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ELECTRICAL.INSPECTOB RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />ltrleter Release
<br />Rouqh
<br />Service lvleter
<br />FINAL '{p/a /^2.
<br />Notes Remarks Etc.
<br />OWNEN BUILDEX DELC)IRATION
<br />I h.r.hy rrrn und.r lEtuhy or p.rjury rh.i I m .rcmpt 6Dn rtu Conrero6 l.icnrc t2* fttr lhc rollo*ine rc.$n ( S.a ?0l l J
<br />Busincs o,t Prufc$i,n Code): Any Cily or A,onry *htn ft9uirs D tsmn ro .orerucl, dr6, itptot. d.mnnh oi qEn !n,
<br /><mdG. Fn,ro irt is\lrft, rrqr rr. i6 rtE {,pl.d for ru.h Fn b fik . ri3Ed rrtrcrnr rh.lio, dE ir lks.d Fr!!d
<br />k' rlE ,mvnhB ol rlr ConrErix r l,irnsd L:* (Ch.flr 9. ConmriD8 *nh Sr'ion ,0d) ol Oivirb! I ol rE Aulids ri
<br />PNr.sbn\ C.d.) d, rtur lE d rh. s .r.rpr rlredom.!xl rlE t!r! nn rhc llLs.d ...q{ion A.y vilhra.nofsdir.701l.5 byrn,
<br />umli..nr lor . Fnnir subl..ts rhc rpllicsnl ro a civil pcnolry of nn tua rhd nv. hundr.d dolles I S!00)
<br />l. r. owE ol E FDFny, or mt phFs *nn *l8B N !n r! onFtrdirr *iD & tlE urt !n dE .dE i! ml
<br />i,'r.nd.d o otrsd d {L ( Sd 70a,r, BuiiEr ..d PrntBbm C'dj.: Th. Coffid r Litr Lru dc Dl +Ply lo 6 o*F of
<br />rlE F,Fdy wrD hl'ldr m inFrcE ttEetr !n *lI, dE sn Ed hiMlf or ltBl, or rhlu3h hn d h.t o*..'ry]bFs.
<br />,novit d (har tuh inpnEmnB c r, id.tn dordtu aorsh.l( lnwq. tlr hr di.a r inF.,t!ft iriBshhinoE t.a
<br />of corpLrion, tu Oqrcr B!iLL. wil! hlE rtE h!d.n of !,oving rhd lE or nE dii ml hi! or inpmt lh. FlFiy for th. plrlEs of
<br />-1.
<br />.r oEE ol rlE FImy. m.rchriEly .odlLlDa enh lartrrd olf{l6 16 otrrra rlE FrF (se. 7044, Bcfs
<br />snd Pi.&si{ Cod.i Th. Co.kdoCr La..nr b* &B ml .prly to x.wH of |troFrly rlF build, ot inpmcr rh.ron
<br />ond who 6 dtr for such ,mj.ds *irh o Conlndo(, liatr*d ponu'n ro lh. Conrdorr Li..ns Ltw).
<br />I !Dcrcnpt utuLr S(rhn
<br />l)rr. ()ler
<br />rvoxxr.rnstolrprirslrron
<br />D[CLAXA-lrA!
<br />I lrnhvrlliroutrdrrI{ lryof l.',uryo,{ofrhclr)lli)*tr13 d.clihi{rN
<br />-l
<br />hrvc and sill nuint{ir *orh^ compcn$tn,n ins!ru.cc, d rttuiEd by s.d n,n l?(D ol lh. tjbor c'odc, ior tlE Frformmc or
<br />rh. *'{r for *h{h rhn pqmir,ir Fqrd M} *o,kdr con{rMbn 'n\urrm ffrr lrd [[lf,} numhn e
<br />,,"- ' ACeftl
<br />*,.,^*,*,,' C5 {r!h-oooota6f}'1. o *,*", d5-oS2pLt
<br />-l
<br />adirt rhr m rlE t rforutur orrrE worr fm whah lhis Fmr n irqxd, I slull ml cnPro, rn, Fm. ir ry Enm
<br />{ rrob.ram{6FrrorlEh{tm snp.dbn L$otcdirom( lrd l8c u,f InDutlh6mEbFllollE
<br />,ortsi @nFe'ion pFvnbB ots.dt n l7m ot 0E tlb.. Cdrq I rrErl fodhwirh orrly w n rb: FoyilbB.
<br />IIARNING FrillE k' $m u .ii con{Etrsrhn .\\ca8c ir unbrtul. Md rh.ll suhjccr u cqrloy.r b .noel FExi. ad
<br />civil nmi uI ro .r hudEd rhou*nd dolL^ (Sl(l).ooo). in .ddniu ro rlt .or o, otrFNrior &n8.s .t ,,i,vd.d ror rlE
<br />"*Lrrn! 1076 or llt l,hr Co&- hrcE{ rn rtlmy.l rar
<br />,"., o3 - ?4:?pt ! n*,,-,,X I 6"-l- u-.-,--t
<br />LTCTNSED CONTq,ACTOI
<br />DECIJAAIIr!
<br />I lEEh, rtr(m un&r FoIy 6l F.Jr,y 'hd
<br />I m lje.r.d urd.r Fovnbn of CIDIIq 9 lonftt(r $lt S€lin 70q)) of DniriJn .l
<br />or rl. BusiF! rn PrefBiJc Co&. !d n, la.(. i{ in tuu ror.,n.fi..t.
<br />tt*r*ar*,tfi Lccn\cNu,nrn . /ok*Lz
<br />.-,,-'- Vt-f<-Cf.gy t rco.r.F]-)it'11
<br />grNllSlctralilE8DruliAliENg
<br />I lEEhy anirm undcr rnaly ol lEljury lhd Lh.rc t r.onrtudion Lndins dg.ry fot
<br />'rE FrfonER orrh. wor* for whth lhs Fmr ii
<br />niu.n rse. 1091. civ c.r
<br />AIIIICAII.DECIASAIIII!
<br />I hdtat .ffim ufl,lr Frhy ol Frrury or of OE folh*m8 d.rlu.l bnt
<br />D.mlirion P.diFArb.sro! l{.rirEii,r tu nl R.8lLlionr (TirL a{). Prn6)
<br />Rcqlircd Lcll.r of NdifE.ti,n
<br />lk*",,,,
<br />fy rhd rlE rolcnl ErlLr&N rcsrdins $lE(or rctu\rl e r +ptirbh ro rhr poFj
<br />tu I h.vc rcld rhi\ lpdt.rn,n ard n nmrion is concd Il8e'od,r{,1,wirhlllCiry! l Counry
<br />onln 'kr\rn,lSrnk Ir'* rcLri.tn, hildin!rurlrtrir rcnrcscnrulivcs oirhi\ Cir, rndCounry lo cnrs upotr rlE
<br />rtr'lr trf,nri0 d p^,Fn!for in\Fa1i,n purF*\
<br />appll(sr o. As6r skmrur(
<br />14.\2"1 6//,t l,L.-L- |
<br />Of?a'Ll
<br />I
<br />-l
<br />hrE Ed rill minr.h r CcnifE.rc of Cotrdr ro S.lf-tns fd h*6 6nprMin. { FviLd for bt Sdion 17(I) of llE
<br />ribu C.&, fd trE IEfffi of tlE vat fd *h.h rlE Fni ir ir{rdl
<br />I rnJ.''\ AJJI.s
<br />,"-ru.. -.",rnnt,, K
<br />Pole Bases
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