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ELECTRICAL-INSPECTOR RECORD
<br />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 />Bu ilding
<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),4.
<br />Walls (Rouqh)2-{o-20
<br />Ceilings (Hard & Soffit Rough ,,-h -7.6
<br />Ceilings (T-Bar Rouqh)lv(/
<br />Meter Release
<br />Rough u-la-74t
<br />FINAL 7-73"7 u-vlM
<br />Notes, Remarks, Etc
<br />OWITER BUILDER DELCATA'f loN
<br />I h6cty.mrm undd r.olhy of pdjury rhd I h.i@O tom rh. (trnlr.cloB Licdc ltw tor lnc fotlow'.g rtun {Sa7oll,
<br />Bs'nB3 rnd Prdf*hi C.d.): Ant ( nt or Cou. y $hkh r.quic r Fnn lo conetud. tllo, impro\.. dcnolith or rF.n sy
<br />ntudr., rfi ro iri ism., lko ,.qun6 rh. q't'lt6l to,.uch Frnn ro 6k. .isEd nnmr rhr lE or Jr. B ltd..d Frnud
<br />ro rh. FornFc of tlt Contuiorr t.i.6.d lrq ((lldp(. 9. ( onmtri"s *nh Sdi!. rom of Dilnior I orlht BuilB qrl
<br />Phadionr cod.) or rh lE or sh. s .rdpi rhsctom lrd rhc tElL tu lh. dlc*.J ndFhn Ant violriotr olsdio. 701 I 5 t y oy
<br />rpplic.trr for r Fnnir luhjdl] rh. lprliofl ro r civil ldrhy o I nd mor. the lir. huid.d dollm { 1500)
<br />l.s016ofrlEFrFn!.nn!.rlPlorBrnh$.s6slEnnl.ongoljnn,$irdoth*sttn0.rurc.rnl
<br />indrj.d d ora.d for sk (Sc 7or4. Ildi6 ,d tt lBii.N ( od. TrE Codr.doar Ltoc l,s <bc tr +pt 'o - o$E or
<br />rh.FotEiy sho huil& or inpro6 tlEFtr dd who dG sh wlt niriclf or n*lf or drouSh hir or h( oh dllolta
<br />Drovidal rh.r 3uch inFrvs,El! 6 mr i ad.d or oIE d ftir $t. ll tb\sE llE hlildilg or irl!.ltEEn n bB *ithin m ,*
<br />ofcoipkia 0E OuE &iB6 *in h.E dr h(br .f Foti,A thl lE d rh. did d hild or iqmw lh. FlFry tur rlE p,ro. ol
<br />l. d o*nn ofrh. Fopqty. @ .rclunvcly c6nt..1inB wnh Lc6kd codEdoN lo cotrs1rud
<br />'lE
<br />pnj{tr (s( 7044, BBind
<br />!i Bnftsi[Cod. Th. Co.lrrlo.! Lic.e t,w &6 rol q't,ly lo a on nd .f nr.pdy $h. huilds o. nnprov6lh6@n,
<br />ad trrn odrar! f( mh FDJdrr whh. conrdols) li.ssj p6u.n lo lh. (o d.rrLi.El^)
<br />I rn.r.hpr undd S<rion
<br />Drr. Orn.r
<br />$tlR(iRs ('o!tPE\saIloN
<br />Dr(l.6xafloi!
<br />I lr.t ) a,linn unds rd'ah) o f pdjut on. of rh. tuk'$ f,8 ddl.rtrn N
<br />I h.v. drd will ruinrnn ! Cdtificrt. of CoI!6l lo sclflNur. for eort6 cnmFns.lio., a riovid.d fo, by Sdtion 1700 o f lh.
<br />L4d ('od., lor rh. Frffi. of rlr { o* fn * h(h rh. Fn u 6r.d
<br />. Eu* -a - *..^*" -0116' c.mp.Mrio Eurrfte B Equir.d by sdrbn r7m orrh. Irb.r co&, tor th. FIotu. oIvrh. $or I f.r whrch thllrmil b is.d M) uorL6' omp6$!'on '6uft. (Mid ad Flk, numbd E.,"* eb6W."*,-,.*aC63;7g151 ,*-f :\^?9N'
<br />I c.nify rlEl in rh. Ffotrr1s.of th. wort for whi.h tha Fnn n so.d, I rhrll nol d.ploy 6y Fs, in !.y nmd
<br />s 6 ro b.$E sqd ro rlE r. d 6np.r6rion Lr! ofcJitoni dd aElhi if l srFull bcom $t in bdE
<br />uodd o.iFqhn F.vtiE of S66n l?00.r tlE tlhn C.&, l .ldl forh$nh @ftply snh ftor Fovi.oB
<br />WARNINC lailuc lo cuc ro*ql corpdenoi c.vd*. n unhsall, Md lhall subjdl tn dployd ro oinind Frhit Md
<br />cn find up ro oE hundrcd rhouend rhud (tlm.q[). i. iddnion io th. cor of conp.N.lion, d!Es6 6 Fo1A.d for tb.
<br />S6ri,n 1076 or rh. llbor Code mG.r ald dorE)'s f€
<br />s-JAa-0 6IJ(}:lsur(l)tt&!(rxulll.l&rlllN
<br />I bdttD .llm ui& Fdy ol pciu.y rfi. I B liE!.d u& Fo!r.! of (t!.9rd 9 (offiing qnn Sdion 7000) ol Dirai{ 3
<br />ol lh. BuilB ii tmfdioE Co&. !d my lio* ir in tull to.c id.[..r
<br />-B:.2320&*^*,
<br />e7i tLL
<br />.J 6CE
<br />tolllillcuo!..lllrllc-A{iElq
<br />I hdtr lrm utr& F.[y of pdiur] rhr $d. ir . otEtu<riln bdns rSd) foi tlE Ft({rlldE of tlE *..r ht *iih rh! FEt i!
<br />i$Bl tsa 1097, civ c )
<br />ATTU(AtrLIESABAIIII!
<br />I h.dt rflim und6 p.ndlt, of Fjury on.oflh. follof,i.B ddle.tion!:
<br />tkmliion Pom'l3'Aib6ror Nodli.lri,n F.dd.l Rceuh kJN (Tnl. ,r0. Pd6l
<br />R.quu.d L.us ot tJori6.nih
<br />-
<br />I cdil rhar rh. rRi6d r.!uL' n.N ,c3rdins dtBl
<br />J.d,n rhd I h.'. dd rhs qDr.dhn id sd.rhd r
<br />o! movil &. nor rppliubL lo tht [r.j.(.
<br />lE.tor. irf.miir. i..m.cr I rsE ro onply e ih.ll Ciy dd Coudy
<br />urdi.am6.nd sd.lr*: r.lnriE to ttrl GFsndir6 o f rhir (-n, !d ( oury lo dns l4{. llt
<br />ah.r. rdnnn.{ tmFrr lor i6sp..in)
<br />,\ppri..nl or ,\rdl Shulur.
<br />06 E,t 4J9
<br />\-73-A20
<br />MIHTiN
<br />a
<br />APPROVALS
<br />Under Slab / Floor
<br />t .vrrrl
<br />Service Meler
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