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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / G fouh-dffu / U FE R t-b -" I 2-c- 2 17
<br />lranslormers
<br />Torqueinq
<br />Arr Conditioners
<br />Boof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />lr/eter Belease 3-90-a (Lo*Ztj t 6o A,eS
<br />Rouqh
<br />Service Meter
<br />FINAL w0 +/,// o,e l/a,/e,2n
<br />Notes, Remarks, Etc.
<br />OWNER AU!LDET DELCATATION
<br />I h.'.bt dmrft und., pcmrry ot p.rrury rhrl I m cx.tr9r frDm llE Colnhcto6 Lk.n- tr* lor rh. followi.S rclsn (Ss 701 1.5
<br />BuriEss {n Proltr{bn CcL): An} Cny or Gul'ly $hth r{!rB r |Etu ro d'nsl 1. rXd. impmE. (,.mlnh o, Era, oy
<br />ntodk, rir 16 irr iis]ec. d$ Equi6 rrE.fl,l.st for tEh Fmi |o nk i isEd lrd.tmr lrE lE ot {t t lirEd Frid
<br />ro rhc p$virio.s or dE Contretof! Li.c.*d Lre (Chrnr.r 9. comminS wirh Selion ?0OO ol Dilhaon I or rrE Busis* Md
<br />PDrcsbn\Cod.)drh,rtEtrslErcr.q,rrs nrm.Il trr h{i! fo.llr rllq.d ctd+aoi A!,vr dio.ofsdnn7011.5byoy
<br />lpplunr tu ! Fmir suhFrr! th. Upliconr ro a civil l,cnalr, of mr mE rhrn nv. huErr.n do rs (SJm).
<br />-1,
<br />s owEr of rlr FoFny. 6 ny.rploFt wnh *!s6.r rrE sLon{EMDn,uI&dEwi&nr!{tteir'd
<br />i.rcrd.d.rorc6dtrs].(Se.7or4,Bu.iE.sddProf.$ion.Cod.:TlEC.nrrctor'sLiinEkwd..smrpplyror.osEof
<br />llr Fopdy wno b'ld{ or itrFoE dE4 .rd *lb &B r&-h sit himlr or rn-lr or rln,ud nir q }s ok crployes,
<br />pmviLd rhrr $h irprDw ! c d nr.td dotuul fn sl l( hol!6.0E hriuingd ir+.sEld iriB wahinm Fr
<br />oIconpllbn. rh. Owncr Builda wiU hlw ir h8hn ofpmvi.B thd lE or sIE di] ml t h or inIftE rrE trcFiy fd rtE porpos.r
<br />-1.
<br />i! owrrof th. rrcndy, m.r.hsivcly conrrurins wnh lkcn{d cotuerorb.onrh.r ttr llmJei (S(.7044. gu.ms
<br />.d Prohsi cod. TIE Conrarol. Li.n- L.w dG ml .!nly ro u orH o( prcFny sho build. or inpmEr rh.Nn.
<br />snd uk' @lnrEls fG roch FDF|\ snh a C. do(n lEne{t t[l.M rorlEc.nMoii LtrnE L!w)
<br />I m.rcmfl uid.r Ssrion_-/ ^ nrc n",n"*,*"#-,.-Z-
<br />$ on(af\'tirMpl'Its^Tr0N
<br />,,..slzjl?\
<br />DEgI.AEAIIO!
<br />I h.rchy rrnrd u.d.r p.Dlry dr Frury or or rh. rollowin8 J(lsalioN:
<br />_l hlE ul will tuin[i, r Cdnifkrk or Cons.nr b S.lt lnsuE lor qo 6\'or{En$lion. !r pmvilcd f6t tiy S<ihn ]7m ot rh.
<br />r,tor Crxlc. for llE Frfoffi of rlE wql lor $hah ltr tEtur n isu.d.
<br />-l
<br />h0vc ! nd will mlinlain workcn' comp.nsrlion inilr!tuc, rs ,.qui6d by sdi!,n ,\7m ol rh. L!t$r Cod., for lhc Ocdortutra o,
<br />r,E *ul rM wnih fii Fmi n nqr.d My,utd! onpcn!.rion,r$lu! ffi,.,!d poliy nun$cr E:
<br />_l.cnrfy rh.! in rhc FrformN nr E *o.k fd ph.h rhri Fmn n tqrn.l nEll ml.q,hy y F$n tn rylM6
<br />6 ^ro tt(,m.uhF(r x',lr *nItnr rnll{ndnn h*\ol ( lhlomE. .d .!m lhd rll {DULl b(oG sbFrl brlr
<br />trNls (ryrnsrnn tmrnrN o, SRrIn ITOJol rlE tjtn C{dc.l rl l. li,n hwilh $tr{,I, * ith rhr. phvndnr
<br />WARNING: Fdhnc b *cuB workcB cotrrl].ns{n cov rsc is unlarlul. anl \htrll s!bj. r. ctrlPlorcr tu simiul tEettl od
<br />ov 6mr un io oE hurrrcd lnouqdl dollr {ll r .ddni,n t, rl! mr or on{Etrqrion. dr,rylr a trcvilcd aor rlE
<br />s(ron 1076.frrE lrtn (ii. inr.r.nnnd
<br />-,,,3k3L2]
<br />Dt(L.lK\l t1!!
<br />I M, rfm ui&r FMh, ol F.rury d I m linsd urLr Foviri,n ol Ch.prd 9 (6.mrir8 *nh S.dion ?0(l)) of Divnion l
<br />ot rh. Bu\i** &d Prclc(iotu Cod.. .rld my lE.nr is in tull forc. rn cll61.
<br />r{tltluaul:Iu ..L!lDldg.A{iE!cr
<br />I hcrcby!finnxndcr pcnshy nrl'.rjuy rh,r rhd. is!..nnrudion Ltrdins.s.Ny for rh. pcrfor@ corrh.so*forwhihlhi$Fnt (
<br />iliu.n (S( lO9?. Civ C )
<br />L.nd.r'r N.r:
<br />-
<br />AIIUCIILDEIIJSAITQN
<br />I hdrty lm un&r Fn.lty ol Frjury om of tlE folh*inB &{l'.rri,ni
<br />D.ruhlrn Pcrhik Arhtor Ndin.rti,n lid.El R.8!l,rans (Tilk40. P!n6)
<br />R.quncrj t.trcr of ftnaEdion
<br />-l
<br />ccnify rh.r rlE f.n 0l Es!ld,n! rslning a\rsbs Emvd c mr ry'lflhl tu fin Flrccl
<br />-
<br />I !$ity rh.r I h.\t E.d rhfi rlpl.tr5n srl .r. rhd ilE thov. infonrslion t coBl Lsre ro sr$I, wnh rll Cn y rnd Counr,
<br />ordirNs lrl Sr.r. L$s ELrirB !o ll{rldirt .onrutr[ {^j lrrby rurlr,tu dF.-diF3 or rtus Cny .rn Counry !o . 6 ulon llE
<br />,h,vc rnrtr,kd phFdy ntr hsr.cl
<br />I
<br />P.m rc tun.(pri l):\.2 rd}L IO<;.3141
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<br />III
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<br />Contftlor-
<br />Sub-Panels
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