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ELECTRIGAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />s, Pool, FountainsS
<br />Signs (monument)
<br />Llfe Safety /Low Volta
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundi / UFER
<br />Transformers
<br />Torqui
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rou h)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 843,m,66r
<br />Notes, Remarks, Etc.
<br />O*nd.Buil.ld D..la.t6
<br />I h6!tt rtrm unda F!.lry of Fjlry tlE I D d.rlF fm rlE C6Er.to.t' Li..e L.* lor rh. followanr Bd (ta.70lt t Bsir6
<br />6d Prof6i6 Cod.) Ai, City r Cet, whi.h EquiE . Fhir ro c6nMq rltq, imFlvq danolilll d qd &y rtrucrlc !.rq ro ir
<br />i$uMc., .l& rqlic $. l,glior f6 rlct Fhir !o fil. . riF.d rt rsMr rlu h. q rh. it liqrd puu&l ro lbc Fovni@ of 0E
<br />C6n .1d'r Li6r.d t& (ch$a 9, cmffiinr ,rt Sac.i@ 7000 of Divirio I of rhc Buina &d Proldidr Co<L) a d.l tc s
<br />rh. t amF thftalm Dd lh. blir fa th. dl.a.d adFi6 Ary violr'lje of S&rjd 703 L by &y l,pliut fd . p6n tubj6rr rh.
<br />lrplior to . ciail Fdry of ,.. .le 6D fiE hotulr.d &llE (tJ00).
<br />_1, a oBa of thc Flpaty, d n, ddord Bnh w.86 ! lhci. $1. @mpaEtid, *ill d,o tn. wdl ed fi. thdw ir nor inEd.d
<br />d otrsld fa r.l. ( Sa 7o,ra.8qind rd Prclaid Cod. Tnc C6rcd'r Li.@. llq.bq ior.rtly ro& orE o{rt'. F.t6t,
<br />who b!il& r imFoE lhm, ud ,ho t!.s ruh *ort hid.lf d hddf d dBXh hir d hd M anployc.l Fevid.d lh.r Mtihpcovaa'. E nd inrad.d tr olfqld lo ,.1c. lf. hd*a, fi. b{ildint d imFD'lMt i. lold ,ithh * y* of .6ptajd\ r[.
<br />O*c-Buildq vill h.v. {t. b6dq! of Fonni lh.r h. d th. no( build r imp@v. ra rhc Fl4e of r.lc)
<br />_1, a owi6 of $. FrFry, h aclqiEl, olr..dns wft li.oBd 6r-ldr io cdlrud fi. pljer ( Se ?Oar, Bui.{ udPtufdi6 Co&: Th. C{tuort Lie* Lr doa io( .pply lo x orE o( F.pqty *to buildr a inFo€ rhad . ed who
<br />ME&1! fq 'ucl prDj*l! xirh . CdEd(t, li6!.d Fln@r ro it'. cdE&ra.t Li.aE Lt, )
<br />_l dcrdptunddSeid
<br />WORKEAS COMPENSATION DECT-ARAfION
<br />I hd.b, rflm und.r F dty of Fjury @. of dic follwing d.cl&Iio
<br />_l h.v! rd rill minl.in.Caifior. of Cdet t Sdf-luw for wdtd' qmp.u.tid. s Fovid.d (d by S6ri6 !7oO oftn.
<br />Lrt . Codc. tr th. FfdnDC. of dE rql fa Iticl! 6. Fnir n iaucd
<br />_l hrv. xd *ill ml.llr wat6 cmFE.iio iuux.., ! cquiEd by SGc @,700of tnc L:'bd C&, fd!n. Ffclfue of ln.
<br />wdr f6 ehid 0'n Fmit n iau.d My wd*o' .6Fu.li6 iuum@ si6 &d ,olicy numbd e
<br />Polic, Nunb.r _Er9rc
<br />(Tntr .Fioi n.!d id b. crnpla.d ,r d. Fmr . fa Orc hund &llj tt lool d ld,
<br />J*"rry tr," . ,r,. pof* of thc rai fa rhich dri, lETir ! ie.d. t !h.lr nd 6Dloy uy psro in s, turF s r @
<br />+,m Ebld 16 ln. wrd ' mF!!o l.E of C.l'fhi\ (d.ar..lh.r if I rtdld b@M! lobjd lo $. *6Ia,
<br />qd,'Cq!.do Fovirid of S.ci6 r7O0 ofrh. L,bo. Codc I tlt.ll. fonlwnh c@dy wfih thd. Fovi.iot
<br />WARNING F.ilu. 1o i6urc wortd c6pa!1l6 @v.r.8. ir 6h*tu1. ud thdl &bjccl D dployq lo qinii.l Fuld6 6d civil
<br />fin6 up lo dc hun&ld dFsed &lle (t 100,000),ir .ddido [o fi. d of c6F.{n@. drn{a B Fovid.d fd 0E S..1i6 JO76 of
<br />$. Lr'tor Cod., int rql ud rnom.y'r 16.
<br />LrcEtisED conTtlctoRs prcr-Atr^TroN
<br />I h@by .1fifr und.r Fndry of Fju.y .h.r I n lica!.d md.r Fovirid of Ch|pis 9 (@.ih8 wirl Se$on ?OOO) ot Dvnion J of
<br />$c Butn@ &d Profdiora Cod.. ud rry lic.e k in tull foE Dd.tf*t
<br />D,r\j f- S4/
<br />COIISIRT'CTION LENDTTG AGTNCY
<br />I h@b, .ffih u& Fn.lry of Frury ll.r $* n r @tnucrj6 l6dhS .8Gt fd lh. Ffo1l1.@ of 0E wr fa ]iich $ir Fmn iti4.d (S.. !097. Civ C )
<br />attl.lcaltl,s nrcLtx TroN
<br />Dtulirifi Pmin-Albdrd Ndifidid F.da.l r.€!l.tid (Tid. .0. P[l 6)_ Ecq!i..d lrnc oaNc.ifi..lio
<br />-4.,ln. f.da.l rc8llrid Eslrlrry sb4td llmt.l sc nol.prliobl. [o rhi. pbjer
<br />I hrv. Erl rhi! +plic.rid Dd i.rc $a tn. .bov. inl@.ri6 it .6el I rsr to .mpty wi$ .[ Cir, D<t C6ry
<br />t r. Lrwt r.lrrin8 ro bcildina .tuEu.ti6, -d h@by &ordir rcF.arlic ot Oii Ciry sd Cdr
<br />&ov. ncitidcd Fo9.dy fr irF.ri6 purpd€
<br />o", , ,1-=3/adC\
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