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ELECTRICAL-INSPECTOR RECORD I
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards 4
<br />Spas, Pool, Fountarns t_-./
<br />Signs (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER 4lt>1R ii /th<vtk
<br />^
<br />I t Lr)
<br />Transformers la U t
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment ,/.
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinqs (Hard & Sollit Bouqh
<br />Ceilings (T-Bar Rough)
<br />lVleler Release
<br />Rough ffi
<br />Service lvleler qlhlLX -t.t Y2-,/
<br />FINAL IU>IR fr,75)
<br />Notes, Remarks, Etc r u \ t --,-
<br />OWNER BUILDEN DELCANATDN
<br />I hcr.b, nfllrd dnd& pcn,lry.r p.rjury rh0r I am cxcmfl fmm rh. conrmdoN Li.cnsc kq ior rhe folh*nrs rc,q,n (scc 70:11.5
<br />Bosinc$ ard Ptr,acssion Codc): Any Cirt or Counry whkh rcquiEs n ,Ermir ro con\rtocr. llrcr. iopn,vc. dcmlish nr qrn trny
<br />sn.ruc- Irir ro ns isslamc. nh. rc+tlq rhe +plicrnr for sNh p.mil ro filc d riCmd {nrcmnr rhar }f, or shc is li.cnsd lusuinl
<br />to thc prcvnions oI lhc Conlmclor's Lienscd t B lchaplcr 9. ComnrcncinS Bilh Ssl ion ?m0 oa Dilist,n I ol rhc B!\ii.ss dnd
<br />P,ofc$ionrCodc)orrh,rhcorshenrxcmprrherclromandrhcl,&shtorrhcalkscdcicnprion. Anrviohrionorscctn,n?0ll.5byony
<br />#i r(r, pcrmn \ubjc.r rhc apfli.lnl ro.crilp.nalryornor mmlhu nvc hundrcd dourm ($50o).
<br />.qm olrhd pn,tlny, or mycmp[,yes wi,h wigcs rs rh.ir *,lc.omp.nslriotr. wi,l do rhc wolk.nd lhc (nrl@ i\ dn
<br />orolttrcd l'or salc(SE.]O14, Busi"csslnd Pmfc$ionsCodc: rheConlra.nr'rl.iccnscl-s*dftsnor{pl,toano*ftrol
<br />rlEImIEny wlx) buildr or inl,m\B th.rstr. ud qho des seh so* hnnsclfo! hcNllor lh.oueh his or hcr oen.mpk,ycds.
<br />pruvid.d th,r su.h i'qn*:nrnr\ m frr inrdrlM d oficr.n ftr sL lll lhwcv.r. rlf, toihinS or in{,m1qEd is eld *irhin orc F!
<br />ol c.apkiion. th. Osncr Buikcr will hlvc ltr hrdcn of fmving ttnr hc or shc dil ml idld or inlmt rhc PDrEn, nr tlI puqb* of
<br />-1.
<br />!s owncr ol lhc toocny. !mcxclusivclrcoorEl
<br />uil Pn,l8\in,(idc Thccontn(n \ t rci\. L
<br />rnd sho .o m.rs for such pmFts BitY-rck'(9liccn{d punuam r
<br />I he.cby al'rirm u cr rcnahy ol Frjury orc ol rhc lollowin8 dcclmrirnN
<br />-l
<br />halc ad *ill roinra'n 0 CcnifEarc ol Con*nr ro S.ll.lnsurc for wor*cn conwnsrion, as prnvidcd ror by serion l?Ln of lhc
<br />L.horCodc. forrhc!.rforronceof thcuork lor wtichlhe Fernri k nsucd
<br />I hrrc rnJ will nrinrrin workcr{ .oq).nsdr ion in\ufuncc. ar r.quiRd byS..liotr -l7lx) olth. tjbor Ordc,lor rhc pcrlirmancc.f
<br />rhc work for which rhis pciinir is nsucn. My Borkrl .onrpc.s.tiotr nrutumc.oricr ard s,licy numhq @:
<br />no! .nploy atry pcr$n nrn y atrrr
<br />ifl \hould h.corm suhJc.l rolhe
<br />sorl.r\ conrNnsurion povni,,n\ or SNri(,d .17{)0 ol rhc irh.o rdy s ilh thor provisions
<br />.'!11 fitrc( rp ro onc hundrrd r}lru\rnd
<br />:::::-;'lffl;i:"
<br />.om|ftrsrotr .ovctuec is un
<br />dnma8cs r\ pmvi{lrd for rhd
<br />t )t.t( t_At/\ll()N
<br />CONSIBIJCIIOIIIXDINC.&IjENCI
<br />I tcEby rflir undc. tE.olr, o{ rsj!ry rhlr rhcc n a.onsrtocrion tc.dinS lgcmy lor
<br />'b. Frformn.c of ihc *ork lhr whkh lhn Frnil is
<br />ksucd lse. 3097. civ. c.)
<br />dITLICANLDECI.ANAIIA!
<br />I Mynfiim undcr p.nrhy of p.rjurl oncolthc followin8 d(L,rrbns
<br />lxmrhbn Pcn rs Astcdus Norifl.ari.n Fcdcnl Rcgul{r ionr (Tir lc 4}, Pda,
<br />Rdtuibd tdlcr olN.rif( iln
<br />\r.nhvrlrc for rtpli.rhl. t,rhi\ Ixirrr
<br />I0E aro.omply*irhaUCiiyrnd C.u ry
<br />ncs ollhis Cilyand Colnryto cnrd or.tr rh.
<br />KE Vra Dz s
<br />wa
<br />v
<br />v, rs l{' bcnnm {ihj..l1,,llrsorlci\'.onlldi\rrion lr*\
<br />I hcrch, arfirmundcr D.nollroircrtrry rhd I a'n liLrnsd !ndc,0Ntnn,n ofChtrprcr I (onmncing wnh Sdion 7000) ofDivi\ion l
<br />of
<br />'hc
<br />Busirrc$ rnd Pmlcssions Codc. dl my ltcnsc h in full rbra and cll(l.
<br />If, cr( AJd'.s
<br />l@tL
<br />I
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