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ELECTRICAL.INSPECTOR HECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER l,/1,2,^ht6 tfzo
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Sollit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />?h"/.2,-h,A i'a
<br />Rough
<br />Service Meter
<br />FINAL ahz/'t "L'A,hNotes, Remarks, Etc.tr
<br />OWNET'UILD'T DEI-CARATX)N
<br />I lEEt, .rm un&r FMly of Fi,r, thrl I E.rqr 60r llE Corr'rl.E tile t r for llE ,dbrt lM ISc.?o3|.,
<br />Burirc$ .tn Profcasion Gdc), Any Cir, or Colnly whih rquiE. . Fhil ro @Brtur. rl.r, ir9rcvc .bmlirh or Ep.r dy
<br />rtfu. Fir. ro ir iM..k ,lqriEr rlE.gplid lor qh Fni to f,l r.iSrEd ridEd rllr lE d i. ir lhN.d ,u&d
<br />ro dE FlvtirN ol tlt Coflrdd . L.torql Lrs (Ch.prd 9. C6ncd.g rih Sdirn 7@ oa Divilioo , of r,E BuiE! .!d
<br />Prcfclrionr Cod.) o! th.r h. or ilE it cx.rpr rt Efroh rd rlE h.rn for rL r!.s.d .rcnprbn. Any vhLtion of Sdrion ,01l .J by rny
<br />.!plt.nl ror . Fmn sbFt. lrr {?lkd ro . civil p.M!y or Dr mE rhr liw hrdd &[a (ltD).
<br />_1. a u*Mr of fi. ImFny, or ny cmploF.r sirh w.Bcs s tlxn eb srp..orion, wuldo dE mrt.rn li. ridE n mr
<br />id.i&l or ofr.En fd sL ( Sa.ro4l. BuriB..d lDt*iB Cdc TIE Coddd 3 tite tl* &.r Dl +lt l. u ortr ol
<br />rrE FoFny srb hilrh d itrrFB rlEga rn *to dG st qit hijElld lErlf or rllold hir o,lE om crrbrr!
<br />provii.d rh.l iuch inqmwnlr e d inr.nd.d n oltu lor rh. l( hoEE, ih. boi*lini or infmEmnr b rld wirhin orc JU.roil|lkia tlr owE Bujk wiu hk tlE hlrhr ol Fwi.8 rt rEdft dn d bi! d !q.oE dE FDFI, tr dE Frro.of
<br />-1.
<br />a ow of lll FlFly. u.rcluiwly or,*ri'3 wnn li<lasd co rdod lo 6'd,'E! rrE FoF (Sd.,Oa4 EBiE3
<br />.!n mdr C..l: TIE CorE-ld r Li.M hr &d rcl .pplr lo u oaF of FoFl, *no hildr o iry.oB lid6E.nd Bho @nr..1r lor sh piorcr! *irh . CoitGlo(r li!,!.a rBun !o tlE Cofi&roi! LErc t e),
<br />I s.i.!pr u,*r S<rirn__, a AP.C f6lni(.ter
<br />D.r.. Oec _. _
<br />tnlEfEas:coMrEltarlo!
<br />DECIjXAIIE
<br />I tErcby rmm und.r Folry ot Fiury o& ol rh. folhwiir d.cLErk it:
<br />-l
<br />hrE !d wilr did.in. Carlrr.r. orconsr b &lfl,!ft fd wt6 6trF6!i,tl| a Fvi,.d ftlr D, Sdir. ]7@ otrh
<br />Ldor G'd.. ftr rtE Frrome of rh. mlt for shich rh. pdnnl t i.!r!sj,
<br />1lh.h.,nlrlldi inh d arFdDn iffi.. ! 'qd,td bys.crbn l?@oI{E Lr!o. C.d.. ror d. Ffdrm of
<br />rlE *or* fd *hth rhir Fmt i! Lto.rL My ssLa' onpcndion iEum. ffir rd F ty Nn{E e:
<br />.-.9tatr ft,mo SS 6m.l '
<br />po,i)^umbc,: grqtotttg ,,*,, t,l,r,l}oa^
<br />Imrryrrurmr*psrolffiorrtEeortr *hi.h rhi! Frm, n ir.!cd. I .hll mt .rp,oy m, Fmn ir u, .MF
<br />s slo trcotu llbFci lo llE rclt6 odpcnr|lior hvrorcn omil !n r8B thll if I lhuB tcor subFl lo llt
<br />sd6 orr{,.N.rir FDvitiE of Salirtr iTO of tlt tlio. Cod., l trll. frltvnt otrply qith lb: FDvirift..
<br />WARNING ,:!rluE lo sm w .6 mryEnsi,n..m8t ir !n!{tul.,nd rrpll srbt{r cm0bF lo cinixl FEIA ai
<br />h[ d.n{.r G F.rit rl for rtEcivil atrs up to om hnnr.d rlnur.,, rL,lL^ (ll ), ir idnbn lo r $r oa orqEdr
<br />Sccrion 1076 olrtf, tihtr
<br />-,--U+ilLlrr\
<br />I hcEr,y drm und.r p.Ml, ol Frury thd I m litrEd urrLr Fovkir. or CtrFd 9 {6miry rtn Sdrn 7@) ol Divi.a.,^ l
<br />6t dE B!.iB !d PmlBbB Cod., ud my lirE ir h tu[ foG.d.fldr,
<br />qh ct0 q9lqa+
<br />n\
<br />COIEIAIJCIIIINIJdPIIGIIiEdqI
<br />I lEEht .trm ud.r Frty or FF, dd rlEE ir . oMrElDr Ldh! .FEy lor r,E pdllm oa tlE x.t for etah lhi Fhi i!
<br />irskn (sd. 1097. civ. c.)
<br />AIILICAII.DECIJEAIIIA
<br />I hd$y dtr'm un&r Fnllry of Ftury oft of rh. followog it .lr.rior!:
<br />D.mhbn P6mnlAsh.ror faorifEtlbn kLn! R.,uhrion. (T L:1{). Pd6)
<br />_Bh!i..d Llnq of NdirErih
<br />y' *n, ,-h ,o- *o.rbs r.!,nrE rt rd Fmv.l c d +d..bt b $! FoFr.
<br />Y I Glify lhr t lIE ,Ed thir rpdtdion !d d. thd lh. r$ov. i.fonr,.lbd i or.d- I rrr lo otrply rlh dl Cily rd Cou,rt
<br />odnrre3 !n SEk L.ws EldrB ro t!o.rMD^ !n hfti/ ulffin Ep.E+dia of di! Cry.,n C.u yr.6'duFnrtr
<br />d$r ftn'rEd poFrly for rsFrr
<br />,1ppli.rnr o. As.nr skMr!
<br />\)aa
<br />*,..vlnlaoat
<br />IAPPHOVALS
<br />LkcN.Nunlq:
<br />c-.,-*azlJlffrnLr
<br />Meler Release
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