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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 />S pas, 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 />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)), .1/
<br />Walls (Rough)(r..\,.,\r4 I ["7
<br />Ceilings (Hard & Soffit Rouqh ') \\\\1\ \
<br />Ceilings (T-Bar Rough)\.7
<br />Meter Release trll4t-/.-t
<br />I
<br />Rough
<br />Service Meter 1
<br />FINAL t\12\\4
<br />Notes, Remarks, Etc
<br />OS'NEf, BUILDEf, DEII N TrcN
<br />t h6rty lllEr unttd Fnhy of paiu.y rhd I m .ldfl ton rhc Colllirl@ Lic@ hw aor t,E lo[ow!'e lNr (S.(.70] l t
<br />BBi.< al PrDt6iotr Codc): a.y Ciy or (@d, whth Equt6 ! Fni ro oldrud. rna. itrp.oE &holirh or ftrln oy
<br />rttucru.. prior ro ir in!e., dlo rcquLa th. lppli.ot aor ruch p6nn to fiL r stEd nrsc rhi lr r rlE a ltd!.d F,!dn
<br />b rhc FnvbioB of E Conrxid ! l-i.a!.d t * (ct@r6 9, ( ooodcing wnh Sl.liof, 7mO ot Divnirn I or rh. BNin* ;d
<br />PrefBioN Co&) or6n E slE b.rslpl rhctoft nd rlEtiGir fo. ilE dL*.dadlprhn. Any liJdin otsdnl 70.]1.5 ,,_ dy -
<br />lprli(d for. pchil bjdlr lh. !p9lic&l lo !civilp.Mllyofml nnc&d fiy. hut lrql &ll8 ( 1500)
<br />l. s om6 of rh. FiFny, or my mplorG *ffi *+6 6 tlEir sk mflp.Edrn. riU & llt r* rn ft lixtr. i! Dl
<br />idsd.d m ofictd for slc (56.?04,1, Iruind ad PrclBio6 Cork: 'IlE Conlrf,roar Lk# ls do6 nor lpply
<br />'o
<br />u osM or
<br />tlE FtrFry kh. toil& or inslr6llEa -il r'ho dE err' xrr hielf or hqt lror rlfrush hi! n hd om aplo)6.
<br />Forit d Orn Nh ,nFrdndi! ft Dr " od.d or oltasl f.. sh tf. how6s. llE hiltua or inF$lEr ir' *,ld eihin @ }{ofo'Ehia rh. o'rE &iEs *'iU hlrr dE h(ld orFDrig rt! rE or dE dd d hlrd d itrp.oE
<br />'lE F!Ft, ftF llE FrF* or
<br />L B !\no of$c FrrEry, m .rcluiv.l, codrdnU wirh licd!.d corrrrrm ro sigru.r rtE Faj.tr (S< 7o{4, &!lls
<br />sd hoE ihCo& lt. Co'nrx1o.3 l-t.* l,s do6mr rp?ly lo do*oadf propdly eho boild. or inprovd lfiEFn.
<br />{d *ho codran. for u.h Fol..a wth r CoMonr) ltd!.d p(!!ld ro rh. Co'c..rtr s LtoE L.*).
<br />I m .roF ur& scrion
<br />]IQAKEE|iICAIIIEdSAIIA!
<br />DICIJf,AIIO!
<br />I h6cb! dmnn und.r !adh, ot Deiu.v oE ot th. nnbsinll d.rl{d bN
<br />Ihrv. d *ill mi.6in. C6iiaEr. of C.lgt ro s.lf-lME d \0lt6 @mFadio( B Ford.d hr bt ridk). r70O.a rh.
<br />lrbor CdL. for rh. p<fDmuc. oarh. wort aor $6icfi ln p6nn it isu.d
<br />I hlvc lnd *r ll mlinrsin worl6 comFN 'on
<br />iNn.c.- a r.rtui(d tJ,v sal6n 17()(l oaih. t.bor Co&. for lh. rsf.trlffi. of
<br />rh wk n{ *h-h 1fi6 Fnn 6 er.d M} *dt6 NdF6dr. Euroc..air rd FlE, nunbd d.
<br />I cdify rhrt in rht paf.rmdn.. oarfi. work lo. whth thn Fm n Lru.d. l rh.ll mr @ploy uy F$6 it e! mr6
<br />$ d to b.totr $trcl lo lh. uo*6 @f,FBdFn Lri of C.l omit. .d tsE rhd if I Jruld bcoft sB.cl to lhc
<br />workd' comFetion proristG ot s..rio, l?m ol rlE l rbor ( od.. I cdl n)nh*nh onply r nh lfior FlviliE
<br />WARNIN(; t:!,lr ro suc *nI6 o,ip.dr!. (n6+.
<br />.i!il lind up n,6& hondr.d rhoqnd dolld lll(xj.oul), in
<br />lielrn U76ofrlE lrbor ( odq mtdd ed dtuflE ifd
<br />IECIJAAIIAN
<br />I horty lrm urdcr Frty o, Fju) rhr I 6 licqB.d untd th\ ilbn olch4td 9 (otrrlffiir8 $nh SdDn ?000) or Dn 'sirn ,1
<br />of lh. Buind 5rd fttrfcsbs Codq dn my li.oe i h tull forcc trl .Odt
<br />(
<br />cal[rat&1lo!.ttBo&qlcllg
<br />I h@by .Ifm und6 paElry ol pcjlry thn ths. i! a eMrudbtr LodiIs .*try for dE ,ca(tut. of rtE wl n)r "tih rhir Fni ir
<br />iscd (sa. 1097. cn . c I
<br />APPI-IC IYI Df,CI dII TION
<br />I h.r4 .irm undq FlXt of Fjurt oE of lh. follo$irB r|.lfrioB:
<br />Dc ohion PmitlAttatol Norifi..tion l-qLr.l R.suhrioc Onk 40, Pm6)
<br />. Rclun.dL.rrqotNoritu{b.
<br />I c6lii rh, rlE f.&r.l rc*uldirB rcBdiry 6tEG rcmld s. m' qlplK.bk lo lhir roj.(
<br />I csl '[ rhi I h6.c rad rh! rprlr.ri]n rd ed. r n.or.d l.grc'o c.mply*irh.ll Ciryand Counry
<br />ord !nc6 lnd Srar.l.*irckngn) h!'U'nB ru. EFendi!6 of thi! Cil, rd (-outrl) lo 6ls uF,n lt
<br />ibo\. nmrhEj prnFn' fc rEp.llon
<br />eppSonr or,aror skrrhm K
<br />\rt t-tH r'/Go'v a9-,'
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