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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 otltolt{ahod
<br />Notes, Remarks, Etc VV Y
<br />o'rE-Blildd D.ct mid
<br />I h6.by .flirm und6 p.-ny of Frury rh.l I .n mmF fom rh. Co.ncroo L@x r.* lor ln follo*us..$n (E ?011.5 Buil@
<br />fud Pmfgtion Cod.)r Ary Cily or Couly wikh cquic . panil ro o6rN.L .hs, inprov.. d.mlilh or re.t xy rtrucr4, Fior lo itti!uB, .lt! rcquiB dE.rrliDr for 3*h F6n ro fiL r ristr d rurdi l}.r lE or l!. i lk.Bd ,@ut lo rlE Fo!!b6 of t!.
<br />Cohcl* r LcB.d t * {CLDid e, comtuEor yth S.a.n 7000 of Oru6n I of $.6utEr ud P.of6rDE C.d.) or rli lE d
<br />.lE n ampr dE toE.,'rl dEt .t ro. dr .U.tcd .r6Drio. rt!, vbLr6of S.cih 7011 5 b,&y.Alb,6r. Fd x,bj..rt ll.
<br />.r9l'..i ro . civil pcol, of ior bE $.! 6!. h6&.rt &[.r (t500)
<br />I. a orcoarh. pmpdy. or ny.nplrrs rnn *.s6 ! rlEn bE cohFMrion. *nl do rh. rort.rd 0i nrudu. i mr inr..dd
<br />or ollir.d for $1. { Sd ?o4a. au!.6, ..d Prcf.trrnr (od. Tfi. ( onrr.toir Lic.n& Lrw dod nor .pply ro u osd of rh. pEp.ny
<br />*ho bc'ld! or inptuv6 rh6.o.. .nd wlE <106 rwh Bort hielr or ,EElf or rnouan hn or h.. wn .mployc. prcvii.d rh.[ch
<br />impo(n. i e .or in.td.d or o,r.r.rl ro, sL li hor..r'd. dr t{ildlns or hp$.m.d n eB * nhitr oE ,c or conpldion. th.
<br />( x F.lrukls rill h.$ llE h[n.n or pror i.3 lhd lE or nr d hild d imFov. for llE plrFr of {l).
<br />l. ! oE of rh. Fop.dy. d.rtutir.ly coddlta *nh li.s.d FdrdoE ro 6BrM rlE Foi6r ( S< 7o.l,l. BoiIB.nd
<br />P66srcn Co&: TIE Codrdor'r 1,E6* Lr d6 d.pply ro M ow of proFiy *lb bsrldr or 'mFov6 lhd6. . .id who
<br />cont.cit for ruch proj6lr unh r (onrr.cro(t) hc..!.d pu6ud to rh. (onrrdolt L@B.lrw I
<br />I h .rcnpr uid S.<rFn
<br />ll)Brit&tlQllltttarlalucldalfla
<br />I h.r.by ^mmu.dd p.Mhy ortdjuryo(otth. follos'nS d(Lrtltr,6
<br />I h.1. r,i *ill dinr.in. Cdific.I. ofCoB.ir r. s.lf-l6ur.lor srk6i @hFdt5n... prov'd.d fo, by Sel,o. r70ooft,F
<br />trbn (-od.. tu tb. Ffom.c of th. wod nr. rni.h rlr pdnt i iau.d.
<br />I llv..d *'ll Dms srld' 6nrp.d... '&nr, u r.q!,.d by s.Gron 17oo orlh. t.bor Cod., for th. FfmN of ir
<br />*ort 6r wiit lhir F6i i. i!u.d My srlai 6drFm!b. rlsutrc 6r!r..d pok, rof,ba...
<br />Polty Numbf: Expi6:
<br />(Thn r<riD ft.d tur b. .odpLr.d if rlt FDn ir Rlr ()lr n!'dr.d rk lD ltlool or Ltr)
<br />I cdr'ly lhtl in lL Ffo,fu of tll ro.t tu snil lhi. p.mit ir isu.d, l rdl d ctrlolor.ry Fen in r.y @c $ ato
<br />b..tm. rubld ro $. Frld! omr.nI.i L*. oac.hlon.,.iil {,i rrtrl lhould
<br />.oftp.Nrion provib oaSrtion l?00oarlE bbor Cod.,l.hlll,
<br />/
<br />wAtNlNG t 'lu. io @. lgt6 6aFd'@ @r6.ac 6 oLr6ll. .d rt ll rbrGd e phyE b 6iDir.l Frlkr Dd civil
<br />&E up b G hE&.d rLq&d doll6 (t100.00).i...ldib. ro dE.or ofcoq@dir d.!886 a Forid.d br rt S6riD 1016 ol
<br />rr. bbo, Co<lc. idcr.x .d .trorEr'! ts
<br />LICBNSED CONTR CTOTS DECI {RATION
<br />Ih@bytmmu.tFullyotFjurythrInlie6.du!d6Flriionol(h.ptE9(6m.nci.i*irhSelion7000,ofDiviliooIor
<br />0r Blri!6 hd Pref6riod Cod.. .!d my lic.u n in tull foE. rd.,r.cl
<br />x
<br />I hd.by.ilLn uDdcr Futy olFjory r.hr thft ir..od..lbo t lain3 tfty 61 rn. Fn)ilum of ,!. qdt fd whtt thir Fan n
<br />iur.d (Se !097, Cir. C )
<br />AIiIrcAtrI:jI.DICIJAAUAN
<br />D.mlihn Pmil!^.b.nq Noriic.lb. rdr6.l R.suhba (Ih1.,10. Prn 6)
<br />R.quiEd kn6 of Noriff,{i{
<br />I cdif, rhl fi. f.d.r.l rqlLrioN r.ardina lb6tor r.@vi e mt .rrlrlbt t6 ih4 Fral
<br />I cd iry rhrr I h.v. rci rhi tpaliolion .,i ntr. rh,' rh. drv. intulmrhn n co(d I rara ro coopl, * irh .ll ('ir .nd Cooiy
<br />drd'..ncc!lnd Sl'r.lr*r rclirfs ro buildi.g coNlrucnon-hd.by .ulh.riz. r.pr66trl iv6 of thl! City ud ( ounly lo .ni( upon rh.
<br />.bov. n dioftd prop.ny Lr
<br />Alplio 6.s.d ris:],dd.t4
<br />IIft?Il
<br />MlWP51\P€mit-lffp.cUon Foms\El6clic8l-lnspeclron Ro.ord doc 0331 06
<br />.g &LC torlhi r.Mn.
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