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ELECTRICAL.INSPEGTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />a as, Pool, Fountains
<br />ns (monument)
<br />Life Safety /Low Vo
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rou gh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />D
<br />Rou h
<br />Service Meter
<br />Notes, Remarks, Etc.
<br />OMr-auildd D.clr.rie
<br />I ha*y rrm u& FdV olraiwy dIr ! n a6B lm 6. Cdxncd Ucanr. trr fd rt. folloin8 .a6 (8.70, I t 86',6
<br />ud Prcfadd C@)
<br />^ny
<br />Cir, q CMry vhid rlquiE . pdnn to @[Fu.r, dr&. inF!v., dadnh d rcp.ir uy lru.run_ Fia ro irria6.., .l$ tlqliE rh. pli6r fr rw,l Fnir ro fl. . ,8nd nrrcEr 0rr h. r rh. i. licaB.d Fllts. io dE Foyid@ of dE
<br />Col'Erd! Li@Gd tr, (Ch.p.a 9. Cmdna 'irt s.dio 70oo ot D'rio I or dE Buino &d P6fdri@ Cod.) a d.r t o
<br />rh. ir sdF 6*nh ud th. bsir ta fi! dl!8qd qdlPtim An, nol.ri6 ors.cid 7Ol I 5 b, ay rp?liot fd. pdnn ruu@r dt.
<br />rydisr 10 . civil F.lty or r.. ,re 6e fir hu&rd .blla (t500)
<br />_1. s oiE of rh. F.taty, d my 6lplorE rid r|8d ! $.n rot .@p6t 16, rill &, tnc wst xd d!. trkr4 n .or inbd.d
<br />6 ofi6.n fd ilc { Se 70ra. BsitE Gd Pmfdi@ C!d. Tn. Cdr.46'r Li.ae trq d€ Ic .r'pl, ro & oftE o{ th. propdr,
<br />wno buildr d i6F!E thad! Dd lho dd tBn rat iiN.lf d h6df 6 tnetn hi. a hr oh andoy€, Fondd Ur nEtin rcrffiE e tur irEd.d rofa!.|ad r.lc lf,lro.c, $c hiildiit dihFDvffi.l rold wi0lin 6. y{ of .dda,6, hc
<br />OMa-Buil.t r *ill h.w dE turlo! of FDvinB d!.r b. d th. no( b{ild - itrlslv. f6 rhc purs. of!.lc)
<br />_1. ! olEof tL Foidrr, m dclEivcty dr-tir8 wilhlica&d6n-ld lo.!ffud ln. p!j.o ( Se Ixr. B{ir lidPofdio Codc rhc CdE&tdt Lic.rr 1., &€ ror +'ply b M .*M of ,.oFiy ,ho buildt d imFlc $oa , Dd *tE
<br />dr..l' f6 .ud FojGca ,id! . Cdrud(') licard Fr@. .o 0F CoEsat rjc6e Lrv )
<br />I n qdD( u(b Serio
<br />(Tntr rguon nc.d nor b. cdn lacditth.pdrtr i! fd On. hui&.d doll6 ill00) or ld),/
<br />-/cdrry th{ h fi. pEfroc. ol$. ssk Id rhEh lhn FEmn n isu.d. I !h.ll.ot optoy sy p.ion in uy mxn., ro G 1oer.m Nbjar ro tlx *dt6 cmFu6 hE ot C.irf6i.' sd .86 rh.r if t thdld bd.r sbjd ro rh. rqi6
<br />conpas.tfi proviiimi of Sdrio 3700 of$c Lrlor Codc, I rhsll, fodwnh @ply wnh rhd. p.@niotu
<br />WARNING Frilurcro tqrcwald'cmraf,id covqls. ii ut.wfst. ud rh.tt rubjer e mdoyq ro ciniid pa.tri6 Dd cililli.6 up to * nu.dld drded irolli (t 100.000).i. .ddnio !o $. cdr of .dFsrid. d. S6 ! !rcrir!.d fd llE Sdid ,076 of
<br />th. Lrbs Cod.. inrddr sd rr!om.r! fcB.
<br />LICENSED COI!1B CTONS NECLANATION
<br />I h6!t,.mdu ia Fdry of Filry rrld I m licd'..d 6rta Prlvirid of Ctrprd 9 (c6n6chs wid Sdia ?o@) of Divirio ! ot
<br />thc Buina sd Prcf@ifl Cod., Md nr lictrc ir ir fuu flE rd.ffe!
<br />h <-.-_*,/"/r\
<br />co salucTrol r rNDnvG aGEl{aY
<br />I hftby .mm un.Lr Fnry of pcjury dr ihd i. . c..lnructio lodiiS .B6cy fd $. Ffc]Dc. of rh. di fd ?hi.h fin pcmn t
<br />isu.d (Se 309?, Civ C)
<br />A'Pi ICA]YT'S NECLARATION
<br />Daelid6 PomB-Alb6rd Ndifiarjd F.d6..l R.tuLd@ fridr aO. Prt 6)
<br />_ R.quiEd L.t r ot Norilic.rio
<br />_l cclrrrnd lh. f.ds.l rcaJl.x@t cs.rd'ns sb-tq r6ot.l u. nor .9pl'o!1. b fitr proj4r
<br />_r/f @nt tur I h.v. Ed fi[ +plid6 ud tur. !h{ rh. rlow inlomrio ir @ct I rs@ lo Effpty wi$ .[ Cir] Md C@ntyfti665d Sln. Ld drrIr ro b{il.,ina GdD@@, $d tlglty uldiE nr.aa|llin of rhi! Ciry &d Coury ro 6la uF.! thc
<br />lbov. mnrior.d Fopdq 16 intpdi purpdg
<br />woRxrRs coMrr.\salror{ Dtcl-^ratron
<br />I hd.by .flim ud.. F,rlty of Fj'ry @c of dE foll(fi!8 &.lr.ti.nrl
<br />_l h.v. ul will minr.in. Cqti6d. of C(Ir6t ro S.rf.lEw ld wqta cdnF[d6, ! Fovid.d fd by Scri6 ]rOO of dE
<br />L.!o Cod., t6 th. FfdrltlE orth. rqt ld rl ch 6.pdrin i iNd
<br />_l hrv. ud,iU m.iir.i. *dt6' ffiFlrjo imoe. . GqoiEd by S61i6lrOO of rh. I-3bd Codc, fd rh. paffts@ of rh!wd fq *tid $n Fnit i! i!.u.d !r, rdrd cdrpa.lio atltlJllu 6i6 bd policy N,'ha.E
<br />Li..M CIB _ rj* N-bq
<br />-.---
<br />Building
<br />I
<br />F]:E' U I /UIJ
<br />FINAL SAMC La? 2gr <.,
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