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ELECTRICAL-INSPECTOR RECORD
<br />ID/SIG.APPROVALS DATE
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Sarety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soltit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service lvleter
<br />FINAL t llr.lll I4 'X)wt
<br />Noles, Remarks, Etc
<br />OIVNER BUILDER DE!-('ARATION
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<br />nruclur,Irorn' \ rsuarf,c, rlro rcqurcs llE lnnli.anr lnr \urhFmrir b lilc. srgnql \rarcmnr rhar h.or {h. k liccnscJ tursrnr
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<br />novid.d ih, n&_h mnn)Rmftdnn nrc'ricd.r 11.rc.1lnt $L ll.ll!Pc!.r.rh hu lm8 r l,r{r)v.'n s\o[, $ihm.n. ltr
<br />ol con{hrir. rh. Owncr liuilL, *ill hik rlt hurdc ol|m)vntrlu(hc rlhcJrirt lrtrU or imJ'mvc the 0n'Fny ntr rh Nr lx,a l
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<br />t !mcxcmfl trnii.r Sr.ton_. B &PC lnrrhrsd()n
<br />D{l.r- Own.
<br />tloLl(ljlls' coMIFNsaTxrN
<br />DEIIASAIIA!
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<br />-l
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<br />rh. w.rk ntrwhEhrhk p.mir ir issu.d. Myeo.k s'con{Enelon in\urcn..rd*rn Bncy numh.rrcl
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<br />v, r\ b 6L(.nf, ruhj..t t, rh. *o cn.ompcn\irr liws ot Cdlrnmri. rfrl l3N itrr I rhuLl hc.oN {'hid n,rh.
<br />workch conrJ{n\1lkr pn,vi\nns ot S..ton l7(t)ol rh.lrhtr (ir,c.l stull. tunhwih $mdy wdh ih.s IrovN('n\.
<br />WARNINC: F lut n' {(urc workcn u'nlensii 's trnlrslul. rtul shrll {'hic.r an fl(,y.r () (trrtrrl Ii' hf,\ rri
<br />t, onc hrr rcd rh.n\.al i llr r (xx))
<br />'n rJJi('n t, rhc .d(bn. drnEEcs ds nn id.d ntr rh.
<br />to!trionolCh!flcr,l.ommR'n8 wih Sccr()n TiIDol D'v'\i, :r
<br />Pn'i.sonsCi)d., nl nry l(cnsc s in tulln)(c aJrl c'I.(t
<br />o-4{t3
<br />I hcftl,y afl trn ututcr IEn.[y ol p.rjury I
<br />ssucJ (Se.. 1097, Cir c )
<br />rurr n hndDS rScE_y nr lhc pcrlotmfrc ol rhc wo'k nr llrh lhN F-rm[ N
<br />ATTIII;ANLDEI'dEAIIAN
<br />I hmby anim u .r n nllry ol pcrju.y otu orih. tulowrn8 d..l{.1ionr
<br />DeB)lirion P.rh r^rh.(or Noliiic.rion Fe&El R.sxlrrirnr (T .40, P!n6)
<br />_R.qxft d lrlrfi of tloliltrbn
<br />I.cnriythlr rh. r.d.rrl topulrr(,ns Rtdrliry .\hc{.( Rnn}v.lrr. hor dm|cahlc n) rhF l,n,rcrr
<br />_l lomnly s I rllCiv ttrrl(inn r
<br />Stirc Lrws rl tr! r, hd'ld'ng (
<br />)v. rnhtrml!)n'\.onc(r. l.3re n)
<br />h.rchyrurhorr. rlt.scnt{ivc\ ol t
<br />I
<br />COMMENTS
<br />I
<br />IVleter Release
<br />, frl
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