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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG COMMENTS r)\\\trt Bl ll Dt.R t)l L( \fl \ rx)r\
<br />I nad4 .Irm uidq Frlry ol pajlry rhr I E q.ri.pr nod rhc codr.d6' Lic.* L.* for rh. bllosirB latr (sii.?ol I 5
<br />&!iod ..d Profdion Co&) tuy Cily or Cout y *hth r.qun6 r Fnn lo cotdrud. .ls. inprD& &mlilL or rqtir .y
<br />$tu ruc prix ro irs isudq rlo r.quir6 dr .pphcel for ruch pdr'n lo 6lc . 3,sn d srd6r thr lt or {E i lt.B.{ Fttd.
<br />ro rlE Foririo6 oftlt Co ,rrryi Li@n&d trw (Ch.po 9, Com6ci.B vhn Sdion 7000 oaDivirion l ofrnc asi6 rd
<br />PmfdbN Cod.) s lld lE or dE n d.opr thd.6!d .!d rh. hun for rh. .lk*.d ddnBpi. Any violabi ofsdb. 701, J bt Dt
<br />,CAlk,n for r Fni $bjdt dE rpplic&r ro . civil pdhy of nbr mr. rhd livc lun&.d &,lldr (1500)
<br />-1,
<br />s ow otrh. FDFry. o, mv dplole wnh w.s6 u rh.t $1. onF ni!n. udl &, rtrqtndtlEiMEi! d
<br />id.,\,Ld or ofratd for In {s6 7044, BulB ud fof6io6 Cod.: Trrc Co,indd r Li.e t*.b6 ml +ply lo t ou6 of
<br />lh. FrFry wlD hrild or inproE thaln. sxl *l[ dE Mn mrl hilrll or lE-lf or lllou*h hir d hs o*n 6tdotc,
<br />,rovidd th.r ru.h nForqD(n. e d ioia'd.d q olrEd fd rL lf. lln6s. rlE htiUi'A d iryr€cr b Dld shnii m )€of.orpliio( rh. OrF Builds *iU hw rlr hr&! of p.o\iB fii lI d tE dil d hild r ltsoir rh. FrFty &r rlr F poEol
<br />l, s o$ffi offi. FlP.ry. d d(lEir.ly .odrxli.g x hh lk{c.d.o'rEroE to oDsrruct rh. Fnj<t (Sd 7o{4, Bum6
<br />!d Aifsir Cod. Th. ( orrndd . Li.tu t * &E rcl lpply to d ownd of ropdiy who &il& or impmlB lt6Rn.
<br />..d *ho Ndrar! fd 3*h F.i{i with. CoMo(r li.aBal poMr ro rh.Co ncloarLi@kw).
<br />-l
<br />u clmF un& lidl b!
<br />ltoRxr&\' coitPENsATlot
<br />DICIJAAIIII!
<br />I fidc6, arm und6 F$lty olFjury oE ofllE folhwing &(l,rdbB
<br />I h.E ,n *ill Eimdm r CcnifElr. oacoMr ro li.lf-lM. an wtdr' e,nrrd.iion, d Frvid.d ro, by Srrr. r7rc o I th.
<br />lrb.r ( od.. ad ,E Ff(xlj4. of rlE u t fo. $tih $c Ff,n i! i$u.d
<br />,llEv.r.xl$ill it dn mrlr, con'p.o.rion iNuec.. s r.quncd by Seld l?0() of th. kbot Co&, f.r tiE lE6t1rlu. ol
<br />0E srt fd s'hth thL Frir ir is.d My wdldt onpoldion iEurft. (e6 .id lElry r@bd -.:
<br />_l cdiryih.t i.'hcFfolmRof rlEso n qhkhrhirFf,ir iriedI ndlml dnph, dy pd$n in d! mdna
<br />$ Blo h..!m $tirxr ro rlE *qr6'@EFEibn Lw otcllilohi. !d Cr lhi if I slFuld b..on ruti{t ro rn.
<br />M*6' conpqsrion Fovi]bB of SdlDn t7@ ot0E L.tu Co<!. I JtlL fodh*nh onlp!, *nh rhoE provitioB.
<br />WAiNTNG I.ilurc to su. vnt6 coDFEnnn 016!*. n unb*nrl &d th.ll rt!..I a 6pk]]q ro dinin l lErlid .d
<br />civil lid6 up ro oE hu.&.d rlmBd dotb! (tl0l),1)00). i! .ddnbs lo rlr oi of.o6Fc.rio.. d,r!36 a lrovildi for llE
<br />S.(Inn 1076 of'h. L.tfl Co&. i,ild rd.tsrEr'! 16
<br />IICIBIEIL(OtrIIATJIIIa
<br />DrclaEallo!
<br />I hatt',' .,Im un& Frn, of pciury tnd I m lrs'rd uda proviron or (-hiprd 9 (comftins wnh sdio. 7000) of Dn'sion !
<br />ol t& RBind."d PmldilB Coda !d hy lttr n h tull forc. e'd.fid
<br />IAdTTAIJ TOIIEdDAGAGIIiIA
<br />I hd.b) rrtrn unds FBhrorFjuryrh, tha. 6 r !.(drucrrn lddsB,s6cy f.r rh. pcfo,I1lft. of rh. rorl fo. *n(h lhn Fnn i!
<br />ntu.d (s( l(!)r.Ci! ( )
<br />ATSUIAULDICI.ASAIIQ!
<br />I hdt! .trm u.da Fuh, of Fjury oE of lh. lollo*ir8 d. l{.rioN:
<br />Dielnon Pnf,ie^3b(d6 Noii6.ni,. F.ddtl R.suhi 66 ( I nb 40. Pd6)
<br />-Rquir.d
<br />Ldre ot Noiicdi.n
<br />-l
<br />.sl iry th3l th. fdl6d r.subln6 Esadlns 6h..ro3 ,do\ al m nor 4'''h.rbk lo th6 rm.i..l
<br />-I
<br />cdiq thE I hr!. Fd rlt! sprli.r{ion an nd. tht tlE !to\r i.rotuiof, ir Gnd I +r to onply uih .ll Ciry !d C6udy
<br />orditrc6 md s!{. lrE ELriry ro boildiry (6tudbl! rn bd.b rdhoriE EF.ffn6 of thn Cn} &d Coudy to dlq upo! [t
<br />.bov. n6rioi.d preFry f.t i6p<rio. F,F!6.
<br />,tptrlicrnl 0r,rrol SiBn.lurr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />,9pas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor A\
<br />Bonding / Grounding / UFER 5-0-1 h.Vltt\,
<br />Transformers 7tv
<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 Rough)
<br />Meter Release (4b-la r Ysr*
<br />Rough ,1\,
<br />Service Meter 5^Y.VH^\
<br />FINAL <-lc- l.
<br />Notes, Remarks, Etc
<br />I I
<br />DATE
<br />;t,M
<br />lI &P( lixrhic r.Mn
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