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ELECTRICAL-INSPECTOH 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 />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release
<br />Rough q .?-<t\L/41tt't )
<br />Service lvleter
<br />FINAL lo 3o tl,/U/1U
<br />Notes, Remarks, Etc
<br />OWNr,t BUILDET DFI( RAIION
<br />I hr.hy rrum und.r p.rhy of FrJ[ry rhl I M .rcn{'r rbfr rh. Co r.clon Lic.n€ b- lor lh. follolins Blsn rS6.?0.11 5
<br />Busmr( rn Pr.fd.i.,n Cd.) an, (.ny or (-ddt *hth EquiB . Frr, ro onrncr, .lrr. iqett, &mlth o. EFir -y
<br />rlru.tur.. pritr ro irr isrurm.. lla EauiEs rh. apfli(! tu ruch Fmn rD ailc i rilrd rr.renrnr rh.' lE or th. ir licnsd pui\uonl
<br />ro th. F,ririr\ of r,t C.nrtrt,t Lft.-rl liw lchtrd 9, G'.mFi.g Enh S.dirn 7(II) of Dirtbn I of rlE B.riEi rnd
<br />Pmrc*rir.r C.de) or rhlr rE or sh. n.x.mpr rh.rclioo r.d rh. tEsir lor lhr .lk8.rl .r.nflion Any vn'Lrhn of S(li(,. 70.! I 5 by.ny
<br />qTlnn' ln r Fmi! flhFB llE .pria.nr h t.iyil Fdt, or mr mE rh.n fiv. hu,nr.J &l&t lttfi,)
<br />-1.
<br />.! o*F o, rlE F.Fny. !m gcluriv.ly .onrr$rins ,irh limcd c.drr.k'F t' d,.{ft'
<br />'rE lhj.{ ( sft 7lnl, Bu3F\r
<br />lld Pn*.si{ Cod. TIF (i,.rdttr . Lr.n( lru d(6 mi .t ly k' r .uffi .f troFr y uL, t {ik. or iq'rcrtr ihdn,n.
<br />dnd *ho conr,errfo rreh n<,l.cB wirh a ('.'rrr-t'dI licncd purunr ro !h. Conrrdcrof r l-ic.ns lrwr.
<br />(
<br />-l un'ci..npr undcr Ssrion-
<br />r,,*)-o7-/?
<br />Itt ll.Jlrrlll]]
<br />I hc'.hr nlltrtrr trn,1.' I'cnrlrr-.ilxJlu,y.,k .l rlr ln
<br />-l
<br />h.w rrn will miniin . C.n ifrd. of Consnr lt s.lfJnrurc ltr wtar' .on{Ens.r iol r Inodd fot by s<r r[ ]7m ol rh.
<br />tr6or C.ic, f,r rlE p.rfrnlN ot rtE wdt fo. whhh rhc Fdir a (ird
<br />-l
<br />h!v. .nd *iU minlritr work r' cor{Ensrlion iniurlN., ct rcquiEd hy Sdraon l7m or $. Ubor ('od.. fi{ lh. Frfotnffi. or
<br />lL $vt tG rhtt llir Fmn ir nqd M, *ods otrFn!.li,n ieft. ffr Jn Fli.y ntE c:
<br />l.cnify lhrt i. rlf p.rlormtu. olrh. work f,tr *hich rht r.rnir ir isru.d. I $rll ml cn{l'y ony pcmn nr sn, mrnRr
<br />s artolE!,mshFrtrrlrsrt6 d'riEnqiq Lr.ofc.lifoni. r .ARrh, if I \lr h h...m $hr. orlt
<br />$rt(L ca'mtf,ner hn In,vhioN of Sdi,tr :!7lD o, rlt lihn C{x1., I shtr!|, rodhw h mmply with rhot Pmvnion\
<br />WAINlli(;: l'arlurc ro $trrc sorkcr! .rmpc \0r i(n.ov.r!Bc n unhsrul. md ih{ll \uhF.-r m dpk,Fr (, mn
<br />l(l).u[lr. h.ddnbn h rlI ro\r nfrotrllrhqrhn, d,nEt.r .r
<br />,",05 )
<br />t)l ( I \R \ I Ir)\
<br />I lEEl'yam n undc. i'.nrlry of pcrJury lhll I !m liuEn un ld F!,iri'n ol Chapr( 9 (d,nmfrin8 *nh s(ran 7c[x)r ol l)ivhion .]
<br />of rh. ausiBs .rd PtuLr..nr co&. .,n ny li..K 6 h tull LE! .,n cnicl
<br />II.}ISIf,IJCI TNIBDINU.AUEICI
<br />I h.cby lmrm ond., rEn.lryof p.rj!ry rhrr rh@ ir. or.rMrion LodinS38.ry lor rh.IEl(nmmc ollh. Rnk for $tich rtn ttrmir i\
<br />tqri rse l{r7 civ c t
<br />ATILICANLIESIIAIIO!
<br />I Hiy .trm unds FElrt of Frrury oE ol llE folkr*in8 d.(Lr.lbnr
<br />txmrlns. Pdnnr-Arb.rii Norirrc irntu rrlR.8rhrnnr (TiL{1, PM6)
<br />-RquiEd
<br />r.trd or M{irrrir
<br />rcBudin3.{E*x EB'vll!r r, 'l)I'larhL ro rht pn,Ft
<br />nrrlsrsr.ih,rrrEDhncinl,,turnr r.md lrSGt)oryltsilhrllCi'y.ndCoun'r
<br />!tr d h.rlry rdh.li,. qrt(dlnw! oa th( Cir, rrd Cou y ln .dq uF)n rlE
<br />05a7:l<-(0 fil .fula^atfi1,*"
<br />A. AaV(au Yez'
<br />Air Conditioners
<br />-1.
<br />.( orE of rrE FDF.ly. or m,.npl,F.r r nh *.Bd. lEn q,t olYrnr.lin *all do ilt wir !,n {E {ME i! n,
<br />inrcd.n q of.Ed aq ek (Sd 7fi,r, BoriBi .nd Prnf6ri,N C.d.: TrE Codrdd 3 l-rak L.a dEr d {,ply lo .r o*F oI I
<br />rhcF Fny wh tril{s or inFo6 lrEsr !,i wtm d(B *-h s* him*lf or hcrclf nr ltm[h hh or hd o*n cnlllro]..r,
<br />Folitn fti ufi i,qFrF.d! c @r irsn d mofl.6J nr * lt lD{@. rlr hiunr d inFllmir &.'B *rhh m,6
<br />of.onl9Lrirn. rh. owkr Alill.r * nlr iE hrn nolFovin8rlErtEorrlcdn nhildutr{rwrhrDoFnrtorrlEFtrFsor .
<br />qlc)
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