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ELECTRICAL-INSPECTOR 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 />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 6-t?-fl wJrl
<br />Notes, Remarks, Etc
<br />OWT'iEX BUII-OER DEI-CARATION
<br />I ha*, rrm unda pa.X, of FJUry lhi I m ddpr frDd $. coffi6 Lcw t^'forrlE t)lloyins la)n (sc 70lI5
<br />Burin6 .id Prof*hn Co&): An, cny or Coud, whrn rqui6 r Fnn lo o.!rrud. .Id. i4rcve &tblil' or ,9.n &y
<br />rruoc, prlr
<br />'o
<br />m iMq rko E+iq llE +plirl 6r sh FBi b nE. tis..d r.oE, rl'r lt or dE a li.@.d F&d
<br />lo th. I'ovilioN of lh. Conlrtcld ! Li@ffid LrB (Chlpls 9. Cof,frtrins wnh Sdlir, 7000 ol Divlrioo I ot llr BBiIB rod
<br />Prc&.rbr co<l.) lh.lh. nE i d.q $a4!o id dE h.a lor tu rllcgcd dalptitn. An, vbldb! of Sdbn 701I t bt Dt
<br />.pplicd for ! pcnn lubjelr rh. lpplior ro ! civit porhy of mr 6orc th,. fiv. hun&.d dolh! { 1500)
<br />-1.
<br />B o*ffi ofd. Fbp6ly, or my mployG *dh w!g6 s lhci sk onpasaio.. "ill & E *olt ad tlE nru.te i el
<br />inrdi.d or ofi6.d for sL (Sa.7Ol.{. BGi6 dd Piotu io6 ( od. TlE Codr.cld t LtaE l, dB d +Plt ro n ouE of
<br />thc FoFly *t$tlil(iorin.!Eln.eG.d*tD&Esds,rhuMrorlEelrorllrcusnfiirorh6omdployc.
<br />Fovid.d rhll 3u.h inFov.iErE @ mr iroxLd or oftd lor rl.. l[ how, tlt hlrhg d itp.r)1dd ii Dld wtl'u tr )t
<br />of mnpldia lh.(,r{E Sil& *i[ hw tlE hdo of FovilB $r lE G !l!. dn 8i hnE or ltprort tlE FDFty h. dE F F*of
<br />*L soRr6ol$c pNDsry. dcr(luiElycodr.(D8 wnh L.aal.ontudoE lo connNd rh! pmjd {sa. 7014. BuiB
<br />Piotnb. Co&: Th. CDnl[cror'r Lktr L.* &'€ Rn !ppl) lo o ounq of FoF, r'ho hril..t or idF.!6 $d6f,.
<br />ud *ho olrEcrs fo.3u.li Fojelr $ni r Colldo(s,li.q!.n pu @ lollE Conr&ror's h.m trw)
<br />I m.td urdd SdDd
<br />-"4P414 *'- \A-
<br />IECIJAAIIA!
<br />I hq.by !,lmu.da Frhyof FjuryoEofl,E followiry &cltr ioa
<br />-l
<br />hr(.'d vill oi,r.h. C.lifEd. of CorEr ro SdllM tq wlai mmporlior - Fovit d ror by Sdlion 3700 of tlE
<br />Llbor Cod.- lor rhc Ffo,il@. of tlE srt lor whi.h $. p6mil t isu.n.
<br />-l
<br />hrv. ud will 6rinl.in wo*sr .omp.ro,lion iBulft.. 6 Equn.d by Sdl aon 1700 of rh. rrbor Cod., for lh. pafoll1@. ol
<br />tlE *6.1 fd *lrth thi. Fnn i isEl My wdto onpdEin. iNr.t drE .n polit nmbc. G
<br />Pohcy Nuibd
<br />-Errit.3
<br />I cdi&ih.t in rh. Ffo!]Mc.of lh.vo* lor $tth lhi pam i su.d l.h.ll nol olloyrny pdsn inuym4ng
<br />$ s ro b.$E sutin ro dE $sr6 compdrbn bs or C![fohi. &d 46 th, if I ilsuld bdoft $brcl lo lh.
<br />ertd @nFst!,. IrovilioN olsGlion llo0 olrlE t &tr Cod.. I Jull, fonhvilh .ompl, whn rho* Imviioo .
<br />wARNlNc l-ailurc ro sw f,nrtC'comrEulFn @vd!. ! unLeaul. md shdl subjet u mploys ro dinimlFEhi6 ud
<br />.itil fin6 up t om tuftlr.d lh)u!.rj &lhB (llu),ofil. u ald(io rlE (or ol comp.MFn. &{sq a prolik fot rlE
<br />in'sd ud rnr,q.* r fc
<br />rrta<tlJ.)
<br />I hall,y srEn unds Ddlhy of IEju, r. rhd I m licm.d uid6 F.vision of Chrpld
<br />of rh. Bdi6 .d PmfdioB Cod.. rd my la6k u h tull to@ ti .fid
<br />$ hSc ion 7l)(r0) nfl)ni\ktn r
<br />(oNralcuourllDldclGE8fr
<br />I h@by arlnn und.. Fmlly ot Flury lh{ rhd. B ..otEEclion loding .8try fot llt Ffoll1@. of E E-I for *hth lhir Foi a
<br />suql (S< !097.Ci C )
<br />AfIIII;AILDECI,A8AIT9!
<br />I ha6r ttrh und.r F!6I r of Dqluy oc ol rrE folbr ils (bbd bN:
<br />D6mhion P@heAsb-lo! Nolificalion Fcddtl Rqublion! (TnE40, Ptd6)
<br />R.qutqi kr6 of!*{iftnhn
<br />-l
<br />cdif, rht rh. f.dd.l EsulaioE r.srdins 6n ro3 rdor al s. n{ tpplk.t'k
<br />'o
<br />rfit rnj.{
<br />-lcdrry
<br />Ir I hn. r6d rhir.rdtdb. !d ir. rld tlE rtFrc if,ftrtuhn ir contl I.8rdio@ody wnhlll Cil,udCouily
<br />ord'!!rcd ed Srltr lrws,.bri* ro buildinSco hd.by ldlFriz r.!.6anniv6 o f (hir ( ny xd Coudy lo o16 uFn tL
<br />.t{E nErirEl rrorEr} t , i,scsbD
<br />rppn*r- q-rslr-ro* K @r
<br />II
<br />I
<br />LireCL$,-
<br />Co.(n.lor
<br />I
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