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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground it )rJkZ
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<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 LI tt1 r1 /4fln
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release 'z-tll ,(1 .</4q n
<br />Rough /-thll
<br />Service Meter
<br />FINAL 1t -kZ4(7))
<br />Notes, Remarks, Etc
<br />OWNER AUILDEf, DEI-('ARITION
<br />I haE6y rfrm uda Frlty of Fiury r'n I 6 .xdF Eln llE Cdr..rdr' l-icN t v for ti. aollowrg laf, (sd mll ,
<br />BuilE !d Prot6lioo Cod.l: Ai, Ciry or Coun, whrh cquc . Fd 'o
<br />otaod, .n6. inFoE dsmlirh or rqn uy
<br />,Dc.rrc Fior to iB iglle...to Eqoi6llE.rdtot for sh Fni b frL r rip.d aEl the It or JE i li(6.d Fra&l
<br />ro rlE FlrirnB of rlr Co.t&rd't Lk nr.d L.r ((-lurr6 9, Coffiin* sith s.(1Dn 7@0 of Divtb. I of lh. B!.uB !d
<br />PDadFo Co&) d rnd lE d ilE k aaq lhacfDh it l rlE b.!it for ri. .lk .d d.trFion. .y viohbn olsario. 70r I 5 bt Dy
<br />g'Plicer for . Fnh $birs th. lPpliqfl lo . Givil Frny olmt mE lho fir. hund.d &llr. ($m)
<br />-l..orcofrh.FFry.ormrmdor6dh*.86srlEnnLo,VdriorriI&rrlEruttlddrl.'ur4irbriddda, m oFd.d for rl. (Sa ?O1,4, Buis -d lmldioE Cdc Tt conrr.crd'! Llff t& &6.ol rd' 'o
<br />x.w of
<br />U. FnFy *ho hrilil q idt oc rt@ -d who drE xt rvl hmlf or hd*lfo. rlloud' hi! d lE o*r c69ro'€,
<br />FoviLd lhd trh iEForq,rdr & 6l ndd.d d olIqld ii. rt l[ lF6a, E t( cia n iBlr\ffi i lld s'tta !E )t
<br />of .qrpldiE rlr ()*E Builda sill llE dE hrda o, Fvit $r l! or3lr dd or tuld d ,F.oc dE FFy 6r tlE Ir Feor
<br />_1, B o* G.lrh. Fopqry. m dclGiv.ly codEdIts wnh li..Md ..drdo6 ro codM ilE p.oj.d lsd 70a4,Ikind
<br />!,n Plokih Cod.: Th. Conrr.cloar Lic@ tj* dE hr rrrly lo o or E of rropdr, who build! or inprovd thaon.
<br />lod wno cor6.cr! for ruch FoFi3 wnh !codndo(t) lic6s.d pund lo th.(onlrrdoii LicG L.w).
<br />_l dcr.dpt u.drsdrio6_. R &P( lorrhirrdon
<br />lL8lil&Ll!)ufi;tl IIa!Dl;saxaua!
<br />Ihd!b,.mm undd Fn.t) ofFju.yon. ofln folkrrinS dcclsluoE
<br />I h.!. ri s rll min6h . C6rifEdc oacoMr ro S.lf-lEe rm wldr' @mp.@iio[ d ForiLd 6r by Sdion ]7Lx) olllE
<br />tr6or cd,.. fu lh. Ffoffi oarh. *ort 6r *tict r Fnd ! is.d
<br />_l lIIv. !d *ill dul.in rb d! compaaio. iElJreq ! rqu,.il h sdtun !70o of rh. L,h, codc lor tlE FLllrl&. ol
<br />lhc wi lq *trn fi; Fdi b isd Mt trdtm omFlrion itul*. raG od polty numbq ft:
<br />-l
<br />.d'fy rh.t in th. Faolrw. of rlE yo* lu * hth rtE pdmn ! Bu.d. I 3!dl Dt dnploy @y F$D ir a, ffi
<br />$ 6 ro b.eE iub,.d ro rlr *!d6'@rFBiFn h*r of C.i(om6, rd +ft rh. if I Jnuld b.coE stixl lo tE
<br />*oltd @mp.tEdion Forlio6 of Sdion ,u00 ol rh. llb( (\d., l J!ll. lonnwnh cohply $ nh lho- Fovisioc
<br />WARNINC: F!,|!r. ro s@ *ort6 .onFs.n co!6.{. n u.hNf!|, $d 3hall $bFl d dnphtd ro dinindl FEhi: ud
<br />ro on. hutulr.d thoMd .lollB (lr00.0ur), i. ddition to rhc con ol comp.@rnrn. d,r.g6 a Fovncd for rh.
<br />IICIJAAIIO!
<br />I hq.b, arm und6 p6dly of Fjury lhn I d [cs!.d uid6 Flvilion of ( h.pls s (.onn6cins wnh Sclb. 70{0) of DNiin. ]
<br />Codc. and m) lrmrc s
<br />'n
<br />lnllfin..
<br />I lrrt\t,
<br />colllauglo!.laulri-6cElcr
<br />I ltclt, dEn udd F.rt ol FIry dr th.! i r odMior Ldi'g rSdy 6r llE FfDnle. of trE sst 6t *ttt lhit Fhr a
<br />e.d (sd. 1097. cir. c.)
<br />llda'r NG
<br />-
<br />Artu(Aal.llcl.daaull!
<br />I had, .rm unda psrhy olFjur, o.. ol $. followins d..br.! l,u:
<br />Ddmlirion PmireAshqros Nolificdion F.d6.l Rcsuld'oB (Iirl.40, Pd6,
<br />-R.qun.d
<br />L.fl6 of fioti6carb.
<br />I .qtify rhd lh. f.d6al rcsulslioN rEssding 6b6lo! rsnovll uc nol iprli.lbl. $ rhL protd
<br />-l
<br />csriry rh.r I h!rc Bd lhB rppliorion,n n c rM rh. .b\. inf.mdl)n ir.on.rt I a8E lo cosply s'ilh.ll ciiy tnd aounry
<br />ord0.m6 md Srir. ljs! Elllint lo ing .odrud i.[ &l hd.t,.d t l'. E rd.rrdird ofthi! Cn
<br />!hov. lMtion.d pruFnr" for ulp61
<br />Appllc.nr or ,{ed! Sltnrtnre t L\
<br />\0 IL Itr"
<br />.F
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