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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltase
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER L,lq lr t -D '+,* / o'l
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />'-zytrrzrlWalls (Conduit)Vhz lfr (la,-
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)tt
<br />Meter Release vttd /ot
<br />Rough
<br />Service Meter hlq lrt G e36? toa
<br />FINAL c/,t)ts E 6v@ /.5
<br />Notes, Remarks, Etc
<br />OWNER BUILDE.I DEI{ARATION
<br />I harqt rlrm utrdn Fdy of Fjqy Oi I & a.er i@ dE Corr,.dct Uff L$' lor lll. follos'iB l6,n (S< 7!3l5
<br />Bs'.d .n Prof6io. C6&,r Ary Cn, or cddy f,nrfi ncqlir6 . Fnr lo @!rrucl. dls, !!?ror.. &m[tn or Ep.i -,mdEFiT'otu islfte tlo ElliB rlE +did for sh Fhn lo iE. js,'.d nio6r l,! lEor tlr it liG!.d Flld
<br />ro rh. Fof.ioc ot0E Cofurr(! Lie.t d L.w (Cll+rd 9. Comntrins *nh Sarbr'r00O ol Oilbn I of 0E Bqi.6.d
<br />Prltdionr Codc) tt6l lE or rh. i dmpr lhd.6.m rdrlE h..i for llt rlks.d eronFbo, Aiy vioLlio. of Serbtr r0l l.5 bt ay
<br />lmlicdr lor ! pchn !ubj61, tlE +plic6r to ! civil F hyotrertuG t!. fiv. hundr.d &'lld. (1t00)
<br />-1,
<br />s ound of lh. FoFty, or ny oplorE wilh wrgB s ih.n sk mnFEdion. will&, iE srl t(l dE arBr@ ir ml
<br />n a&l or or6.d for sL (5<.?041, Ituri6 ud PmfsioE Co&: Ih. con.dd'r LkqB Lt* &6 d +ply lo e o$c of
<br />rh.FFty wrb hril& dr iqr!6 $a6n. rn q io &6 rd' *irt hiro.lf or lE*laor llmust hii d hd o*n atpk re
<br />FoviLd rhlr sh inFrqei, e d i.dd.d trotuld &r $L lt lF6d, tlE hildita or insD$dEr i 5ld vrAi, o* )-
<br />orcolPtdia tlEo$c eiilds q h.r lt hlrld!ofFovnE ON lror th dn d hi i d il4.DEdEFoFry trt lh.Frpcof
<br />-1.
<br />6 orE of rlE prDFry. d acrBNdy co'rrrr'j3 *ith lir!.d ..drd.R ro onfud rlE Foj.\1 lsd. 7o{ll. &6!6
<br />.,rl Pr$kinco&: Tt Conrncroir l-k.N trw d6 mr +ply lo u o$nq of Fopdiy sho bcil&.. inFordllson.
<br />dd qho otnra{l3 for 3u.h FsF.sirh ! Co.trr.ro(t) li<d.d p{sd
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<br />rh. Conltuioar Lkcg L.w)
<br />lor,rno $ata,,r"r"2/2 (//q r')
<br />DUCltf, Tloll
<br />I hd.b rrm ui<r, FdtI of pcJurr oE of rlE folL" irB (kl,di(B
<br />_l h.E.d $ill oi,hi!. Cdi6.!. olcoEd ro S.lf-lM fr wlar @pa.r6l\ a FD\iLd 6r b, S<lir. ]700 of d!.
<br />L.bd cod: 6r rlE FhlIllE of dE wl lo. $nth tlE Fon i! iq.d.
<br />_l h!r. lnd *ill o.i rin mrk.6 comD.N.rion iNutu.. s r.qun6i by S..lion l7O0 ol$.ltbor ( o&, for
<br />'h. FfolM. of
<br />fi. $6rl tu whth rhi. Fmn i! nrucl M, wmkdr mmFNdio. iBffi. wi6 r'd Doli.y.unhd &
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<br />I cqiily ihd in th. pdfolrru. of tlE *ort tor *hth lhr! FEI n qrE4I irll mr dplo, sy Fsn u &y n'G
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<br />I llbuld bdom sbrd b rlE
<br />*rdd oDFEdotrFovtbcof Sdion I7mofrlE t bo. Codc I JdL tqlh*lh @nply *hhdbxFovirioE.
<br />\T RNINC t'.ihE to s@ erld .oiFsarn oroag. i. u.Lwtul, dd rh.ll!!bj.(1 s nploF lo amol Frri!.
<br />civit lin6 up ro orc hu.&cd rho@d dotl6 {t100.00o,, ii lddnion lo th. (or oa conFMiio.. d&ug6 ! Folid.d aor in
<br />s(lion 1076 or lh. t bor Codc. inr66l md trho.r.r i ts t-, lar^o,a Saclo,,.,.,2/2c/ G
<br />DECBAAUqB
<br />, hat6t .rm uflla p6.ry of Fj,,y tlr I o lrE!.d u!&t Fovirit of Chetd 9 t@GiB *nh S.dbtr 70OO) of Drab. l
<br />ol rlE B!.i6 dd Profdb6 Co&. ..1 Ey lilg i, n tul toE .d .fiar
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<br />I h6.by,mfln undd Fnahv of p6luB th! rlE. b. oldrudion bdms !+ffv fulh. tdfolrMc. of rh. rst i)r st'chlns Fnir n
<br />e.d (sd. 1097, civ. c.).
<br />L.nda , N.fu
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<br />ATIUCAtrLI}ECIAIAIIII!
<br />I h6*t.rm !.dd Fnahy ofpqlury on oflhc fouowin8 &(hnlroc
<br />D.molirio. Pmils.Asb6r8 Nori6..tio. F_.rl6.l R.Sol0liod (1 nl. 40. PM6)
<br />R.qurcd Idrd of Ndi6dion
<br />I (6! ifr rhd $. f.d@l i.suLtioB Esrrlns 6b6lor rmr d r. ml !rpl.!bL t' rhi! FDFI
<br />Ird'ft rld I h,\c..an rhb npplElro. dn srsr. rhd rh. at[\. lnhflndlrn r lrcl I asrd r. conrd! (nh lll ( n) md Counh
<br />rJ'EnG,nd s,r( l:{. r.br'$ tr, t!'U,.*.,,q,(ld'.n rn hd.b dorh)l,. '.rrMr, tr 6 of rh'r c'r! lil (t! ) n) 6rc uIDn dE
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<br />f.rmlle nrm.rpntrl,:
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<br />L.ndn , Add* _
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