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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding i Groundino / UFER 8q r-zt 85.+ VL
<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 & Soflit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release e -tt-zt >a.d 9r-2.ats* 26lZe r-t € -tr -zt Errr+ 4z
<br />Rough
<br />Service Meter
<br />FINAL 3-tt-zt :E!.t 'l'z
<br />Notes, Remarks, Etc.
<br />OWNER BUILDER DELCARAft )N
<br />I hrcby .lltrs unds Fmhy or Frr.r rh! I @.r.np' fiDn t,E C.tudo6' Li!.F L.w lor llE folhsil3 lun (5...7011.5
<br />Busifts .,n Profdri,n Cd.): tuy Ciy ot Cdlry *htn EquiB . F ro otr{rsl. rnd, ,!.$E d.mliih oi E?.t ry
<br />ructe. Fix ro i$ irrlre. &o EquEe tlE q" ter fd *h Fmtr ro 6L r !i8!t d nd.n rh.r h. o, tE i lirnsd Fr*d
<br />'o
<br />rlx F)virir6 ol dE c()nr-bli LEn..d tl* lchrpr.r 9, cl,mmmin8 virh Salion 7m ol Dilnion I or rlE Bu.imirud
<br />I,mL$ion. Cod.) or rhd lI or shc n cxctrrpl ttElrum rnd thc 6dt for rh€ dlqcn cr.norion An, vnhrn,nofsdbn 70:ll5 byrny
<br />rppltdr fd r Frmi! abJ..lr rtE ,,pplksi to . civil Fohy of d eG th.. liw huflIr.d &,llIr (l!ff)).
<br />_1. $ o*H of rIE tFFnr. o. n, cniohJr.: win *lg.! ti ilE $l o"!.rr.n. *iU &, 'lrEtrnllttuc. d
<br />id.ixLrl d o6.Ed f .l. (Sd.r0{4, Bu.i6s rd ftDr.rsi,B Col Tlt C,.F&1m's Lixnr L* do.s mr ry?ly ro ri o*mr of
<br />th. l,6tdy wt$ L.ildr o. iqhB t Elln !n eb &6 sh rnrt hin*lf or tE*lf or rmuih hi, d lE ow..mrbFi
<br />prcvilqi rnr! ah invhEfudr& Bi ndi,.d dolfqd 6r {L ltt$ft6.t,It ildnlad i,Imad i, s! * iror}{
<br />or6,9ltia !OwE Builtr lio hw dE hlrk olFovit !h.lErtr dil 'Dl hiu q irg* lll Flfoi,6.dEFrpot of
<br />I xtr,.krn|l und.r s(rrn,
<br />Irit. ()$n.r
<br />[]rBtr]:Bs:!l^tf]:rlatDnDISJIIIIIaI
<br />I h.r.hy rlltrn, tr^tl.r lxi,rlry of t^-.rlu'J_ oDc olrtk niL[]wtrU 'l.rhrrrtr'n\:
<br />-l
<br />h&.,'d *ill Diillil. C.nifrrr. orc.Nnr ro S.lf'lnle fd 6ld oIp nt iollu rFei,.d f6r b,S<ri,n ]7lD.ltE
<br />rjDd Cod.. rd tlE p6f(,:rc of.h t dt fd wni.h rlE Fml ir ir$.d.
<br />/rravc una wilr mlnrrin *o*cB ..,p. iion inorsrc. N GquiEal by seri,n l?oo (
<br />.*, $'kar touP tns FuM
<br />^,,",,",,*,
<br />-(L\1)71 LrF*
<br />)f lh. llhor Cdr, lor lhc Fsformm. of
<br />z@lzL
<br />WARNIN(; l.,ilur. n, rurc krkc^'.o'.p(trsrinr .okEgc '\ utrltr*f!1. ,'xl \hill luhtNr rn ctplolq b ciniId ]Elfr .!d
<br />i.l.. dsr.ai' E Ftln.d for tt.Ml nfti !p ro oE hridr<t rh.!{d drlLE (ll(l),1 mr. i. rd.tirir. ro th..o< of c.
<br />,,:; 'gEi
<br />tr C.iJ., rkr{ r,rr {k,mt\ArBzl
<br />DECIIIAItrA
<br />I lEEby .frm unld F.rlr, ot Frnlry rhtr I 6 lic cd orl.r Flvnion otch.prd 9 (o,l@Ei.B *tn Sdbn 70@) ol Davni,n l
<br />of llE Buims lnd Pmr.rmni Cod.. !n my lL.trE ir h tull aod .,n .fi6r.
<br />::l:'154H lc;4Z,GZ
<br />collsTruc-fl(rll I P\nlN(; al:rrlc'v
<br />I lEEby.n h uxL, Fndry or Frilry rh.r tlr. i!..qdrucrbn L ling l!.ny lor rl.E FnorrrlN oldE * l for whth rha Fnir it
<br />tsucd(Sd.3()97, Ci!. C )
<br />AIS.IgANLIECIJBAIO!
<br />I had'y .trm un&r Fnil, of p.rirry oB of tlE folb*itr! d6L[rioN:
<br />O.mlirDn Psmil'
<br />^'*1816
<br />llorifr.lih Fcd.nl R(lrLrio (TnE .(), Prn6)
<br />R.quiEd lrnd ol NdifEddm
<br />_l (d ity rhd ilE tcd.rd cguLrbnr Egdin3 rshcaro! ltmvll ,r mr q,rl.ttlc ro rhi. |,UFI
<br />I dili
<br />'h.'
<br />I IEE rcd rhi! .p?li!r.n {n {d. rhd
<br />'lE
<br />.boE rnlmrion n cM.a:l. I asrE ro d,rtl, *irt rll Chy .rn Counry
<br />onlinanccs and Sl.lc L!*r Elrlin8 ro
<br />;-,::Jildz
<br />P.ml(eun.(lringr
<br />1ffi: "'"'-- ""*-*':,:56l
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<br />I
<br />_1. rs owmr of rhc F,Fny, !n.rctutiv.ly contn -lirs *ith liercd otrlEk,n ro ondtur rtl Faixr (56 70,14. Bsiftrrd MsinCod.: Th. Ca.rtuoa3 Lk.e t * dd3 m' .rrly ro m o*F orFopd, eho buildr or itrltlDrB OEmtr
<br />.d *ho o rdr rq trh PloFi. vth.Codrrdr li!trt d purun rodE Co.rrrr( 3 tilc t*)
<br />-l
<br />eniry rhrr in rli rEr,o.rc ot0r ert tor *hrh rnir Fru n i!rG! I illl hr.rqlkrr oy Fe. in r., ,lW
<br />$ r b b..or $bFCt b rlE krtd 6np.Mbn Ltr of Cdiro.r !n .rr lhd if I ilbuld 6.coE r&r<l ro ilE .
<br />mltq!.lqEns'ionl,DvitioBorSdion3?00of'lELtorCod..ltE[.nnhwnnot9lr*irhrho.pmviliod
<br />Pole Bases
<br />Under Slab / Floor
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