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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rouoh
<br />Service Meter ll t .l
<br />FINAL @/r/ d /d)
<br />Notes, Remarks, Etc.
<br />oWN&l. AULDEN Df,LCAXATION
<br />I hE y rfllmr un!.r D.elry ol Fr!.y rh. I u .&npi 6on rt dllldloB Lit@ L* f.s r lollowirB Eon (5.(.7031 5
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<br />rlnlfu. Fs r' fu islJs!. do EqlEr rlE pdEd ld ru.i Ddd ro 6h. rilEd !.laid .h. lrm.& i li !, Ixrd
<br />ro th. Flri,hD or E Cono&Et l,ir.G, lr* lorFa 9, Co'@Ein, *th Serbn 7Om oa Divirit I .r 0E AuiEr lld
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<br />.p9li.,{ aor r Fni obFt rlr r!?lirn b r clyil p.o!, of mr mE rr liw futn .d dolL^ (ti(t))
<br />l- n .*F.f trE rrFny. M my.i?hyo eih *ra., r rrhl.6n 6.rio., rill d, th. sd.n ErdEid
<br />i,mEl r oltdnl fr sL ( Sa 7ol.l. &Jsa rnd ProLrifr Cab TIE Co'idd,r tire tra i6 d Sl, ro D oEr of
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<br />F.!ir.d thr sh lqrmdre d d.rrbd (.|tu kr rt f.lEd. i!. hildit d i.!.I'Eld a$A rtlir m Fr
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<br />L s o*H or rlE pnvdly, m.rcb.n.l! !.dfunt *ltn l..nqj .ntudm to olfu1 rE FoFi lsd. 7(xa, B6lm
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<br />I h.r.by dfirD und.r p.ndry ul pgjury or .f ttE follolu, ddltrli,tu:
<br />_l hrE lrd *ill ndntri. ' C:.nifrrr. of C Mir h S.ltl6uE fd wrtcr' .{tr{lBdDc !. FDvi&d for l, Sari'n 1700 oI rh.
<br />l:ls Codc, fd rh. n rf rffi. .I rh. *ort In vhah llr Foir i! i!s*d
<br />_l hrv. nl *iU nuidrin eorl.d cor{ENrrr nunB., B EquiEd by S.rtiotr 3700 of rlE t bor Co.,., tor rll Ffu|1rftt of
<br />Ur *orl lor wlxh rh! Frtu F rairr, M, *(lsi ruqdtuC Nutu. ffi d lElry NmtEr e'
<br />,*,',At*,!bv r. ltctbthz
<br />b
<br />-l
<br />dlfy rbd u itr Frfo.ffi. ol tlE v.lt ld *lEn tt! Fmn n am4 I tlEI d mpby &, Fan D u, lM
<br />s s h t@c rubj.d {o rE (rt celp.d t*tof Cdlf.M.!d {rlh. if I rrDld bcar $br.d rotlt
<br />*!rt6' or{.dion F!$,e ol Snrxr lT@ol rl Ltu cod., I ar[ fdndh Nlpt rnh do. ptlEu.
<br />l{AtNlNG: lrillE lo l!* rdldr'@rrad.n sst u unLs,u[ ,n ltdl ubj.cl r orpbF b oinid Frris a!.1
<br />crn fE. up ro oE hudr.d tt-urDd dollr! (llm.ulJ). r rldns io ifr d{!X.r a FDvn.d fr rt:
<br />lrrr Cod.. i!(...ri rnmyi ltr
<br />I hd!b, .r,r unls Fury or Fr!, rh.r I d lia6l si, Fovii, ol olora 9 (otrffi,,r vi! S!di,. ,m) of Dnlnt l
<br />of th. BuilB.rn PDL!hB Cql.. ri my l..@ i' ii rlll foc rd.IIcr.
<br />1 z1-)
<br />I hcEby amrmu $ FMhy.lFrjuryihd lhcr. Ircon{trlirn lnding.8.ry roi th. Ffoll1l*. of rh. rnl tfl wltti rhn Fmir i
<br />t$cd (s4. lu.J?, civ. c.).
<br />AIIIISAILIECIAEAIIAX
<br />I hqd)yrtrm,! t r p.Mhy ot Frpry od ot rlE fi,lh*h3 dcLrri,ul
<br />Dcmftirn P.rnlrrtulE r Ndfrdtr fid.ri Rc3ulii,u rrrk .10, Pd6)
<br />_R.qoiEd tdd ot tl.lfrdM
<br />_l .diIy thc rh. Icdc..l EllLrDB qrdr., !b.nd Enrn a fir +!L.blc !o th6 pr.it
<br />I !l cdrly rld I lrE rc.d rtlr .mlE.r!,n ri urdDi . cffi I raN ro 6nply vrh rll Ciy .d Cou y
<br />I ndffis lrd su. ur! ktdlB k'tulljor rnhnia rFedns oI 0B Cny !n C.!dy ro .nrd lp.r dr
<br />I .b'. ffi.rd FoFnt lr
<br />2t
<br />IIIII
<br />T4tllt
<br />Rev. 08-07-2015
<br />L..isN.m:-
<br />Ln&r\ A&lr.s
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