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ELECTRICAL.INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab i Floor
<br />Bondino / Groundinq / UFER 1-Ltt-Lt Exrrr? {L
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh 5 a,*rt 1-?8-tt .lrrz-*t *2
<br />Service Meter
<br />FINAL 7-La4)PcrftQlr-
<br />Notes, Remarks, Etc.
<br />-+
<br />OT{NEI BUILDET DEL(IIXATION
<br />I h€Ety ufinn uidd F lry orFrrl.y rhrr I m.r.r$ nln dE ConthcloF LtcnE lje turh.folh*h8 Een (Sa.7o-rl.t
<br />BBinc$ un Prcfssion Cd.): Any Ciry o. Coud, ehth Eqrim r p.rmn to 6Nrud, dls, impro*. dcmlbh or t ti,/d,
<br />rlnrrE- Fir ro ik nti).d, ns EqriB rlE +plimr lor Mh Fmi lo 6t r lisr.d rrd.nnl rhd lE or tE i lieieri F,'sl
<br />b rlE Foyiri'N of dE Co.rrrrci Li.n.d (,w lclqrd 9, coltmBin8 silh Sdbr 7(m ol Ditii,n I of dE aunE$ r,n
<br />Pbtcarionr Csrc) d rh.r lr o. .lE i! crcn{, rrEEftom .d rlE ltrn for rlE .lhs.n .!.np.bn. A.y viohbn ol Sdbn 701 I t b, my
<br />lpplic.d for . IErmil 3uhFrr ltr ri'plkrnr ro r ciril ,cElty or mr mE fi.n fiv. huniEd dollu. (1500)
<br />-1.
<br />s ouE of tlE FoFny, d ny.rploF.! wnh *ig.r B rrEn sl. 6,p.N.lhr IiI &, llE rdt !d rE rrEr@ t mr
<br />iddi,.<l d oiLr.rl fd sh (Sd.7o4,1. Buirg &d Piofdn)6 Cod.: Tlr Codr-rd ! tir^- l,w dod El +ply lo x orE.l
<br />rlE F,rEry wb r! d! r intftG rtE@.d who dc,rh Et hirelf o, Er-lf or d@$ hit d,r. oq.mrb){.i
<br />,roviLd rhlr rkh irqmmd! e Dr i,iqi.d d ofrEd for '1. lt, rbw.0E tlildine d inFDEnEir n oB *rti.G F,
<br />of ol,plcriol!. tlr Ow6 Buiud *in hE lrl trtrbn ofFovin8 thd lE tr E da ml hild or irqftE dE FoFry 6r tll F,F,:of
<br />l. {r n}Er ol E FsI6r, m .rfuiElr s'turlins ,nh lt.tt <t rodd6 ro 6llff rrE FsFd (S.. r04.( Bci,E
<br />tln E!fr$ir Codc: TIE Conituroa ! Lien! L.r d..r mr .r'rly lo e o*ffi of FDpaly rlE b{,Bs or irpreEr rlrrn.
<br />rnd *ho onrds fm ru.n Fljdrs *irh r C.rrrEro(o lt nicd llllrid ro rrE CodMm r LiEE t q)
<br />I a crcifr undcrSccri(rr
<br />-l
<br />h.r dd eill minbi.. CdifE.k orcon* ro Sclf.lnle fG 6tc onp.ntdi'n. e FviH for b, SE bn l?m orllE
<br />L,tq Cod.. t6 rlE Frfffi or ft hrt ft, *ti'h rrr Fnn ir itsu.d.
<br />AI hrE rfll will D'rrli worrcu onFturpn oruEc. u ,quiFd by Sdlhn 3?m olrli L,bo. cod., fo.ltE FtuE ot
<br />rh? wort for*hkhrhn n rm r! nn&d My*ork6 comFMrFn,n{rffi..uid rn polky nun$.t m.
<br />"*, 'alct<-EgoA
<br />,"rrn,.*-,' 4l5'? b51 e*a, - ? \l , t-\
<br />-l
<br />enif, lhrr in ltE Frformm of lh. work for whkh lhir rcrnir ir isred. I rhrll ml.mpbt rny FMn in rny mn*t
<br />$ a ro t 6m $bFt ro ttE ht6 orqENaon LB of C.lilona .,i .!c dEr if I nDuB b..oe $bl.<1 ro llE
<br />Mrtd orpcNri,n pNviri,N of Salbn lru ot 0E ljh, C.dq I lrdL frnhrilh onpl, wah lhoi provnbB
<br />WARNINC: Flilur to surc mrkn snrp.ndbn ov.E!. " unhwful. rd sh.ll shjd u .hplars ro ai@.1 Fflxir Id
<br />civil 6n$ up lo onc hundtd rhousnd
<br />S{rbn .10?(i of rlE Llbor c.d.. inlf.t|
<br />p"t, .1111 . OL at
<br />d.Uus {5100.000). in .dnilion lo lhc co
<br />u?""E"1"''-^,,u-,,{ \-1 $^..^..,^.LtcErtsrh ('ltlTn cn)R
<br />DECIJBAIION
<br />I h.nh,.Itrm undo p. lly or Frjury lhll I .n liened und.r FvLion oaChlprq 9 (€o@Nin8 wilh Sdtbn 70(I)) of Divnion:l
<br />of tlE ButiEar .td Pbfcgi'6 Co<t. .n my li.B ir h tull for .rn .fia|.
<br />,3
<br />-
<br />Lj.tc Nunb.rl
<br />?\ "*,,,"."
<br />( t..,'e cl
<br />cois-aluc-TroN I F\lnlN(: l(:FN(:\'
<br />I h.rd'y rilsund.r FElryolFJurytnd rlE n ! @n.n&liD Lrdi.S rsoty for E FfilleRr of lE sql lor *'hth rhi! Fnt i.
<br />nsed (ss l()97, civ c )
<br />AIILICAILDECLASAIITd
<br />I hdrt, rmm undcr t'<MIty ol Frjury om ol rlr followang d.rLrutio.s
<br />D.Dlirbn P.rmns Arb.ikx tiori0c{bn tunl R.guLrbni ('rilkrO. Pur6)
<br />Rcquild Lrlq of NdirErn.
<br />-l.cniar
<br />rhar hc ted..d E3rrlttioN E8ldiog EbBtd dmvrl E mr !pplt.!b lo lhi.,mFt
<br />\tA-\.q!,ty rtu I hE rd oE rpddM !n d. lhd t',. .r.G iltotui, it cdd. I .ar t orpll lll .I Ct, .!rl Co!d,
<br />U drn6E.,n Sdc trB Erir ro h dlsorerxria.n H, uldi.! EF.rdiE oldin Cny.d Cdr,to ars l{6i [E
<br />o"", '1 ^ L- l-lffi,:::il:-iq[L^ _<.
<br />P.mr..*(pdir,: I- \ r:\s. F1 (\Oodaf.?
<br />Air Conditioners
<br />DrI. ()*r.
<br />wonx.ns' t oririrs,rrtot t
<br />TIIJ.AAAIIO!
<br />I lf,rcby rrlntr,!nd& |J{ulry ot pcrjurr rrc.l rhe nrk,qDt tlcclururn,nrl
<br />'cn-
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