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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Sollit Rouqh
<br />Ceilinos (T-Bar Bouqh)
<br />Ivleter Release I t
<br />t ,
<br />Rouoh I \
<br />Service Meter
<br />FINAL 6t
<br />fe
<br />Notes Remarks Etc.
<br />OWNER AUILDET DELCATATION
<br />I tRty rffrh und.r FBtry of FJUry lh.I I n.&ryr fion tlE C,'rrrln Lire Lrw for dE fo[owior lw. (SE.7o]1.,
<br />BlriB! .tn ftnfBbn Cod.,: An, Cn, 6, Colry ,nth ,.quiB . F to @dM. rt6, itrp.oE. ddmlih d 'r9.i u,
<br />rUk@, Fi,ro iri iffi..lso E$iEr rlE +9li.d l trh Fmn lo n!.. ia!.d nl.ffil tlEl ltor t b lttEn Fru!
<br />lo rhc t'otridnr of ttt Cont&ba. Li..nEd tle (Chrfld q ComftMin! sirh Se'io.7000 of Oivtion 3 ofltf, Busims ud
<br />PmL*iotu Cod.) 6 ihrr lE d rlE i! .rnpr rlEdim.,!d dE b.rL tor rlE nLr.n .x.qrbn. Ary vioLrt'n of Sdrbn 7011,5 b, &,
<br />qdrd for r Fmn $bFlr tlt rp?lianl lo . civil FElly of Dt IE thd fit. lEln d .l l[r (lt&)
<br />-1,
<br />u owrcr of tlE F$Fny. d my cn{,Lyrcs wnh *u8.r s tlrn sk @nlltMra6n, siu &i tlr wqt !n rh d,tElw it d
<br />id.d.d d ofi.nn tor !L (Se.70L. 8u.i6 !d ProL$ir.r Cod.: TIE C.nr.eln's Li.w tlw &.r.or +rly l! & oftr of
<br />tt FDFiy who bil} d tqo6 th.q rd rno d6 rdl {-!t ni@lld llaltd rlloIth hir r h.r om.rpt Fr
<br />proviLd lh.l rEh idprowlrl e d irdd.d rolh,d 6r -l Il hoEG. ttE hrillnE 6 hs*G'r k -!,iiir oE r{
<br />olNnphlbn t r O$r, AUL!r siu lIE tu hrdd! or FbvinS thr lE d nE dn d hild u irpmE dE FltEry ft.lh Frroi of
<br />_l m.r.mpr ui&r Selb.
<br />D.t.r-.
<br />-
<br />O'er-won<rEiid prlsefrri
<br />DECTIIAII(B
<br />I hart, lfrm !!id p.d!y of FiE, or of tli fou,?iA &.lr.ra(Bl
<br />-l
<br />hlE.!d *ill minllin u Ccniarrc otcoe ro S.lf.lBe aor erksr' onp.Mron. .! Fovid.d ror bySelhnl7m oflh.
<br />trbd C!d.. fd llE Ffm ofllr imd for wntfi r Fni ir ilnEn
<br />-l lIw md *ill minLh *orla'onp.Mrirn imru.. s E{uir.d b, Scli,n lr@ of llE Lbor Codc. fr tlE pd(tlrlE of
<br />rlE mrt ld whth fin p.mn is ir$.d. My wdt6 otrp.sarion inrullE tuir &n lb[., numbq e
<br />PolkyNumbtrr r-
<br />-l
<br />c.fiify tl i. rlr Ffort.E of
<br />'lE
<br />rort ro. rnan lni. F.mir i! tsEd. I ihll Dr .rpby et Ftrh ir o, nIM
<br />sarrokor$bidrorllwt6r'@rFErbrLqtofc.litl)lu.tn.arrlriir|inoddldorobFrlo0.,
<br />srt6 onqENli,nprettbdof S6rhn 1700ofrlE Lrtd Cod..I irll tonh*ih 6noly oirh tto. FoviliE.. ,.
<br />W RNINO: FrltuE to M wt n mrp.tr rir omsc ir utrb*tul. !n ddl obFl ( drrloF to qd,ld FoIi!.!d
<br />.ivil f@r up lo oE hlnrcd fioEd
<br />sdin l{r5 0f rlBlitr co& idmd
<br />^,., -ttlzz[zt
<br />'"::5{iI .ddihn lo r,! o. ot.on{ENrion. &,r!6 a Fovitcd lor rlE
<br />I hcRby dflird und.r r.6.hy.r pd,trry rh{ I rm [ftnrd lnrvnio. olCial'rcr 9(conrnrNir8 *ilh S.dion 7001)) ofDivi.n'n:l
<br />I lEEby .trrn ud.r FEly ol FiEt tll.r th6. i! r olrndbn lcdin! .&fty for rlE Ffl).lllc of rlE ,qt b. *hih thi! Fri i
<br />im8rl (Se. l()97, Civ. C.)
<br />AllL!]rdLllcIJBAM
<br />I h6dry ,trm undc, Fn.hy ol pcrjury 6e ollh. l6uowin8 d..L,!rbnr:
<br />D.!!lnnn PcrmnlAsh.ro, Nolifflli,n Fand.l R.$hli,N (Tilk &. hn6)
<br />_R.{ui..d ldrd of t{difdno
<br />-l
<br />c.nify lllrl th. fcd.r.l E8lLtioB ESrdinS $tEitos rcmrd e mt lppli.trL ro tni! !oj..r
<br />I cdrify ln.r I tEE E d rhir rpplidDn .,n .d. rhr rtE .hw inro,dim B ffi. I .!B ro orpl, *irh tll Cir, n'd Cootryt ildi.t connMi,c !d lEcby xrlDri;n-Feril.riE! or rn! Ciry.!d Coury r. ..16 lpon $..rdmrtrs.id Sra!. b*s EUnnS
<br />r${)!c trrnrnml tn'Fny tur
<br />AppllcDt o. A!61 SIAMI!
<br />A,es,A _atG -,,t lzs.lzt
<br />ffiftDjta
<br />f,EIBI'Z
<br />-1.
<br />s o9E o, rL poFrx e dlurirly @'*Eriu onh lilB.n @nrd6 to oncr\Et rlE FoF {sd. 7ixa. BldB
<br />lrl holsnncorh: Tn C.nrdo Li.c.r bs d6 mI.pply
<br />'o
<br />eo*E ofprop.n,slF boild! or inlprct. thd@I!
<br />and *ho oirturs for rEh l,lirL wnh r co.rEro(, li.rMd IIRNI lo $. Co.u.dd . Lj.!.E L!w).
<br />r8
<br />of rh. BuiB !n Pref.sid Cod.. !n 6y litu i,r h tull tor.!d.nel
<br />,**"n,.t c)o ,-,**n*t lfilqgTl
<br />^, '-E(tz lzl
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