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ELECTBICAL-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 />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unrt
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />I I
<br />Rough ,1 tllta \fu,U
<br />Service Meter II
<br />FINAL t/.(iztE'iLdl
<br />t\otes, Remarks, Etc.€o
<br />OWNER BUILDER DIiI,CAf,ATION
<br />I h.rcby arrm !nd.r pcrolry of pcrpry rhd I m.r.mrr thn rlE Co.rd6 l.i..s li* for rL follo*i.g a8t. (se 7011.5
<br />B$i6r ild Pmt siirn C.d.). Any C y or Coury *hah nquirc. t Fmn k' (nnn d, rlrd. irllmvc. d.mlith or EFn rny
<br />{M.ur. Fi, ro irs issu.m. ils ,.quiEr rlE .tllitrr tu rkh Flnir x, 6k r li8rn {.Eo' $d h or dE k lt.ncd luErn
<br />ro rlE rm*h.s of tlr Cmrrru \ l-itn<t l.* l('ht < 9, cl,nmmn8 $ h Sdrirn ?(tx) ol Ditishn ] of lL Buiim*.n<t
<br />Pnf.lri,nr Cod. ) or rhd lr - .lE r .k,{lr trEr.rmm .nl rrE lrr! lo lE llks.n crcq ion Anylirlrth.orSdbnT0ll5byrny
<br />applkrdfo.rFtrns6Frrlf,.ttltlnrro..ivilFM[y.f(nmErhlnlii.hudBid.llrrr(t5m).
<br />-1.6
<br />owB of rlE FoFny. ft my crhF$ with hsN.r rlEi $L d,np.6.lnn. will do tlt rat !n dE {^trw i t,
<br />i,rn'd.d ordfrstd fd dl iS< 70t1. B$.i.Br.ld Pm|sb6 c('d. TIE (..lr,..|tr\ litN L.* &E! nx 4ply to r or[r of
<br />rh. Flmy wlr bitlr d -qm6 dEsn.ril $b dE qh qrt lllElf o. lf*lf or rlrou8h hh d t- oh.q oF6-
<br />prcvd.nlhi tuh itr+r.vtlrdr E d -rftHrotut rE.ll lrlM. rlE lltttqd irgDE'd i.-U *ihir* Fr
<br />ofcuipEliE tlE OrF BuiEr *iI LE rhd.nof rda!rL lt nE dil d hriu or irprDE dr FEFiy 6rlll F FEo,
<br />-1.
<br />!.owEof rlE FFny. d.rcllrihly@nrdh! *irh litn n.oddm hffim rlE For<l lsa 7(x4. BciB
<br />.d htrfsi{ C!& Th. Codrdor'i I-i..* tr* d(rt r rtply to D owF orrFF l, *tn tuildr o, irqmwt rhdsn,
<br />.nd *ho offirrd stFlFG *ntr Co'rs1{n\r lE id plrsd roirE cod,-ct lirne t r)
<br />I rmcrcmfl ud., S6rirn-
<br />l).r. (rRn.r
<br />tYoRl(rj!{\' ( onrpr\s]t n(}N
<br />I}:IIA.BAIIII\
<br />I lrr.htrllnmtntler p.drlrrol ttrrurvofu ur rlt l,'ll!,r rllr!lrr!rtrrF
<br />-l
<br />ha{c dd will minrain , Cenifi.ltc ol Co.v.d n, s.lr lnutu ntr *nrkdl .nq,etr$rn,n, rr pmvilcd for by S(ri,n .l7U) .f rh.
<br />rjhr Cdq for lh. FrlomBmc olllE *orl tu !hi.h lht Fdnil is n{ucd
<br />-l h. rc atu will mon anr *.r lcn comncn\lr idr i'uurotr(c. x ,.1uncd hy Sdr i({ :171x) ol lht libor aodc. llr rhc Ftfolfucc nt
<br />rh. Nork loruhichlhn ncmir is n{.rl My sorksi .ompcn{ri,n inoilR{oricr m gnicynunrhsr{r:
<br />,*., -fn cuet/> //rsr>e*.t /
<br />9a.rc 1 / ?1tA t ra** 1-l -/q
<br />-l
<br />c.nify rhlr in rlr FrformE olrlE work fq *ni:h rhn Foir it k\kd, I lhill ml.rFloy lny Fts. in lny n6ft,
<br />e as ro b.sm $bj.{r ro rh. hrtdr frmFnrt nn Lrr ol C.lifoml. td |sd rhi ir I rholld b.{oft shFt h llt
<br />s*6 .o,p.nsrion tmvirio of Sdion lTuJ .r rE lrxtr Co&, I {uU. tdh*nh s'rl)lt virh ilnt tmrirb6.
<br />\ryAtNt G FailrE ro sm * r.F sqhdM d,wn8. n unb*tuL . rnuI $tFr d.iilfhF ro diniEl FElir.,n
<br />citil fift! ot k, os hundEn rb!{nd ddllr l3llD.(tf,),. n .dd n. ro llE con of crqrn{rbn. &m8.. rs pftvkn fot llE
<br />Srrnn .tu76 of rlF tlbo Cclc. 'nrm{ !d dllmy r lfrt ,
<br />-,,. ?-:7!B ^*"-,, /;4r- Z:4.42-*-ucltitglgrErEaqll8olctdEAru(
<br />I rEr.ty.rrm udcr p.uly of rEiny lt l rs lisrn ui&r Fntkb{ or(h!r6 9((tlmmins wilh S.clbn 7mr orDivisn.l
<br />of rlE BuriBs rn Prof6<i,B CorL. rrn nv limc ir in lull foi$ nn.lr(l
<br />B ,..MNumrtr fzqtraZ/-Lian* CLrs
<br />-
<br />,:?18
<br />grlllaulIl0MlAr,!(ilrililq
<br />I h(rcby lfrtrn unr|r lEn.ny or Fjury th.l lhoc is . onrltud ion Lidins !8ctuy for rh. FnolrlEm. of lnc *tr* ror whth rhir Fm! i.
<br />i*rcd (se.lm7. civ. c l.
<br />6IIIIIANIj}ECI.ABA]ION
<br />llmhyafin lndcr pctrrhyofpcrjury nnc ol rhc lnll{'wt,r dr.lnruii,'n\
<br />Ixnr'lilion P.rmir-Ash.sos Notilicotion Itdcrrl Rc8uLrri,,n! I lirlc l(,. Prn6l
<br />Rcquir.d t tr.rofNd krrbtr
<br />-l
<br />ccnit lhal lh. fc&hlrcslhtbflr Esudirr e\lt(ot rcm'vald. rfi'la.bk h) rhn nml..r
<br />I c.ni! thi I hNc E d thir sppltlrio. rd rrr. rh,r rrE !k,!c inttrturifl ir.o l l i3E lo mq y snh rU Ciry d,ld Counry
<br />odiEEr.!n 9d. L.$ ELrlts ro hildins d'nntoclhr sn lE65, drnri,! rF.r.'diEr ofrhir anyun Cou yk,.nrduII,nrtt
<br />JE*c rtrr(nf,{ Irn'tin! l(f rltr.rkr' t'trrtli\
<br />\ppricrn, or r*m, \i*m,ur z? Z-
<br />-r.mi,r*nc,prin,,: /-t- /zoa.z.
<br />a -?-/s
<br />I
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<br />Sub-Panels
<br />lrnJ., \ Jdr.s
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