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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq i UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soflit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />It/eler Release
<br />^lo ALU(rt
<br />Sjtt-rL LA-
<br />Rouoh
<br />b't't4,L T/t-
<br />FINAL ['v7,t b v
<br />Notes, Remarks, Etc.
<br />OIINER BUILDER I,)ELCA RA'I'ION
<br />I ncEhy rmrn unds acnrh, nl pcrjury rhlr I ant cxcDpr rionr rht Gnnrn.r(F t-iccisc l,N tu rlt rallonitrs rcJn)n lsec.7):11.5
<br />Bx*inc{\ Bqt Prolcrsii'n C,xl.) Ah, Ciry o. Counry rhi.h rcqtrncs { lf,nnir lo .otrllr!.r. dlrcr. i'nDn,vc. ,lcntr,lirh ur fIxr rny
<br />srf,rdurc, Ei,ro irs nsu0trc..0lso rcquircs rhc (p,,liclnr r'o. su.h ncrnrir ro lih! ri8ncd {ur.rmn'
<br />'hrr
<br />hL.r shc i\ li.ctr\L{ purs0nr
<br />ir, rlr p$risn,r .t rrE cotrt..lors LiNn*d Lotr (Chrplcr 9. ComnrNnrg wirI Sc.rnr ?fiD or Divi\i.n t orrl[ Rusincs 0nd
<br />Irofcrct,tr{Ox,c)orrh h or \hc iscrcmnl lhcrcfrodu lrhcbrshftnrhcallcg.dcrc,rri,nr Atry!i,n iorofsc.rirTir.ll.5byany
<br />upplica [itr a pcnir sul,jc.r\ rlc lptli.trnr b 0.iviltcialry.rnor 'ntrcrlrtr fivc hundtddolhrsr55lx)).
<br />_l- e\ ow*r of rhc Inorrny, or my u'nphrues warh wascr aq rhcn $k .u'rrc.dbn, sill do rhc *orl anl rtr srtu1@ i\ n'r
<br />n dn.n or.ilcdl tu $L (Se.10.t4. Busircss ond Prorc$ionr c{nq Thc ConrrNxr'r LtLcns Lrs d)cs not JJ)tl! h rn ownd ot
<br />rhc pDpcdy whl t{ilds or n On,Es rh.cn oxi wh, dk\ s.h $brk hnn.clr or h.r\.lf or rhou8h hn o, h.r own cnDl.,t.c\,
<br />trovidcrl rhlr such im0mEft i @ mr i .ftkrl or oflcrri lor ek lf. ll)*mr, rhc hiUin8 or i lmlcmnr is s,U sirhii o* ]t&
<br />or $nDlcrhtr, rrE Owftr BuitLr will turc rlE huRhtr of pmvinB rhd lr or slE dA d hoild or nrybw rhc pn'Fn, lir rrr nuqrE ot
<br />-1,
<br />!s owmr o! rhc lopcny. 0r crlusilcly conlrrl in8 sirh liccnEd conlrucntrs lo NNrucl rlt nk,].(r (s.. 7Ol1. Inhrncs
<br />und Pn !*i,tr Codc: Thc Conretr's Li(nsc Law iln$ tu lltly tu m owkr of pnpo rr sho huild! or i'.Iovc\ rhcr con.
<br />lnd who onrE* lor cuch pn*cl s *ith ! Conl,a.k'd n li.cnsd p!^urot ro thc Conlru.lr's Li..trsc Lrw )
<br />lr ,.r.nn u ..S.rri,
<br />lr er O*ner:
<br />womonv crrltpeltsrrtott
<br />UES.AAAUON
<br />I h.rcby dan,mundcr ncnslryolFrjuryon of rhe fnllowing d<luarn,n5l
<br />trhtr Cod.. li)r rh. !.fnrokc ofrhc *nrk tur Nhi.h lhc p.nnn is is$cd
<br />-l.enifyrhlrhlh.p.rfoflrtrtrccoflhcworkfornhichlhtFrminnsu.{.Isl[lltro'cmpb,antNrsnrn,riynuicr$ a ro bcon'E \utFl l.l,'c sodc6 conllci$rion hsrofCuliturnir, nftl lrG lh$ ir lsh,uld tt( r{bjcd(,rlf,
<br />*o.tcr.onD(n\!lionpovnn'nro{Sccrt,ilT(x)orrhcuhorC{xlc-lsMll.r{,nh,irhconr yrilnrlk,{ Dnrvi\i(nN
<br />l'vAnNlNG: F,iturc b su.c w{rkcn $npcnsln,n .{v.hgc ie
<br />civil nng uI ro.B hundrcd lhouirnd dolln (Slm$)o), in {dd
<br />Selnrn $16 of lhc ttrt[. Code inlcrc( d allorrcy\ rcs.
<br />)!rr n' d'ni"xl IENhi$ and
<br />./-7
<br />ol lhc Bu\ine$lnd 9mltsionsCodc. a8.l mr liccnsc ir in lnll tnrcc lnlerltci
<br />CANflf,ICIIOII.INDING-d
<br />Ih.[htrnt'ri,tcrFnulryolFrjoryrhnrrh.rci\trcondtcrirn,Ltdi'rstEnc,i,,rhup.rrolnrNcotth.sorktaruhidirhislEmirir
<br />h{ucd(s( .1097. civ. c.)
<br />AITLICANIITECI,AMIIQ!
<br />I henb, arm ondr p.nllly of ltrj!ry orc of tl! follo*iry d.cllmln,nr:
<br />Dcmlil ion Pcflnils.A\ti.slor Norilicllion F.deBl Rc8lhrnhs (TirE 40, P$6)
<br />-R.qutEd
<br />t tr.r ol fidifrolhn
<br />_l.cnifyrhor rhc fcdcml E8llur ions rcr[dins a\hc(os rc.mvrllrc mr llPllir.hlc to rhh lnrj$r
<br />-l
<br />ccnily llfl lhrvc Bd lhiraptlkdn'nandrrlllc/nd rhr l)BrNr.u'mnly*irhnllCiry kl(i,!iry
<br />tur$ ul rht Cirr ond Counry k, cors upon tlE.rdinrn..srnd Sr{rc Lnws rcloriry ro blilditrE&.n
<br />rhnt nrirn d !n)p. yktriNn(r
<br />,,,.,6-tt-\G
<br />l-u c ...c- c/l*
<br />Appli@nl or AAol SiAMluE
<br />U"-,U*.".",r"r,,F V w\-(-t;7^ rtr
<br />II
<br />I
<br />DATE
<br />Service I\Ieter
<br />-,hnvcr
<br />qilltruirtrio $or&crs conrE-tsulii,n nNuraNc. us rcquncd hySc.ln lT(x).lrltl-nhorcodc,trrhcrr'tnnrn.c6f
<br />lnc*orkli,rwhi.hthnFnnirhhsulilMrwork.ncoa,Fn\xrionirNxtrccc0'ricruxlllilicyfunrrdc
<br />Poli.y Ntrmh.r:_Erlirc\: _
<br />(
<br />L.nd.i. Add$.:
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