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APPROVALS DATE tD/srG.COMMENTS
<br />Site-Work
<br />Underground
<br />Li ght Standards
<br />S pas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<br />Fa ctory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceili ngs (T-Bar Rough)
<br />Meter Release
<br />Rough --7;re rlt g /)L 2 t,-r-t-t s<
<br />Service Meter
<br />l\ /'r6lt)FINAL I I tai'ltd
<br />Notes, Remarks, Eic.-
<br />II
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<br />ELECTRICAL-INSPECTOR RECORD
<br />OWNER BUILDER DELC R TION
<br />I hq.by lrfirfr u!& Frhy of Fju.y thn I m .r.mF tom lh. Coits6 Lk.e L!* for llE folbsh, r6n (Sc.7011.,
<br />Bsi.B !d PDldih Co&): Ary Cily or Cdny $tltt roltid r Fna lo olirud. .IE. inF.oye &mli m lE.i dy
<br />nru.tEc Fir to ir3 irllec. lto r.qui6 rhc +?li!n fo. tuh pdnn ro fik. tigi.d iiffil rh, lE or.!. a licdu.d Fard
<br />ro rhc FovirioN of lh. Conrtulq i Licc cd Lrw (( h!F6 9. (bmtuins wnh Serion 7000 otl)ivirio.I of rh. BNiIE od
<br />Pmf*bN ( o&) or $.r lE d th. L dopr rfid.non rd rh. bGL for rlE .lLS.d daFior. Any vh!.rio. of S&nn 7OlL5 b/uy
<br />q?lic.ri lo! rFin tuUcr.rlt tplt, ro.civilFrhyotd tuErt& lirc hui<!.d doll&! ($m)
<br />l, a own6 oflh. prtrp61y. or Ey mdot6 with w!86 u lh.i ml. comFd.l ion. wiU &, lh. stt dd th. nndu. i! tul
<br />ida'd.d or oflaal h. d. (Sc.7044. BdilB ed PiDfBrbB Co<t Th. Con,&lor'! Lt.@ bs &6 mr +pl, 'o
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<br />oaompkq\ thc o"c BuiLl6 wiu hw rlE hrn6 of Eolins th. lE or .h. d'd rcl htild or imFor! tfi. FbFiy in rlE FfpoI ol
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<br />&d Plokii Cod.: Tnc Co rror'r Lic@ L.v do6 mr !!pty ro d ou'r6 ofFopdry who blildr or impro!6 rhd@tr
<br />.nd who eirE 13 lor ruch Frj(k wirh . Conl' cr.4, lic6.d puuu.rn lo th. Co.rr.doi3 l-icN Lis).
<br />, u .rmrr u*r Sdi.n
<br />D.t. O*trd:
<br />wonI(FRs, aoirPENsairoN
<br />DESJA'I]AX
<br />I hd.by a,Irn und6 FEI, otFjuy oF of rlE f.lLlo8 &.Lrni.6:
<br />I havc.d will roinrlin ! C6rific.r.of CoMr ro lilliEur. for mrk6 shp.tu lion, a Fovid.d fr bysrrion 1700 otri.
<br />L.bo. Codq tm lh. Ffoffi. of th. rort fr $hkh rlE Fmn i isu.d.
<br />I h.E.d *ill @i.r.ir sortd onpddiri in'l]tee r Equi,.d by Scrion 1?0o of r,E Lrhor ( oda for tlE FfollM. of
<br />rh. m fo, *hkhrhppgrn. is.d Mytrorld conpdsrroh '6ufuc.@E!t Fl'c, ndnbqGruk
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<br />, .dib th, in tlE FlorM. of
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<br />sort f shrh rhn Fmn i! is!d. I ndl m' aploy ur pq$n in e) meF
<br />$ 6 ro bd!ft &l*ir ro rlr *qL6'o,p.tadi{ Lri olc.l'todi.. d *G lhi if I {Fcld b<.m $lirt ro rlr
<br />{orld onFqrbn provilioB ol Sdion lT00 of rh. t bor(o<L,l Cbll. todn*lh onlpl} onh lhos FnlkirB
<br />ll^tNl G Fnhc lo sd. *,ld'NmpdBci.. o16.g. L lnLtrtuL !d rhrll $bj.rl & mrhF to aimiDlFElb.d
<br />6il 6i6 up ro oE n!.d<l rhos.d doll6 (11m.000), i. ..!nhn ro lh. cd ol.omFEdior. d.nE36 N F.riH lor llE
<br />\ar'.n n)76 nl r'. l,tttr (i
<br />D.,.: qln lt
<br />ode hr6.n 0d tlionq r f6
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<br />DECBAAIIA!
<br />I h@by rIIm uid6 Fulry oa pajury tn I m [ca!r.d u..ld F.vilion of (ll.pta 9 (omnociry silh S.<rion 70OO) ol Diririotr I
<br />onE BunB ..d Pr.fdio8 cort , !t oy laae ir h tull roc rd .rcl
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<br />?fiv tn
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<br />co!fl4ltrlM[lltlli.Aq[N(r
<br />I hd.ty lftrm und6 Fulty of Fjury llld rhd n . codNclbn L.dnB lAocy ror lh. pshn@cc ot lh. n,.orl ror shi.h rhi! Foa a
<br />is.d (S< 1097. cir C)
<br />.IB.ISILDECUIAM!
<br />I hdrby ilfrm urd6 D.dhy of DGjury on. olrh. lollo$ ins d6ldrioB:
<br />D.mlilion PmhlAlbdd No'ifr.tion F.da.l R.lul,tioN (Thl.40. Pd6)
<br />RcquiEd lnldott*ri6..iB
<br />I cdia, rhd lh. lulrll r.8tldio6 ,.xedins &rtBr6 Jmul e. .or @t'li.rblc lo rhi! p$r.n
<br />I .diry rh. I hrr Gd lha .rpltiion .d nd. rh.
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<br />.h.r. infotuhn ir cdd I .3'a ro oq'lt- *irh.ll( (}.nd Couny
<br />ordine6 dd Sr.r. L* Elrrs ro trildinB codrucrioG !d hs.nr.urhrn r.Fendns of rhi! Cny dd Counryro oro!,b.rlE
<br />!&,vc mcnrtun.{ F,p.ny tu iBp..1
<br />Appllont or ,\tdl Sitn.tlr.z/,v /rz
<br />I
<br />Pole Bases
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