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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/SF4 I cotumexrs
<br />Site-Work I
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<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)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL ,,tz,a\ t9 b, - 5,1 )".14 ,4,/A4 /iq)
<br />Notes, Remarks, Etc.I
<br />OWNER BUtI-DER DEI,CA,IAIION
<br />I h6d! rrm u&r po.hy of FJUa, rh, I mnat', nonth.Gdr-l6 U<oe lr* f.r rlE 6lhu'n3.6n (sd7011t
<br />A6'Br &d Eordb. cod.) Ary ( y or Cou'r! $hah r.qunB . pona !o .ordtud. .1r., itFott dmlEh o, nttn a!
<br />o.lr., Fior ro irr isusc., olso r.{ut6 lh. oppli.d loi luch Fnil to fik r risncd strlmdl thd lE or lrr b licd.d ptmul
<br />ro rh. FoliioE.t rh. Co r-rtr! l-io!.d trN (Cl!.Ii6 q. (tnffiirs snh Sdlitn 7000 of Dnllion I of lh. Bci6 ed
<br />t,otcsnnt Cod.) n rhn lt or rh. L a. d rlE.nom ad ilE t-it lor lh. tlLs.d 6dFit. nt Yioldbn ofscrbn'70r1 , b, in,
<br />at'plio fo.rFmi bjdlrlh. lppliclnl ro , civ il pd![y o f nol oor. rhM nr. h!n&.d tlollds (1500)
<br />l- d osG of rh. FsFry, d mr.npbrE qnh *.sB B ItEn sk conFdb.. triI tlo llE rf,t .n dr ir.urE it mr
<br />iddd.d d off6.d for rb tsa.704a, B{ri6 di Prof*ioB ( .d. Tlr C.drdoir l-ic* ts &,6 mr +Ply to d .$n of
<br />th.Flpqty vhd buil& or inqov6 tlEEr ud *no d6 $ch trtn hiro.lf or helaor thmusfi [i or hr o*n 6n loy6.
<br />ForiLd rhrr $(h inqn€icd! ft d iddrLd q otu am it. l( trn6s, rlE txitddE d ltprEaEi i' -ld wihi. oE tE
<br />ofonpld@ rh. O$E Build. *itl hr\! rlE hdcr ofFbrt! ihi lE or dE dd rn U,id d !+o\. E FDFi, f( dE Fracof
<br />l.soqcortt Fordrt. m aciEn.ly .onrd ins unh Icd.d cotuda ro.odtu.l tlE Fli.tl(St 7oor, &!IE
<br />!d Prot in Cod. Tt. Conr&lor'r l-ic.* t * d@ mt ip?ly ro x owr6 of rftpdr, sho hdild! or inpror6 lhGon.
<br />od *ho cornr.$ for rucfi projdr3 wnh a Comtulo(t) lic.tucd p!EU,,n lo lh. Conlr.doir Ucd. tiw)
<br />I m .rdF 0nd.r Sdion
<br />D.l. orn.r
<br />noruiers ttrrPrretltor
<br />Itliclrladl(tr
<br />I h.chy amrm uidd lhahl ol pdjury.n. oflhc idlN\ inr d(l,rrh.tr\
<br />I h.!. rd vill tuunrin. cdiar.. of CoMr to S.lf-lMc 6r n!rl4 omrEMon. s ErviLd for bt Sarh.17@ otrh.
<br />Lhor Codc, for th. F{mm. ot6. "orl for sni.fi rh. Fhil i! islcd.
<br />I h.rc.nd $ill Midri. wort6 omFd.Iior iGl]fu., 6 r.qsn.d b, Sarir !?00 olllE tit r Co&. tu rlr Fldffi of
<br />rh. *.rI Irf, shrh rhh Frd i Eld Mr ssid oEFsrb. '6iJft. ffi tn Polk, Mba E(si, MtcQwo{ r usr^. -t-!.,,(.
<br />*,*,.n,.0. bN!Y!!!-B ^o-]n ,'"^ -i \ \4
<br />I .crify rh, in rh. Ffolfuc. ofrh. *o.L for $hi<h tht FDil n is$.d. I !n.[ mr antloy dv F$n h &y meG
<br />$ 6 ro b.<o@ tutict b th. *ut6'ooF6rih L* or ('.rifonn, dld '8c rht if I nruB b<nc olid ro llr
<br />Mrtd' comF.stion pmvilioE ors61ion 1700 ol lhc lrt{ Cotk I Jull. fonhsnh comrly wnh rlhe provtioB
<br />$ARNINC FailK lo t@ $0116'mnFshn orals. i9 u.hfuL,i rh.ll3ubF u dnhrc ro ainin l Frlil rd
<br />civrl fitrd up ro otu hundr.d lhoMd dollc l l l oO.000), iI 6dd tun lo fi. .or .a co.IFEor ion, de!86 a provid.d for thc
<br />S.clior 1076ofrh.litrrCoL, i 6d inddbE* rfd
<br />o,\
<br />I hq*y.,Im !,rld po,i, of Fju.r lhr I d lia.d uda Fovilb. of Ct Fa 9 (otllll*i.s $nh SdioD 7000) of Dnib.1
<br />of lh. BuD6 od PDa..tioN co&. rd ny licd. t in tult tuN ad.Irelq
<br />(,
<br />lbo4.4\r1
<br />rt)l!12 -"-*,(<l etr'ot
<br />CONSTRT]CTION Lf, IIDINC A(:FNCY
<br />I h@b, .rm undd Friy or Fjury tlln lh6. a i Ntrntudbn lddh* rstry [,r rhc Faffi. of lh. soit i\r qtih lhi p-ni it
<br />a$rd ts6 .1097. cn . c.)
<br />lddc'. Nm.
<br />AIPU(ANLDICIJEAITO!
<br />I hdrSr' .fim udd Fr.hy ot Fjury o& of rh. f.lh{ inB d*LrabN
<br />tlfiolir'on Pmir!-A!b6ro! Norific.rion !-.dcrl R.guldio ( rhG 40, P.n6)
<br />R.quiEd tlr6 of Nolift .ion
<br />I c6l rfy rhal rh. f.dfil rqdhrioN r.sddins 6b6los rmovll ar. nor lppli..hle ro thn PrcJ.d
<br />.R';xlm ,Ed rhi! rrpltdirn .!d c.r. rhi E rth\. infotuio. i! cm..l I rsrc ro 6mdy *nh tll Cny !d Cou.r!
<br />qs EUtiirr ro ttrilddsr.dtudiod nn .urho,n. GF*nt n 6 .f rtu (-ny ud Counly ro 6na uro. rh.
<br />ah,v. ,@ri{,n.n por.ny aor iNr(tion
<br />tppli.rnr or Aidr Sltmlrr.
<br />/r-f\r:
<br />la )t. t o,.
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