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ELECTRICAL-INSPECTOB RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Liqht Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lile Salety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab i Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueino <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Sollit Rouqh <br />Ceilinqs (T-Bar Rouoh) / <br />Meter Release i/4.1 :/"( <-D alLer <<(I <br />Rough *./ <br />Service Meter /?i.\-, o-7FINAL la q{_i+ <br />Notes, Remarks, Etc <br />OWN'I BUILDER DELCAIATION <br />, lrr.ty.rm unLi FMlly of F.F rhi I d .&nr,r tim rl! Cdrdr- LarE tiw for rlE tur.ri,u Ee. lS.. n).rl ! <br />alriftrl .Jn Pnir.\rnn CsLr Any Ciry or c'flfly *hah Equi6 . Fmr h o.srrEl. rltc. nri,rct- .!.tulnh or nF m, <br />{turm, Fi, b irr !sud., .ls EquiEr llE rrFlad rn rkh Fmi lo 6k r tismd (rlcrn rnd lr o. rh. i! li..n.d plrsd <br />ro rhc Is,vth.. ol rh. Conxrroi. Liersd Uw r(lD/cr 9, ct,nmkinB eirh s(rion 7fiD ol l)iykh I of tlE Burin€( rn.l <br />Pmtc*tuns Cod.)orrhlr h.orrh. scxcryrrh.r.lm ud thc hsis for tbc.llcs.d crcn['rtun Any lk,larion ol S6rbn 70.1I 5 hy My <br />lpnlic.nr for a Fm ul'J.cls rhc lppliofl roicivilp.Mhy.frcr m,rc Uun fiv. hlndrd dollas($500) <br />l, &\ 6*E of 'lr FFdt. my.nptrFr *nh $r8* 8 rh.i $h strIEndin ril & dE q* rn ft nntrE ir d <br />irdrLd d olI.En fn rl. rsd ?041. BuriB. ud Prnririo.r Cod.r Tn Cor..r]rq\ titr t * da br .r0ry ro o orE ol <br />rlE F,r.n, *b brn! or intrE rhds( !d *L, &6 qrh ftrt hiklro. lEturror rl! !h hlr d rs otn.dpbyaa <br />!n,rd.n rhir rkh inF)ffi! & d ird6l doiftcl rd rL. la lbw. rlE l!iBu\8 r lqnEE i!nld*tlitrm)d <br />oaoq,Lrbtr tlr O*d Bliltr wiu hr* ft hri,.i.tFoviog dr lx rlr dil , hlB or i,p.DE dE FqEiy fr r FnF-or <br />l. i\ nwtuy of rhr !h)f.n y. !mcxclusivclycnnru.to8 rirh liccnsd contNrtrsk, Nndtud rlt pn+d 15( 7(I!. Bunncsr <br />{'rl ltr)li.simC{rl.'fh.C,,ntrr.rsLi..n{lr*d,r\horrpp!!r(,r.of,n.rorllft)Jrdyehobuildsornnn,or\rhrrmn. <br />an.l rh. $.rtur\1,tr o(h FnFt(*irhr (irnrtu1o( s r tf,cnsd I'u6ur n' rh. (i'nt&1oi s Lirra lj*r <br />_! m .r.mpl u..Lr Sdi <br />llaf,l&t-glrlrElsArraN <br />l,l]:cLatauoN <br />I hckhy afi.,n utrdcr FnDhy or nrjury onc oflhu lnlkrunrl! dc(k,.rions: <br />I Mk dd r ill minrro t C.n if.{. ol Co.rnr fu Sclf lnilr. fd }ort6{ $n{rnelrn. s. FodH tar by Ser ion l7m of rh. <br />ljhr (in . fG th. FrlinDN nl itE *yl ,ry *hih rrr Fmn t ns*n <br />_l h.E.nd *ill minr.'n rorLs Mrp.oi,rnn iNu[r., .\ rquiEd l', strra. .l7m of E t hor Cod., for llE Ff{,rl.E ol <br />rrE qrt fq *hth rhn F nn 6 ir$.d My wdis on+cnr'|i'o i.snN ffir rd Flky nunt r E <br />/."", *ler^:t {tiT.o,r),, <br />"'"' rlrrlt,6d_c1g8{1t <br />l..diryrhlr in rtE Frrnrmer of rh. f,ort fc rh.h $N p.rmir ir fiEn. I .rrll mr.nrb, &y F'$n i6 rn, lME <br />$ s h tt<.r snrd !' rh. q,ts @rrEn{.rhn L*r oaclliaomia rd lsE rh.r if I rlmH tFom qtF! ro rlE <br />srrl6' ortENrir Frynon o, Sdh. lTur of rlE l,kr Codc I {Ell. rdhrirh $r?ry wnh ftE F$irnh <br />rVARi\iniC FJlur. n, \'ur. roik ^'.on{*nsrrnr .,'!.rgr i( unlJtrlul, rtrd \hnll lubf.r !n.rntl,Fr i(, lrnn'MlJttuhs inJ <br />.'vil tinc\ up r, om hunJG, rhou{nd dollrn (ll(l{.rxrr). <br />'n <br />*ld i,'n kr rh. ({ of cnn{En\!ri,'n. (l(nr8.r.s Inndcd ntr rh. <br />ltu.',, <br />,E,,rrlt I ] (i\lr irr.rc{ r'J J ,tr'r)'.1..\.;(ii " ".-,*, <br />N*1.^o.16 (;r(.oilr"J <br />Ltrl:stlr-l'l]x .}!.nal[!l-!!tuo: <br />I lEr.ty lfmud.r F ly of Firy $.r I m litri.d un&r FDvni'n of Ct t'16 9 (dnmEirS rnh Sdbn ,flD) ol Ditirbn l <br />or E aBnEs rrd Phldrbnr Cod.. .r!d Er lisor s tull foG.ri.ilcl <br />l^*(t,\ _r\rs <br />LrcnrNum,u lool" g l?- <br />lurer*.ti1 -(.1\".-t"' nlr8 <br />c(llslluc (lN l-E{nrM; a(:rtca <br />I rEEht lllrn unLr Folt, .r Fi]ry rh lhdc n r o,nrrEr-n l.rnh! .r.iy ror ltE Frflmc or rrt wl nn rnih fiir FEi ir <br />nrsd(se 1)97.Cr! ( , <br />lrndri\ Addrc$: <br />A@.IIf\NLDECIJSAIII]! <br />I hdttt .trm und.r Fohy or Friry oE oa rh. lolhrinS &.Ldion{: <br />Ixmnib. P.mn.-Artr{ot tidifr sn F&r.l R.3rLtir.r(Ink 40. Prd6) <br />_Rqu inn lrtrd of l*rifdih <br />l..niry rhlr rtF f.&hrl rcAulurtons E3arlinr NrE*x r.mul arc nor 0pllnrbl. tu rhi\ poj.tr <br />l..n',r rhrr l \. '.xn rhNrmlicrri(trrrrxl n.on(r I ix.ehcon,rly $ hrll(iryrndC{'unry <br />K*,-**^o., <br />,ict,crNrntr< ol,hn ( iry <br />n.*tre *mrpinrr, Ml t?*'\;; r'3"