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ELECTRICAL.INSPECTOB RECORD
<br />APPROVALS DATE O\,INEX BUILDEf, DEL(IR TION
<br />I hcE6y rran trdlc, Fn ry or lEr,try rhir I m.r.oq!r rmm rrr Co Rr6 Li..nr L* a.r llE lolr,*inr E s. (Sdmll.5
<br />Busi6s !d Prcf.$bn Codc) Any Cny or Cou y *hth EIUiET r Fmn ro onitud. rhd, i,,{,mrc. d.mlih or EFn !n,
<br />rrMre, orro irs hsude, llro EqunB rhe ,pIlicMr for suh Frmil r' iL r siSmd slur.E lhsl tE or rlE ir lkcn*d rwlnr
<br />ro rlE rxlvsbnr ol rlE ConrrEtois Lt nrd Liw (Cn pt.r 9. Conmma.S *alh Ssrion ?ut) ol D'visrn ] oftlt BuriEss rnd
<br />hoG.\b.r Cod.) or rhat ll or rh n .x.r{, rlxetom ,.d r t$k lor E rlk8.n q.mplior An, q)lalion or S.crbn 70-t I 5 b, .nt
<br />spplic.nr for.lE.mir subFcNlh. ipplicanl lo 0civilF{n.llyofnol mre thsn fik hundt{ doll&s {5500).
<br />_1, N dwEr of
<br />'h. F)lf,ny. {tr 'ny.,Ihrr. $nh el8cs a ll.n sb o'nrtrslion. *ill &, tlE *rd rn llr {de ( n
<br />i .ndi or.ficrcn ror slc (Sd 70+4. Butiftss dd Prof.$ioor Cod.: IrE cdnrBaor's l-r..c ti* do.s oo' r,ply lo un o*ftr ol
<br />rhc rmrEny wh. builJr or in{,nrrcs lh.mn. drl wtn &B sch mi( him\clfor hcEllor llhurh hk or hd o{n cq)lo}tcx.
<br />Imvid4d lhrr 1Eh in|iorcE ! e Nr hrclidcd orol icl rorqL.ll rbwrs, rtE b{illing n iftlnmmln i{ $ld*nhinoft )ut
<br />ororiLrbn. dE O*Er Buil&r *il! h.w r hnin of,xsvitB lnr lEd {E dij mr taiU d h+ror dE F.ldry for dE FlF{ ol
<br />-1.
<br />a: owrcr of rh. nmpcn,. !n cxclurivcly ronrrcn.3 rnh li.!tr{d tont .t's t lttr{flcr rh. Pnlr.tr (S.r 70.14. Bu{tE\s
<br />nLl PlDf6\M CcLr Th. Codh.roii LE.nr tjw d.rr ft{ rnpl, h eo}nd ofI,mFny *ho huilds or d{rov.r rh.R,n,
<br />od uh, co.trc( for such In'J<k wirh u Conrr_bn s) li.n*d tunund n,rh.Conrh.nn s Li.cnse lrw)
<br />I mcr. fl uBlr SNri.,n
<br />lht., (r*h.r.
<br />w( tltx F Rs' (llt\r PiNs,\T(lN
<br />IETL\f,AI]Oti
<br />I lk rchy rlltrnu0'l.r lirr!lry orn(rl!ryok or rh! hlk,str,S d..lfirtr)n\
<br />I hlvc ud will mirr.h a Ccn i,_E!r€ ol Consnl ro Scll lnsur tur *orkc^' onF.\rtion. ar FrviLd ro. by Sdrbn .!7lx) or th.
<br />lrh'r Cod.. ft, rlE Frfr,lffi 6f th. ml* ntr *rth th Frmi n irsu.n
<br />_lhrlcrlsill rirnrinworkcn.oiiprtrurn,n${tr{.r.asr.ttuircdhyscction.U(xrolltElnhorCo'lc.n,rhcp.nnnunc.ol
<br />rhc wo r.r*hi.hrhn pcmir ir t\usi My *orkei.oryrnari in$rutr! L!ni. lll Bniynunturm:
<br />I ccniryrhur in rhc Frlorronccoflhc qort lor whrhlhh pdmil ir i\\!cJ, t \hull nor cntloy any Frn)n inanrmnndr
<br />si N lo tEconE suhJ.rl ro rtE wortss conipctrcdn'. bwr ol Ctrli,,min. int l8ft. rhd ii I should tEc.nE suhi.l to llE
<br />*ortcr\' smncnuln'. nnvthn\ .f Setnr ]TOO of rhc llhn Art., I OEll. finhwirh .nn{,ly *ilh lh,s nmvirnns .
<br />WARNING: Fanur. ro scuE porkcB co'nFnetnnr .owruB. ir unlo*ful, lnd shlll tubi.r en cnplortr ro dniral Frulri.s rnd
<br />. il 6..r !! ro om hundrcd rh)us dr,llr tllm.ut). in lddirion ro rL cor of cotr{x^r.lidn. d,fu8$ f,r Fovid.d for rlr
<br />Sdi,. tor6 otdE lrE C.d.. i.r.N.,rl dMrcy\ fs.
<br />D.l!:
<br />-
<br />{tDll@t: -
<br />r rcrnieoEirrucron
<br />-[EgIdSA:ItrA
<br />I hcEt y amrm und.r Fnshy o{ Frjury rhd I .m lienrd lndcr pmvirio. ol Cnltrf 9 1comtrin3 wirn s.{rion 7000) of Diltion .t
<br />ol $. aulircss od Pml!$ions Codc, rltl fry li.c.E t in nil foN dn .lT('.
<br />tiQNsrf,u!]IrlNtElDa!,illiElct
<br />I lEr.bylmn und6 FMlry of Frrrry rtn rhrc i.s r.onrndb. lcnding rFB, ror rlE |ErrolrlIftc ol llE $rk for *ntt ltis Fmilisis .d (Sa 1097. Civ C ).
<br />A.PELIIjAII.IIECId8AIIO!
<br />I hnchy.llm! udq Fn{ly ol Friury oE ol lh folt,r'n8 dccbrd ioni:
<br />O.'mlirion P.lmjrlAstrsros Norifi. ion Fed.ral R.8lLtions (Ti'|.:lo. Pan6)
<br />R.quiEn br.r of Notiff,alion
<br />I.cn'ryrhr hc LdUxli(rtrhttrin\ Ntnli'ig n\ttj,^rcnln1lIc n"r,,ft'1r tn,rl'r\rn,l..r
<br />I.dIify rh,r I h2E rcd tht lllltarion rn narc th.t rlE slnt infornEln,, ir ord. I !!rc ro.$nply wilfi nl Cny.nd Coud,
<br />odiEm.s un S!.r l,q$ Ehrins ro hoildin8 snrurirn, un lEEby ruhl@ EPr*lrdrs oarnG Cn,. Colnly to.nls upon tlE
<br />,lxrvc mnliomd pFrEdy tor insFrn'n puqr*\
<br />AtDliculorAAe SitmluR
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER VtI I I 7
<br />Transformers lr-l
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />n q vt
<br />Rough I I
<br />Service Meter 7 q Lt D
<br />FINAL ?'(/\7
<br />Notes, Remarks, Etc
<br />ID/SIG.COMMENTS
<br />f.nd.r\ Addrc'r
<br />-
<br />I D**tr
<br />Ivleter Release b*.kg
<br />r)/L*8
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