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ELECTRICAL.INSPECTOR RECORD
<br />DATE rD/srG.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 t-919 t2czh
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough ,-9 -/?Zczn
<br />Service lvleter 5''A - rc pc zn
<br />9'8 -,q ,/2 c z-tt
<br />Notes, Remarks, Etc
<br />O1{NER BUILDET DEITARATION
<br />I hd!t,.,Im ud6 po ,of Fjuyfir I idarpl 6oEtlE(o r.cld U..d L* lor . folb$itB IEI 156.70]I.,
<br />aGiB dn Prcfab. Cod.): Any Cny or C@ny *,iai Equir6 . Fni lo oldtu r. .td. ltproG doDlin oi tq.r ,,
<br />rrdclue Fior ro ilr isuocc. .Lo Eqlic th! 4'pltml tor rx.h Fmi b fi1. ! tisn d n'l.l6t fi, lE or JE i! li.dlt d Fet !
<br />ro rh. FDvnioB of tlr Conr.dd r LienEd r.w (Cn4r6 9, ComniIs wnh Saiion 7000 ol Divilk'n I ot llE &ai6 Ed
<br />PDEsi,B Co.L) q th. h. d nE ie aar$ lhqdoE ad th. tGi' fo' 0!.lh.d adtgbn. Aly YhldDn ols4tbn 70ll J tt ov
<br />.pplicsr for . p6nn rubj..r3 rh. rgpliolll ro ! oval p@h, of et mrc th6 fivc hoi<h.d doUr.! (1500).
<br />l. s ouE olrlE FDFry. d ny aDplol6 wnh uA6 6llEir $L mFE htr nil & dE s{.1!d lh. l.8rc it d
<br />inod.d or otu fr d. ISc 704,1, BuiB ed liofsioN Co& TIE co n ld ! ticE Ls &6 IDl 4,1, lo r ow of
<br />fi. pllFry who hrild! or in'Fo6 dEE( dd vho <b6 uh slt hiN.laor hctl f or llhush hn o hd om mPhytc.
<br />Forir.d rhd sh -qrol.tEg E 'Dr irrrd.d 6otu fri i.lf.lb*ss. tlE tlildirN d itrglv@Er i 5ld sili. om l<
<br />ofGiplam fi. GiE auill. wil llE llE hldd orFovi's tti E o r& dn d hild d irsDE l!. FFry tt tlE F,Pot of
<br />-1.
<br />G o$E of rlE [,oFrr, m B.h!n.l) codrrnB snh lkdE d .odrsm lo ott r'at rlt FbF (Sa. 704i. &!ltB
<br />rn hobin Co& TlE Co .dor't l-i..M L.* &6 mr sly lo e olE oaFoFry who boild! or inpotg rho@n
<br />rnd wfio contEclr for such pmi61! wnh . C6tu&ro(.) lt@€d pmu."l to lh. codr.dors Lic@ L,r).
<br />-l
<br />h.rdpr u,r& Sdbn-. B. & P C for llB l@)n
<br />D.l.: ()tr{:
<br />$ oRxftLs' ('dltPENsAl'tol i
<br />IlgdSa.lllr!
<br />I hqcby ailim unds pdaxy ol pojury on. oflhc follosiry d<ld.iioo!
<br />-lhrEtn*ill
<br />inuin. C.nifta. oacoEn b Sdf-|re f.. wt4 ffiFDli,\ ! FoviLd 6r by Salb.lr0o orln.
<br />Ldor Cdle for tlE Ffo|]r*. ot$. *n t fd *iah d. FD, r iExd.
<br />Yt t"*.na *lt -,or- *-tsr (orlF6nDn M.. ! Equind b, Sdbt l7m of rll. L.bd cod.. fot lh Fft.tm of
<br />d! wi fo. Inth fiit Fnir! i.,.d. My 6t6 dlrliir il&Jrc nE rnFlry.@baG
<br />,.*,. rtceredt
<br />A latca t taoac tq 4/r /r
<br />-l
<br />cdiry $n i. lh. Ffolrje. of E *ort lor whan rhr Fmn it s.d. I lDll mr atrPk , &y Pasn in o, nEE
<br />$ s b h.om $tit to tlr rGt6' BmFsnion L*! of C.l'aomi ,n +r rh. if I tlDuld hao@ st td b tlE
<br />*o 6 comFslhnpmvirirBolsdraotr 1700otllE t bo. Codq I rlEll fonhwn[ @6ply vnh rnor ProvLiod.
<br />WARNING: Frilu. lo re Ertd @mFdbn 0\6.3. i uh*tut lld rhdl lbFr e dPhtq lo oiniul Frlis rd
<br />cwil fr6 up lo on. h@dr.d rhousd .tolks (lloo.mo). in lddhbn lo rlE .oi ol onFElrion. d&!36 3 pmvd.d lor llE
<br />s(tiotr 1(176ofrh. hhor Cod., inr6d ed r6rf,r'! f6
<br />DECIJAAIIq!
<br />I lEr! .Ifm @<Lr p6.r, or Frury lhr I D lilE d u'r& Flvirbn of Cn4rd e loffilts vilh S{ri.n 7(m) ol DililiE I
<br />of rlE BuiIB &d PDtdhN Co.L, lrl my lkd* n h full for dn.ftc.l
<br />clo nst,l €L
<br />",," lBo /t 1 ,n.^n* loq € lzcfric 141.
<br />colilf,lI:lllaJ.EBDLdc-&G.EtrCr
<br />I horby dImD usls Fully ot FJUty th! rhar it | @drudion tndis ts@y lot rlE Floll1s. olllE srr tur *hth lhi Panir a
<br />irr.d (sd 1097, ( iv c.)
<br />AITIICAII.ITEqJAAIIO!
<br />I ha*r.fiin u.dE F.Xy or Fjury oB of dE hllo* 68 d<L.nioB:
<br />Ddtulitnn PditeAlt <or No'ifi.lnD l.ncd &suldmo(Tnk40. Pd6)
<br />R.qrn d tnlcof f,loriftrio
<br />-l
<br />c6t ily lh, rh. acddl ,.suhrioB i.x&ing 6b6los rmorll Ec &n 4pli..bk r rhi! prcjd
<br />-l
<br />cori& lhr I h!v. dd rhir .pdaiion ,n tll.lhi dE.rs\. inforn'i rn ir (dar I .sra lo omply rnh cnyDd(oo.tv
<br />odiffi6 .rd Sr.r. lrE EhrB lo brildi.B ..ffidioa rn ts.by lulbE. ,.F*dnit6 ollnn Cny dd Coul, ro dc Won llE
<br />llrtrc Nalrc.cd pn'rEly
<br />Applionr or ABar shn.rur
<br />,;/ flol laudlz<<l<^,, Y/1o11
<br />I
<br />APPROVALS
<br />FINAL
<br />Lo.
<br />*,. 1/>o /rn
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