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ELECTRICAL-INSPECTOR RECORD <br />OItNER BUILDER DELCAR TION <br />I lEdt lmd un<,.r FEhy or Fju) lhr I e 6dqi ton llE Co'ir*toE' I a.e l^ lor th. 6lh*if !6,n (Se,0l I 5 ) <br />&!ind ,n Prot6in Co<l): Any ( irl d c(d) $tftl' Equn6 . Fnt to odru.t. .tc. itrF.Dve dmlilll or tqi dl. <br />,Mwc I'irro irr L!le.,.to r.qon6llE.gDltd 6r kh Ffrh b fi!. tcEd tlrd6n drn or tE ir lic6!.d F,i{! <br />ro rlE F.\tird ol r Colnrrrd r t,(dt d lr$ {cn Fd e. Coffiina $ iri Sdli.n 70(n ot Dritbn l ol th. BuUB &d <br />Pr.lshN Cod.) lhnt d {E b a@pr rffionrd rlE h6n hr thc.llq.d dorih. tuy vbkion ofsrli.n ?0:l I tbvlrt <br />lFpltur for !Fnn sbixr. rt .pplkr lo..iril p.n.hyormr mt.rhE fivc tu,nrd <,ollm 11500) <br />L s osn6 of rrE FoFny. or mr.mPhrc $ilh qns6 s lhar $l..omFMhn. srlldo rh. sdrl eld tE rrrr@ 6 mr <br />mrdrloj or olld.d for d.lsr.?Cgl. RBinat sd l\.lsioN cod.r Tht Conl6doai l-ic.M ll$ &6 nol.ppl! ro d osn6.t <br />rh. FsFrly Bho boil6 or inFov6 rh€on. ,,j Nl{l do6 nrcfi $n.t himklf or h#lt or ltmush hir or ho om .mrlor6. <br />pd id.al thdr .u.h imFn\€Ent' e ml inrcd.d or olfdql tu $L. I[ 1n\6c. rh. tnitliis or in .$ffi s sld sithin oR ]w <br />.lc.qilri{,! iEOcffi Builb rill h.!r ln hr&r olFn\'nE rh, h.or tlt dii 'l hild d iilmvc lh. p.op.9 6r rrE F P* or <br />L 6 o$G .lrh. FrFr). @ d.l6n.q $ddiru r ih lic<s.d o dc lo c.l*rud lL Fljin (sft. 704J. BlBi6 <br />.rd PtlkinCo<t: Tt Conlrxlorl l,ic.@ lrn' di6 mt ,rPl) ro o oq6 orrmFn! *th h{rld! or inpmlc rh?en. <br />md $lD odds fu rkh FoJ.dr *nh t 'odndo(rl lE€!.d FM' ro rlE (tilslrY r l-i.@ t^ ) <br />I hry. /rl wirl mrinlain s Csl ificil. of ( onbl ro s.ll-l6uE fo, r o't*' comlds kin as F.rid.d lor bv S.{ion r7o(r of lh< <br />l,hn ( o&. tor rh. Ffolffic. o I rh. tr{lt lor n hich lhc p6nn i! isrd <br />I hr\c .nd $ rll sdirlrin uort6 conp.rMrrn re,.ft.. 6 rqli(d bt lidrit. !7rD orlh. Llh.r C.&. fot lh. Ffffi of <br />rh. $r,t fn rtkh thi' pann i! i$d ltty *.116 omFEnhr inlilJd. cai6 .d t[lt! Nitq i.: <br />I h6.byofi nonddr.nahyoftrjury(n.oflh.aoll rin8d(l{0lt'd <br />\,\RNl\{: li, r'c n. {cde \L.rtc'l.rn,tf,l,v <br />ctril fin6 up lo o.. hundr.d rtouud doll6 <br />Sdlnn 1076.fth. trhor ( od.. inldd.rd <br />,,,,,,1"29' t"t <br />I c.n'ry (Fr i. rh. t'ffotruncc ofrh. trork rd \h(h rhB Fmt is n3u.d. I rhrlr n.! mFlo! lny Fen in tnv nnnc <br />$ .ik' tE oR $rhj6l lo lh. sorkd. . mFndn n h$of Calir.mii, and igrlhd if I olld ttom subFl lo rh. <br />{ort6'.omp.NllionpFri3!,motsdionrT00olth.lotntColel3h.ll,fodhsilh.o'tllylvilhrhoepmvGnJns <br />r.!. i! unh\raul- MJ .h^ll runi.{l M mphF lo ondnd Ftrhb rnd <br />xxl). in r&itio. ro rh. cor of comFdior {,rn s6 a Forn.d foi lh. <br />lr c\drtn (nd6Sdrk,n <br />-,. --1 . ri '{ at <br />I hn.6! rrun ud.r Fdry of pdjur) rhd I m lkrE d un&t Ftitio. ot (tuB. I (sffians srh Sdbn '70OOl of Diiib. :l <br />ot rh. IlulnB {'d PmtsioB Co&. dd n} ltlm ! n 6lll foia rn.tl<r <br />trr hq.nrr hd. r.F6!id n 6 ofrhi! Cny drd Co@r) r. ord l{n.ltE <br />CONSTRUCTION LF'tDING AGFN(1 <br />t hd*D rffm ui&r Fnr]ty of p.qo.y lt llE 6 t s'riru.ri.n L.dins !sd] fo. rhc Faffi otlE {orl hr $nich tti Ft. . <br />nr.d ts( !09?, cn. c, <br />attl,lsax.Lllfcl.AaAua! <br />I hd*, flilm uid( p.naht ot prjury on. of ln. fo ll$ i.r ddlfd ions <br />I).mohnnr l.mirs-Asbelos Norin.d nJ. f.n6il R.8oltrl ions {Tnt 40. Pan6) <br />R.quftd krr6 olNoti6c.lion <br />I cqfiry rhd rh. f.d6J Esul.lioB ngtding Ebdtm rmv.l m ml ippli<thL to lhir Fnld <br />ctil rhr I h-. dd rhn sdtrhn rd ir.lhr i. lbot infotuhn i' ottal I .r|.c ro 6rplv <br />oil ,16 iln Srnc Lri r&nB <br />d$r. !mrh..n FoFq f0 <br />\pplicrtrr.r \sdr Si$rtu i.vz, 1'7 <br />t-Y / ( 1-- <br />DATE ID/SIG.COMMENTS <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 / Groundinq / UFER <br />Transformers <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilinqs (T-Bar Rouqh) <br />Meter Release <br />///20//?Rouqh r4Q_ /o7 <br />Service [\ileter llttlLfll'*)0tblryxr.'/ a0FINAL <br />Notes, Remarks, Etc I <br />4 .1, <br />APPROVALS <br />Torqueing