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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 />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />\Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouoh
<br />Service Meler .a)FINAL 7tt/rZ/.t 7{*L(s
<br />Notes, Remarks, Etc
<br />OWNER BUt[,DER DELCARATTON
<br />I h@b,.lrm undd Frty or Fjury lhi I d qop tom in Codncl6t Lic@ h* for rlE follolils ra$n(sd7011t
<br />Brind rd Protsirn Co&), Any Cat or (oudy wtkh r.qut6 ! Fni lo oieru( .Is. i'lFovc &rolith or rgrn'x,
<br />*uteFbrronr illiee.lo 'tqutB lt lp?ltd for*hFEnto6L.lisf,.dnitul lhi lE or JE i lkd!.d FE,r
<br />to tlE FDvirioB or tlt Co.lrldi t.rc.nt d L.w ((trrrd 9. Co@ i.8 eirh SElnn 7000 ot Divirion t of th. Bdi6 ed
<br />Pnfdi,E Co&) tr rhd lE d i. i .t@F $dd.n !i rlE t !i' fff llE .lt scd ddiplion Ary rioLlirn ofsdbn 7011, bv xv
<br />rpplt ,r for . Fni eti6r! rlE .rplk.nl ro..iril FEhy of ml mrc tha li!. hixH &llt! (ltoo)
<br />-1.
<br />s orE of rlE FF!t, - D! mdor€ *nh *tr6 s lh.ir rh cooFErioi, *iU do tlE rqt rd llE sEtE it rd
<br />ind!.d dotraldl rL (Sc 7oa.l, BdiB -d fr.f66d Co& Th.Codndd t ti.E u$ &6 @t +pN to EosG of
<br />rlE t.o'ary who hildd.rFoE E4rnf,h.&Eiriwtlrelf lEslfor r]rcush nit d h6.m.!pl'v6
<br />F.!rd thn *h itrgorffi - d ndi.d ( otu ftr r.l.. la, ho*w. dE hiildrB igeqEr s sld f,.hn c ,r
<br />otMdd&rlE olG &rilb wi[ l$r l,t hrdar olF ntlhrlEdJE<tndhdddinpr ! d. FEFtt h, rF,FEof
<br />-1.
<br />s@Gof th. FtrFll. d.r.Mn.lycodtd!{ $nh licqs.d corrtlm to ordtucl llE F!ix! (sG 7o'lt lt!tr6
<br />&n firEin Co&: Th. conldor'r l.ice h* r&E @l .|,Ply ro e o*ra oI FoFly *ho b{ild. ot mpror6lhqFn.
<br />&d *tb 6dMr fd tuch FDFdr * h . coffion3) li.au.d FleEi lo Oc Codrd{ t Lt!* h*)
<br />I m.rmd un& sdion .B & P.C. for lhu@n
<br />lla&i!&lIauSElIArla!
<br />DIiCL6lArI!2!
<br />I hd.5r .flrm unJq lsally oI pdJu.y orc oa lh. tolh*ins ddhrdriotr:
<br />I h!v. !d *iU nlinr.h . CcnifEat ot ( oltr4r lo Sd.Burc for mit.rt @hp.@lion, s rtolid.d aor bv Sdxon 17m o I lh.
<br />Lahor Cod., for lh. Ffomdc. otlh. *ort for f,tich th. Fchn i isucd.
<br />I hlvr ed will n.inuin wort.rt cohp.Mlbn iBurftc, s r.qun n by Sdion l7O0 of ih. r,hor Cod. lor ln. pdfodMc. ol
<br />fi. *Drt for which th! pdni i! isucd. My wdka (npdl,rio. iEul'R 6i, e'd polty.umts el
<br />c6liry rhll i. rlE pdfol1mof tlE sorl fo, trhrh rhs Fnn G ir$.( I dsll mr oPlol u, Pq$n in mv MF
<br />ro bdotr .utid lo rlE wlt6 onrp.D.ion L$ of C.liaolu !d +tE thr ia l Jrlld b<oft .ubd lo ll*
<br />*0*6' on .cdio. F$r.io6 ofsdrR. !7m ofrh. l,t t Cade I sttlt. adh,nn onply {nh rb* tmirhB
<br />WARNING fdtuG ro gE. sct6 con\idii,n 6t4.8. it un!&tul ad .btll sbid r dphF lo cinrl Fd6 rn
<br />cnil frE up ro dc hu H rhoed &116 (tlo(r,l)oo
<br />S<rion 10?6 ofrh< llrv code idq.n !d &dY.t t 16
<br />ioG & sd 6 Foi'l.d toi rlE
<br />l!!(l-\Rrl lo\
<br />I hs.by lfam udq F!n, of Fjury rhr I m liE!.d uldd Ffi*,n of Ch.Fd 9 (@ffiing wnh Scliod 7000, or Di rbn I
<br />ot ltt BrnB lxl Proldiod Cod.. -d By li.og i h tull fod ald.ftd
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<br />,,",. 1J,.2o -tts Lr,b.^.#-oil;;+
<br />iONIAICIIONTEIDBIi.ACENII
<br />I hq.by.mm u.dcr lEnshy oftsjury rh rhd. ie.otrrd.tk'n lcdins t86.y tor lhc psfomu.. oarh(wo.k (n *hichrhi.tEfln i!
<br />isu.d (sc l097.cie c )
<br /> DPI IC{NT NTCI ANArION
<br />I h4t, .fEh on& FEhy of Dd)ut, ok or rlE followin8 &tlrnioN
<br />DcmhDn Fdni"arbdrot NorifE.lhn [-cd..l R.8ul,!ioN (1nL r0, Pm6,
<br />-Rcqurld
<br />L.rrd oat{diftrir
<br />I cdif, thr tlE r.ds.l r.sulri'B r.8tdins -ld6 rmrd r. mt 4Plictbk lo lfin Fi.<
<br />csrrry thd I h.vc 6d rfi. .pplr.lF. ,i 3tx. rh. !h. .hr\.I {ra ro oiply $ ni .ll ( ny &d ( ounr)
<br />&d Shr.lrls EhllB ro bo'ld'r8 of lni Cny.n court r. d s uFrn0.
<br />!bo\. aErioRd Fopql, lo, 'dpcr
<br />appli..rr or Apdl shn.l
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<br />L.'rl6-t Add<:
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