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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 />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL J/a/K--rd o,rG/ -Notes, Remarks, Etc vv <br />o',F-Blikl€ D..lld!r. <br />I h.r.by .ifirm un!.r DcEIry of Fjury rh.r I rm d.mB form rh. co n rod Lee !.* lor th. fo lloq'.r rasn (k 7or I 5 Bdir6r . <br />Erl Pmfsrn Co<l.)r 4., Cay d Co'dy wnkh EqliB r Fni ro ootri.r. .rn in'rDE. d.mlitl d ,t? i D, mEra, Fs to r.isuG. .!o 'tqui6 E rrrli.rd lor ruch F6n b 6L. risi.d nnaEtn th.t lE or rtr i li<.*n o6{d ro dr ror.b6 oatlr j <br />Contrctof, LsE d LrelchFdo, Comntrhs *ntSdbn 70oo.aD*'i.nl olrh. a6,,6.6d Prof6roE Co<Ll orrlEr lI d <br />nE n eDpr th.Eton.d E tuL f6r rlE .tLr.d c!.E ib. .Ary viol.tb! oa Sdim 70! l.i hr oy .rrlid lor . D66n Nbrcu tlr <br />.rpti.d ro . ciril p.alry of @r mE rb& 6v. hu,ind doltr (t50o). <br />1.. ow6 oallE For.ny. or E, oplotB rin *ra6 r E hL 6op.dxiF, eilldo rlE *ort.rld rhcntude ir bt itrod.d <br />or o,t6.d for rL ( S- ,o.., asug.d P,old5d Corb TIE cotudd . Lt.s b*.ro€ 6t.rrl, ro e orc of tlt p.ordt, <br />who t{ild! o. inprcva rlrelr .!d rho dG lEt rort hitulf or h.*lf or uousn hi or tcr @n oployc, provitcrl th.t ru.hiorio\t!6r' e ior iot.odd or offd.rl 6r E].. lf. [oe.vs, rlE hilrils or itrrptlrlc ir sU *hhin oB ,* of @4hrir.. tli <br />OIG.BgiB,6 *ill h.!r rb. hrln ofpr.irt rlll t or rlE rd t{ild s iEr.on ro,lh. purDo* ofut) <br />I d .rmt{ !,l&! Sdion <br />Mlirf,sl!$fl;lsallox-0l;(:lltarrar <br />I h.r.by ilttm undd p.n!lr, olp.rjury on. olrh. tullowin! d.clrr.t(B <br />- I hv..d *ill ui .h r Cd'fr.r. otcoe lo S.lf.lM. fo. srld omFMrFir 6 D.ovd.d ld by set.n r7m of i <br />trb.r Co<,., lor lh. pab.r,1a. orth. sort for rhi.t tlE pmn n tulcd <br />A;rnd $rll m'.r.in *ort6r r.lutr.t hy Sd.n l7C!0 ofilE lrbor Codr lor rlE DdfordG. otrlr <br />it <br />'3 <br />i$u.d My worl.r' comp.ns!.d 'dmd pol'cv nun,hs ri. <br />L t14 Z L/,4 t L C\^ )L <-{4 Z 7 loo /{ <br />m.d mr b. onpkr.d il$. Fmn'. ror O* tsndEd dolLE lll (lol or ks) <br />I c.niay rhi ir rlE Frfoffi. olth. wort for shi.h lhn Fdnbd.m $brd b r,E srr6 ib6 bx oICrl'fornr..nd tgrc rh.r <br />' <br />^r*-, L-. ,l-I <br />*o .B .omp.Ntton @!.r!s. B unlrwtul. ud rhrll rubj<' M .mDloyt h rtnin.l p.6hid .nd cirn <br />lhoErn do[.E ( I100.0O).i, ..tdiriotr 16 rlE .d orconpculi,L &dtd a Fovllal tor ft s.<lbn ]076 of <br />llE t bor Co&. id66r .,n sdryi 16 <br />UCENSEI' CONTTA(]TORS Df, CT-ATATTON <br />I h6.by .,rm utn6 p.uly oa Fi'r.y lh.l I m li..a.d EdE Flvabn ololrrd I (@.i,t *in S6rbn 70@) or D'rurrn I ot <br />or liccN. i! <br />'n <br />tull forc. .nd .lT.d <br />(ll!]!l-Ll!9i!rl!!!Ni-!Cl\(l <br />I hn.by amr6 undcr l.ohy ol p.rjury rhlr rh6. n r coBtrucrio. kndin8 t3.My lor rk xrlon trork fttr qh(h rhR p.mxt K <br />irrai (S< llr'r. Civ C I <br />AIIIICAtrf,gnllClJAAIrc!Ddo&b. Pmns-Ab.xor NdifEdion r.ddl RcruLraod (TnL 40, P.n 6) <br />, R.quiEd la6 otNdifsrb. <br />I cdrify rh.t tlr f.d6rl rsuLrEE r.sediru Bh6tc ltmlrl r. mr .!?l'..blc to lhit prcj.<r <br />t cctriry rh.r I h.r. Erd lhn $plcllion bn ! @a..t. I +Groonply wnh rlt C'ry rnd Counr, <br />ordirft6.nd slar. Ir*r (l.rins ro <br />.b.\. trEnbmd ,.oD.nr for <br />Pmi'am(Fuo: I r <br />^4/r[ <br />M \WP51\Pdorhsp..!io. Fomis <br />Communications Cable <br />_ I. ! owE of6. p.or.ny, m.r.luircly conmni"s yhh lic.B.d olrFo6 b odd rlE Eoj.f ( sd. 7o4a, Buind (n <br />lrcldbtr Cort : Tn Conn<ro,! Ldn! tr* d6 d llply to u o*E of proFry wh. t <br />'ld. <br />d 'mF6€ rlEd..rd *hd <br />onrd.t tor ruch poFr. *nh r Conl[crqG) 1rc6r.{ pluu ro rli Codnctor.r LEnc Ls ) <br />.a.APC,orthscNn <br />tc) <br />thc Bui,4.rd Prct .b9tFo<la .!dr-*,*-t/jr- <br />^,,,1L//e/ t4 <br />// <br />f <br />II