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ELECTRICAL-INSPECTOR RECORD
<br />DATE tD/srG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundinq i UFER 4ls/u J++ta
<br />Transformers I
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />lVleter Release ak/'u J^7A
<br />Y
<br />Rough
<br />Service Meter
<br />FINAL <lslt.,'ls 2,"
<br />Notes Remarks Etc.
<br />--+
<br />I
<br />II
<br />OWNER DUTLDET DEITLXR TION
<br />I tftt, .rm unLr Fuhy ol F Fr, th! I m crf,pr ton rlE ConrIlm LEnE L.r,or lE lo&,*il3 ,wn (S.{ 7011.5
<br />Blriftrt tnd Prctcst. Cod.) An, C y o. C.un, *hth rcquiEr r ponn ro d'nirud. !lrd, improvq d.mlirh or EF, dy
<br />{dcrE, p.i, '. irr issm.. dso rcquircs rtE +llicsl for .Eh Fmil lo fih r .ig*d nir.Enl thrl lE or sl! n li<.Ncd [uo!r
<br />i6 rtr Frtirhnr ot dE cl,nr.if r Lir.<n L,$ lchrprd 9. ComE_in8 wnh li(tiin 7flI) of Divnbn ] of rh. BusiE{ .Id
<br />PDtc$k'.sCod.)uthdlEmnEi..r.qtllErn,6&drlrtrsirror E rlhcn crqrhn. Any ioLri'n 6f S.dion 701I 5 b, ey
<br />al,plicrnr lo, a Frmir subFcri rhc lprlicrnr ro a civil pcuhrolrur tur rh$ fiv. hurt,ert d.llrB ($!fi)).
<br />l. .r owE of rlE FDFny, or m, .it'bFr wdh w+!! & th.ir sL .TnFnqi,n- wil d, rtE rul rn E sErE i d
<br />inrad.d tr oftEn tor sl (Se.rlx,r. Au,iEs dd Pror.'ri, C.d.: Th. Col:lfuM r Iffr l,s do6 d @ly lo M owxr or
<br />rtE ImFny vho hiill3 or nltroB llrGrn. {i *rh dr* sn so* hiru.lt or lEr$lf or thtuu8! his or h.r own.nFloyccs.
<br />plMLdlhx uh inlFlEEd3 e d iflcid doltEd rd {l. lL lsw, lrl hildil! r lqmmnt ir EB rrtir m Fr
<br />of mrl.|ia tlE oyE Bui&r wil lrE rlE hldar of Foving rL lE m ti dn d h,ild B iqrE di FaFry 6r tl! F FE.f
<br />I. r'.qB of rlE Frpdry, m.r.tunwly 6ddh8 wnh li(rnEl odrd6 ro odtu1 ilE |,q.d lsa 7O4,r,luriK
<br />!n hrhsri{ Cod., Th. cl,nrrroit Lk.n< ks &B mi .p0ly ro , 0*6 ol tmp.n, *,s buildt o, inpmE. rh.htr
<br />!trd rl., onttudr for such tmJcch sirh ! Coniruro(t lians.n puEMr Io tlE Cotrlrelolx l,ten$ U,).
<br />I mcrcmfl ufllcl Ss'i,n
<br />}ll8f,lix5:roMgaralll!
<br />DECIJBAIII,B
<br />I h.rcby .mm lndcr p.nelry or FarJry oE of ti. aolt,ri,s dc!"rrk ni
<br />-l
<br />lrE.!il,ill miibin. C.nifE.r. of CoBnr ro s.r-lntw fd wto @np.N.liotr ! Fovit d lor by s<lion 37@ of rE
<br />L.to On . fG llE Ff(mE of tlE *orl ld *ttt lli Fmn ir i$rd
<br />'nrcrd rnd rtrlfty r tdr
<br />-l
<br />hrvc und will Ninlain *orlc6' cotrDcn\lthtr in\urlmc. !\ rcqlircrl hy S(l ion 17m or iht ttrtxtr G .. ror rh. ll.rlormm. ol
<br />rlf lq\ lor *hih 'h! Fmr tr idr.d My *ml6 @trlgrldbn in'iJlm .ld r,n !.liv rumb.r e,**,' .k4'u ' <li4 h, *. , ,
<br />por,<ynunbei q l' Gg -Boqz9 e.pr,,' p1/e3l!/
<br />I ccniry $ar in rh. p.rfornDB. ofrhc wori fur which rht p.rmir n nrucd, I rhall nol cnfloy any FBon in any mnEr
<br />F ae ro tE !r $bFt ro llE krr6 otrpcns.rbn h$ or Cdiromir 3!n rxG rh.r itI dDuld b<oft {bjc.r ro rlE
<br />hrt6' c!trrBrtion FovnD6 of Srdon l7(x) or rh L.tq Cod.- I ir[. rfinwnh onFly eni $.E I'bri.i.,B
<br />WARNING Fliluc ro s*e k cB conp.n{jio. .5krfc Lr ,nb*tu|. and \h!ll 'ubFr
<br />( .,rpkrF ro diminl Frxir dld
<br />.iil ,ir! u,, b or huidr.n rhoueid &,lL^ (tlfir,m), in rddirb. ro rlE .oi ol.oqrtrob[ d.m8.r B Imvn.d f(tr rlE
<br />sdtDn 1076 ot rtE t bo. Coa..
<br />Dro: t !/a,lt
<br />--f_r--r rll \\r r,, !^ rR\( 11!!
<br />DEIIJBAII{I!
<br />I hcrcl,y 0llirm undd,Enalr, oI Frrury rhrr I am lntnrd utrdc. tmvirion otch.pld 9(@mrmhg wnh Serbn 7000) orDivkirn l
<br />of lh. AuiB. urd Prcfdrb.r Co&, .Jn my li..nE it in lull for ri .lral.
<br />qrl nr.9,a4.tt .'E-1008t /"tL(.n{.u\q' C- l O I
<br />conrmrorD4
<br />clllllrau{:ur1lJllDluc-AcErcr
<br />I h.E$y rnm uid., FeI y of Friury rhd rlEr n r onrnrli,n Lnrli.* .3*y for r,E Ffffi or rh. *ut ror *hth thir Fmi k
<br />nslcd (56.1097, Civ, C,)
<br />AITLISANLDECIJAAIIQB
<br />I nodry.trmu LrF hyorFi,yoE olrE rnlrrqin8 &.lstrion!:
<br />D.mlnion P.milt Ajb.(or Norifi.dhn F.dcBl R.Suhrionr (Titlc 40. Pd6)
<br />_R.q!ir.d ldr.r nr l*ri[.di,
<br />-l
<br />.cnify rhar tL Ldcrl dsrlariors E8ldins rrlt\ros Emrd{c ftn ippltlnk ro rhil rn,r..r
<br />X M'ry rhd I IEE rc.d rh( +plrrrx'n dn (rr. rhd rh..bE hroldion 6 ffi I rEE ro otrl,ly vnh rI cily od cou ,
<br />6.d,iamc\.ndsrrr.trwsEhrnSr.bx'Llrn8con.il*^rrn,sfilh.Eby.ulh,izcrcFlknrliiErolrhnCiltandCou,k,cnl6uF)ntlE
<br />uhi,rc Nnrxn,.J fn,|{dr_ fitr 'n\ndr ion Iurlr'€\
<br />llrt a
<br />Aprli.rni nr ,\Aml SiAMlur
<br />I.mnN ruit{prinl): X
<br />*,.,. ql'/c I
<br />APPROVALS
<br />t--
<br />. B & PC forths alen
<br />kdci. A.irlr$i
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