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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monumenl)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditroners
<br />Rool Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service lvleler
<br />FINAL {-r9-9/J)ah ,b CqD
<br />Noles, Remarks, Etc
<br />OWNER BUILDEN DSL(AN T('N
<br />I Lrcby.lirm uds tEMlly ot F.I,ry rhtl I m.r.q, film tlF Conlreton LtcnE tl! (,rlL folh*ing E $. (S<70il t
<br />BusBr ! Pn,fcsion C.dcJ: 4., Ciiy or G,unry Bhich rcquircr ! F mn rD Nnirud. drd. impmw, &mlilh.r EFr .ny
<br />{ME. Fitr b s i$ulR, .lri Egrif. th. .pdid ror fth Fmn k' fi,.. si8rn ndcId lh.l lE o. nE i! lienEd puB.rr
<br />ro rlE F,virbr. of rlE Conrdd r l-irnEn Lr rchrlns 9. c(,lrftrin! *irh S..!b. Xm ol Divirbn I of rh. Burims..d
<br />PmLsi'nr Cod.) or rhll h. or ltr s .rcmnl llEEton ud rlE t{rir for rh. ilhcn.rcq'tion Ary vn,htnnofSdri,nT0ll J brrny
<br />rmli.,nr ror ! Fmi.ubFk llE rppli<.nr ro rciril p.Etro,mr dt thrn firc hu'iGd (tntdr lt'tn)
<br />-1.
<br />!\ o*rcrol lh. r,oFnr. (tr ny crploye\ *ilh *u3cc 0r rh.n sE conFnscli,n, willdi,0r wdl dd ttE {llfu n mr
<br />d.r*rl r oll.rd fd ok lsr.r(x4. ausiBs rnd Prnfh\i,.t G'd.: Th. (bffdfl r Lfte Lr ik6 d l,pl, lo u .wr of
<br />It I'r,,En! *hr h h q uqmB rltun itd wt dB uh *r,t hiNll o. lrrclr o, lnrcu8h hn ( hq om .tr91')8.,
<br />tturid.dthrrsuch i.treEftdr E er hr.nd.n oroltcrd for qL lt h,*crr. rli hilliryor inthEr ns *thin m)a
<br />o,otrl'!|i,n. rlr O*N BuiBs will,rE rh. hnt ofF,rtru'hdlEn{rdnrihiildi,iarmEdrF,rEr,tir,rF rrnof
<br />l. a! r*B o, rlE FqErr, m .rlurikl, 6,ndinE *i r li.r€d @|Ird6 16 6dM trE ,mF (SN 704.4, BBiEs
<br />rd Frri\\nn C,ic 'fhc G r&ttr s Liccne l de. ml.nply ro 6own.r.fpnlrny who blildror imDhrq rh$d,.
<br />dnd *h1) d,.iBrltfor \u.h pn!..B wnh 3 ,lidqd p!^u.l h(lFconruor't L.cnF t w)
<br />I dr.r.nmr unJ., S.rrstr-,.*lnla ,L tt.bt[*"
<br />DEILAAIOIi
<br />I tErcby.m.mund.. pcMlly or Dq|]ry or ntllf, foll,einr dc.Lnlonr:
<br />-l
<br />t E .!n r ill rinr.in ! (.nifr.r. o, ( onEnr !, Sclr.lnuE i{ wrts o.rrEosri,r .i FliLi r b, sdri,n .r7(t) ot rtE
<br />L{hor C{t.. for llE FrfornEft. of lh. kd ld Ehih llE IE nn i nsucd
<br />I Nniiyrh.r
<br />'n
<br />rh. FrfornErccoffic wurl Ir rhichrhir lcirn( n n{r!n.l shall not.nphy ony I,c6.n ii lnynrntur
<br />s' 8l" larnr luhf.r t! rhc sdn\ flmlndbn L*r.a(iliimi.. mi !€N rhrr ifl lh,uld h..oft ollf r it rh.
<br />*olls1 .otrp.nsri.n pn,visbns of Sdi,n l7(X)ol rtr lilltr Grl..l dEll, ld hsiih.rnnlly unh rb* pn,{ti,ni
<br />ttARNIN(l F lurr b rrur. $orkch cotr,Fn{rk,n s rnt'*tu|. ri shlll {hFr ,n cn{,lo!E to 6nimlFBlti.l &d
<br />.iril lin6 !p n! or hunlkrl rhlu{d &rlds rili WcoqrNrirn. drflB.! rs lrDrir.d 6r rlr
<br />::;:-ilE'DIi''$"*"'i / L fibrtlu'L
<br />l[l.Lt&tllQt
<br />I turby afilrm u 'Ij.r txMht of prrjury rhir I !n l'(nr\d unld t ,n nx olCh! s 9 lcnnNrEin8 sirh SR''l i.n 'rlXX) r ol Dirnhn I
<br />ol ihc Br\imsuBl Pn'Lsri,n\ (i c, nrxl my lrcn{ r
<br />'n
<br />fxlltuRT nlrllN
<br />t-trrtr{ Clis
<br />cllltlauqrxlNtBDAg.AtiEll.a
<br />I h.Eby irro unitr Fflhy or Filry rh.r rlEE n. sE{rErir t dirl!.rff, ror rlE Ffl'lffi or rlE wt hi phih thi! Fmr i
<br />iriu.n lsd 1097, civ c.)
<br />ktol..i Addr.(
<br />APD TCA\'T NTCLAEATITN
<br />IMy.trmuddF ny orF,lryoE olllE folhrin, d(Lnrbnll
<br />Dcmlirion Pclmik-Arh.{os Nolifi.lion FdLnlR.8uhtb.i llnk {0. Pd6l
<br />-R.quiEn
<br />b dofr*itdin
<br />l.lnilyrhrr rh. f.d.ral k.3llari'h r8rrlin! a\hLdo\rcnrrrlrc 'x, npnlf,,bL h, rh! m,j.{r
<br />ird sn nlrc
<br />'hd
<br />tlr rhN inrorNrirn n c.m1 I l3E ro cnrFly *irh lll Ciry rrl Couir,
<br />od aft.\ ml Srlr.bn ELr {d h.r.hy .rthorm rFEcd.r rves .f lhn Ci! y !n Coufly io drd lFn rll
<br />"tr,!. mr{inr.d l'oFn] ntr
<br />U*
<br />^ , ,""krulb
<br />L- '1,b, tl,tv&L
<br />I
<br />Meter Release
<br />_l h.E.'d will rui'fiin *dt6 or?.h.rin in@r. at Equiid b, S<ri,n l7cl) ofrh rihd C.d.. fq dr FfdIrc.alh. lql ro {hth rhi! p.mlr ir ilrEr My work6' onlllNrri.n i..ne 6is.rtd polay numb.r m
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