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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meler Release
<br />Rough qklr t Edt la'
<br />Service Meter
<br />FINAL lrp\'rc I)l(\.Atr -1tA
<br />Notes, Remarks, Etc.N
<br />OWNER IUTLDf, R DELC RATION
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<br />Bunn6i . Pnrcrnn CGl.) A,y (iry or Counry *h.h t q!c\ , Fmr k, odtur. .lrd. rq,ow, &ml!h or E?.. uy
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<br />h rrF Frqri'nr or rlr Co.Feld r L.cn<rl Lrw (ChtFs 9. (omrNur e h S.crhn 7fixr or D,vsrm I or rlE Butr( .,rl '
<br />Pn'L$bnr ( dlc) q rh.r rE o. \h. ! .r.n9r rtd.ir'6 dl i,l h(tr rin E dkScJ .rcn{iNn. Any r.Lxon oI Sdr Di 701 I 5 h, ry
<br />{rlkd ntr r F@r rubFr llE +!l(sl ro . civil FElly.r mr mE rhr rirc hudr.l .tlnl{.l!5mr
<br />l. !i owx,oll,r FrFny. or my.hplor.\ *irh w.Bcs $ rhcr ark Lo,qitrdbn. *dl & rh. lut.,rl llr.tre ! d
<br />lrctrtn oron.EJ fi, {l (Sa.?lxrl. Bu\Fs rx! Prul.lrx,ft cGhr Th. (onrNlttr 1Lr.ns. tiw JiEt n( {,ttly k, D s*Er ol
<br />rlr nn,trny *h' hods or itr{FF! rrrN'( rd *ho rlB tun srt hmkll.. rrclf o. rireu3h hr (, h.r own.ry ry.(r,
<br />pr*d.dihrr rhh mln,wdr e nx !'l.rLl cotuql lq !L llnrta.llrt '!!l!d,qftkrdnrilrrhn'EF,or.rrt'klr4 rlE o*E Bud*r wrll lut r,E luLno(Fxves rhrl lror tt ,rn turhitlo.ntFrE tlE F{dy tt rlE ItFr ol
<br />-1,
<br />a{oemrorrh. lr)Jrdy, m.r(lueElv (orrfrrtrr w'lh lEn<.1Nd.-nn io $dtu.r rrr tfrrFr lS< 7l}l,l. Bu\r.
<br />.Bl E!'l6<m Colc: Th.Conr,lcitr's t,r.nt Law rn*\ *n {ply b a owRr.t pNFrly vht huiliror imttuEr rh.rd,tr
<br />DJ wh' rldd.li, uh F i&rs *rh. Contrdo(n lEnrd pu unr t, rtc co4rrarkn'{ Li.o€llw).
<br />7 I
<br />Dl;1L!&!!.11\
<br />I h.rchy.llrmun'lcrI'.nrhtolpdjtrton.olth.tt,lh)en8J.cl4iotr !
<br />I h.rc.rn silld,rm. (tnitrr. orconklr b S.UlnruE rd s,t .'c.mFnsDn,.. F'vrL'l ftt I'y Seno. t7m.lrh.
<br />I2trtr (i ., rrtr th. Frforltler ol rlE *n t fd *tih rlE Fmr ! r.\o.n
<br />-th:v..ol*,Utu!uu.n'$nytn\joni.!!ntur,,sE(uua,I'ySc.uonll?(Xlolrh.trhtr(d1..L.lh.Frtimtolill ktrk fd whrhrhr Fd s nql MyvMt6'coqEnsDn mlum..lm, nl lrrlxyntrmh..rc
<br />Pol'.y Nu,rlEr
<br />-
<br />(Ml lln.s ulr t, oB hunlrcLl rhuqftl,hlhr! I roo.rxr,r.
<br />'n
<br />r&l nn nr llr (,q ol (o rrm. 'l!r3.\ r\ pnrri.d n, th.
<br />9
<br />I
<br />I htNhy.lltm unic, frnrhyol JErflry r l.nr lrLrn$t undo pn'vsk)n I ( hr r, 9 rcrnrnrh( 13 wlh SerDn Tlnl) ol l)fl1rtn I
<br />{:(ESIIUSIIAIJNDIIG-AGIB!:I
<br />I hcRby {,lnn u Lr pculy o{ F+ry rhd rlEc it r q,nrkli'. hdi.8 r! y ntr l& Ffllre! of rlt k ror vrtuh th. Fnr ii
<br />ns.J tsc. Jur?, crv. c.).
<br />L.trk.s Nrm:
<br />AfIUSANI.PECIAEAIIA!
<br />I Hry (fim udcr Fn.! y or p.rjxry om ol th. tDll'wh8 d..l,,.rin.:
<br />Dcm,li$n P.rm lAsl'c(o! Noxli.lin F.dc.rl R.3uLi&n! Oirk 40. Pd6r
<br />R.qu!.d L. .r ol Mrifr.lM
<br />-l (nrlrrhar ih. r.d*d rsxlrk,ns E8drt rlh.rkx re,vd r ton.npl..hL rr rhlt pn'Jt.r
<br />trl,, rhF.prlE.lnn.,n n.tc th.l rh..h,r 'nrolmr!,n n.oRr L!6 nt.uhtly enh.ll Cny sDl Gtu, y
<br />.urkrr. rFr{nr:httr or rhn C(yrnl G)u yn,.niquFrrtr
<br />s/rs/to
<br />ELECTBICAL.INSPECTOB RECORD
<br />Air Conditioners
<br />_l(d yrhrr r rtu !.rlor ror. .t rtr work 16r *h.h rhu lE.nii r (ieJ. | \h,llft .rqrlot ftt tEF n m.ny DnE
<br />q' .1 h, E...-.ir rutFr n, rlr *,rlss. cotr{xnrlrnn trwi of Cil om{, .tu! {!rcc lhrr rl I sh,ull t\(nft ruhFrr ro I lI
<br />*0lt.6 lr,qnrr nn ln,$$ns oi Sdrnn 1700 of thc l:htr c(iL, I rhrll, ,',.i hsr h ! mply wih rk,t tltrvlqo.!.
<br />WARNlfl(; F luE n' cm urk.rr !.mFndnn $q!. ! unl,*tul, lrl sh.llslhj(r .n nlp],'ytr nr (:rlrml ttMk.i !d
<br />ol rtt A!\rr! rn Phf6rKmr C.d.. .il my lt.nr r o tuU t E! .nl clt..r.
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