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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWITER BUILDER DII,CAR TION I hrcbr altm und.r p.nahy oa pqJury thd I m .Gnpt 6!n rh. CoddoR Lt@ L.* for llE rolhtr 4 ren $( )0:r l 5 Bui'nc ,il Prof*Dr (\d.) Any ( ny or Counry which rcqut6 . Fmir ro consrru<l. ilr6. inrfor( &imlnh or rqlt m! iMft. Fs ro its ilume lb. r.+iB th. ept(d tur rNh rEn'r !o fih. sien n rdffir rhd h. or rh. 6 hcf,r.d Neinr ro rh. Fivi!6s of llt Co.rrf,r.r. I-i..n { lr*. {CruIIrn 9, ( otrffi'4 * i sdi.. 70m of Dlisbn I or rh. Bdr'nd .nd Pmf6n,ns (nd.) or rhd lE o. sh. s a@p rh6.fro.r od rhc t .n fo, lh..ll.8.d .r@ption Any lioLtionofs..rii 70rI5 t^ ut q'pli$nl for ! Fnn i!q6r3 rlE .pplkul b . dlil Fulrt ot Nr mr. $o fiv. hM.lr.d doll6 (l5()O). I. s o\^G otrnc l,lFny. or my .mplolB *irh *!s6 s lh.t $1. onFldio[ will & rh. Nt .rl rlE rurr. i! tut inolidl n ofrald 6r sL (S< 7o,l,l. $silB ed Pr.f6n6 Cc! TIE co dm r t,k@ llw &E nor .ppl) !o m o$n- of rh. tr$D.iy *r. buil(l or irqo\ B (Efr i.n sho ds sh *qt huBlf or hdsll o. rhmush hit r hd oM (Ipk\6. F.vidsl thd loch imFDrffir E mr indrd.l oroifald 6. sL lf. hw6c.llE hrilding or i,rpr.vs"a irDld *rhdot ta of@rtltib[ dE o*E lnidd uill h.r. d. hnh of Flvi'B rhi lE m ft dn d hild ( trtqnE dE FlFly tnr lh. Fnlnk nr l. aone olrlE FoFrn d.r.h!!t.lr.odr-ring *nh ltd!.d roffi6 ro 6dnrr rlE FsJ6r lsc 7or{. B6iE ..d P,ekir Codc: 1lr. Conrldoi3 l, i..e l,u do6 ml rpgly ro e o*n6 o f proFiy vl$ blil& o. Epev6 lhdon. .nd qho o d3 tor rshFoids $nh. CodMo(3) lior.d prBM ro th.Co'irldo r UCCG trs). I m.rdrp{ und6 Sdion 1!aaKr:&r:(aut}:dslllla! DECIAEAIIgI! I hdrb, rmnn ondd ,mohy ol lEiory- o.c of lh. nnbwinx d(l{oti,c Ih,\.{d*illMi.in!(-.nifk.l..fcoMrbS.lr.lHr.fdq!*6omFadii(dFovil.dro.b,SalionlrIDotlh. lrh'r Cdq for rh. pnforuc. of rh. M for whi.h rh. pohir n asud I h.v. ind $ill Minr.in sorl6 corymnhn iBrd., 6 rcquiEd b.!. sdnn l7fll olrlE lrtrr (-.da for rh. Frol]llu. ot l,E $$rt ls shth lhi! psnn i! e.d. My $0116 comd!,ion idur&e..fu d polcy numhr e. I c.nri lid in $. FfomNofrh. *o* for *trh rhb Fmn 's i!ru.d. I shrll not mploy.ny p6a,n in ey nund $ s lo b..o,n. lubjcl b lh. K 6'omFuri.. Ls otc.lfomir &ri 46lhi 'f I lrFuld tsom !ti.$ io'lr trortG comFdion Eoirio olsdion1700otrh. Ltor (od( I slull. tonnsnh..hrly s'rh $* prcvirhB wAnNlN(; rrru( ro 6u. rort6 cohpfttxin .o\n,!c u unh$lul. md shlll rubFr o arloF lo oin al FDhs ed (sil lin5 up t' otr. htr di.rl rho6and dollm (ll(x),(Xrol, in 'hrad D{l rtr.,lF r fc t/ r rh.rsr.riliir r rrtiori lt}( I \R\rttl\ IHDlmmu.po.hyofrEJuryrhllImlicds.dundsFovtio.ofchr$q9(co@.'ngwnhsalnn7fi)0)orllnBirnI of rh. BGiIB .rd ProfsioB Co&. rn ny kd n ir tuu fore !d .fltr ",:.::"""\1-lil Irl ^ cQliraricfloll.EdDrlcrcrlc1 I hq$, amm utrd6 Fnalty o f Fjuy rhrd rhd. i! . oolrtudioi bdn8 .sc, for tlE Ffol114. ol rlr sort 6r $tah rha lrni u itrr!.d (S< 109?. Ci! C.).t rdd r Nm. afrLl(a tDtcllSAl]a! t h.*,.rEtrundsparhy oaFjuryonc ofth. folhwir8 ddL ioB: Drhliioa P@ne^rbctd Norificniof, l.da.l RcgllrioE (Ih|.40. P.n6) Rq!i,!d l!i6 olNodfinior , I ldiry rh.r E f.n6.l rsul bB.t3rdiis 6!.nor -qEr.l e 't apL.bb lo tnn F.j.rt l.diry$r I hrE,od rh! lp?lrlion d nllc rll dE db\. inro.nrNn b.a.<r l.8Ero otrply rJ'niicG anJ Srarr I Ne rcldinr h hu'lLliUi ,d hddr .ulbrt. .?F6ddn 6 or rhis Chy lhin c moton.{ rop.dy nn 'nrp.ainh Aplli.rtrr or g6r Siin.ture W0tlL- ^i;t;ii)'- Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof To p Equipment F actory Wired Unil Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rough Service Meler I FINAL llloilt{.rx INoles, Remarks, Etc. I ^ I I I I I Signs (monument) I l I l I I I l I I I I I I I I I I I I i I