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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.O\INER BUILDER DEL{-AR TION
<br />I hqcht imm undd Fulty ol Fjury thd I m qdpl fhm th. Cont.dm l-i.dE llw fortn folbenB l@r (S.. roll.t
<br />tlui,l* .,i PrcftBi.n Cod.) Any Cny or Cody rl'th r.quiE . p-nl lo odrud. .!q. ilpro\t, (hDl6l or rr?.n o,
<br />nt(luc FDrro iE illec..Lo Equic rlE pplxd tor kh Fni lo fiL.3Bi.d ntoEr rhtlEortEilicd F!$trn
<br />lo fi. FovnirN of rlE Co r&r( t Lic.nEd lrw (ChiBr C, Comtrin8 wilh S*tiof, ?000 of Divnift I ol $. Bui.6 tud
<br />PmfdioE Co&) or dd h. m rlE i dmF rh-.6oD !d rlE t 6i3 for rh. .lL8.d erEtqrion. Any viol io! of S..tb. 70l l .t b e,
<br />.gplic&l for. pcnn sbar! th. .rpkrll lo ..iril p@!y o, ml m6 rh& fir hlid.d rlolE {$ml
<br />-1,
<br />a 0*16 of lh. prcrqry, or o, @plor6 *''th wls€ 6 rhct Fk $mF$dion. $ill&, t& s6l ed th. rrErE ii ml
<br />inrad.d or olrc.d f.r dc (Se.?044, Bci'@ ud PmfelhB Cod.: Ttr ( or rrclr! Licos L.w &E Fr lorly lo D o*@ of
<br />lh.FlFly $ho hil& i,q!E tlE@G.rd{lE dGst wxt hi,rf or ha*ltor ltmushha dhd6mdrlpt r€,
<br />F.viLd rhd a.h i,llsqE c d no.!.n d otu 6r rl lr, h.6r, rb h,r,,A d osrlrEd i $ld winn N !6
<br />ol.npld6,l. dE ()*G Buil& *ill h.r! rlE b! ln orFos,s rlti ri or lrE dil d h]lld or !rp.!v. fi. FDFry tu r,E pl,F rof
<br />l. 6 orn oltlE Frtdy. m.r.luiv.ly.odrdog wth hcdB.d @dd.R lo N'Erucl rlE Fnj.tt (56 7Or4. 8!6!B
<br />.,r.1 Pr!&Nn Cod.: Th.conlrdoir Licd. Lrw do6 torr irtlyto o*n6 olIroFny wh. b!il& or inpror6th6o(
<br />a.d who @nrEcG tu ru.h Fojcdr wnh i Conr.ado(s) licsE d puEuanr ro rh. conrldofr Lr.e L!*)
<br />I e.rdr, u.& Iidl
<br />D.l. Ornd:
<br />wof, l(Erls' .omPr,tsATloN
<br />Dtg4aarq!
<br />I hc.!y amd und6 FaXy of Fru.) oa oatlt fdllo*nl* d.rlslrioN
<br />I hrvc .d q ill maintlin ! C.n incar. otco!6t lo S.lFlNur. for erL.tr conrp.nlrn'n, 6 Fild.d aor by sdrion !7m of rh.
<br />t t'or Codc for lh. Ffornm of tlE sn for rtkh th. Fmn ii is.d
<br />U h,k..d *ill o.int.r *o*.r' (dotEern aNurac, 6 rcqu(d qg Saion l7o0 of rlE btrrr Cod., fo.lh. pgfotuc ol
<br />rlf \.'I nn \hnh rlns,x-nni
<br />'sth,-tu
<br />,rr**,^n-"- 4Ld{?6- /7
<br />-l
<br />cqliry lhd in lh. Ffolr]lu. orlL uort tm tr'hkh lhit rErnn i3 isEd. lst.ll ml ogloy &y F&. in ot nj,M
<br />$ a to ba.G slixr ro rlE $rrto @mp6.i6n lr*r 6lc.lifom4 !d +d rh. rl I rhould b<om iutid to llE
<br />$ort6 c.mFsr6n pEvi3ioc of S.<Iioo lTm of rhc Lrbor Code , 3lull. aonhenh Rrf,ply wilh rlFr provuioN..
<br />wAR]\lNG l.ilwc h s $oiIB otrrpslnio. cor6!s. u urlautuL rd srEll subj.tt e orhls lo simi.d FdrB dn
<br />crti ntrB up ro oE hufllr.d thouldd &lld (t100.0001. F rddnn. ro rh. cd of ..6FNron. .1, e6 ! Folil.d for 'h.ssrion 1076 olrhc lltn(on , iflrsd ud lnomq
<br />\ l'2 4- /q
<br />DIIIdEAIITI!
<br />, h6cby .oird undd p.ndry ot pdjury $ar I @ licou.d @do ForieDn of chapro 9 {.omma. ins *ih sdion 7000) ol Divirion l
<br />ol rh. BuiI6 sld Prcf*ioc CoiL. rd ny laoE b i. full tor !n.llcr
<br />C-r,)/ooYto7,4rkj
<br />COISruCI|IIII,DIITIC.AGEM:I
<br />I h@bt .rm u,id Fult, of Fjlry rhi thd. b . oiEtu(rio. l@di.g .str, aor th. Ffffi. of th. srl tur \ttl, rhn Fon ii
<br />srd ts( ll@7. c'r ( )
<br />AIIIJTAdI.DECI4MI,IO!
<br />t hnd, llrm undd Flhy oaFjory oGoarh. &illowins d.cbltion3
<br />Damhion P6m,re^.t!ror Norilrdirn Fcitol R.aubrirG I lnl.,{0, Prd6,
<br />R.qun.rl lnt6 or N.rifdio.
<br />-l
<br />cdib rhd th€ f.ld.l E8ulllhN ErEdiry ab6toc rm\'n s. nd qrncsbL k,lhi ri,jel
<br />l!d'ilrhdlh.!.EnJ'hBaprl(arnndt3rd.'hs'rh.!tr)rc'nlotunns.ond I i*rar. comd! trirh.ll ( ily ud(irnrt
<br />,tl$onr6hntl\r0r.ti$!rcldi*rob 'ldqsatn${'.n. Md lEa5, aurhutrqslor.t'vB of rh8 ( ill d (irunry ro drd uBrn rh.;;il:ffi;:.flw._ _,.r/ze/r7,
<br />pm,,Rn.m.(pr,n,), /fAL G_
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners --:;
<br />Roof Top Equipment v/;ttha -T1 lhA.cr,4)
<br />Factory Wired Unit UI
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />FINAL Vlt4ltq fi tt/Ytut2,7a E)
<br />Notes Remarks Etc .-Tf---:
<br />APPROVALS COMMENTS
<br />Service Meter
<br />l-iccN. CLsr /
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