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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)G1 3t{lalln
<br />Ceilings (Hard & Soffit Rouqh I
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release 1t 6 (,u(r[9
<br />Rough '7 7-[ t1 ur'Gfd
<br />Service Meter
<br />FINAL )i a tl44l ))
<br />Notes, Remarks, Etc
<br />OWIiEf, AUIDEN DEI'AN TI('N
<br />, h6.tt .rm un& Frly of pqru.y lhd I d qo4r toh rls ('drrci6 Uc.* Lrw for lh. aollowioB l.sn (sd 701I t
<br />BBin6r rnd Proldon cod.) Art Cny o, Co!f,ly which r.qui6 ! pahn lo m'rnrucl, .xd. ihFovc. tLnolnh or l+.n ay
<br />!mcrr.. Fbr b il3 nr@cc. Jlo r.qun6 lh. .pplicul lor iuct Fiil lo lil. i liscd ]l.l.l@l rhd lE .t {!. b ic6*d Fr$lrr
<br />ro rlt Fovitird of l,E Co.b&d , l-icGB.d lr* (( 1'qr6 9, ( om*ir8 *nh S6lhn 7000 of Uvition :t of rlE BBilB rd
<br />PlofBbo Co&) d rhd lE d r& i1 R.rI tlE.6on Ed lh. bGir for rlE dkscd ddFb. Ar) \bLli)nofsalnn ?Otl 5 h/ey
<br />@plicer for t Fnn $Uar! rlE .ppltr, ro i oril p.ony of &r mr. rnr nr. ho..t d & 16 (t5m)
<br />l. s owr6 .lrhc FoFry. or ny dplorG wnh *rs6 d thct el. comFNdhn. vill &' th. pqt d th. nnrte ! @r
<br />i,ndi.d oni.n lor $L {sd 7044. BNilB Ed PrcasioN Co& Tt! cormclor'r t.i.dc Llw doa ior q,ply lo i o"M aI
<br />rlE p.tpaty wh. boil& q EE 116 d.@ !d * h. do6 *h *..r hirela or hdxlf or tlElsl' hi! or hq osn .iPlo)6.
<br />FoviLd th! Mh iDFDEiEB Ed no.hlfiotuld ft. rl. lf. ho*6q. lIE b!'l&r or i4.llffi i' -ld *ilu c ],
<br />ororpldiE dr OrE B{ildr *i! n-r lh. hr{cr ofFlst dr. lE d th. (H th{ hild o. ingort 0E FIFD lor dt F,F- of
<br />-1.
<br />s o*n6 ofrh. propdry, m .rclBnrly.odr.crins wilh li.d€d coitra.loE lo cointucl lh. pmjd (s(. 704.4. &a'nd
<br />.d ftlasih (o&: Tn. Conrr..i6a ! Lic@ l.w doB mr .!pl) ro d.*.a oaFotdy who builds or inprovd $na'n.
<br />bd *ho .odrat am uh Frjdi $irn. C.ffi onr) liden pnlri'o rlE (od8k'. Lto* lls)
<br />-l
<br />e.roF urdq Sd.lbn-. B &P( forlhirmn
<br />D.r.: 0116:
<br />WORKFRSIONiPENSATION
<br />IESJAAIIqB
<br />I h6.b, lmm u.&r FEhr of rqurr oE oftlE follo\ ss &drd io6
<br />-l
<br />h^! !d *nl roi.rrin . cdiaric olcoMt b S.lf'lM. fo, wtd onlP.nuim, s Frvidcl lor by SclFn !7Uo of rlE
<br />Llbor Cod.. ror thc Ffomo.. .l fi. hrl f.r "hi.h 'h. laEil i! isu.d.
<br />I h!v.s.d willnai !h *o*<r .onip.N.lrn 'Nuram.. s rcqun.d by 56l ion 11700 or rh. L.tir (\d., fttr th. Ffolruc..a
<br />rlE \ort fo. rhah thE Fni . ed My wsldr .omFMbn 'MrN. Cffi .d F lry nunb6
<br />o
<br />-I
<br />cd,lv lh.r i. rh. Fao,ffi. ol Em* nr *hktfiirFn! n i$u.d.I Jrll Fl 6npb, mt Fsn ineytrr!|E
<br />$ c ro baoB rutid b th. *vt6' Nr4qEnnn l,s! of C.lihmia rtd +c rhr if I n$uE bcoE $b<r ro ilE
<br />\0116 NmFE rion FovitioE of Sario! 1700 of rh bbd Code I rldl n)ihsnh o,q,ly wnh lhor Forai,B .
<br />WARNIN(; r.dlur. ro sr. worl6' compcrstn,n covms. ir unbsn'L od 3hrll nrbj(t an anploF lo sininlll.nahd tud
<br />(iril lind up !o on. hrdr.d lhou$ld dollD (tl0O.0O0), in dhon lo .or ol.ompcBalion. &i!g6 d pmv&n for ln.
<br />rh. tibor co&, nr6.n ed.tsrE' ! fc
<br />C,at
<br />DEC!j8ALIO!
<br />I hdlt y lllrn u(ld Fahy of Flury rh, I m li.d!.d uda Ftrvition of Chapls 9 i co@ins *nh sa-lion 70n0) of Diri.io. l
<br />ot th. Buind ud PmfshN Co&. ed my lt.u ! i, tull forc. arl.fid
<br />G
<br />K
<br />?t{t/ g
<br />s/il-t z C-ii"at,-r:{a1
<br />colgal,lcllo!.J.EllllcIcE[q
<br />I horby .ltd un&r Frny ol Fluy tU rta. ir . odMh birs rdy t . llE Ff('rj4. or lh. mrt 6r trtrh fi. Foi !
<br />su.d (S* l0g7.Cir. C )
<br />Lsxld'r A&ta
<br />-
<br /> PPLIC I{T NfCT 'EAION
<br />I hoiny.trrn un n Frtry oftEj!ry oEoallE aolh*in8 &.Lr bnt
<br />D.mohio, P6mit!-Acbdloi Notifiotio. F.darl Reuhli.B (1nL 40, P.n6)
<br />-R.qun.d
<br />ldl6orNorift ibn
<br />_l cor,8 'h, rlE f.d6!l rcluldbc E8-iin8 rdr.l r. ml +pli..hL ro rh! F.l.d
<br />\!cd'brhd I h,..6d 'h6 .rprr.r
<br />urdlM.6 d sr.r. tlc Elrin* h) t{i atn\.nn,nurirnrc.rd IdlrErocomrlrsilhall(' rand(.unrrelrdahlir6 oflhis ( ity Md (iruntyto ord op.n th.
<br />.ho( mrFn d F.Fny lor 1/
<br />C H
<br />,\ppliorr o. ltdr tkrrurc r
<br />""*U* --*,Onr,, /<-.I-)AJ,5 ;/zLt
<br />tE lil
<br />J^
<br />Communications Cable
<br />Air Conditioners
<br />o\
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