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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding i Groundinq / UFER
<br />Torquernq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />tl
<br />/J*Y?/:hlRoughv d36
<br />Service Meter
<br />FINAL g2//dl Uh,lh qb.
<br />Notes, Remarks, Etc.
<br />OWNER BUILDER Dt,JI,CARATION
<br />I hlrcl,y rflnn undcr pcnrlry (, p.rury rhlr I dcrcmfl in,ni ECo rrcron Li.ctrcc Liw tu'lhc lollo*i.s,Iaq,n (s.c 70.1r:t
<br />Bu{n$\ md Profc\\io. Cd.) Any Cily or G,unty *nth Bquncs ! tml, r. c.n(ocl, alrd, imrr.w. &Brih or qEn any
<br />nddrc, Irtu 'o r n.u.Nc. rlq' Equnc' rh rpr ianr lor rEh Ftr'Ul b nb r vBrJ dar.ftnr rhrr rE or srE s lrcnrn nuaad
<br />to rhc pn,lisxtrN dl rh Conrr.ntr s Ltcn*J tjw (Chn,'rd I, ConnEmr.S *irh Seron T(IL ol Dirni,n .! of rh. ausim$ Md
<br />Pn,ic\si('ns Codc)orrhlt lror\h. i\crcmrr rhcrcfmm !'xl rhc h!\i\ l lhctrlhgcdcxrn{ on.AnyvnrhlionorS.clionT0ll5hyqry
<br />rprriunr rd r ,.rnrir 06,c.N rh. ,ntli.lnr h ! .rvil Ftulr, .l .or mN rh!tr nrc huRlrcd doue\ lss(l())
<br />l, Is owk. ot th. Fop.ny. tr my cn{lloyer *nn *.!$ r tht $L onDcn {tiun, will &, tlE rdl dn lh cMW a ml
<br />inr.dal orolcrcrl,Dr eh rS€ 7(!.,1, Busimts rnd Pr.Lssio.r c6dc: TIE conrelor's LiccM L.* doci n lpplyloMo*ar.l
<br />rh. tm,Eiy wh, blitls or irmmB lh.Bnr, uxl wtD di8 u'h xsll hinxclf.r h.rsll.rrhR,ugh his or hcr ovr.n{,t yr.s.
<br />pmlit d !hr! suh irlFomdi N mr hrdrLd orofrGqi for sL li lr)EE. dE txiury or nnpflerd is $U wanin d F,
<br />ofdrnt criotr rh. OwF Build rillhM rlE hntn ofFrvi.8 rrEr lEn sn dd rn tlitl or irFN th. FIIEi,ldlL Fnp(Eol
<br />l. r\owftr.lrh. lhrFny, lrncxclurivelr.onterins uirh liccncd contrlcr.sio srn{tucr rlr pr,r.cr (s.c. ?or4. Afims
<br />atrl l\I)ri.:sis Cdlc 'rhc C.nrhcktr s Li.cnrc Lis dftr {f4)ly kr bof,nc. oflop.riy *ho buikls or ianrc*s rfidon.
<br />rnn s'ha $drels lu sutFoFra *ni r G'nrrtdln licn*d |E^unt k,ih.c',.rr.hr's l-itn{ ti*)
<br />I omcrcnrnl un c! Scclirnr-
<br />\Zlz{lteztr
<br />P}:ILABAIIa!
<br />I hc[by rin rihd$ p! rlryol|truryoic or rlr tullo*trr{ Jc.lrnrr)n\]
<br />_l lIrE rd will mi.rrin r C.dafrxr. orcon< ro sclr.lnse rd url6r'onricnslmn.6 Fafilcd 16r by Sclhn l7q) ofrlE
<br />L.rn Codc. ror rlt Frf(,lrl]JN of ih. m& fd *hth rrE Fmir a irMd.
<br />_lh0randwillrDn Din worlcn co rFL.uri{ in\urutr.c. ri rcqun.d $y sd i nr lTlx) of rr* liltr Cod.- nn rhc Fnar.un(c ot
<br />rhL worl lffwhi.hrhn p.m ir N\1ri Mys.rkns c.nrFnsrsn in\u.rfr'clartr !d poltynumh,m:
<br />-ErDiEti-
<br />t kdir, rhar rn rh. p.rlolr f,c orrh. srtrk l *hi.hrh^lcrmn n tr\ucd.I shrll'x{ ctrpkry!.yF $n'nrnynEnmr
<br />si $ r,' tEg,n! \uhFcr b rh. sork(s dnnlxnlli,n ln*\ ol Crlifomir. rnl ,*N thr! rl I +ouE h(cotE \ubj.rr ro rh.
<br />sortc^'co'nF-rsari,nlnrv([rh\olScciion.lTl]Oofrhrl-nhtrCod..l\hrll.tunhwirhlonDly*irhliosnrovkion\,
<br />IVAL|NG [.'luE io suE vmtsJ o'rFoelhn a*msc h unhwful. !d rhdl rntFr dtploFr ro simiMl Ffliat.nd
<br />ciril lin$ up kr oft hundrcd lhousnd d{ t8 (tlm.ooo). 'qjd'rnn ro rhc co{ !,I.on{f,Mrnr. drmsct &r Fmyid.d r.tr rh.
<br />Scrrrn, 1076ofrh.lntnCril. inrc,.{and o,rt'\ lcc'- -/ , '- )
<br />,.,., tzlztlzozo ^*,,*,, Xl- ' l-Y
<br />ug[llEDl]l]Nraacrua
<br />DE!;I.6XAIIIIU
<br />I Ldby ofim undo lculryolNrjuyrhd I !m [dosd undn tovniotr orChlPts'J (.ommE-ins wirh Ssri,n ?000) olDirisi,,n l
<br />ol
<br />'hc
<br />Ausims\ a Polc$ionr Codc. url
<br />'ny
<br />ltcnF is in flll to& dn c[r{r.
<br />i.cnsc Numhr
<br />-QNEIAISITTNIINDIIIi.trCINCI
<br />I h.Ntly irtrrnund.r lEn0lry ol lxrjury th( lhcr. n ! con(rudhn hndi s.gcky ror rha pcrr.rnun$ ol thc voll lnr *hich lhis lHnlil i\
<br />i\\ucJ rsm :rm7.Civ C t
<br />AITLICAILDECIJEAIION
<br />I no$y fm !nd.r Fnaly ol D.Onry ok of ilE followin! &.LlErbnsl
<br />D.nrniriu. Pcrnirr.AstEno! Nolificalion !cd.r!l tusulrri6n\ (TnL 40, I'M6)
<br />_R.qun d L.($ of Noriirdr,.
<br />l.cni,yrh rrf, lcncralrugul ion\ Bg:uirngo\h.do\ r.nx,qlrr. nor rmlf,lhL k,thN !ioi.\r
<br />_1..nlyrhrrlh*!i.rdrhrr! f,rrion&lirrcrhnrttx nh,rc innrnlltrnlsro'r..r I rgrt{r,.otrflJ wirhrll( iryrlld Coutrry
<br />n,Jm, kr.,nJ\r. clrr\eL 'nir,lv'tr1ltq{ddin.r}lhjrDr+rh trrnF.ynL,n rlrhnri,rJnJ(1'u{,I cnrnuF{rhc
<br />ffi;;;:."'*"ry 1. I y ,,.," rztzr(zozo
<br />Pem,(Dn.,pr,,: l, ^ *)^- -Yl I"V-"lt
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<br />Rpv 0A-O7-20i 5
<br />APPHOVALS
<br />CuEr:-
<br />L1nlt1 !
<br />^JJk\\
<br />I
<br />Transformers
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