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APPROVALS DATE tD/stG.COMMENTS
<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 />=€+lFINALel4s-:tr^H\
<br />Notes, Remarks, Etc \J{tl
<br />o',G-Ao'Ud O..L..lir.
<br />I ls.by rmh uda Foty of Frury i l .n amDr f6m rr Codncton Leu L.* lor trr folbw'ry r.9n (s ror l.5 Buud
<br />.nd Prclorion Co&): Any Chy or Co6iy qhich r.quic . FnI to oDtNct. .!6. i6p,o!t. d.rclirh or r.D.ir ry .tructuE. prior lo ilr
<br />isu4., iro r.qun6 ri. .rplk d lor rGi Fnir to 6k . liard dd $.r lE u rlr b lt.crl plrrud ro rlE piltnioN of r
<br />codrddt L(.6.d be tchprq 9. Con@ft'I3 sni Sd.n 70@ of DNobr , of , B6'll{.d ftodbB C.d., or -L(th. n.rnpl lha.fitrn ud llE b.ti! for
<br />'lE
<br />dkt.dcrmFio!.^ry vioLrio. ofseti,n 701L5 by uy.ppli..it f6. Fnh rubjet tlE
<br />rp?li.!r ro . civil p.ulry o f @t mr. lh.! ,iv. hun<tr.d dolls { lt00).
<br />l.! opBoalt FDFdy, d oy dploy6 *.h r.a6 a rlEi sk 6np.dbn. rrll.ro rh. rorl.d tlE rMft i mr dqi.d
<br />or ofrd.d for el. ( S- 7oar, ButEr.rn Prol6r.M Cod. TIE Conlrdor'r Llm h* do6 mr.ppl, ro & ow of th. prcp.ny
<br />*ho buird! or iDpreva drre.. rnd *ho dq luh *ort hitu.laor lErlr or lliou3h hir or ha oq. .mploy€. ,roliLd rhr ruhiorov.Efi & 6r in.n La d otrdid for d.. I f. hos.vq. tlr hila',a or iE rcroE d i. Erll *ihitr oE ]E ofotql6ilr. lh.
<br />o'rE.B{ilda *ill n E dt hr.t ! ofFlvru $d lE or rh. d hikl d inFot lor dE plrpo* ofrt).
<br />_1. a owc of rh. propdty. rm .x.lsi!.I, 6nrmi,tr *.nn li.c6.rl co.rr..ron lo oDrnar rh. r.j..l ( S(, ?044. Bui!6! ..d
<br />PDllrbn Cod.: TL Codnd.i. Lffi tr* dd Er .9pt ro x .re .t Dr.?at, eh. hrBr d mFor6 tla6. , r,'d *to
<br />@ffir for rcd! FoFa p.h . Codffo(r, lka!.d Frrd b lh. Codrtu r Lffi lrs )
<br />I b.t.rIpl ulnd S..Iion
<br />WORXEf,S (-OMPENSATION DT]CL RA]'ION
<br />I h6.b) .mm lndd Fuhy of Frlry om.f th. foltrsi4 d<lrr.rirE
<br />I h.v. ed will arinr.i, r (.nific.r. of CoN.nr to S.lf-l6ur. for mrlr6 comp.nsr6n..! p.ovri.i io. by sdbn tT0ooarh.
<br />L.bor (-.rk. ao. fi. Ffol r. or rh *or[ ld rhih rlE Fni i. iltu.d
<br />I Mv. .nd w,ll m. 'nI r. worl6' 6mp.Mr.n 'nrr[@. tr ..qur.d hv S.d pn !7m of th. I.h.r Cod.. lor $. pdforrun.c of trE
<br />eorl fttrwhi.hthn p.mn ir is!.J My *ork.d @Dp.nol6n 'uunnc.or'.rnd poncy numb.i rr.
<br />Poli.y NlEbrr __ __ Erpt6:
<br />(Thi. Brh tr .d or b. co@1.r.d if llt Foil it 6. Oo.lE!&.d dou&. tllool oi La)
<br />I ccniay rhrt ir !h< Frfolfl(. of th. w6rr 6r,hi.h rhi! Fni i! isu.d, I ih.ll fr! .nlloy.n, D.6on in r., u.nn s 6 lo
<br />b..rm rublei io !h. mrkd ' 6rl|.nnr6i Lw! of Crl'aornq .id '!ra ihri 'fI liould b.coe lubjftI io ih. *orkrr
<br />.omFdrio8 ForinN of S.nm I700.r E Lbor Cod.,I tlEll, 6nh$nh .oEply *hhrhox pm\ihB
<br />\<^$\rmr"-,,{ AJ4l)uyrfunw
<br />w^lltlNc r.'Iu,. ro !*@ r*ld @op.BrM 6rdr. ; @l&tu|. ..d .hll rubr.fl & mploF lo .mir.l Frtb .t!.1 .ivil
<br />f@ u, ro od hurd..d tnoloa &Uts ( t I @.oo).in rrldibn r. rlE car of .of,p..t r br d.EB6 ! Fo!!.n for tl* Stri- 10?6 of
<br />tt Ubor Cod.. iDr.6r .nd.normri 16
<br />LlCfltEDtONItAqAE[DtCL6EALlOd
<br />, hc6y .rm uda D.flty of Fj'Ey th.t I D ltld.d urd( F!6b! ol Cl,.rt6 9 (olr'ttint *irt S.<1ion 70O) ot Diliib, ! of
<br />lh. Buitu$.rd Prcf..th Co&, lrd ny lhce i! in tull 6E..d.fdr.
<br />e^@
<br />I lEGb, .flm ud.r Fnxy ofFjlr, thd $a! ir . @r!d!,crb)! Edirt {cy for E DqbNre of rlE wdr for sttt Ob Fii it
<br />L$.d(S* 1097, Civ. C.).
<br />All!rcAltjI.OIqI.6EAIIO!
<br />Dcmlilbn PETil^tb.r6 Norifcib! i.d.r.l R$rlttiD (Tnl aO. ?M 6)
<br />_ i.quiEd L.llq or Nodiqlio.
<br />I .cnirr rh.t rl! r.ddl rquLrD GrrdlE Bbdror rtuv.l & mr.rrtr.bk ro rh! rojcr
<br />l(difyrhli I hrv. rdd rhir .ppli..tion .nd sr.r. rn irh..b.r inrom.t . k con.cl ItEErocomply*(hltlCiry rnd(-ounry
<br />ord'roncd .nd Sr.r. lr*s chros lo hildrs coBrrucr k1r. .d n@h, turhorn. rgr&nrriv.3 or this Cir, .nd ( oury b 6rd uDon r h.
<br />.bor. n.nrmd FoFry lor flp.dbn
<br />^
<br />d64
<br />MlwPsl\Prmil-lnspccton FornB\El6crrrc.l-lnllEclEn Redd doc 03 3! 06
<br />ELECTRICAL.INSPECTOR RECORD
<br />Site-Work
<br />Pmncsd(Fid) _
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