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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 (monument)
<br />Lile Safety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Boof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough 9t '7,1 t6,^,14fl4,Service lvleter q 1l\v I Mq(y rk--aJaP [o /\A]
<br />FINAL tlti)
<br />Notes, Remarks, Etc
<br />OWNER BUILDER DTLCARAIIoN
<br />I tE.hy .firm utrd.r If.ally ot Frrury rhd I d rx.rfl lNn th. codncioF Litnc Lru nn lhc folloeina rca{,n {s( 70-ll 5
<br />Bu{rBl rd Prof.rrh. CoL, Any Ciy or Cody *hah EquiB . Fmr rd $t{M. dtd, mlpElc, &mlish or ,qEr Dy
<br />rnriu.. Fin r. i|r isctriF. rlb r.{uiB rlt rr,l|lid ft, *h Fmr b liL r .tml {r.Ed rh6r lr or 3h. i! li..*l 0l,lr,d
<br />ro rtr l'ovnons ol$. Conlr&hlr Lic.nerl l.w lchq'l.r 9. Comtuking rirh s..rion ,un.r Divisi!. 1 o( lh. Butincri lnil
<br />Prf.si('nr Codcl or rh.r lE D. rh. n crcnfl rh$.tha sr rhc baik n, ttE rlhEcd dcnllrri,n Any vinlri,n of sdb. 70.1 I t hy rny
<br />rpplir'or tu a Fmn lubj(k rh. rrplks' k, . civil p.drry or ml fr,E rh.! fitr hundEJ dollr( I s5{lo)
<br />_1. N owmr oa rlr FoFny, or m, .iB!h,Fr Nirh *!e!1 ! h.n {,k .onFnsri).. *ill (lrr rtE krt drd di nerm ir n
<br />inrcndcd ur oficftl lilr {L (Sd 7{x,1, Burims .nd Pmf.$nrns Cod.: l hc Conrrrclor'\ Liccn( Liw dog m' ryply ro ofl owtrrr ol
<br />rlE F)Fny qrx' hiLj3 M i,illr6 rlE1la lrd *tn &B sh q,i hidrla or rEr.lt nr
<br />'hmugh
<br />hn $ tEr or. c"{,lorr{.
<br />nmlidd thrr uh 6tlrDErdr ft mr iddi.d.rofidd ror rt lt hr(tn. th. triEnB { uq( tld i $ld *thh,E t r
<br />or dripElbtr th. ouftr Buills rill lsE dt hrdcn ot I'treiltr rh, h. or lrE dn d l!,rl r intn'E rh Ft rd, ftr tlE I,rFx or
<br />-1.
<br />.r o*E ol rrE I'trlEly, d.rchrnrly.odrdine *irh lilnrd .ldrxloF ro $nrdr rlt F,r..r (5s 7(x4, aBm$
<br />rn l\r,ftirirCcL'Th. Co.rEroi, Licnc lrr dE3 mr {'t'lt ro M.va sr,hrtsryrlr ttildr mtmtrrlt E..
<br />ann rho r'rn,.'rr.l,r \urh |n,r.r\ \nh r (rdrd r litn$d Nhud ro rh. Codrf,loir l.i.nr L5*J
<br />-l
<br />m cr.npl ui.!.r S.rrhn
<br />l.!l:!!,t3.tlt9tt
<br />I h.rcby .mrm unrk(rcMLy ol psj,ry o* ol rli n,lk,$ ina &{l'dio6
<br />-
<br />l h!v. drn *rll nurnruin ! ( cn rarlrc ot (i'ncnr n' Scll lnrurc tu sorlc\- ..n{En\d tun. !! itovJcd in hy SNr i,. lr( of rh.
<br />Lihtr (
<br />'xi.. lor rh. l.rforrumc ot lh. $oik tu whichrh. pcinril is nrocd
<br />-l
<br />h.!. .d *'ll mrntrh rork6 cotrvENlnn iNrN., .. Eqtrird tly S<rr .tt([ of rlE lrnr Co&. tor lh Fi*rc ol
<br />rh rql Ri lhth rhii Fmir ir lnd My *int6 6qEndi,. i.rurft. ffir dn lblty nuiLr e
<br />-l
<br />(rnily lh0l in rhc lcrrorrunrc of rhc wnrl rd whi.h
<br />'hr\ Frmn n r\ucd, I sh.llnor c'npkly un, FGon in Dny momr
<br />$ !r ro lranft rrbFJ b rh. *o*dr on{En*rionh*( I(ililomi!, d,rd saB rhr if I th.uld k{om suhFr htlr
<br />sritd\ on{Ensr i,n por si,nr or S.di)n ]7m of rlE l,lr Cod.- l llllL n,ih* h .r,i{ y sirh rh)< ForBi,nr
<br />WARNINC l'lintrc r, scur. workc^' coi,rprn\ nrn $v.rtrsc i\ utrh*lll, rn,l shrll \uhFtr nrr .nrflorr b lrin,ihal FiDh.\ nnd
<br />.ivil ntr.! up lo uF hundRl ihouund dollur l!lll).lxxrr. 'n
<br />addirinr t' rtt cu{ ol cun{Etr1rri,trr. dlBgc\ r\ pR*iit,l ntr lhc
<br />S6ik,. ](16 ol 'lr uhr Ori.. inisc{
<br />/,*"/%*=
<br />ul.!I.1lrrua:
<br />I lErcnr_ illiri o.ds FMlry of F,!r) rh!u'nr Imi!r'. ol Cn rid 9 ((,ltdnD8 s h Sdbn 7m)) of l)iri.nn l
<br />ol rnc BusiEsr rflj lh,a6sio.t Cod., d .ry li(cM rs n tull tot! lri ctkl
<br />glluauqlxntJ.EllElc-aaElcl
<br />I t Eby.mrn uni.. Foxy ol p.rpry rhd tlE ir. onrelnn hndins r8.8, fnr 0r Ffmtut or rlE m.l ln rnth lnir tEmn n
<br />issu.d (S.c.1097, Civ. C.).
<br />tf,ftlcr. Nrm'-
<br />AIII.IIANLDEIIdBAII!]N
<br />I hdttry !trm lnkr pcmhy oi prrrry oE ol rrE f(,lb*mt rL{ bdbnr
<br />Dcnn ir P.rm[x-A\h.sror Nollltarion rridrl Rc8uhrionr(Tirl. {,, Pd6l
<br />-Rituncd
<br />hrrcrolNorirr i,tr,
<br />dd Cou.ly ro cnts uF n rlE
<br />Irrn'l\ rhrr ,t*/ln.l!1rl rcxuLr i,n. Egd.lnrp r\b(n$ onrrlJrr fti .'nnli.6k L,,hI nn,Fl
<br />l..rr,,nl(rr'f,*a,r'n,rr'lkrrn,nrr{d.rhJ hlfir+, rr!1tn,,,rr}
<br />",,1.-".. "".i ifual "*. *l,,r,rr rr hurldrn8 !unvMrnn $l h.Eh) iurh{v. 'clr.ynrrrtrr. rl rhh (''rr
<br />,t -'"..,.,*r 4.o",' r,, ..nv"* r"rr',.- /
<br />^*,*,*t,*n,,*-4 4.4 /s/4,k-j 4.1/44-.,,.,,
<br />".-'*-*x1",/ <** VlrU/ MZ r/-'Zd)r/+/tr
<br />Air Conditioners
<br />lr,\i\tV -,,t,
<br />/2q*
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