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ELECTRICAL.INSPECTOR RECORD
<br />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 />Communications Cable
<br />Building
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)<hi I r.,6td /o,
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service [\ileter
<br />5/so/zq -<flrq)
<br />Notes, Remarks, Etc.
<br />OWIIEI AUILDER DEI{ARATK'
<br />I hd.b, .,Im udd parry .f FjEy lhi I m cr.qi ftDn rlE Conrcr6 Li.6E La hr E lolbsnB lan lsc.?oJ,.5
<br />BEirq .,rl Prca@ion Cod.): Any Cily or Counly which 'lquid ! tEir to Ntrrruct tllE ihFovc. &dotlh or np.a ey
<br />srMruq Fi, to iG k'l[mq rLo rcquir6 th. .lplicd lor $ch rBn ro nlc . ltnal xona rhd rE or {E i lrc.lcl pG6i
<br />lo tlE leGio6 of tlE Co.l,&ld r Li,B.d t w (Cli.Fa 9, Comtrhs $'nt Selion 7000 of Di!!io. I of $. Blilg &d
<br />FmfdioB Co&) tr du h. or tlE ir ddrpr th.(n!E rd tlE t6ir tor llE tE8.d adqion. Art vbhi,. olsal.a 7O:! I t by Dy
<br />rpglicer lor r Fnn $bixr! rh. .r?li{ b . cilil po.hy ol mr mr. ED fivG tu(t d &illB (ltm)
<br />l, 6 oms oflh. prlDsry, or my dplo,6 with w.s6 s rhcir $1. !!mF dion. wil! & rlE *ort . lh. nntl@ ir ml
<br />i.ldxLd or ofT6.d for !.1. (S< 7()4,1, BuilB sd PrDfdioN Co<t : TIE Co,nmld , Uco& Lw <h6 et pPly to o offi of
<br />th.pNpq! $h. tuil& d irsD\q tlEqa td slD dGrrll won hiMllor lE*lfor lhNoB!ni hc.$r anphy6.
<br />Fovd.d rh.r *h tu4..t€rEt ft d i.d!d.d .find 6r eL l( lnw. tlE t! dfu d iryurqd i! $E *i'nh m )-
<br />otcqqk@ rh. O*c Bdrr6 $ill Li lll h,l!r olFD\t d. h. d tE dn d hrld m iFD( dE F!Ft, tu dE F!Fo!. ol
<br />-1,
<br />d .wnd of E Fspdr, M .rclusivcly cont..1he vilh licas.d co'rrel.6 ro .onito.l itE F.j.cl (Sc. ?044, BBilB
<br />!n Eobih ( od. Th. Contkro. i Li.d. llv do6 mt .ppl, ro a own6 o r Fopqly $ ho blildl or ifrp@v6 rnaon.
<br />ed *lD @ nd! fd *h FliErr $th . Cod.dorls) ladE d p{rur to $. (n'ln.lr'r Lkde trul.
<br />_I m.roF ud.r Sdirn .B.&P.C fo.rh!,a$.
<br />D.t. orr.r
<br />* onxens' t olrpuls,rtttol
<br />olo.d&lllo!
<br />I hd.h\ am,'n unds p.nnh).rFJUD oeof rh. n,lk'$n8 &._La i,ns
<br />-l
<br />h!r. rd silt Mi .nl . C6lifrd. of Cotgt to S[ItsG fd wl.t @m!.nuon. a FD\id.d to b, sdion 17(n otllE
<br />L.bor Co&, for rh. Ffotrtec of tlE eil for which rtE Fmn a ino.d
<br />(216,r..d erll Mr.ir h*(r coryeion i,Mee a '!qui!d by SdrFn 1700 olrn bbor C.&. for th. Ffoirlr.e of
<br />rl'. s.l ld rtth lhir Fri ir i$.d My ula' oEFlrbn irfu .irE .d poliy .Mbq R:
<br />",",-, SLr k €-.^l
<br />4oo> .n z "t
<br />-1.dl'tyrhn
<br />ii llr Ffolri'E of lh. wort tc shkh tni! Fnn n is!.d l3h.ll rer qnplo, m, F$. h uy mdF
<br />$ 6 to t om $birr ro rlE m 6 6EF!.6 L*: ofcdrh,u Dn tecrhr ill ltnuld h6otu st*tr lorlE
<br />sutd'(f,pd.lionFovitioBorsdrbnlT0ooldthbd(o&.Itldlfdhwnh$md,wnhlhotprDIBFN
<br />WARNTNO: tailurc lo <u. s,ork6' .omFqrhn cov6S. n onlc$tuI. Md !h!ll subixl d drlorB ro Giminll p6Ehb ed
<br />cnil [n6 up ro on. huld.d rhoustd dollrt (t100.000). i. aldnbn to th. con ol comFBaion. rtausd 6 F.til.d for th.
<br />Ca,.. inra6 ad !ndr.! i f6
<br />'z trrd-
<br />urrLtu2ratrul.laaD!(Izl&IlI
<br />I hslby ifinn undd !6ulry 6f pajury rh, I m licqE d un(b Fsr nirf, of chl9l6 I (ernn@i.8 wth sdb. ?0001 ot Divilion l
<br />of th. SsiB dd PnfdioB Cod.. rn my lr6x u i. tull loG nl .ltd.
<br />=>t).t V 360t
<br />t4 yiz4
<br />CONSTTUCTION I F\DING A(:EN(1'
<br />I M, .lrtrm o,r& Fshy ol Fjury lhr lha. u r oldrudDn ridi,g .8try for fi. Ffolrffi. otllE srt 6t $nkh rhi' Fni a
<br />is.d (s*..1097. civ ( )
<br />ATIIICA TDEqJIAIIO!
<br />I h.rbyttrrrundspa.Iy olFjuryom ofth. followir8 d..l& iou:
<br />Darclition PaTilAlbdror Norilicdion Fcd6.l Rquldbu (Tilk,l0. P.n6)
<br />-R.quir.d
<br />Lda ol lldi6..ir,
<br />4 "-iry tU ,," &dol .grr.,b6 Es.diry rtdor lEDvn E tur lpli..blc ro rlti! Fltxr.
<br />!4.dit th, I lEvc @d rhijl.ppliclrion ad't G thirh. lbos inbriDrrion n.orr*r.I.rIEto cohpl,siri.ll ciryrnd Cou y
<br />o.din.lB &d Slrlc Lts E{riB ro bdldi!8 otlr!.iiotr tn ba*ry .l,horiz rq&riv6 of tha Ch, Ed Coury lo 6l- l+on dE
<br />rt r. tErih.d FDFty fN E+anEn FIFB ,
<br />Aprlcrror&nrskrtur. :a117
<br />Pd,rt.tr.d.(prrno. .AllS: lae'
<br />sf'ft1
<br />I
<br />APPROVALS
<br />Under Slab / Floor
<br />FINAL
<br />-',*,
<br />' l. l-o
<br />f-------T------
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