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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)A.\
<br />Walls (Rouqh)L -\.€)t\h)6,
<br />Ceilinqs (Hard & Soflit Rouqh + - t"7)'q/DfYa)
<br />Ceilings (T-Bar Rough)
<br />lVeter Release
<br />Rough
<br />Service ltrleler A
<br />FINAL 510-tua
<br />Notes, Remarks, Etc
<br />OWNM EUTLDER DELCANATION
<br />I hcBhy umrm undcr pcnrh, of Frjury ltur I M .r.nnr fDm rh. C.nrebft Lt.ns tiw for lh. rolbwinS rc.$n (S( 7031.,
<br />Buti*s rid hi .rsbn cnL): Any Cdy or ct{dy whah EquiE r Fnr lo @n{n r. rhd. inprok. &mlLh or EFi, dy
<br />(NCrw. ,mr ro ! nsuoer. rlqr Eqlirci rhc rpDltunr ror soch Fmi ro lik o ri8ftd i.rcrnt th.l tr or nr i U..nen ll!$r,
<br />ro rrE FnvniE of ltE Conrtrru\ LicnEd Lr* (Ch.prcr 9. CohrtuinE *irh serb.70Gl of Divkb. I ofrlE BuriEN ud
<br />Pmlc$b6s CnLr .. rh.r rE or .h. s cr.nli thdtrmn .*1 rh. ltri! for tlr .U.8.'l crcq'lon Any vshiJ. of Serioi 70] I I by d,
<br />.ppli.lnt lor ! pcrmit subJ.cc lhc opplicanl ro a .iyil IEElt, o{ fr, m,rc rhM iiv. hun l6d dolrrr (SJmr.
<br />_1. i\ ou*r of lhc pmFn y, or Dy cmplo)cs *ir h su8c! !s lhcir $L co,qtns,ron. will &,
<br />'h.
<br />*ort {d dE nrElr d n
<br />i, c d orofi(d f ek (sd 70,1.{. Burifts dd l\rr.shns C.& T}E Co .('rd\ lirtrE lrs&.! mi qrplyb o*Erof
<br />rlEF,Fry *tn hill.tr or n t'DB EDtr In *ts dr6 rh Fn hin*lf o. tEElf nr rhrcu3h hi d ls o*n cri)loF.a
<br />pn'vx,. rhr' such in{rewnnB e ml intctrd.d o.ofrcEr, for sb l( n'wkr rhc hrildi'ts or ml,owtnr ! {,IJ whhihoc }!{
<br />ofo{rtun( rh. O*F Boitla *ill llE rlt hird.n orFrnE lhr rE d \rE dd hliu o. i,tioE dE FrEiy lbr rlr F tE of
<br />l. .r olF of rlE FoFny, M.r.lurirlyo rrlh! *'rh lian*il o,ffi.m ro @6lM rtE FoF 1S... ?o44. Burtr$
<br />and ltrEsion Codc Thc Conka.roar Li..nsc Lrw der .ol ryply ro m.wncr ol prorEny who buildr o, imPnrws I hcrcon.
<br />.nd rlrl odd3 for rEh F.FB *lh ! C.dcrd(r) lt.En puEatr ro tltCrir8roir l-i.rn* Lrs)
<br />_t um.r.mpr ud.r Sccrion_
<br />D.r.: o*Er:uof,f,[&troutlltar]0!IlEcllSdra!
<br />I hurchy rll!muodcr pcnnlly olErJury onc oflhc !',lloui.g dmnnlrnnr
<br />I h.E !n will minr.h . Clnifror. of Consnr ro Scla lnsE td strl6 onqEndmtr ri Foviki for l,y Saliln 1700 of llE
<br />l,&, Cod.. f.r ttE Frforn[trc of llE sd Im whi.h lh. IEnir ir Ls*d
<br />trlllw !ft1 will m.i aii wort n conF..sdion inru,!trc. s E{luiEd b, Skr ior l7{D oI rrE t bor cod.. ror !h. t'.rfolrrm. ot
<br />rMtro,rr trhihrhhft,nnr '\ ^\url Nlv*ortu! lrnnNn{r d.r nr.rnrr inl d'lrt trunrt{.uc
<br />,-* /rrr.* , C^t.-* .,/A U<-L/
<br />n.,,,,,",,,n, ."/51\ 5oL ?r/J:D 7 r.r',. U./-:z/
<br />_l*niftrh inrh.fr o.mfrr ntrlE *oll n,whi.hrturFru! r r\u.n.I {trllB{ cr{'hy ry Fffn inDt lMtr
<br />o ar ro b.(n* suhj.cl to th. *o*dlcomFnsltiotr lo*s olc:hforni!. md aEN rhrt ia l slt{ld b..or:ubFr ro irE
<br />*i,dci irn{Enerion 0tuvirbB l S..ri..l?m or th. Lrior On..l {ull- fonh*nh .oryly } irh ih,* tmvnnns
<br />WA|ININC Failur. ro Nm qntc6 onlrtr$'i'n co\rBsc i\ lnh*tul aid slEll iuhFr d LrrqlilF r. LrniEl FE!:s ]n
<br />civil riet up ro oN lrudrd rhousnd ili,llir (lloo.cu,). 6 nion ro ih. co{ or.orFn$lion. dmr.t 6 poln.d for llE
<br />S..rkn, -107{rolrhr lihn(ixlc. i c'c{rn rnonky\ !.c\
<br />t'2 - lE:-2<,
<br />I hcrchr ,flirm u nd.r n rlly of F.rjlry I hdl I rm liclnsl u'dcr nDvirn,n .f Chllicr 9 (.ommkinS rnh Sdion r0()0) ol Divnn n .!
<br />of rM EuriBs lrl PmLsirtr! C.n , rrn .r, 1..n. i. b tull n,R.nl clTal
<br />Li.nE,rumlr
<br />-" /r//
<br />7Yo ro z
<br />I Z -r 6: -z..o ,L_ s4
<br />ladlrf,lllJl{tNrElllac.dcEd(a
<br />I lEEhy.fim !ftl.r Fo.hyorIlcrllry rhrr rrh n r $Nturi,n Lndina.Ecky fttr
<br />'h. Fn(rffi olrlr x,t ror whihrtn Fmi n
<br />nsucd lSN.1097, Civ. C.)
<br />dITLIIANLIIESIAA.II!]!
<br />I hEi,y 'rm !nd.r Fnllry ur Frrlry or of rh. tullt*rn3 J.<Lnrrns
<br />Dcnx'hnrnP.nniri A\lE{u\Norili.lrhn lldctuI R.gnhrk'nr(f ill.40.Pin6)
<br />kcqutrr(l lr(.r ol Nor'li!trnl
<br />}IENI
<br />I
<br />4---
<br />_l drr, rh.l ilE lcd.ri r.!!Ul.nr Er&lin8 .rlEsloi frr d e n lpr rrbk rorht pn'lcd
<br />)6c.nifyrhdIhr\irc.drhi$pla.rb.rdiar.rh.rrh.rtoEintomdk'.i\.(xftrtcselo.-rq'ryw.rrcr,ndc-olnryndrlBs 'nd sr'r. l,*1(Lr18 h h,lCm8.onilM6tr d lEEhy $rn'M Err.qrari6 of lhn Ciry !.d Couryr..r!6 uFn tlE.'.,,,"r.-,-.
<br />^..,,".,,..^":",.,";,,- [-t/ r7-- n, / z-r7-2-
<br />,;:;;,""; -!#x-t*c,r/y'np
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