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ELECTRICAL-INSPECTOR RECORD <br />DATE IDiSIG COMMENTS <br />Site-Work <br />Underground <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Boof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilings (Hard & Soflit Rouoh <br />Ceilings (T-Bar Rouoh) <br />I <br />Rough tz/ol /rd ,o &rD <br />Service Meter \ <br />FINAL t"\to\rfl 4Uf.At <br />Notes, Remarks, Etc I <br />OWNER EUILT'EI DEI-CATATION <br />I l.t .ty afiirn und.. FBlry ('f Frrury rh.r I m crctrll,r Imm rlE ConrrrrN Ltcnr llw i(tr rh( n,ln*i.s r.dim (s< nr.ll t <br />Bu!in.i! rnd Pror.*bn Cod.): Any Ciry or Counry *hth rcquir.l ! rE6ir ro n'inntr. alrd, imFov., d.mlirt or RFr my <br />sldctu., ,,Fr n' nr n.!m.. rl$ EqulE lrr .prr.!nt ror ruh ilmr ro riL. {8rd qd.c thd lE or rlE i. li.ned rrNitr <br />to th. Fovni,h of rh. C. Bror'r Lki.rr, Lr (Ci.t d 9, ( o|]ftmin8 wnh S.rrbn ?UI) ol l)iviibn :l ol rh autin..r sd <br />PNrcsirn. CcLl ff rhd li r rlE ! .rcm{'r llEr.6om on rh. h.(k r(, rh. .lt8.d cr.m,'rhtr Ary vinarn'n ol S6rhn ?0.1 I 5 hy !n! <br />rmlkd! ror r Fmi! rohj.{h rtr rrr i$nr k, r civilFnoliyof mr mr. rh3n filc hrndrd dolhr.l!lD, <br />l. rt o*mr o, rlt F)Fny. d n, .dtLrF! *nh wra$ .! llEr $lc (',r{Enldi,n- *ill &, rlE $(il s,'d ltr nturm t n, <br />iddrd.d tr ofi.Ed Id qk (Sd 704i1, BuriFs rnd ttrL{rrdnr Co& Th. c('drodo Li.nrc trw d@r n q{,ly ro in owffi oI <br />rlE lln,rEny *h) roildr o! nqmEt ltr6n. ."d *hr &Ei *-..h qr* hrmrclf or lErrll o. rhmulh hir or ha o*n cnq,k Fi. <br />provid<d rh{r tuh itrtn,ffi t m B, id6d.n d ofidd [n sL ll h,EE. rli t(iuina q i,qrEnEn ii Ild wirhin nM rtrof(xrl,llE ih. Or'F Eoild.r *iU IEE l]! hrrl.tr o,Imvinl ltd tE .r iE dil dn hoild or ingmvc IE ImFny for rh. Ir.Fc ol <br />Lr\otrturofrliFDIrn!.rnrc\ehlrtlycodrr.r'nssirhli..n{il.,trrx(tr\k,.,'n{n,.rrlrrnl}-rrrs(7(xJ.llu{ncs <br />i lh)a!\\i{ Codc lhc(i,nh.r,\li.ctrs.l-a!(l.e\norrmlr-r,.nnqrrrotD.n|Enytrhohurld\ornnnnnrirh.r.otr. <br />in sho (ontr rk kr \u.h rn,rt(\ tr irh n (-r)nrr.r,( \ r lf,r {J pu^xrnr n, rh. (i)nralor'\ t.f,6w. tr* r <br />-l <br />rE .r.trpr u ld Serion-B & P( hrrh'!r.rvn, <br />!l)4f,!&sl;aMt!dsaM! <br />DI'CLAR IIT)N <br />! h.rdry imnnx.&r Fnnhy.tFrryor ntrh. ftnlllr'nt &<bnrirnr <br />I ler.rtl sill u'nrrin(Ccn'll. .ol(bn\rnin'S.lfl',\rr.ntr*orkr!co'nFnsxrx)n !s pn*xld ntr 6ySNh,n:\7lx)ul (ti <br />l.rhtr (.lrlc. tn rh. Frinrotu.olrhc {o fnrshrhirEFrnd nr\u.J <br />_l hlE rnd will minl.in wort(f coqxn$rirn inru.rre.. !< rcquirsi by Serion.1700 ollh. tjho. C.rL- to. rh. Frritu ot <br />rh. *ork ror *hich $n p.mit i! ntEd My qork6 d'nTEndan in$rmc 6tr o,n Inlty numb.r e <br />-1/t!/t4- <br />_lcenilyr&riirhcFrlDrtu(cotrn.wodfu,hicnrhtFrmnnislcd.Irhrlld.q)hy!.,FrFnior.,m.Es n <br />'o <br />h<<)m rrbFr ro rlE w dr orirFMi,n LB.tcrlirdmn, .d r8R rhd irI ihrld lEom.ubid rorlr <br />srt6 6'rtEhti.,. pmvi.irB or S..lir lrm ol rtE Lt r Con , I {Ell. lMihqirh on{,ly lilh rh'E pmvitioF <br />WARNIN(; I:ailurc h Krr $ork ,(.on,p.n\rriN .nvcrrgr '\ unhwtul. xnl \h l! {rhF1 xn c lk,rrr I' dnnhlllMlrr: atol <br />('!il linrs up tr' om htrndrcJ rhotr\artl lollsr (Sloo.lxx)r. In rJn in, n, rh..on ol .o {^-nqiioi r'tuBr(.\ nnnk,.d ntr th <br />I:i;j Ii [."-'"^il1, {",^^ t.,a*r <br />"ffi ! <br />I h.Eby 0Iinnunlcr p.tulry.IJrr)ury th0r I am liNncd uBlcr trov6i,n ol('lut s 9l.onnEEiry qnh Sc1[n TixrD ol I)ilnin 1 <br />or rhc ltu{nc$ !n,l Pn,fc$i(,nr Codc. dd mrlts. ^ m tullf.iedn.rlR.-r9'l' L- Lo <br />,."**r"* 1?-bbl* <br />^,,+J? /16 c.n*.tor <br />71e1zLb,1-_ <br />CONSTNUC-TI('N I FNI'II{G ACIi\Cl <br />Incrctyomrmundcrpcnrlryo,Frr!r-'rhsrrtra.isasrdMinnldin3!!cmytdrlrFl(m.ofrh.roAfttruhihrhnFnik <br />rikd tse 1(107, cn ( t. <br />lr .rr Addr.* <br />Attll}[LUElLAl4IrAN <br />I hia{ry dim und.r Fmlry .f Frrury nR ol rh. folh*i.8 d(lnr{ nnrl <br />lx'tul ioa Pcrnit Astl{o\ Norific io. F.dcBl Rc8ulxr ions llirk 4). Prn6r <br />-R.quiEJ <br />lrtr.. oI t*,ifrdion <br />I rcnirr rhlr rhc fdlcml Esulnrx'nr Esrdin! a\h.rtx rmu'r{. ft, r{'dkrt k b rhN pmF< <br />rh{. rtrrrrf,,lt'i,trn, f'{ tr,\Frrr,.ftrrF,\.1 A // I <br />rpDrr,.ou,o, rlrn,\r'na,u' d,,.*--t- A'. 4*t -*1L' )4 E <br />,,.m,,ftEnp,prin,r a-ll---,filose 4.vS+-.uCl.t Jz <br />I <br />rI <br />APPROVALS <br />Pole Bases <br />Under Slab / Floor <br />Meter Release <br />I <br />I