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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 (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />;--\
<br />FINAL q z w
<br />Notes Remarks, Etc
<br />O$'NER BUILDEA DETT( ?{R TION
<br />I bEltt .lIrD ui(b pa.hy of Fjury rhr I e ddF 6om d. Conr-1d Li!& Lr*' fo, iE f6lb*i.g .!en (Sc 70]l.J'
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<br />lo tlE Fo\tia ot dE Conr.rlq.. Lr@.d t * (Cluprd 9. CoMi,s tr ih sdlbn 7000 or Dirirhn t ol rlE B6ilE Dd
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<br />.Iplt d tor r F6i objclr rlE +plicr{ lo ! civil pdhy of mr mE rto lir. hurxH &}Ud IrJ00)
<br />l. 6 o*E of ih. F.Fnt, or ny dplo)6 *iih tr 196 a rh.ir $h .omp.neion. tr iI rb rlE $on dd r rulo. i! tur
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<br />th. FoFly *lm toildr o. inp.o6 {hd6l! di who &E ruch wd iim.lt or h*lf or throdsh hir or h6 o$. .mpLv.6.
<br />provid.d lhil .uch idlnNffit. e rct i,(ExLd or oEod tur sk. l( h1*86. tlE hiildins or nnlnl6iFx ir sld sirhin on. ,6
<br />of conplclio( llE Own6 Blilda $ill hlw ltE br&n ofF!\n!s thd lE o h. dil no' hild or inlF.oE lh. IroIEly f.r lhc FrrF* ol
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<br />I o .rdF !,r& scti,n
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<br />DE(Id8AIIO!
<br />I hs.ht irm undi pquh' otlajury oe onh. aollol i.s d..b[ri66:
<br />I h.v. -d *ill ruinhin . C.nilic.r. of Colsr ro Sdf.lBur. fDr worka cooFrer io., a Fovidld for by S*! ior .,70o o f U.
<br />Ldor Codr, for th. Ftotuc of th. *o* for which lh. Fmit ir isucd
<br />16 h,*.
<br />"na
<br />*itt *lnrlin "o116' conFGnion inss., e t.quir.d by s.<r bn !?0o oath. r$.r ( on.. aor rn. F fom4. ol
<br />lh. wort tm rt&h
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<br />_l cdtift rtd ir rlE Ffollla. of rh. $ort fd \hkh rh! rsnn i iu.(l I lull Fr qlplo, &) Fen n e, lMF
<br />n B to h..om Dti<l'o rlE *vr6'oryadbn Ls! otc.litomr .rd rer lhr if I 3tould b<oE $b<l ro llE
<br />w*6' .onFEdbn Fovirio6 otsdliof, !?m ofrh. t bor cod., I rt ll, fonhri$ @mply snn illo* Foliri)B
<br />WARNINC Firlur. kr su. $!rt6' conpqsalhn o!s.*c i! u.hqtul. dd rh.ll $bjal u drplors kr cnm'n.l FtahiB &d
<br />civil lind up lo oru nun&.d lhotrsnd iddnion t. rh. co]l.fcomFsllion. dimrs6.! Iro\dcd fo, $c
<br />S(xon lU76 olth. lrbr(i ., inrs6r
<br />trcat@rolraAcraa
<br />DEC|AEAIIAtr
<br />I hctar .flio ulda pdd, ol pqid, rfr t c li.ar.d urd. FovLi{ 01cl!+.6 I (@ins wth Selbi ?000) or Divi.b. l
<br />ol tlE Boid nd PrDbir Code -d Ey ltc L b tul 6c lil.lk
<br />.n*.,*-C-lD 67531
<br />-, 1--1"1 -17 .ct.;(,eJR rb Alluan
<br />I hs*, lmm und.. Fn.h, of !€ju.y tnd lh@ i! ! conrddio. kndint rga.y tor th. FfomMc. .t lnc qort lo, r hich rhir Fni n
<br />i$u.d (sft 1097, civ. (.).
<br />AIIIICAtrTDECIIIAIIA!
<br />I ha$y.trru .!da pa.ty ofFioy orc olrhc hu,ri.s dcLraiod:
<br />D@ollbn Ptune^.hdd Norifrtrioo F.daJ i.sddbB (Tirl.,l0. Pd6l
<br />-R.qui,!d
<br />LdE ottt'ri6.rim
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<br />I calify lhd llE f.ddrl rctuLlioE E*rdiis sb.nor rmv.l ,. fln .rrlk!!k lo lht proj.cl.
<br />K "-,ry,4, "".
<br />,* ,no .pglicdio. a.d rl.r.rhd rhc.totr rtomdioi n.0161 I rgrc ro.onply *irh rlr ( iry.nd( ounry
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<br />^* 4-1,..1 tt7
<br />-7
<br />I
<br />I
<br />I
<br />Sub-Panels I
<br />I
<br />I
<br />I
<br />Service Meter I
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