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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 />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 ulaqhr
<br />Notes, Remarks, Etc \JU {--
<br />(rffi-B0itd6 D.cin rbn
<br />I na.hy .lr'rh u,i<ld Fnliy of FJUry rh I m .rmfl forn rl! Conlncon Len! L.* aor rh folbrrtg rae. ta ?o! I 5 &si6.
<br />!d Prcf6tior Cod.): Aly Chy ot Coury whi.h r<ui!6 . pdnn to @BElrl. .!6, iBpro\r, d.nolnh d r.prs .iy tu.luq Fior to iEir!ila., rlt r.quiE l,E.p9lic.d fo! 3uch Fni ro 6k r ris*d irl.tld $rlEdrIEili.Gcd ,t6ud to rlE pmvnbo orln.
<br />( od..roai Le6.d tr* (Ct prd 9, CoM.xna *rh sd.. 7oo olD,vlon I of dE E6ct.d Fof€r.B Co&to, rhd lE c
<br />.h. n .rmF lh@noh .!d rh. brt ior thc .[.9.d .idFbr .Ary lioldioo of S<ior 70t L5 by 6y rr0li..d br . Fon .ubic.r! tt
<br />.pplio.r ro . civil pdhy ofnd mE th.r nv. hun lEd dolLE (1100)
<br />l. a owc oa0E FoFnr. or oy.4bt6 *id! *.A6 a rlE 6L..r4.drtb( rill.b dE *o,t rld llt r$*lE ir @t inad.d
<br />or ofid.d ror d. ( S* 7oa,l, Bs''e ud Profsrbr CorL TlE Conhdt l-r..e tr* d.€ d.r9ry ro u olE of rh. pFFny
<br />who buik! or ihpmvd tlE6n. !d {t dq tErt worl hirulf o. h...lf or thrcuih ni. or hd own.dploy€. providcd lh.$uh
<br />i69r!E@l! e d i'n d.d .r odcr..l br ulc l[ horM. rh. buildios or i6rfi. i. eLl rihi! o* ]d oaoqlai,tr di.
<br />O,E-a{iEs rill llE rh. h,tho ol porina 0!l h. or rb. 6r b{ild or idFDw lor rh. F,rd of!l.).
<br />._ ..1. u owor or rh. propdy. o crcluiv.ly co r.6i!r wilh lic.ud .onlr..ror ro oEl ct rh. proje' ( Sd.7044. Bui.6!.rd
<br />ltDlsiln Co&: Th. Codr.dor'r LE.@ lr* dc 6t .p9ly lo .n o*c ofFopsiy *h. buldt d rmFov6 tls6. , .nd who
<br />@drdr fo, kt eretcB wnh . cdtu(rl lr6E d @ou'n to th. cdGroii L@ u* )
<br />I.n.\.mpt undd S.crion ,B & P.C. for rt. rao!.
<br />WORKERS COMPENSATION OECTARATION
<br />I hd.ty .,lm udd p<rh, olpdru.y oa ofrlE folkr*i4 d6Lr.lnBl
<br />I h.v. &d will mmr.in . Cdific.r. of Co6d ro s.l BU'.forwrl6 cohp.urDn. rr p.ov'd.d aor by Serrcn l70o ol rlE
<br />Lrhor Cod.. for ih. pdfo'M. orrlE wo.k fo. whth llE Fmn it isu.d.
<br />Ihr...d*rllmntE*o.Ldt'6mp. t.n 'E!r.E . u r.{u!.d ty S.d b. l70o ol rtE Lbor Co<L, ao. rh. FfomE. of E
<br />worL lorehkhtbn pdnt ir inu.d My eortdr' @mp.n-rEn rnNrnr ii E .nd potrcy numhd .rr
<br />Poli.yNlnb€: .. _Erpn6(ftit dbn mcd ml b. coEll.r.d illlE D.mn L for (rE hlrdGd doll& lll00l or Ls)
<br />I criry tur n dE Fbttll.d ofrlE rort 6r *htn rhi! Fni i ia!.d.l rlll ot qqlot d, p6D! 6.r, !ll.!GE ! to
<br />6.c!m $bjdl b llE E*6r'omFdron !s ofCrhao.ntr. rnd.rE rhd 'fLhould b.coil' 3ubr.cl to th. sdl6
<br />odg.urbn FlvirbN of Sdb. 17OO of 0r L.bor Co&. I thrl fdhwln 96141' rnh !h6t. i}diibtl . , /l
<br />Di!._ _ ^,,qr X {\nA |4rb< _
<br />WA-RNING Fllur. b ru. wlai @mp.Mlion @vns. ! @Lwtul. ud rh.ll lubj.rt ! dDbyq ro ei(ir.l !odi. ..d .ivilfG lplo oc hE&rd lto'EddolLn (tloO.OO).i, .ddil bD ro tt cod ol.qq.d{bi. & a6 s,ovid.rt tor ft S6rn6 !076 of
<br />llE t bor Co&. id.d rd .fur.r'r f6
<br />LICTNSED CONTRACIORS DECI,Af,AIION
<br />I lE by .lrm undd Fdly ol Fjury tld I m li(rB.d @da Follbtr 6lch.rro 9 (@i.8 r ih S..rio. 7000) or Drv.sn I of
<br />tlE BqUB !d Prcf..tb6 Co<!, r.d iiy lt.@ i! ir tull lor ud .6.(
<br />gdqianhrc(
<br />CONSTTUCTIOIN Lf ININC GEACY
<br />Ihdt,rfrmurl.rF-1,olpriqyln.Irid.ii.@.nulinLndiit..d,6.rb.pdbmreorrn,ql6.*hihrhiFDiil
<br />iti*d (sc. 1007. civ c.).
<br />APPLIC NTIS DICL,/IIATION
<br />Oooliba F@i..A.b6ror No.i6od6 F.d.r.l RBuldbs {TlL a0, llr 6)
<br />R.quird tand 6f NorifE rbr
<br />I cdiry tl.r tb. &da! cSoLliou rcs&d!'s Bbdd lefuv.l e dl tp9lk$L 1o thir proj..r.
<br />_I.rrit d It v.ll d lhi ryplE rb! ed lrr. ri.r 6..tbE iaS.uraoo . odtd. I.s,t to 641, rat.ll Cay.!d Cordy
<br />ordi,ea xd Sm. (IB Etniia ro hildiis codEtiG fldlcty rurr.e np.*arr,"c ollnir City .rd C.uiry to dn6 'foE rt
<br />^T,,#-":J
<br />";-:{fr*rn \kt6< *.:_
<br />P.milrc. m.{Prim):
<br />fl;1fl1w
<br />M \W P5l \Peimn-lnspection FqrB\Elerrrc.l lnspocro. R6.ord doc 0331.06
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