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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER z 1,7 7l
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment j
<br />"1 '7^bp4r's /
<br />Factory Wired Unit
<br />Walls (Conduil)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Rouqh)I
<br />lvleler Release 2 at,'Lt
<br />Rouqh
<br />Service Meter
<br />FINAL 1Al 1A DWV
<br />Notes, Remarks, Etc
<br />OWNET BUILDER DELCARATION
<br />I h.rliy ltrn.r uftler ,.ndny of Frjury lhar I on cxcrr{,r liod ihc C. Err^ L{c,* Liw lirr rh. Lll'*in3 E rI (Sd.701,.5
<br />Blsitrcs !ft1 ftoltsrion L^d.): Any Ciry o, Cor y shkh cquircs ! Imut h dln(ruc1, .h.r. idfiow. .tctulirh or rFn;r'
<br />sltu.ru., I'hr rd ih nru0ncc. !lv, rcquncq Ih. appli.d tusuch ltnilh filc ! siBftd !r.r.Enr ihd h..r rh.6 hccns.d PuBU.nl
<br />lo rh. tft'vi(ions oflft Conirocktr r Li.etrscd L!* lchupr.r 9. Comtuing *irh sccrion 7&O of Division I ol'thc Bu\im$ and
<br />PruIcr\bnr Cod.) o. lhal h..rsh. i\crcmpt Ihmlrom md lhc b{sir lir. rhc llh8cJ crclnl,lion. AnyviohrionniSccli,n 70115 hya.,
<br />.ptlMnlturpcmirsubj.{hrhc.l,pliu.rroa.itil!.nclryorno'mEthlnhvchunlKldollds(S500r.
<br />-1.
<br />.. osrcr of rhc ForEny. o r.y coplotEr *irn ra8.s as rhcn ok omFnunr urll & lL o(t ad rlE rirdE ir d
<br />idcrtrl or.fi.Edf ol,. ( Sa.7or,a. Busirc$ .nd F{nc{{i'r3 Cdlc Tht Codh.ftr.j larrc t w docr mr lDply io rn o*F of
<br />ihc FI*dy *ho bild. o. nitnrEr lt!F.. lin *h, dci {\-h k hituclf or hcrsll o. rth'uAh his or h.t o*n .q,brc.\,
<br />pmrilcd ihrr such inFrE.rd\ m r htdrl.d ur oftBl fitr slc. lt homE, ll8 ldiuing or nq,olt'Enl n $E wihin om Fs
<br />ul.nhllcrion, rtE Owncr Aui[k will hrw thc t{rdcn ol nmvins rhlr h. or $c did to hlill or in{mE d. I,bFny for rlE lutDs ol
<br />-1.
<br />No*'8,otrtEPlqEny. ang.tusiwlyo trrin8 wirh liatr*d contEro6lo.od{rnl rlE ptu 1r (Se. 7o+{ ABES
<br />.d hifcss Cod.: Th. Conrr&1olr Lk.nse Lso &$ mr lpDly ro m orE oa t n,Fny who buile or nqtot! rhq.on.
<br />,nd *ho o !.ts ,or *h thFrr enh r CodRldlr) lirn*n puEu!,r to llt G,nrrdor's LiI^{ tj*)
<br />I !mcfumpr uftlcr sccr0,
<br />l)orc: ()}ftr:
<br />tvtrlxrldt'.-_ovrltlsa'.tolrt
<br />D!:(lrr&tllllli
<br />I furuht Jlrirr!ndc.p.nrhyoilEquryd olth.roll,'strr!dBLhrn l
<br />I h.E ui will mintu r C.nitrrrc of Conerr ro S.l[-lnr@ ror m*sr' annJEnuhn. !s Dmvikn ft, by larbn l7q) ot0t
<br />l,tnr Cdk fn dE Frrolrjlfrr of rlE wrt fc "tth ilE tttun ii i<!.d
<br />-l
<br />hrv. rnd *ill mni arn work.(' conltcn!.r on n\ur amc. !\ rcqun d by S.rrnri l7m ot thc ljbor Codc, ibr rh. p.rlorlrre! ol
<br />::"::"'"'ui;i[H;B
<br />Poric)Num,rr 17lsaa33-
<br />\rrntrr $uri tr(.i"11 i nl plry Nn,hrr rc
<br />*"*., Z/'r./zl
<br />-l
<br />.cniry rh,r rn rh. pcrtontuft c ol rrE *o.k td *hth rh^ ,Ermn h isEil. l $nll , tnPkry,ny lErstr nuy mtrmr
<br />$ r r) h..orm subFl h ttu worlcr( con{Ensdion b*r olcdlirom4 dnd r8@ rhrr if I sholh b..otrE $hl.tr lo rlt
<br />wortd{ co,np.nerion F)visiont of Sation l?@ of lhc ljt-r Cod., I shnll nf hwirh (,nPly with rk)s I'r vist,ni..
<br />WAI.NIN(; l'lilurc lo ecurc sorlt^ .omp(nqrn .ov.[!.,\ unln$rul. rtrd \hrll {h]ccr Jn cmPl,,yut b !ri'ni'!l IxMt rtul
<br />.ivil nmq up ro orc lludEd rhou$d doll6 rllm.fixr. 'n
<br />idrliiion b llE rq or.onrrnerion. drE8.r d! povid.d lor 'i.sNrir :v)76 .l rlE htxn Cd.. ,rrd.n and nrbmt s fe.t/ttf t.r L-,t-/,'z
<br />DIIIANAIION
<br />I hcrcb, trllirn und.r tc.llry orttrrrlry lhd I !m liensd !ndc. ptr,lGion orChntlcr r lc.nrnEmin8 *ilh Sccrioi 7000) ofDivnn,n.l
<br />of rhc Du\in.s od Ptr,l$sid$ Codc, dld ny l..n* i\ ir rull Ltrc rn cfrc.l
<br />r,Nmchr 6 .c
<br />".*,
<br />-17io tO #={. \-,
<br />coNsl lll("r(rN LENnI (i ]lGIrNCv
<br />I hcrcby !fim undcr Fnolry ol t rJuty rhar rhdc n r d,ni ru.r$n hndinS e8cncy tu rh. P(rlonuncc or rhc uorr ror whah rh$ Flni a
<br />t\x.d (S.. l()97. Civ C.)
<br />ArrulANfDItcLu uox
<br />I trRhy nnttrr u ndc! !.nalty ol tcrjury.m ofrhc lalk,trio! drclrrtrrnnu
<br />txnlniriir P.nnir\ AstE\ro\ NnrrtHrnr FcJcBl R.tollr(ns fl Ilc,l]. Rnh)
<br />Rcqun.d Ir{ci of Norlicitrr
<br />_l ccnily rhd rll. fcdcrs! Eslll|ion\ rSnrding a\h.{os rcmNd lrc nol ltlrlEdtL ro ihir pmj.{.
<br />I ccniry rhrr I hnvc rrnd rhi\ lpllilrn'nuld !.rcrhdrtu!h'vc inlnrrurion n(omd lrlrLthcotrUywrhullCilyandCoun'y
<br />onliNtr..\ trnd Srxr.l-r*sruL Bni htrrl(lir+h.eny lurktrirc rcpre\c[hl,v$ ,)f rhis C(y {nd Cuuflly h cntq uF, rhc
<br />fiNt.rctrri,trBl noF-ny lnr in\{dtrtr, DurB^c\
<br />,rppti.rnr or,rscnrsicurun ( V) .
<br />"^r*-*,rn^,, LL/ , I1o.., 1V c-
<br />. /,t/z/
<br />IZEIZI
<br />L.nlcrr AJdrc(.
<br />-
<br />bKfi'
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