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DATE ID/SIG.COMMENTSAPPROVALS
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouoh
<br />^ri..t A4lzCeilings (T-Bar Rough)Pltolt\fi e)
<br />Meter Release IU
<br />Rouqh
<br />Service Meter Ilu)ltLa VAVUAU 4b)
<br />Notes, Remarks, Etc ut,
<br />OW]IE-T BUILDEf, DEl'ARATION
<br />I hd.l,y .ltd undd pa.ty or Fiury rli I m adlEl nod dr Corrtrci6 Lkru L!* tot lh. folbsitB len (Sd.?011.5
<br />BsiB .rd Pm&.si'D Cod.) Any Cny or Coudy shi.h EquiB r pant lo Ndru.l. .!a, trq..E &drih ot r.!.t &y
<br />tu@ Firlo rs ilseq.Ao aqd6 rh. @ltd tutrhF ul lo 6h.!C!.d !.ard lhrlEoraEbliEd F:!i
<br />t6 tlE F.rirbB of dE Cofterd t Lnr.Ed lr* ((-t4rs 9, Coffios Yah scrbn ?m of firEb! I of rtE El.ri'R lrd
<br />PoGBnB Co<t.) o. rha h. d:lE i saDF fi.g,oB t'd dr t6! for i[..lh.d aaltrih Ar] $hirolsdion 7031 5 bv uv
<br />,rp[..,rforrFDnoEclJtlE.p?li.!nro.drilpa.trofmtmr.fiefivclluod.ddollat(!500)
<br />l. B o*E ofrh Fopdry. d my arpt ys *ilfi wrsd s dEn $b orqa.ab( *iI & 1,8 wl .d 0E ttlt dE i ml
<br />iitdit d or o,f6.d lq eL (sa 70.14, Bu.i6 dd a!.fdb6 co<L TE cotr.ddi l.idg le &6 ft{ +Pl} lo 6 o*c oa
<br />rlE FoDqly f,tn hil& or itgo€ tlEbr rn wh dG tdr srt i4..laor lE-lf o. thFlsi hn a ha os anPlov6.
<br />Forid.d $d sch intFDEr'.6 c Dl iiad.d o. oltu 6r s].. I[ hoM. tlt bu dho or iq$s'd i &lit *ithd ok )d
<br />of q'npklion (E 0'*"16 sdlda wil i!€ rtE hrdar otFo!4 ttd lE or !h. da ml hrE d an4.!!. fi. p.trFrv 6, tt Ftrpo* of
<br />-1.
<br />6 o{E otrh. Fopaty, d dctunrly od.srh, wnh licd.d coit6.loR to Nnh':l th. Foi.tl (S€. rol4. achd
<br />.id holdir Cod.: Tt. Conlruloi r Lic@ lrw &rd hl .pplr ro & ownd otPrcpEly Pho tail& or inFo€ lh@!L
<br />Md who 6tcs! for *h Foje$ *nfi . Codr-lo(r) li@.d FiEUar lo llE C'onlncld t liEg Le)
<br />I m.rmd urd; sdrn . lt & P C for thir lcon
<br />tr_OIXTILS' Cllil tirtSATlON
<br />!!ct 68allo!
<br />I l6cb) rfm u,id Frry of Fjury or oftlE follo* iig (bl,tnbE
<br />-l
<br />h.!G Ed will ur.i.. cdifrd. olcoEn ro sclf-l!!@ td erldr'ffir.r!.laon, E Fovi.Ld b, t y satbo lr00 of lh.
<br />L.bor Co& fd dE FfnlEtc otrE *!,1 6t elti:t' llE FEn ir i5u.4
<br />-l halc rtrd s,ll mrinrri. $o.k.c .omp.Ed ion ruurloc., & ,cqun.n bt sdrhn ]?(l() of lh. I {txtr ( o& for lh. pafolr@c. ot
<br />rhc worr tur whihrtu p6n is isud] My e@lar ..nt Mio. iBumc. cMi6 a'd F,licy.umbd m
<br />,V tC. ),r/l L U"l,tg) L)
<br />.,,,,",- .t CoSa3zbezll ,.,..,6
<br />q
<br />l.dify rhr in rh. Ffotrre. of rh. Bori f.r sti.h rhir Fnn ir ie.d. I th.ll mr onrhr 6y FDn inotlll!ffi
<br />n - ro Lq!@ Ntljirt b dE s.d6' onpdrion h*r ofc.lilofri.. ad !€E rht if I ttould b<!E 3utt < lo llE
<br />$rtd .onFdbn FD\i'ioB ors€rnn 1700 olrlt t t r codq I fill frJnllunh ohplt tnh rh.- Foritb6
<br />to Fu. $ort6 otrpaErnn covdrg. ir mL$ful tn thdl sbF d onPLF
<br />'o
<br />mdl p@!6 ad
<br />hu&.d thotMd &,lls! I tlu,l.uJo). in lld ion ro rlEp46
<br />IECIIAAIIO!
<br />I hd.6y ritmr.dd pdDnyoaFjurythd I d licas.d u.do FDlitionofClEplsI(con64 * snfi S.d ion 70@) oa Divi5ion l
<br />4R-c ro
<br />,..,,.,, t-b_o.cs
<br />a.d m, ltm. i! in lull lorc. dNi crdr
<br />G 197so8/,/2iy'b C a
<br />ATTLISILDECLAAAIIO!
<br />I hod,y .&m ud6 pdalry of Fj!ry oN of llE rolbwin8 ddlailioa
<br />D.molirion P.mil!-Asb6lor Norifi.dtrn FoJall R.guld iom (TnL 40, Pd6)
<br />R.quircd t lt6 oaNorifiolion
<br />-lcdirylhd
<br />rh. Ld6tl r.sul,tioN rqEdinl
<br />rtd I h.r. r..d (h6 4,pli( 0o{
<br />ddmtud mt sbr. t^s Ekir{
<br />rbor. .6ri.ftd FoFnt lor
<br />,tppll..nr o. ,\adl siaMtu )4 ,H .25
<br />r,.!.rt)l\ (rhrll( 'i i (i\'nr\
<br />rrh'5 i 'r\.sJ ' ,y'\ n. nrd urnn
<br />'rE,.,.*46
<br />I
<br />ELECTRICAL.INSPECTOR RECORD
<br />FINAL
<br />cqltlSllcuqurEdDllcicElcl
<br />I ha6, rlTm 'nlq pott, ot Fid, thr tlE it . odrEliD lddiE .ac!, fo. tlE FfctlErc of UE 6l tu *ti.! lhi' pdaa .
<br />iqr.d(S< !09t, Civ C.).
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