nsrihielro.h.Blrorthn'sdhkmh.rowrrr+hy..r.
<br />F)vA.d lhl 3kh inFruwftnl! e mt hrcd.n or ofi.r.d ft. {1. lf. bftw. ttE hrildhS or inticrn ii sld ylho G )orororplria rh. O*E Built sll tEE tlE hnl6 of F$nn8 tL lErilEdil o{ hliUn iqmE dE fiofsiy nr*. rirFrc or
<br />_1. &i osB oI rlE rmrEnt. o. .icl,livcly contLl hs wnh liccnri .onrrlcr.n tu $nrirud rlE r.mjd ( S.c ?(I44. BusNxl
<br />& i Ert s\im clxL Tt conitrntr s t-rcn* tj! dtr hr qrr, ro ri orftr or FoFny who b{ihr or inprct! rt-.on.
<br />&.1 sh, mdrdr tu skh rNj.{t *nh. Co Et'ng li.nsn pun@r ro r,r G,nrrel,r'. l.t..e bw,.
<br />-l
<br />m cr.q" uni.r Sclh.-
<br />l!1185[lli10!lE!!arra
<br />lECt A.8A.urlU
<br />I rxhhy rm.nutul.r liMh, of Fjlry om orrh. hlhui.8 d..h,rrion(
<br />_l h:r dlsilltuinrrinr (-rdniaruof(('ncnr r, Srlllh rc ld r nrk.r{ onrl[nqti'n. !\ provihd ktr hy Sc.ri,,n .17(X) of rtr
<br />L.kn C,xlc. n)r thc Il.rform'rc ol rhe woA fttr *hich ihc p.mii n n\Nd
<br />_l h,k dd ! ill minr,in rofk.B comp.nrsrion insur.N., is rcquiEd hy Sd bn .1700 nl rlx t,tr,r Gdq rd rlE lErfollrEft. ol
<br />rlE srk fd *hth rhn Fmn n nral My sdt6 n,np.ndi '.{tlm ffi rd plty nunrE E
<br />I ccnrry rhit in rhc pcrln 'rN.ol'1tuwtrk ntr whicn rh{ nlnnir tr trn'cd.l \hnll no( .mpk,y a.y Fr{6 rndnyronEr
<br />g, sn) tBn.E uhr.r lo rlr k'lt(\ mmlf,flsrnh b{s ol C.l'rom& 1n ag,(
<br />'hd
<br />iil \lsuu t .o.E {uhFr brrr
<br />*o c^ .on{Eneri{r l)nr isi{rn\ of sr.rt,n .17ft, of rh. IjtI, (i'dc. I {hill r('nhw[h c nll)ly wirh rh,c ln]visin\
<br />.n'l ,n'r\ nt) ro oN ho'klrd rhoD$f(l dolltrr\ r\llxr.(xr)
<br />s.!r(n' r07r,.Irlr l-'htr(irl. d$({ Jtrllrnor'x}'\ r.r\
<br />Ihrn)rfirmund.rFMhyoflf,rruryrhrrI n lkttr{n u'rid tro\iu ol (-1llpts e {dnnrm in[ rirh SNri,n T(XXI)oi Drfni]tr I
<br />.l rlE Buimr\ nd ld.{!i'nr Cod{. sjrl ny ladir n rull ttr.c lrl cl
<br />',i"5Aotr
<br />CATEISII{:IIQNJ.€IDAG.AGEU:I
<br />I h.Eby ifrrm undcr Fndl, of Friury thll lhs. is r orilMlhtr lcndins ir.Fy for rtE Frromrr or'rr wtrt n, whahltir Fni ii
<br />nu.n rsd tm7 civ c t
<br />l.ndcr'i Nrm
<br />-
<br />tr.d. AJ&ES
<br />-AIII.ITABLTECIAEAIIIIB
<br />Iho ry.trmundd F hyofF.r,yoEofln folk $inr &tLrllionr
<br />D.mlirion Prnir+ rbcnor Notilf,.tion F.dcnl R.Buhln,nrtint t0. Pan6)
<br />_R.nuir.i t-ii.r ol Ndifr.lim
<br />I rdlft rh.r rh. ,.knl ESrhrFnc E3rdin3 r+Eturrcm'uluc rn orl,liabk ro rhn ntuF.t
<br />lrdrly rhr I hrcr.!(l rhtrJnn ).nmrRl I.3Rr..on0lylirhall(iryindOrnry
<br />or(1,trr'krs rtrrlSIic liq\ r.hri',! ro ho'
<br />.ttrt mnrr,xn pmp(ny tu iNF.li
<br />ADDIi(rnl o.,\Ionl Silmlum :","^5/"i"tp-
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety i Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueinq
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soff it Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />lVleter Release
<br />Rouqh
<br />Service Meter I
<br />FINAL &wL ll tcl &
<br />Notes, Remarks, Etc.
<br />Sub-Panels
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