ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicatrons Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Boof Top Equipment
<br />Factory Wired Unrt
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />\"LZrLl 0.C--/.-l
<br />Rough
<br />Service It/eler
<br />FINAL Jo't2.4 kv*r tt tor-7-l
<br />Notes, Remarks, Etc
<br />OWNrI BUILDEN DELCANATION
<br />I h..n, rlfrh ud.r FDhy or Fiury rhd I m .rn9l fion rlE C.,'rrsr6 Liw L.* ,or rlE foll,voS Er. (Sa r0ll 5
<br />Bun6i .nd FoINn Cnd., Ary Cnt or Cdny *hrh (qu6 ! p6d k! odN. rxd, nrymE, &mlEh.r EF, ey
<br />nMW. Frro tr. i*uer. dlo FquE rlE qrlad for trhFmr ro fiht ll'rd qrffil rhi rrft {E ir'l6sd F!a.n
<br />ro rlt l,lvishtu of rlE Conrrciofr LiNnr.d L.w (Chrprd 9, C.mmming wnn Sdion 7rm ol Divnion 3 ol rh. Burircsr rnd
<br />Pmlt.ri,ns Cod.) m rhr lt .tr ,E L crcqr rhs.6i'h !n dE h.ii! nn lt. dL3cn crcqxh An, l..hrk n 6f Sdrior 7oll5 byoy
<br />+?li.nr for . Fmr obFl] rlr .poli.Ill ro . civil p.rhy or rct tuE rh{ lik hudr.n do .rs lsl0)) .
<br />-1.
<br />N ow, urfi. I'lFnr, or dy cnlpbrEr sith wasc! N rh.i. $! onF.srion. win & oE wst In rE drudw n ml
<br />inr.id.d or ofi.Ed rm sb (sd ?o44. Bu.iEs Dd PmL$im Cod.: TIE Conrr..:rm 3 Ltcnf, L,* dcr n r +pl, lo !n owft, 6a
<br />tlE F,pdry rlb biLL d ,i{.oB dE!^ .rn *b d.n rn wt hitMf d lEElt or rtmuah hk d h.r orn.rpbF.!.
<br />I,rovitn rur uh lrsDtw E ml irsi.dudtu ror qL l.hl{tc, ! briHina d iitffind i-nwthinm ja
<br />ol mn?ldin\ rlt Osffi Butl.r wiU lEw tll h!d.n ol Foving rhl lE G !tl. dn lln hild s lqmE r& phrdt, 6r dE FIFE of
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<br />_1. .r ow or rlE lreFry. e cxctuliEly odd uu snh lenrn odalod ro oErrur UE Fr.rn hDt3rid (id. TrE Co.'turoas Li.rk trw dc: hr rpply ro r ovE orpmFn,
<br />on'l who onlmcls for such Fmlccls qirh r ConlE io(r) lilnsn r
<br />I !n crmpr undcr Scliona'z -tI 64 b'
<br />DECIJAAIIOB
<br />I ltr.ty .rtrB und.r FEny d Frury om or tlE folbwll8 &.lLIioB
<br />I hrw dn will Binrrin r CcnifK.ic or con*d ro S.lt-l.sue fn mrk6 mnp.nsario..r. Fovid.n for bySerion lT0OoltlE
<br />LiInr Codc. f.tr rh. Ii{folrr*c of lhc krt ftr *hih r,E p.,mr h irtu..r
<br />-l
<br />h.E.d will dinl.in worl6 corrEtr{lbn inrmE.. s EquiEd 6y Sclion 17@ o, tlE Ln , CoiL, fo, tlE Frtu of
<br />lh. {"t fd vl .h lhir Fmil it nrEd My wdk6 @r{Etrrthn inrurm crir rn lblty n!n$.r c:
<br />I ..niry rJi' in rrk ,rrfordN of dE *o.k fn rhrh rhi Fni i. irsn. I rh.ll mt cf,phy rny Ffln in uy IUN,
<br />$ a. t' tEoR $bF lo lh. vqt6'orFB.r-,n hs of Cnifmir. .!d qre ll',r itl rtroU tdom sbiil ro tll
<br />slt6{ o.lENtx,n Fovirirm of S.di'. 1700 of llE tr!.r Cd., I {tnll, fonh*nh oq y *nh ltni
<br />WARNINC: liilurc to sm uort.B d,n{tns.tbn mv.ngc n un
<br />civ nEr un lo om hudrrl lhoustd dolter (lloO.ql
<br />Sdrbn 11016; ol ih. l,tfl CirL. inrdcn rd
<br />"",, -1y22 21 4/
<br />I lErhy rfl-ri ud.r p.n iry or Fjury (hd I !n Uen.d u.&r Fovnbn or Ctl+rd 9 (ollmft'n8 wnh Sdion ?000) ol Divisbn l
<br />of tlE A$iEtr a PmfcsihB Cod!. ud m, ltctrE t in tuU foe !d .ffftr.
<br />(alull,tcuoartilDAc-6lj[lrJ
<br />I hcrby uflirn u .r lttuhy ol pcrjury rh{r th.rc t s con{ructi)n L'dira lsc y nn lhe Fnarnumc ol rhc wurk ro. *hi.h rhn Fmi' ii
<br />nrkd(ss IuJ7. C,v. C )
<br />alSllgltllD8lll8Aro!
<br />I hd*,y rfrm ui&r F.alry of Fiuy om or rlE folheir! ddLr.rbnr:
<br />D.mlition P.rnitr'Asb.rlo! Nolifieli.n Fcn d Rquhlions (Tnb,(), Pan6)
<br />_ R.!ui.d t k, ot ls.irkns
<br />I cdifvthd rh. f.d..rl EnLrknr EU
<br />I dily rlE I lrw Etd rhir +plilion /n
<br />'lirg r\If,{.\ rcnmHl Jr. nor JIpl'.$1. t) rhn t'oj..r
<br />). 6 .rncd I .sa lo .uq y *ib .ll Cly rn Couflly
<br />ordtr c1anl Shrc trus ElllinS iE EF.rdtriBolqi! cir, .d counry !o c,xq ',rDn rli
<br />rhrw mnrodd pn,Fd, rv inr
<br />7'??' z (
<br />P.mll( n.me lprinl )l
<br />I
<br />ID/SIG,
<br />ltrleter Release
<br />Lcde'r Ad&Es:
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