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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Under ground
<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 tf*U7
<br />Transformers
<br />Torqueing
<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 Rouqh)
<br />Meter Release
<br />Rough /r')
<br />Service Meter >-ls-tK
<br />FINAL \-vfra
<br />Notes, Reryarks, Etc. <\u \_-./
<br />FvY 1;.r*-'< hU19 ,
<br />,/ \:/
<br />OWNEtr BUILDER DEI,CARATION I
<br />I hE*t !lIu, uida Fdr, of Fj!,t lhi I o aaDpl fr.n th. Codn.lm Li..M L.w for rh. folLvina 16$r (sd 7031 5
<br />B6ilB dd Prof6ion Co&): Ary Cny or Coidy whth r.qdB . Fnr ro @,stu(r. .ic. rp.ove .lamlitll o q.i ry
<br />nnEIEeFsronr iBl,ee rlb Eqri6Ilr Trli:I, 6rshFDi lo 6h.r'8..dtrdld fi.lEortE i liEE d pirsrd
<br />ro rlE F(vnioN of tlE C.rrrkroar Liei*d L.w (ClE 16 9, Comdins wnh Sdiion 7000 ol Di$io. I of th. B6ind rd
<br />fofB'od Cod.) * th.r l! or 3lE ir qdp{ rhd.nom ald ir bdi' lor rh..lb8.d a@ldio.. Any rioltlion of Sdion 70!l t b} &y '
<br />.rpltd for . Fnh rqd rh. tpgli.u ro r ci\ il pcuty of mr mE rhs liv. hu,.H d,!LB (1500).
<br />-1.
<br />a o\rG of lh. p.oFry. or ny dplora *nh *rs6 . rhcir 5k .odrFMion. will do tlE wort rd th. irale b n'l
<br />intarlol or ofid.d fq d. (S( 7044. BNiB ed ftDlahN ('od. Th. ( onlr&roCt ljcru llw (h€ nol eply lo D omd of
<br />tlE FoFty *tb hilt or !E otE dEo( &'d *'lD &E *h rqt niBlr or lEtlf or il"oueh i! or lE o*n.tt{loyB
<br />ForlLd th. *h ibFn\ElEB ft d -rad.d dolEd i{ -k l[ ho]€. rlr tuiBiB n lql)rEld it rld $ahn ft ]-
<br />oronptirl! rlE (}.16 Blildr *in ltE llE t[na olF.EE thr lE tr rlE dn d hild or inproE 0E FoFry tor llE FrFe ol
<br />l. 6 o$E otrh. FlF , m.r(h6n.t odr-rs *'nh kdE d odElN ro s,linrr tL F j.ti (sa 7014. tlelr
<br />!n hDE ECod.: TLCd I.ro.r l-r.e Lr$ &,6 mr qrlyto eo*naoaFoFry*ho builds or inprcr6 $n@n.
<br />.nn who o.rtur atr3uch Fq.cr! wirh a CorrEcto(, licd.d puGum k,rhc conr..rorr Li.ru t *)
<br />_l m.rnF lqld sdion_. A &PC forlhlrNn
<br />lhl.: Orrr:
<br />WORKFNS'(O PENSATON
<br />TECIAEAIIO!
<br />I lE.b, rmm o.da Fdtt ol p6jur' oE orlh. folb$ b* {k lrnsB
<br />-l
<br />hav. od will roinr.in r Cglifi.rt. of Congl i0 S.ll-lN!r. for mrl6t .on,p.n!rion, 6 r,ovid.d lor by S<riof, 1700 .f rh.
<br />l rtEr Co<L, ltr rh. Ffoffi oa rtE ert hr *1tth rh. Fnn ! a.udl
<br />-l
<br />h(. r.d witl nlid.in E*dr onFMion iEff., E c iEd bt S.nion:1700 orllE Lrtorco&,lor rh. Flffi.of
<br />th. Blrt for *hich thn Fmit t i$.d My mrkd' compolrion iEum. @jd rd Flty Nnbr s.:
<br />Policy Numh6:-Erptr6
<br />-l
<br />slily rh.l r rlE Ffolril,4 of rh. sorl f., Bhrh rhi. p6nn & irtrEL l 3hU mr @ploy uy Fsn in ey dlle
<br />$ 6 to bdom slis ro E rdld'o,paqion Lusofc.lifoBia !d+rdln 'rl JDuld baocobj.{ tullr
<br />${ 6'omtEdionprDvirioBoltdionlT00ofrh.L.hr(odclndlfodh*th@nplr*nhrh.sFDvirhE..
<br />IIARNINC !al@ !. cq. sortd .orbr. r$n m\a+. n uLstuL r sndl rubrd u si'rhls to @in l Ftrli6 ad
<br />id oG hu,i*.d rho6.nd (hlbB (tl(x),00)). r .ddnion
<br />f rh. kln' ( od.. mr6d dd.nuh'. rd
<br />ur(Ll&lrla)
<br />I h@by .mrm !.dr parlty o f psjury lh.t I o licqed u.ds Fovtion ol ( lE ns 9 {.ommocing wirh Sc.tion 70d)} of Div'rior I
<br />of ih. th.ing ad PNlsioB Cod., od Ey li.tr 6 in tull tore.n.lT6t.
<br />C-,t u q}1T\1o\ndln
<br />Qt atl-ll1a_Lr:ullldlit]lr
<br />I horl,y .IIm und6 Frly ot pdrury th:r tha. b . codrl&1bn lonins .gay for rh. Ffol:rle. otllE wrt for *tth rhir Fmi ir
<br />is!.d (s€ !097.cn (-)
<br />AIITTCAILDITIIAAIIII!
<br />I h.i.b afm uidd todlry of pajury on. otlh€ aollo*i,B d6l&.1ions
<br />Itml Fn Pmit!-Aib6tor l,kxili.{hn Fcdq.l R.suhlhtu l'I'ilc 40, P.n6)
<br />-R.qur.d
<br />ldld dlN.ri&iih
<br />Icdilvrh! rt farEnl rcBuL!trid Esrdins atsros roovrl u. no' ryili.abl. b rhn,,ojal
<br />-l
<br />caih rlul I hd. rdd rhu
<br />',9li.!rhn
<br />Ed $.'! .ma1 I .gE ro snplt * irh .ll Cnt .nd (.o!nr,
<br />onl'nrncE MJ slare I itr\r.l,I'n3tt h{'6 ofthn Cily edCoudy ro 6'r uF)n th.
<br />otr'v. mdlhnol prot<ly for Np€l cIqa,lppllc.nl or \rotskn.l(rc
<br />VrLL]4a') /\
<br />,a[!llrt
<br />DATE
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