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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 />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lvleter
<br />FINAL 7.Ly - tB J/cl>4 ,fr?')
<br />Notes, Remarks, Etc.
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<br />OTf, Nf, T AUIT!ER DEI-TARATION
<br />I h6rby lmrm undd pdahy of pajury rh'l I @ .rmB non !h. ( onlridoR LrcM tiw f6t $. aollowinB rasn (sa 70.r 1 5
<br />lruiod .,'d Pror6i,( (-od.): A., ( iry or Coudr_ which rcqun6 ! Fmir ro odrucl, .1t.. ihFole (btulah .r ktin sy
<br />nrudd., rm to n! iw.. rto Eqtn6 llE Tdr.,'l lor sh ltrni h 6L t rsn d ridrri lhr lt or dE ; liG&d ,(l!ld
<br />ro rlE ForilioB of rtE Conrrr|di Lko..n tl$ {ClIFa 9, Comffiins rnh s.dion 70c) of Dirirbr I of rh. a{rmd ind _
<br />Prcf*bs ftd.) or rhlr tr .. $. i! .rmrr lhs.iiom &d llE h.!B tu th. tlked lrodion Anyviohlnnofsc16.?0ll5by..'
<br />.ppli6t lor . pnnn subjd3 th. appliclor lo ! civ il l).ell, of mr mot. lhu fiv. hundtcd dollar (1500)
<br />l. s oes of rhc FoFry. d my arpk!c wnt sr86 s thd Db @ttodior ril tlo E *(n rd dE lrndc i! d
<br />i,ndiqi d olIald for rk tsa 7044, ttlic Dd Prtrl6lio6 Co<t : TIE Codrrid t lidE Lr* &E .<{ +ly ro s orF ol
<br />rlE Flpcry who hilt or iiprn6 rlEF[ ad wth &E s.h sn nift*lf ot hcsll or rhrough hn ot hs om mphr6.
<br />prnvid.d rhd !u.h impm\ffiB e rur inrs'd.d o, ofrdsl tur eL l( hw@. tlr hildts tr,ta.olqEn i eld *ithin om ,aror.nplrio rtE clvr Au & $nl lIE llE hrb ofFrlB lhd lEor dt dn d txild or ltsDrt dE FoFry i,r E F,F*of
<br />l, 6 osn- ol rh.
<br />'i$pdry.
<br />ffi .r.lurv.ly .ont.d ins with licd*d co.l,lcloB ro odtud tlr lroJci (s< ?o4{, u6rd
<br />.nd PFtusih ( orL: I hc ( o racloi! l.i.cnr. L.* dod .or atpl, ro u o$n6 oiprop<ny *ho build. or imohvd rh(@r.
<br />Dd sho s.tr&1r aoi.uci F.jdr *irn. conr(o(r) ltqE d pl6ud rorn (iinrdois lic Ll$)
<br />I D.rflfl undd s..lio.
<br />l).1. ORn.r
<br />$ORXtsRS' CONTPI'\SATION
<br />DECIdEAI0!
<br />I lE.b) aflirn !nd6 F.rhr_ dl trju^ .n. olrh. foltusq &.la!hG
<br />I h!v. .d will mind. . Cdiftrtc of Cong! l. s.lf-lsrE for wort6 co6pqB.lio.. a tetrd.d for h, S*lior I700 o I lhc
<br />bbd Code lo th. Ffollffi. of lhc Nrt tu *nah fi. Fnn i iB!.d
<br />I h.vc iid will i.inr.in wrt6' NmFor.rion iens.. 6 rcqun.d by S..rio. :1700 of tlE t lor Codq fo. llE p6fotu. of
<br />rn. Erk for *hi.h rhi! Fmh i isr.d. My *ort6 mhFsnion iNuft. cane .d polty numbs e:
<br />c@-, '\r\L!lq lAJc-! !4Q tL14v\9e9 -oi c'j utEop'""r t6'r 'n"
<br />r"ri.,",.r. 'iJAl :b{a!- ab&B:l81tct-,' qq,/ot l?4lB
<br />I c6litrhr inthcFlotr,e.of ltc wo* 6, *fii(hlhnFhil t iru.ir l3hll.ol @9loy.f,y ps$n indymdF
<br />$ o b ba.c st*tl ro rh. ftnB'omFErion ltE of cstfo rr ud.816.th. il| lbuld b-or $tiet lo llE
<br />ert6 @nF!.tlr Fivirio6 of Sclbn lr@ ofllt lrls Cod.. I ibll, ft.rteih on9ry {nh lho* For!{d
<br />WARNIN(: ljaihrc k' s-uc $orl.u $mrtneron..vdd8. Ls trnld$lul. ud 3hall subj.d tn dnFl.y6 to qnni'I.l Fuhi6 (nd
<br />ctrrl lin.i trI h dE hurrrrl rhoend d.lla6 (ll(xr,o0o). in add nn ro th..8r of..mp.aetnn. daE{6 &r l,ovdtJ f(r rh.
<br />SdioD 1076 oarh. Lrh, ( od.. i 6d .rd dbrE) 1 tc
<br />q/
<br />".i 1 L')
<br />DecuxarlQ!
<br />I h@by rtfm ui& Fuly ol Fiury rh, I @ ticE d onla F$ttin olctatd 9 IN.lIlEnB *nh Sdli'n 70{O) of D\ irFn r
<br />of rlE RsilE !n PrefdioB Co&. .td mt l.ag n in tull fo.( !n .fi-l
<br />I c-b
<br />o;i'7tnt,lj9-,g 9 9'? aar
<br />a l.D^lSTEu c'ftOA1ffi4/11
<br />caxflf,lJfuoN-LlllulcacIllI
<br />I hdlty drm udd Fdiyof Fiu.r rhr rtd. a r olurucin ldlding 4Gy fo.llE pqfolrire of th. wt for snth lti Fnl it
<br />iq,.d {se t097. ci! a )lFdd r Nft
<br />Idd(i &iar
<br />rrl!(aal.rEcldSallQx
<br />I ho*y lrfm und6 pdrhy or pqjuy otu of th. aollo*ins &.la.rrN:
<br />Darclnion P@ilartdor Noriliclrhn F.d6!! Rc3uLriotu (Iill.40. Pdr6)
<br />R.quiEd t rs ol&rifi-.im
<br />I cdrit thn $. tcd@l t suLraoB !.8adins db6roi rmv.l E nor .pplic.bL lo this pl!j.tl.
<br />J&' ..t,ry ,a
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<br />* * ,* ppladirn .!d ni. lhr E .rbtr i.fonDrir. 6 .d-r I .sE lo omply *in dl Cn) ,d Counl,
<br />odintE .td Std. LB EbbB lo lEaldi!3 @.stElb.! rd nE6r dlbriE EFErric ot lh! Cn, !d Cody ro d. qDn rlE
<br />.tx'!. hdron ! prop.ny f{.G **L? 1l4tnADplicrnl nr AEml Sipn.lnrcx ju'N fu$?-ILfuN
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