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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, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />FINAL 78fr,,tuffi4 d
<br />Notes, Remarks, Etc.
<br />OWNER BUILDER DET,CAR TION
<br />I lE.try Jrm und6 Fnrlly of psrury rhn ! 6 .rorl 6oh rhc Cofl idJ Lt6E U* fo. rt followina le. (Sa ?Oll J
<br />Bolhd .id ProfdDn Co&): A.y Cn, or Co! t stkh '!qui6 . Fni lo @innrl, dla. idForc. <rDlbh or itp.n &,
<br />xo.lue Fbr to nr isueq &o r.qui6 th. '9plirn aor $.n Fnn b 6L. ngEd nroEn lhr lE d 3lE a lt@.d pdali
<br />to rts FovirioN oa fi. ('ontrciol3 Li.aual t * (cl!pl6 9. Coffiins vnh S<lb. 7000 oa Divili.n I of $. BGiEt ud
<br />Pha.si.B Cnd.) or rhll lE or E is crmF rHroi a'd $. bdir for th..lL*.d d@pri,n. A.y vbLrion of Sdrbn ?0l l.t by&,
<br />rrpli@r tur . Fnn 3ubjel3 rh. lpglicdt ro . ovil padly o r d mE 6& nr. hu!d,!d &t ! (1t00)
<br />- l. 6 oMs of th. FoFln d ny dplota wnh r!A6 B tlEir rL 6E dari)l! will d. UE wt ri tlE lrudE 6 ml
<br />unnLd or o,Y6!d 6. eL (S< 7(x4, BBi,B Dd Prct6ioB Cod.: Th. Codr-ld t LtcE t * &6 ml !p?ly lo u ow of
<br />th.FDpaly who b d d inFlE tlEa -d who dc arl 6rt hjlMlf or lErllor rhmugn hn or tE oM dPlorE,
<br />Fovi:Ld rhlt sl' nnFlvqEr! e ot dan d cotu for sL l{ lrad, lh. buiBng or inFrsaEi b nld withii oE }r
<br />ofompkia llt OuE &tildn $i[ h.E llt hmb of Fovins 0u tr or .h. dd er hrld or mFoE dE FDFr, tn ,E F,pc of
<br />l. u ow ofrhc pmpglx 6 qcluivcly co.nddinB rih lrc6.d cotudo6 ro odrud tlE Foid (S<. 70+1, 88!6
<br />&d Ptafdion Co& 'rh. Co 6.1oa! l-'c@ Llv rtc mt rrply ro aorE olFopqryeho hoildt oi iDprca lhq@,!
<br />ed who .odd! for ruch Fnjdt wnh. Codrrrorlt) ladE d Fr$&I to rh. Cofrrr 'i LLaq Lw)
<br />I o.rnF u.dq Sdbn-. B. & P.C fo, tti' lqs.
<br />TOBK!8I:(A!4fIBIAIIIT!
<br />lECt ASAIO!
<br />I hd.6t rfttrm undd pcn lly orpqju.y oE of rh. rolowm3 &cbdir6:
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<br />a-,frd. orcoEn b sdt-lM.6r wrtd o'!potsrb,!. B FDliLd tor B serion lToo ortlE
<br />t4t co&td tr .Et./.Ils. ortlE "dt 6r "td, rlr Fni i is.d.
<br />/, t . - *r, *t." *rt6 onFrE lEr tusc s rcqut.d by selrcn l?oo or$.l,bor (-o&. br lrE Ffffi. of
<br />tu {.'L l,r sl,'.hrrN Flrtls,$d N,\ \orlLs'cfn,Nn|lrlln nNU
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<br />.:, ". -^ j';,
<br />"+Wt"fi'
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<br />tsl,.y
<br />lL5.tc/,(I
<br />/zt da
<br />I cdiryfiar in rlE pcfollm or th. *'ort fn ltah 0rn Fnn u 6r.4 I drll,ol6plo, &y Fsn i! oy mer6
<br />s a lo b.roE rb..r ro rlE w.ld'6nV6.Dn hs otc.lifomra .El +r Ll'.I if LbulC !doo.3ubjcl lo llE
<br />trit6 onFB.iion Foyirbc olsarioD lT00 ot llr tllor Code l rlEll. tfihwnh conlply qilh dos prDvilioE.
<br />ion @r6.c. i! mL*a!I. Dd sldl 3ubi6l e @ploF lo ovMd FEX- tnd
<br />l0O.0o0l in r nio. to lhc coe of.o (lsn!s6 B providcd for rl'.
<br />!!1( !.11r \l ()t
<br />I t@b, Im udd Fdiy o f Fjuy $r I d tiG!.d uxls plo6io, of cluFa 9 t@@i'r8 wnh Sdbo 7000) of Diviiion 3
<br />of th. Buir.rd PmfsioN Cod., !d my lictu i! h tull loc at.lt6r
<br />,,",,'",'r,',,b{nfuUL
<br />'I)'i' /r+t//a/e 4
<br />I hGrt'y .ltm drb pauny otFjlry thr rlE! i r odrudbi lodia .g*y for thc p6fo,lje. of rlE srl 6r *tic[ thi! Fsi il
<br />iu{.d lSG. 1097, Cir. C.)
<br />APPT-ICAI\T DECI,Aq TION
<br />I hdrt, .trro uqr6 psEhy .l Frlry oE of lh. folrif,ir8 rhclmlhN:
<br />D.mkion PamnsAsh6ror I'lor'rr.rion l.ddll R.suLrbN (Tiik r0, P.n6)
<br />i.qun.d tnra of Ndificdih
<br />/atry ta * r*a rczlla'oB Esddma sbdro3 r 4\.1 r. nor rpglt,bk ro th6 Fqer.
<br />-l4,cr,O rru r rBr rtaa rrt.pplt.non d dor. rhd llE lbow 'nLrubn . cffi. I .Xr ro omply vnh.ll,('ny.d (-od)
<br />r6rdM. ad Srar. Lod Eldmg ro hlrHr.g @dtudbn. d hd.!y ldhoM rqeflft 6 of tls Ci, !d Cfdy ro 6llt upon tlE
<br />*ffi::il:"-Z? /ue-- ;,. t/,,4t+to
<br />,^u---,,ono,t, f TTazu fut/l?gtl " /
<br />Rev.08-07-2015
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