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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards \
<br />Spas, Pool, Fountains
<br />Siqns (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 />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Bouqh
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />Service It/eter
<br />FINAL 2l24lzt',/?r)/
<br />Notes Remarks, Elc
<br />OWN]:R BUILDER DEI,CAf,ATION
<br />I h.rchy trnnm undcr Fnrlly of pct!ry that I m crc pr tm.r 'h. G,nlh.k,F Li..n* t:* rbr th. ,tlloqinB rclv'n (S(.?oll.J
<br />Buri.css 0d Prnc$nn Codc) Ary City or counry whkh Equtcr r Fnni, ro dri{ru.I, lltcr. if,nhvc. dcmlish o, Ep.n uy
<br />dMm, lritr ro i8 issueq .ls rcquiEs rh. 'Ilrltd for such Fmir lo liL r rised (dcm rhor lI or aE is lir.$l ,!ur ur
<br />ro rhc rorision\ of rt ConrErd r Lt nan trs (C'lEprd 9. ConmBrnS wnh S$'i,n ,000 ol Divitbn I of rhc B!rie!: n'd
<br />Pt,rc$tr'n\ Cud. r M rhlr h ur rh. r.rcnF rhr.fmmund rn Mlir lor rlr lllcs.n crcnpri,n Anyviol4k[of Sdri,.?0ll5bymy
<br />, ,IhlrrrrhrrF.m shFcthc lmlrrtrtto0civil|.Mlry lrur mr rhrn r'vc hunrr.J d.lld\ritoo,
<br />+L)al-1, J\ o* ftr ol rhc nmFd v. or mv cmnloRs wrh *.Bc' !\ rh.tr y,k o'n{rnd Dn, } l.l'Llrk' rn rtE rNE tr B,t i".tt'r - .n-"a r"i *t r i- zoir. U"*- ."a rn'r*.i'ns Cixrc Th Conrrtm r Lirnc Llu rti.r ft,l .Il|)ly l., u owmr of
<br />rlE F,Fn, vln ti{ik]. o rlm6 tlrBrr dn sE .!B ith s,t him{.lr o. h.Blror rhhleh his or rEr o*n cnployc.<.
<br />provtcd rhar snch nnJr.kftdrr @ nn in!.'id.rl or oficBl ror rh l( h,rN. tlE hitlin3 or i!{rckft,r t sld rirhi, nm ,s
<br />ofconFhrioc rhc oviq B!i&r willtuh rlr hrd.n ofllnrvins rhar tf, or \h. tlll rct hoir-l or iqrmE lhc poFny r.r rhc I!,F)$ of
<br />_1, a\ 6ed.rdE tn{dy. ncr.briEly conr&ring w[h lienql cor r&roE ro on(tur rlE FbF<r (s( r{4. aunrs
<br />. troEashnCodc: Thc Co.rtrroas Lkcn{ ll* di$ frn npply b..own.r ollroFrly $ho build! nr impnr\ rhcrcon,
<br />and *ho.onrruchr,trN.hpml.drrirhrConrmnr(s)lacnrdpufilrirroth.Cunrr(kr'rLkcn*uwJ
<br />-l
<br />rmcrcmpr urd.r SNlion-
<br />"Y)$-:z-L"-Y
<br />OEIIASAIIIIN
<br />I hcrcnylliimundcr p!trrlryo,prrJu'yo'tolrhrt,lk,*nsd..bi .ni
<br />-l
<br />h.vc s,n * ill Ei.r6in a Cc,rif..tc orconk 16 Scll lnir. ror eorl.6 .oqErs iur. N Ftrvih lor by Sdion lrur ol tlE
<br />tihf, C.!d.,ldrlE FlMllEF orlh qrt tor *hth rlt lrril ir iscd
<br />_ll'vrnftl*,llnhirrrihworkc.otrrtxtsdiotin\trnr.,usrcqlncdhyScclion:l?(Xrnlrh.tjh.r(irf.f{trhclfrlonNtcof
<br />rh. worl tur*hi.hrhN ncnnn n nsnrl NlyrorkLyr eonrFnslrion insrrtr.c cadcr !ft1FniLy nu'nhd d
<br />w...,,,,,.,:,[.r'nrtrutr..olrhrworklnrshkl'rhtrpcrn( A i\!ucd,I shrll nor clrll'loyanyrE.$n in.nyMrNr
<br />ud rAE rhd if I \rDull hd.nr rubFr ro rlE
<br />drll. tonheirh.oody wnh rhM !mtni,nr..
<br />i, u\ b t{om st',.rt io rh. eolrdf conqxnehn b*s
<br />eo,tdr d,mpcMrto. lhvtbnr of SNrim l]m oa rhc tjhor Gdc. I
<br />\r\lRNlN(; I'ri]ur. n' {.ur. B.rk.('.onrp.n\a( ('vc,r8c
<br />'s ntrli$|trI. i d \hrll \uhrr'cr rrr.tr,tl,')cr h onrrl Ntilric\ rn{l
<br />civil nn.s !p ro om hu,nEd ihourlr.l do
<br />Sdi6n 1076 of rlE trhr C.da hrcrc{ @d{1.4}?I ^
<br />llr( (3I(rO.(r(X)r. n ldir ol ..arFtr\rrnn,. rnusc\ rs ltoldc nn r[c
<br />DEgdSAIIq!
<br />I h.rchy lmrm uft,s Ftulr, of lrrl!.y thor I m licn*d lidd !6vi.lr ofchrprs 9 iqrnEmins vir[ Sc.litn '70@) or Divishn ]
<br />of rh Aurirss !d ftlfBsbtrs Cod.. !d f,y ltcns ir in n tuN .r'd cfi<r
<br />_LE.nr Nunrltr
<br />CONSTI'tICTION L}'NDINC ACENCY
<br />Ihcr.tyillt umlcrlcn ryotFrluryrhnrrhcr.h!$n{tu(ri)tlcnJirln8cryiorrhct(r,inrrnc.oilhcaortforshi.hihNFrnnrk
<br />nultl (S.c..1097,Civ C )
<br />APH TCANTDECI AN{TION
<br />I hddry lllm uok Fnrh, or p.qory .n. ol lh. followinS &.LIlrhtrr:
<br />D.mlirl,n Pcrmirs.A$tEqos NorirE.rin tuenl Rc8lLlions (Tillc {r. P!n6)
<br />-Rcquncd
<br />Lc'rcr ol Nolifi drinn
<br />no\tctrx*Jlur n.r,qrpltrJhL hi rhL p^,Jdr
<br />!h,w i.tumrrn N.orul I rEe lo.-o'rylr*nhlll Cnysd Counry
<br />hcr.hyJurrtr,u. rc|nc*nlnirc\ ol thi\ Ciryd8l (ounry k,.I ( ulxln rh.
<br />rl\^. n.nri,nrd t,'!)tn11!t-L)-4\pplna or xrnr Sixnnr
<br />*-n**-",rn.f x
<br />I
<br />III
<br />a
<br />Rov 08-07-2015
<br />DATE
<br />Ivleler Release
<br />rh{ IlErcru rhir .mli,r i,tr' un \rd. rhdr
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