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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 />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh))4120 R-. Z, <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL lL C,<!f,n+s x'2r7q lo.a) <br />Notes, Remarks, Etc <br />O* NER BU ILDl:i DEI,('AR,{TION <br />I ha.t!_ llttrrn und6 rErlty ol Fjury lhd I a .rdpl frorn llE Co'r.t roR' l-k.e lr( Lr <br />'h. <br />f.l!oq,r3 rdn {Sa.7oll 5 <br />l1urn6! !,xj Proa*ion Cdlc) A., Ciry o. counr, *hrh (qrir6 r Fmi to coBlrucl. 1116, unproee &mlah or Ep.t Dt <br />rtud@, Fi,!o iri isllft.. .lio GtutrB rh. +t lkM! for 3u.h p6r,ir ro fit. D rtn d ir.l@or rhd h. or !h. i! lic.nrn por$r,n <br />ro rh. Fo\i.n6 of rlE ( onrdoi3 l-i.6sd t * (ChrFd 9, CommtrbS $nh S.(ion ?000 of DvBnn 1 olth. BIrind nd <br />It fdionr (bd.) or rnd h. or shc i, .kmrl th@fNn Md th. tGB fo. lh. llk*.d .idFhn A.y \ iohri.n .t Sdbn 701 1 5 h{ at <br />q'Plicdforrp€mirubj.!l!rh.4,r,li.!.rro!civ'tp.nllryofnormErh fi!. hundrcd dolle! (ttuo) <br />L s o*n. of th. F.Fny. or m!.mplo)6 wilh sr*6 s lh.t $L mmpordio[ r'all d] ilE {qt tn rtuEid <br />n s'd.d tr oFad fM el. (Sa.?Or.4. BullB ed PrDfBioB ( odi Ttu cr'nr.doas l.icm lrw &6 nol l.,ply ro e o*G 6r <br />rh. FtrFr) wl$ hr,l& in{rors tlEE( !n uho dE un qIl hnE lf or hd*lf or llmuah h& ot hq osr oplt}6, <br />pruvid.d thd suct inlleEEn-t e br idordql oroftdql n r sL If. tbs6q.llE bilinE tr insutur i! 5ld *inn oR )t <br />of.drpldrs rlE (xc BuiB6 sit! h$ rlE hrdqr ofFo\als rl, lE or slE dd mr tliE or nl4.o€ 6. F!F, for llE purpo: of <br />1[r/ ,. -"** r,* <br />^nql]. <br />mdclutrrl} cof,4rmr *irh l(dn d.odtr6rn 6Bdd rh. r'or.( (s-. 7o1., B@f,*- .'d hoi{sn Cod. Ih. Contr&roi! Lr.n* L.* dn6 mr .Ilply lo s os.d ol n opcry * ho h{ildr ot improvd rhson. <br />.nd [h. odrrdr loi $ch projd$ qnh ! (hnaro(r lrG.d puRM b <br />'h.('onlr..loir <br />Li(N Loq1. <br />,,":-:'T/p .,.''. x <br />I hsehr alllrn !nd6 pcrulr_v of lEj-)- on. ofrh. f.l!N <br />I h.r. ed r rll minrlin, ( .ni..,. of ( oen to s.lf-l6ur rff rftI6-of,psdrtr s Fril.d fo. by sdhn ll70o dlrh. <br />L$or ( od.. lor lhc psfomuc. o f lb. ro.t rot stich lh. p6nrn i is(d <br />I ha\..nd will mifl.in *0116' ooFsrh. inurmq 6 ..qun6d b Sclbn 1700 of !h. L.ho. Cod.. tu $. p<follrm. or <br />rh. sprt lor vhrl rl,d ,6nir i! isu.d My worlsa onFuion iNurk. di, d poltv nuobc d.: <br />Policy NumtE Erpt6 <br />\lVr ..,lO,r,rr .,r'. p-r.mnc. orrh. rork ror shich rhi Frmtr L itsu.d. L,Bllnor opby dy F$. i. r.y i1lllF <br />$ c k' baoft 3ubjd ro rh. trlrrd' $oFad nn l.s ot Cd'lomid ,mi +R 'hd <br />if I rtFrld bdom 3ut ..1 to llt <br />u!.!sr' composorion povilioB of s.(16n .r7(rJ of lh. l..bor cod.. I ddl aonN ilh onply wilh lio- F!vii,6 <br />WARNIN(; l_ihR ro Gu. $! 6' <br />civil fr6 up ro oR hun&.d lhousd <br />SRrion 1076 nllhr l.bor Code inr66r <br />,.,,,' lldtO <br />compqEdion clLd.sr i! uoh*tu|. tud shdl lubld d dployu to aimiul Fdb ud <br />&llE ttl00.00o), 'n.dini.n ro rhc .on .a comFd 'o.. d! t66 Fov'd.d tor lh. <br />ltYappnoar: [-- -f1 <br />I hdby smnn utulo t6aht o l'pdjury lh.l I m licmEl u*l.r lro\ ilion o a 9 (comllftins *nh sdbn 7000, otl)nknn ! <br />.f rhc llurn*smd l\of6skrns (,d...nd my l(hrc is <br />'n <br />full i(n(. drl.lkr <br />COIIIiIJCIAII,IIDIBC.ACENS <br />I hdlby lr[d uidc F{ly of FJury thr rhq. i r str.Edi,. lddilB .sdy 6r llr Ff(M. ol llt slt f.r q|tkh rhb pari b <br />isu.d (SG :1097. Ci C). <br />AflllllNl.llcldaAlla! <br />I hdd'y sJrrn unds p.n.hy 6a Fjury oc ol rh. folh\ i.s d<hdi.G: <br />I).molilDn P6mi'r-Aslato, Norilicdioi F.d.r.l RcsllnhN ('l'nb .r0. Pln6) <br />Ralut€d 1,.116 of Mrif(diin <br />y', <br />I cd'ry rhd rh. t ddrl rquldioc Gerdrs 6b61o. @or !l &. mr q,'lEabk b rhi! pmi6l. <br />.d ify rhir I lur. rod lhi! .ppli..rion ,rl !l!i. rh{ fi. .tDv. inaomalion ir cotr.rl I lIG lo .lmply wih .ll Cny t.d C.ury <br />i{J'Ed6 ,rd Sldrc lrr r rhlnB ro hrld'nB .orE udh( &d h6.ht .dtr.i2. r.F .ddtr6orrtuC ) ud Counlylo drd uFn rh. <br />aborc nratnn.J prcnsly tor rer..1ioD turr's <br />\pplt{nl or 1*$l siBnrlrrr X <br />r.*ir- n...1pann$,V{Poailt. t/iittu; <br />rlrclo"LL <br />,1.