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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Volta ge
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)EXI tlf,tFn
<br />Ceilings (Hard & Soffit Rou gh
<br />Ceilings (T-Bar Rough)FE8 I I I 20t9
<br />Meter Release SAtrra a ,r,-rv, 006, 6(7
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORD
<br />Otu-Builda Daldio
<br />I hd.by .mm ud6 p6.ity of Fiury thrr I m doF r@ lll. Cotrrroa' Licas L.s fc th. lollowina @6 (E'rorl 5 Bsind
<br />ed Prcfdao Cod.) Aiy Cny r C@ry 'hi.l EquiE . Fhir ro cdm.E1 .lla inrdq <laldirh d r.Ft Dy du.{r.. Fid b i!i$ue. nrc Equi6 th. @lior fc !!d panft lo fit. . !i8r.d tinmat '{h.dth.ir lic6$d ll]J!6r !o th. FDvi.id of $.
<br />CoEItdt Ucau.d Lt, (CtF 9, C&lrffi!! *id! S..rid 70@ of Divirio I of th. BqiE od PEtdid Cod.) 6 lhr h. o
<br />th. i. qaiF lhd!ftm -d lnc b. fd lli. nLS.d 6arr.ld Any violdo of Sclio 7031 , br ry pplic! fu. Fnn tobjcc. dE
<br />rppliot !o . civil p6'.1r, or id tlm rho liv. hui&ld doUD (troo)
<br />_,,!Mdoffi.F.p.n.d6yoployd*ilnr{6srh.tml.cmFrrdo,*illdrrnc,dt&dth.lsud@itnori 6rt dd oaI6.d fa r.l. ( 56 7Ot., Auin6 !d Pbfaid Co& TIE CoErtd'! Li.@ trq dc nd.cDIy roD olc ofd. e,ooqry
<br />rho b{il<l a inlFoE ttsw,. ald o.bq ro.l *dI hrela(t6rdf d dlMsn h! r h6 m mplor..r. Fovid.d dr r!.1
<br />imFom@r, B noi i.lo&d d of6.d f6 ltlc li howcvrr, th. buildin8 or imprcv@r i! rcld wi$in oc y* orcmdad. tE
<br />O*G-Buil(b rill h&. lh. hnL. ol Fovir8 tll.r lE d {E .o. b{ild a 'np.oE fd $. F po.. ot td.)
<br />_1, B ow.d of .h. F.?atr, M .icluivcly 6tu1ina pilh licd.d @r*ro !o orruc! dE FDj6t { 56 ?or. Aqi.d e.tPEr6in Cod.: TIE Cdrrld! Uca* t dc rcr rrply to o ffi ofFqrt,,hoboil& a inFoG rhsa, rd sho
<br />@rE&1s fq rwh Fojd wiln . Cer&to(, li@cd Fl6al lo rhc CoEeror't Li6!. Lrw )
<br />_l d .xdpt und.r S61im .B ltPC frdrnlzlm
<br />WORXERS COMIENSATION T'ECI-r TTATION
<br />I h.Eby !f,im un.!d Fldry of tErr ui, @c orrhG lollowins d..ldiN
<br />_l hrerd vill minrtin I Cdjfi@ oa CdMl !o S.lr.ttu fr rar6 mFdi6. ! Fovid.d fd b, Scro 37oo ofdE
<br />Irbor Cod., fo tn. pqfdlme of $c wdl ftr whicl lh. p.mn it isu.d
<br />I hrv. dd nlln.inltin yatd mF.did iro@cc. s Equir.d by Sdtion 3700 oa th. tlbor c.d., fq rh. F.fmec. ot rh.wdl fd ,hid d'n pcrn t i!u.d My rdta cdrpau.lid i6u @ 6ia !d policy nMb6 e
<br />Polic, Nufrbcr_ Erplr6
<br />iThit &cbo.*! noi b. cmpl.Ld if rh. Fmn i 16 On. hod'.d doUs lltooltrlB)
<br />_l c.niryfinii
<br />'h. Ff(xrDe ot$c *o* fd which rhi! lEmt it in!c4 | th.ll.oi dploy uy psr6 in xy mMro io s rob..tft $bd io tl'c 'dr6 cffF,tdio hs.f Cdirnir &d.ac rlrll if I.huld badr sbjd !o E r6i6cmFdf, FDvi.iG of S..!o ,7m of ltc Lr6o. Cod., I ihrll, fdrh*illl cmpl, *ith $* Fwirim
<br />WARNING F.il@ !o EW *ar6 qrFElio @,a*G n dlrtul, Dd idl n6j.d e dployg ro qihir.t Futri6 &d civil
<br />,1.6 up ro @ h'!*hd rh@!d <tollB (t t 00,0o).in .ddiri6 to Oc cd of drFraid. d!r36 ! Flvid.d t6 dE Sdio 1076 of
<br />rh. Llhd Cod.. i.r.r6l &d dncr'. fc6
<br />LtcfNsEo coNTiac'tots Drcr rtaTIoN
<br />I hotby .rlim u.dd Fdr, olFjury rh, I h li.qu.d ud., Foynid of Ch.9ts 9 (ffiina wiG Scsi6 7(r@) of Dvije ! of
<br />th. Bditg id Prof..'im Cod., ad m, licog ir in tull fde Dd.{fd
<br />CONSTRUCTION T '{DI]\|C AGinICY
<br />I h@b, rfiim uda Fdty of Frur, d ln@ t . @.1 !.ri6 ladins {sky ld dE Ffolrc of rh. 'at fd rha.n tl.|n FDr i3is!.d (Sc 1097. Cn C )
<br />A'ILICANT'S T'ECT AXATION
<br />Dmlnio PmiE.A!b6r6 No.ificrdq F.dq.l R.Sdri6! (Tnh 40. Prr 6)
<br />Rcquird LltlE olNdific.io
<br />I c.nit tn.r Ih. f.d.r.l E8ulaid r.8..din8 sb6ta @v.l E nd.Fliqbl. lo rhB Fojd
<br />_ I @nry dd I h.vc rad thn lPplidid ud tur. ln.r rhc .bovc infrmtrid i! c<rer I .88 lo cmpty ri$ nt Ciry 6d C@iyqdi.a@ !d SrI. bB r.ldir8 ro hildiDa cqErudjo, &d tdrby u$air EFr njG of $k Ciry .rd Cery !o 6ttr upo t!
<br />3toe. tMri6.d ,ropqty ac inrpccrie porpo6
<br />Y .z-----t o^" i-/o
<br />Pcr,ur nm (Fi.0 _
<br />y'e
<br />Li.*CIe_
<br />,.. t -la ,za./ ,^.*,-
<br />Under Slab / Floor
<br />Roof Top Equipment
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