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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE COMMENTSIDiSIG. <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Lile Salety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFEB t ld ltd-i itn\A{4../.1 >\,/ <br />Transformers u <br />Torqueino <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduil) <br />Walls (Rouqh) <br />Ceilings (Hard & Soflil Rouqh <br />Ceilings (T-Bar Rouoh)I {n/ <br />Meter Release I t,to\'1tu ,,. <br />0\ <br />Rough I lo t4 l,?7) <br />t",,eService [t/eter rl fo lq\;ni\) <br />FINAL .t)".)rr -./-l -FLzlNotes, Remarks, Etc <br />OWNER BUII-DST DELCARATION <br />I rEEhy r,frm !ftLr FMI, r,r Frjury rh.r I m.r.q, non rhc Con6r6 l-i..c trs lor ilr LlLrin3 rc.sn (Samll I <br />lusim$ un Prolcarion Cqlc, Any Cny or C{tniy $hih ,qda r Fmn io drdM, .l'd. iryrore d.mlirh or EFir 4y <br />ntoclurc- n!i, ro ih is!ah"c. !l$ ,.qrics rh. lpplicrm nn {u.h Fmr h nh r sigmd stlt.'Ent lnol t. or rhc k li..n*d puuur <br />t, rlE F,virirB ofrlE Conkrjms Lknrn bw rch.|{d 9. ComGrina wirh Sdri,n 7flD of Di{nion I or rlE Sorircrr.nd <br />Pmf.snrr Coa., n lhd h.ir itt i.rcq lh.rfrohrd rlx hitn fot rrE dk!.d.r.qrir tuy vioblhnofScr[n 70.]l thyrny <br />, omlkanl tu r p.rmi iuhjell rlE +!li.inr ro r .iv il p.Mlry n t nor n,. rtun fiv. hundEd dollu\ ( t5t ) <br />;l-1 .' ,**.r,* 6'pn), or mv.nFL,F.r r ih r.86.. rlEn r,! $qEni.rin. *ill rh rrE srt.d rtI iulE i< B, <br />inr6ri.d or ofr.rcd fttr sL ( Ss 7lHt- aulirc$ !"d Ptrrfdriotrr Codr ]1E G)d.k1 . r fitn€ bw dE< mr q,!ly !o m own. or <br />rh. n$IEny wlx' hoild\o. in{'mEr ttEu'n, 'ri wh' tliB srh knt hinsclfot h.r{lt.r rhn,u3h hk or h.' o*n.nlnhytct. <br />nroviH rhrt .kh rlmwB E d ircnd<l ryolH fix gt l( h)tdt rhc t{iltiqa n rttoEr.r i( $H wlhi.Ift F, <br />of (vri,liia itF O*F BuitLr *ill hk rlE h!d.n ol tmwtr rL lE tr {r dij r, t iU or iryrE rh FIdy fo llr FrP. of <br />I. ri o*r. of !h. F,Fny. rncr.tu(nrly odrdiry rnh h..(d c.,nrd,m I' (,nrd rh lnrF iS( ?0r{. Bu\imrt <br />.flj AlrsrinC,i. I h. Coni.*ror's I -k.nsc Ij* &f,s mr lntly ii, rn o*ftr or pnrFny rh. buildr or 'nlProwr rh.Nn. <br />rtul *h &nrto.rs i{tr su(h fmFk wirh r C.nreto(s I li.cns.rl luFuonr to rh. (i,nthctr'1 Lk.n€ tiw ). <br />'1'"'" /z- t't- t tx. <br />Dl:(l/r&u&l <br />I furrhyxrl],tr,trtr,1.r|rr lry,nt).'l rt,trrolrhrr,'li,u r!,hlinr(r <br />-lh.E.de'illmi.hrC.nira-{cotconEnrbscltlnuEr(*dl6orlEuion..rlrelitnt*bystrrhnlTlrrolllrLlbor Crnt. fo. irE Frf.lrlu. ol rlr e t for *iah lh. Fn'r ir t.!.ri <br />-l h$r !d *ill minlin *0.16 s.tEndiln inrure.. .r rdlui,trl hy Sdirn lT(l) or rlE tjhor (od.. Lr rtr lEfdllln! ol <br />r& * nr shtt lnis Frnn i! i.s.d M, r'dtd. onFne'irn 'nsr.N uE rrl rDlty nunlE e <br />Polry Numh.r <br />-!-rllrcr: <br />- <br />,alcd'ryrh.r hrrEFrformftco(llt*o r * hih rhi. rErnir r tahd. I $!ll ml .mPhy iny ncR,n in rny f,0ffi <br />s' &\ ro lE or {hFr t, rlr *dt6 dlqEndi'. h*r ofCrlifomi...dl rar liJ if l3bold hom.!bid hrll. <br />*ori6 $mpenrlt i,m pmvirhn{ of S(rirtr ,1u) of r h. htx, Cdc.I {ull. ftrrh*irh mnq,l, siih thr.,mviiirr <br />WARNINC: F.jlur. ro suE wLn'crrE6ri)n mmr. n unh*rll !n rh.ll subF.l u .nphF lo ominrl Frra .id <br />cflil limr up ro oR hu.drcd lhou{d d.ll6 (l1(I)-000). itr rddni.n t' rrr .o{ .f .of,{En{l hn. d.tn3cs.r Fovd.d ntr $. <br />\..fo rrr7aofrh.lrhtr (-Lil,.. drr.( rnl xrkn'k.v \ lcr\ <br /><--? 'Y,,,"' /z - /, - /, <br />DEIIAEAIIII! <br />I lEEhy rlirn odc. F@hy 6f Firy rhd I m lirn d u,rhr Flvinn o( Chll{d 9 (onftfti., wnh Sdb. ,(u)) of DNrion l <br />or rh. Bu.iE$ .nd PDfc$bnr Cod.. !i oy lt.i* ir in rul, n,G an .fi(1. <br />CONSIRIJCTTON LrI!NIN(: A(:rNCY <br />I h.mby lmrntrkld Fnlllyol Frjurylhd tlErc n r on{rturi,n Lndi.! r8.ry t r rh. pdfrnEre olllE *o nn *hth rhir F.mir n <br />nsEd (ss .v87. cir c I <br />AfIUSAITDEqLASAII]A <br />I hEd'y tIrntr unld F.dr, of F+ry oft or rlr rolkrri.g &rLr.r i.,nl <br />D.mn i,n P.rnirr ArtErtur llotifE.l-,n }dall R.BUh ionr l'l irL :t). P$6) <br />R.q!iEd t tr.r of lloriarrlhn <br />-l <br />ccnift rhlr rlE lcd.r'I Gr!ldi,.. E8rdin8 .llEsror Enr,v.l .B n q,pliltk ro lhn FDj.t <br />:Eld,ryrrErItrEEd'hnrnlEdhnrd3rdc'hd'rr.tnNintrtui,nirc(inl.I.8Rtos,qyrhrIcnrrn(ounry:6iLN ul srd. l,! r cL u{ ro l!'ld ms oNnd rr .d h...t', rurh'rt. EF.IdnB or lhir Cny rd Colnry t. .nrd uFn Itt2-trh*r 'h !.JFnl( <br />' <br />r.r t-lryf <br />Apprionr or 116l skBluE <-.- 'r <br />r.mrtdnr,.rprrnr): (4., \ /.4oc 4 <br />,",, /z- to - /) <br />L.n&r'i d&.s