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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor lL
<br />Bonding / Grounding / UFER .A DAI*81
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners I
<br />Roof Top Equipment 1t hr\l*,(/
<br />Factory Wired Unit IJ
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter I I
<br />FINAL hwl*'t 'q
<br />Notes, Remarks, Etc t
<br />OWNER BUTLDER DET,CARATION
<br />I hcrcby llttrr u.dcr p.nohy of Frjury rhar I m .r.tryr fron r& Conr&krs Li..ns tlw lor rtE hlloeing ni$n ( Se rO! 1.5
<br />Buiinc$ .,n Prfdrion C.d.) Any Cir, o. C@.ry *hih EquiB r t.d ro onrM. .lts, iny"n*, d"-li.h ", q.n ;y
<br />nMm. Ftu to ih isll.F, rh EquiB tlE.grlrDl aor {ci For ro fiL. trS&d {r.cd rhd lE or CE a litnkd FMr
<br />tr rl! I'lvt.nr ot r,t Coninc. ! Litn*rl tis lctrp'd 9. ConmEb3 wilt Sdr,n 7(m or Div'rbn I or rtE B!rit'3 ..tl
<br />Pn issirns Cod.) or rhd lE m sh. is .xctr{,r rhdfiom and rlE boris for rhe rlkscd cr.qrbn. Any vir![li,n of Sslbn 70.] L5 by .ny
<br />rmlkrnt for ! Fnnir subjdh rlE lppltlnr ro. civil Folryoltur ruE run fiv. huDdEd dolhs (SJm).
<br />-1.BowEorrlEFoFnr,dnycnprr)6.*idugct!.rlEnskonlotlbr*i[&rrwIrndEtt,rtui!didaricd u oif€r.n for sk (Sd 70,1,r. EtnB ud Profcsiod C.'.L: TtE Codtu r tire tr* d..r ml.pply to u ovE of
<br />rh. DmrErly wlh tline .r inDsq llEar lri stn d&! trh klt hid*lf ot hc*!r o, rhrclgh hk ot h.r orn.npbr.i
<br />tmviLd rhlr ruh in{,.Ecnlr c mt iddrLd d of.itd fttr eL lf.lneq. tlE t ildinj or itrg*cn' ! 5ld eilhin oft Fr
<br />oru,ehb'r rlt O*E Bliud wiu h.E dr hrrt olFDvi! thr hd slE dn d boi!.r iqEE dt F,!dr, ftr d. F4or ol
<br />-1,
<br />$ owftr or rh. Ir p.nr. .n crclusiwly .onlrEtins *irh lic.trrd .o'nrerDn io ondocr rtE Pmj.Et ( Sd 704.i. Burmar
<br />!d Enfi:si{ Codc: Th. Corb.rir's Lt.!e k* dod rcr rpply
<br />'o
<br />s o*nn of p,oFny rho buihs or ihpmEr rhdcon,
<br />r.d wh. 6ddr Id trh FDF3 wnh. C.drdonr) lkn€d Isun to 0E Conrdq r Ll.c l,*)
<br />I rncr. Dr uelcl Scli)n . B & I'C tnrhn l.rw,n
<br />Drlr Orn.r wonxrts' cortpruarroi
<br />OECIABAITOI
<br />I h.r.hy lffirn unJ.r l'cmlry ol p<4rry oE oI rh. fdh"iry d..hrursn\
<br />-l
<br />h!v. !d * ill minllh a Ccn iff,lr. of Conrc.r ro Sclf.lnuE for *o*6s o,trlxnsrion. * Fovi|d r(, by sdhn .l7m of dE
<br />Lhu C.d., lc rrE Frm rl rtr wt ld whth tlE Fnt i. isqEd
<br />I h.r. arx! $rllDinirin eorl nqrBnri,i in.@B., ( EquiEn hy S.dbn ll0o r
<br />Mv*ort6 olEndbn Ellm caar &d@
<br />fnnP fd /-'4
<br />24 rb ->-o *,*.
<br />rlrlt L.b6 co<lc. d lrt Fl(,ffr or
<br />t+zte 8/4,-t3lz
<br />-l
<br />..rlify lhlr in ltc lqn'rmre of lh. wo for whi.h $n pcrmir i3 i*r.d,I rhlll nol .nproy rny F6on in rny numr
<br />n .r ro hdoB {br.d ro dE hn6 @a{f,,u.lEtr L*i ol Cdiromir. .tn l8c lh.l if I .lEuld lE oG !!bFl ro ilE
<br />h,ts sntrNrhn FDvni,nr oa !r.1io. 17@ of dr tlt.. Cn,., I drlL frlhrih m,pl, *nh drt FDviri, s
<br />WARNIN(i lrini,on, rru'd work.ri.o rtk \rrnrn..vcrntc r\ utrhwli'|, tr(l\hall\uh]((r xtr cn,pl,,,u n)
<br />.ivil lincs uF b om hundrcd r
<br />Sdrkr !0 74' .r !h. l rm CoL
<br />,.", 7/t/a
<br />hrusnd dollsr ($100.m0). in !.ro( ot.on{.nr,ion, .hm8c
<br />inrcEs !d .ll.my\ r€.
<br />I lEEby.lftn !ni.r FE y orFin,Ihrr I d lb.o..d ullda !.Dviri,! o, Cn rE 9 (ollmEirS wnh Salh 7@O) of Ditkion 3
<br />ol E B$nE$ .rn ProfaioB Co&, r,n ny li.E i! in tull ,oN ed .trer
<br />t\/rq L /oo7sg t
<br />z nAzj
<br />gllllluguoN.LElDlNc.traEtrcl
<br />I hrrb! afa! r otrdr Fnrh y ol trryry rhl rhtr s . consr ul rr tndin8 {B.r-. y lor rhc pc.knq c olrh. *,*k tor shihrhhFrnit (
<br />isu.d {se. 1097. cit. c.).
<br />Lr.d.r'i N.m:
<br />-
<br />AEJCrItrLDECIISAIIOU
<br />I hd$, ttrm udLr Fndy or lEjury oE of tlE folb*i4 &cLrtri,..:
<br />Dcmlirion P.irrilr'Ast sro! Norif$rion Fidcr.l R.lrrhrlroi (Tirk tlo. Pd6)
<br />- --R.q!i!d lJlrn oa tldifstir
<br />1 I cdrly rhd ttr lcdcnl ESUhr.N E rd'ni st iot Emrl e Dr rpf lilbt ro lhr Fr
<br />Laniryltrr I tlv. ud urb rprli../s id r.dddErb.winro Eniscdr*r.I{r !o onltly qith rll CIy .nd Colnry
<br />r U& Cny .!d Co'd, ro ..16 |4onmlirN3 urd sio,c tiw! Eht,B ro onrNdarc rd h.Eby lullnot EFrsnulirc! o
<br />1
<br />dr*r lmrbEd rnrdy atr
<br />a-L_,hra
<br />-z/ r /z
<br />III
<br />I
<br />Pole Bases
<br />Transformers
<br />4{l',,l
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