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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Founlains
<br />Sions (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor \ai*6"Bondino / Groundinq / UFER nv\a
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners I t\Roof Top Equipment (DA&d Y
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)Ir I
<br />lvleter Release ,r 1..-rl
<br />Rouoh {,/-
<br />Service Meter utq'.
<br />FINAL '1)-gl
<br />Neles, Bernarks" Etc. r I I
<br />I Y1a
<br />U
<br />OWNST Et,ll'la DELCAT T|ON
<br />I n rchy .tfun undd p...lty or Frj!ry th! I d .r..pr ft.m rtE CoddoE Licne trw for tlE folloeiq 6Dn 1sa.r0ll.5
<br />Burin.s u Prof.shn Cod.r: Any Ciry or Counry which t.quircr . psnir ro @fl3rtur. dr(. i(poq &mlirh or rp., ry
<br />lrru.r&. Fir ro ir! nffi. rl€ rcquiB rL .rlpltur for sh |Enr! ro nb r i,,Ei &Bd lhr lE or nE ir lianr.d pu$.,r
<br />ro rlE Fovsionr of dE Co.ftld r Larnrd tir (Chrprd 9. ColftEirs rilh Sarbn 7qD or DivirEn I 6f E Buirs !d
<br />Prcfcsi,.r Cqj.) n tlll iE (nE n.&rpr 1,8!t on!,n 0E h.rt to, E rlLFd.rcnprion AryvbLrirofs6lbnr0ll.5by6y
<br />rp?li.D' for r Fmn $br.l! rlE npplir' ro r.ivil F ny ol mr ltm rh.n fiv. hldrd dollr (!5m)
<br />-1.
<br />us oqrct of lhc pmFnr, tr hy cmployE! wilh *!scs !s thcl mk snp.nqtio.. eill ti) ttr rGt irn dE ri)clE n rul
<br />iliod.d 6. o,Icrt l for eL (sa'7014. 8u.irc$ Dd PmrdlrB Cod.: TIE Conrddt Liw L.s &r.r tul q?ly lo a owB of
<br />rlE p.otEn, wlE Eiil& o. iqrcB rlEEr ]n *h d.E 'rn k r hielaor lEr-lror rtmuth hir d lEr orn cnploF...
<br />J'mvi.d rh.r .Eh inp.lwdr & d irdd tr otuql fn r.t lt hrwG. llE hlildls r i,F4rE i! ,a *.llt! G }t.r
<br />dfdiphrii dE OeE BltrLr will rEE tlE h,&n orFovi,! d- rEoraEdd rcr lul, c n+roE i. FFty rorrlE F FEof
<br />_1. .! o*ri ol rlr I,n,Eiy, d .rcl siwly .udrdin3 wnh licn..d confuroR
<br />'o
<br />.on{rud lh. Faje:l (Se. 7o+4, Bu{Es
<br />Jn Alr.rnhCod.: Tt Conlrror'e Lk.nr Lle dc3 ml +ply ro -ovF orFlFn, wh6 buiu. o, inptoEs rh.mn.
<br />.nd wh @,rrrt! ld *h FDFt enh r Coilrdon.) IitrMd pu,rd ro rlE CoMols LilN lr*)
<br />I ancicdtr un&r Sdrioi__.8 &PC f,trrhiresn
<br />ItQBtrE8s_CUllIt t lla!
<br />DE1jI.AiAI1A!
<br />I hcrc$r_ Jlrn'n u.&r p.tulry of lxrrrrr_ om or rh. krk,wme d..Erarr)n!
<br />_l hsrc nl eill tui.rrin r ( cnifkrr. 6f Co.enr t, Sclaln\uE tu *ortss .ln{Ensri Nn. $ pmvr.!.d {n hy Se.rion :171n ol rh.
<br />litxr C(xlc. li,rrhc p.rf.r.!tuc olrhc work for *hich rh. r.mlir $ rrucd.
<br />X*., *', **" *-rcE .onFMnn h\u, .. s ratuiBi by sa-lnn r]m orOE kDoi co&, ror rh FfiilN of
<br />rk $dr rd a-h $B Fd 'r so.d My wt6 mrpoubn unlrm ffir rd polry nudE E*tt{ Frt*-
<br />,\n.i-Nu',i, qzc' /f geosG ., //?t
<br />-l
<br />ccniry tt.l in rlE pcrformBr ol rlE *orr lor *hah rhir Fmr h 6rEd- I sh.ll L .irlllhy .ny lqhn i. ey lumt
<br />s a ro lEem sbF o r|l mn6'erp.ndD. lrws of C.litohir In rsE th.l d I 3hoold b.$m {til1 16 lll
<br />$l(6 mnF.erbn pmvnioN of Sdbn .tTOo or rlE Lrbr An . I tEll. fonh*irh corply *ith rtbs ptuvari,N .
<br />$ARNIN(; l,lilurc b e.u(.*orlcrs c.mFtr\rrtr,n comBlr tr trnlf,*lul, r'rl \hrll n,hFcr s dnl,k rg 'o
<br />anniml FMxar alld
<br />citil nmr ut lo oE hondrn rL,uqrd doUB (t100.0@,. 0 con rf tunVEnslon, drmS$ a proril.tl (tr lh.
<br />^*, 9 ''26'-2/
<br />^llcErsED-caNlldqraB
<br />DE.CT,ASAIIN
<br />I lEEby rllrn ud.r p.dlry of Frrry rh., I !f, liar.d unb. Fbviiio. or Chrprd 9 ld,nmring *nh Sclio. 70m) of Divtior l
<br />of rrE Bu.E.s !n Pmf.sbN Cod., dn Ey lid- n iD tull fo.N !n cfidl
<br />Licn\cNuhh.r 7e73/ o 7
<br />TI]IIIIaI]CI]ONJ.EITIIEICEUI]
<br />I tEEby anrm o*iar Fn ry oI FrJlry ihd rh.rc n. $.cMon lniinS +cry for llE Frforltre or tt. *ork &r *tth ritIsnit i
<br />hsu.n (Sc!. 1097. Civ. C,.
<br />AIE.ICAXI.DECBAAIIO!
<br />I H'y0frmu cr pcnohyoIIE+ryom orlh. f{rllowing dcclsmlions:
<br />Dcmlilion Pcrmils.AslE iDr fiolifr.lhn tuml Rcsahridns (Tnk 40, Pd6)
<br />_Rutuir.d rdr.r of tldfrdin
<br />d,iry lhrr rlr fedcEl rcBUbrions Esudi.s e{Eiros Emv.l G mr rrplt lrL ro rhir prcis.
<br />.boE i.lomrioi ir .oEr. I l8r lo ergly *nh dl Cily sld Ciunryrlrr lllr. r.rJ rl'a rft,l'cnn)n
<br />odtumct u'd shrc Lr*\ ELrus ro tui EF.sddis of lhi Ctry !n Coun!, lo cn'd u,rn rtE
<br />|tbE Bnri'Ed fm,lEny for hsFl
<br />ipplic.nl or Aa.nl SiamluR
<br />I.m ree Nnr(Drinr):/r, /.itt-4 ^,,? -?e -z /
<br />TEE.i
<br />t0t4t'
<br />ll\"'rl',A
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