ELECTHICAL.INSPECTOB RECORD I
<br />APPBOVALS 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 />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)I -^Y-l'f v+r[,
<br />Ceilinqs (Hard & Soffit Bouqh 15/
<br />Ceilings (T-Bar Rough)i2-7" ll t
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL o"g x.\ll"rc
<br />Notes, Remarks, Etc
<br />OWNrI BUILDEN DELCARATION
<br />I lEEl'y riT,h ud.. FdI, ol Frlu,, thd I d cr.q, 6on rll Co tur.s- Lr6( Lr nn il. lolb*q8 E.i. ls.!.?olr J
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<br />C , or Cdny *nit rc1u6 . Fd ro .ntrnm.r. rxd, nllrot, &ml!h or EF, ry
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<br />to rlr Fb8bn! or 0r G El( r Li.nql L.* lch.rrf 9, (onmBr8 v'lh Seiion ,0m ol DivRrln ! of rlE Bund( rn j
<br />Pn .s.nr ct!l) or rh, lr q rL ! .r.q{ ilEtfttm .,n rlr t8! tu llr &!.!j .r.nvrbn A.y vDLrFn ol S!t'n 7Ol r.5 bv .nv
<br />ryt|lu.nr td r Fmn flhj.rk th. .a4rlrc.nt lo . .rvil Fmlly ot rer B)( rhr. liv. huBlrql dou, (t500)
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<br />.r olt. of llE pop.ny. d n,.rphF.! Pafi *.!.! s th., r . @tlstrlM eill &! tlE stt t ri ilr rnLrm 6 d
<br />i,r.dnl (ot EJ ad rk (Sd.7044, BuiEa!.!n Prtrtnu'F Car. Tlr Co.tBid! LrtE Lri di.r Bi +0ly l. x.*Er ol
<br />rh. Fnp.ny wlD hillt d urrrEr rh.@tr !n plb dur si wrl hifrlclf or h.elr o. ilDu8h ht or hcr o*n.mpkrrc.r,
<br />povilal.h, ah lrFrElrd! c ni troj.j orofdEl6r sE ll.likw. tlr ln e!n lttrEdd ! irll vnhh,r F{
<br />or (rlptrn irt O*F AulLd u[ lrw $. ht'tr of F.Yrt! lir lE q lr ,lrt d hldl d !ry.oE dr FDFi, t* tlr tlrFt or
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<br />8 owr of rtE |n{Eny. s.t.lus,wly (orrBruS wdi LGn(t (nrdn h.r,nder r,t FFr (Sn ?Oaa, Burtrlr
<br />.tn hs&srhCcl.: Tlr Codde,'! Lx..- Lrv &- nn.[rh ri,6o*Fr orpNFn, s h!'!r or Fpn*lr rh.r.,n
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<br />_l d c(.mF unicr Ser ir-
<br />B!8AEf,S:CIIMfIMAITO!
<br />DECIAEAIIO!
<br />I hrcny .ftrh unJ.r Fuh, of F,0ry otu ol itr rdnru,8 &.le.lirs:
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<br />h.E .,n * l mdu r Cd'irrr. or(i,.rd to S.ll-lntr I{ qit6 $qmdr,. $ F,vrlc] for bt Sdrhi 17m.i rh.
<br />lr{ Cr! ru rE Flo1rft ot rh. wt lt, ptrh rh. Ff,n ! rnxJ
<br />- I hlvc rnd wr ll rurlrr wnllcn' .omlxhgr('n i'nor.R.. ,i t.ttuo&l I'y Ssr !,n .17(X, ol rh. lrtrtr C-odc, ttr ihe pfl nrnBnr ni
<br />rh. k*kn{ rhrh!h!Itmn r\ !rL{ Myto 6' ('mFner iti r.lurtEt (.tr.r r F,lr,nln{ft:
<br />I c.niry rhrl h th. p..inrNM olrh. wod nr shf,h rhr tErmrl i! n\uc.l, I rhdl nor.n'tr'y rny F.R'n 'n
<br />My tuni.t
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<br />ulrts' .r'nqxnerrr FrLraN ol S.trin t7m of rlE l rh{ OrL. I tlull ftnh*ah drnIiy aih rh'. Frvsrms
<br />WAINING l;.rlurc n, BUc wtrl.^'.ohFnqr0n (D\.83. r\ tr.lautul nl \h,ll {rnrd !n nDk'v.r n) rmtrl lrMlr.r anl
<br />.n liE! un ri' or
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<br />Ltt, CuL, d.En .n! ,nrmy
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<br />I rrEhy.fllrm und.r IE.llyoaFrtu,, rhd I.. td.ql unLr F,vnM o{Chrlr.r9l6nft ins *(h S.cii'n 7000) ol l)ivfi,n t
<br />or tly Burfts .nl Pnr.itDnr (iik rni m! h.n( N o6i ntnt,tl.ll&r
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<br />I h.rby lflnn und.r FElryol p.rlury rhli rh.ft B l con{utbn Lhlns rsny nt rh. Ff.'fur..l rh. s'll lq *hrh rhn Fmi tr
<br />AIS.TCANI.IECIIEAIIO!
<br />I ndlrly rfm urLr Fndl, of lErjury ort ol rh. n'ltru n! del[i k,nu
<br />D.mltiln Pdhrr^sb.{or ridlfEdnn F.n nl RcruLri,nr (T h tro, Pd6)
<br />_R.quftd tin.r of t{rlfsm
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