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ELECTRICAL-INSPECTOB BECORD
<br />DATE ID/SIG.COMMENTS OTf, NET OUII.DEA DEL(TTATION
<br />t h.Ehy rrrn !.d.r |!cn ry of Frro,, rh, I m cr..pr lms lJr. C.,Idm' LjeM L.v ,or rlE f.lb*in! lwn (Sa 7011.5
<br />ausiBr .,rl Prcr.s6n Cod.) Any Cty or Coulr, whth rcquiEr ! Frmi lo conno( drd. inprnw. &mliih or EFn &y
<br />smtrrG, ,rbr |o its issutuc. alxo rcquiEs tli {Tlkor for !k[ p.rnr ro nb . ri8red 3tl.m,lr (hrl h. or dE L licctr*d l'uN&r
<br />h rlE Foynk m of ll. Conrxb't LiccnEn L.w (Cn pr( 9, ConfteirS onh Serioo 7{I)o or Divi.h. I of lh. BuriNs od
<br />Pmr.s-'m Cd.) orrrrr lE o h. a..r.i?r Elmmmd rh. b.rt lor rlr dlcg.d .r.tr{'lion Any vi,ldiono,Sdli'n 70:!L b, dy
<br />.!Dlt d lor . Fmn $bFrr rh. .Pl,li.ur to. civil r.dlryof mt llft rh{ nE hu Hdollu.(!te).
<br />_1, as o*mr of ilr F6Fny. d ny emploFs wnh wrSB a tlEn $k @'rFruria vil &, tlE *ot 6d llr stIle ! ml
<br />inr.iddl or or.r.d fo. sk (Sa.?0{4, Busir3x md Phf$sionr Cod., TIE Con *ior. ti.e Lw d&! mr $dy ro .. osmr or
<br />rlr tn,F.t, wln build! or i,qnrB llEE( rn who &f,r,u.n w himlclfor l'.rc|fDrltmlgh hn o. h.roM.nphyc.s,
<br />,evilcd rhlr ru.h id'Fov4nBN ot hro'dqi d6fi*d lor sh.I( tbkE trE ttriEirS or iqmEft nsld*hllt'nm)s,
<br />ofoq .rbn. tlE OwE BuilLr eill hw dE hrln ofFolu8 th.r lE M rlE dil n toiU or in!ftr tlE FqE y b. iE F)!FE of
<br />L aiowrr orrlt FoFnr, !o cr.luriwly<odarin8 *irh li.led.odtuin n, otur rlE troirr rS.. ?O14. BNms
<br />a'n ffisrix Cod.: TIE Conkro* LtcnE L.s dmr mt opDly ro d o*B olrrcn ny *h. buildr Dr inpbwt thd6n,
<br />,.d *ho co,IEckforsuchphixrrwirhrConrncbnrliiMdpuRMrro.c..n!.1o*LiIn*L.*).
<br />Ix,.\.nr unll.rS..ri,r,
<br />D.r. _ orc:_,
<br />IIIISIEISIINIBIAI]'A
<br />IECTJXAION
<br />I lEEb, !r,n uDd.r Fn ny d tsIlry oE ol tlE lolbwin3 .k<lr.li,nr:
<br />-l
<br />hrvc st willminrlin rCcrriltltc olconsnr ro Sclf lnsurc for workol conFndion, ( pritid..l lor bt Sdhn l70o ullh.
<br />Lrtxtr C-od.. for rlE Frflmm. of rh. port for whrh I h. Fmi b issu.n.
<br />-l b( !d will tuitrr.in *ort6 .on!.6ri,. jnsunm.. a EquiEd b, S.rlion lro0 of lL t 60r Co&, ldr rlt Ftu ot
<br />E qrl frf, whih dt tmn i. ir .d. My *ort6 orF.N.rirr irttlfu cuir d ,.liy nunbd c:
<br />-l.cnify
<br />rh.r in d'c ldl6rnj.N of rlr ro adrnthrhnFmlr d ir .{.I ih,ll mr.trphytn,|Em.iru,dnE.
<br />s a'olEr$c bFr b tlE m,tdt onpcMio. !*of Cnifomi,..,n tgrlnd if I slblu lE<!ft obitl lollt
<br />mrt6.oqEMtonpmvsioBorsdlinl?mofrhrltdCod..Irldl.fnihvnt@qr*nhrlllsptuviria..
<br />WAnNINC: F,ilurc to €u.. *orkcB'.omn n\alion ov.nac is unb*tu|. lnd rhall slbFt rn .mrk,r.r io di.tnrl ,FMlrit md
<br />civil fin$ uI ro orc hundrcd rhousnd dolh,r (Sl(x).(x)o). in add i,n k' rhc.on or.omp.h\r'iotr, dnmgcs.s,n]vid irtr !h.
<br />Sshn tu?6 rthc Llhr C'tc. inrcrcc lnj dhmy. f(.
<br />ILl.: Flllol:
<br />r rcrrseom&fc'n]F
<br />DECIJf,AItr)!
<br />I hcEhy rrrm un&r p.Eht ol pdrury lh5t I o lic.*n o.dd Fovtbn of Cnrrrd 9 (6nmNing silh sdti.n 7000) or Divtion l
<br />oi thc Burifts ..d Pmf.sio.. Cod.. md 6y lt.nF is in tull lore .,n .fi(l.
<br />c(lais I'Rllcr(rN I ENI)lNli (:l:NcY
<br />issu.d lsc..l()97. Civ C.r
<br />appl r(:aNT nEcl alrT()N
<br />I hstty trfan undcr pcnulry ol Frrury orc of rl& folbwina d6lxni ionsl
<br />D.ann{n Pcrnirc AstEnos Nolilic.rioo F.dcnl R.Blbl i,nr l'rnL .l{l. Pd6)
<br />R.quncd t oolM{'fr!rr,n
<br />I ccniry rh4 lh. r(Ghl Egrhlhns Egirdi,S lrb.riJr rmMl e rn q,pltablc ro lhir prer.r
<br />. l..nrlr rhar l hlvc rcad rhnlprlirrionarddcrcrhlr rhc all,lc inromlri,r a.oftcr.l tr8relo.nnlryqi'hs CnyMnO,unty
<br />ord aNs rnd Srarc k*s ftbrir8 lo hoildin! .onrtucridr. dJrl h..cby ruihtri,c rnEcddiEr ol rhn Cnylnd A,unryroctrrs ulnn rh.
<br />!bv. nrtrromd pmIany fm in\IEciiotr puqn{s
<br />,tpplitdl or AIml SiADluF
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER g/2|/N /,WH fdr
<br />Translormers I I
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh ,2
<br />Service Meter fl1/el *rh/t&,td&
<br />FINAL Bl6[/A,U/Et/fr |5€6
<br />Notes, Remarks, Etc
<br />t
<br />APPROVALS
<br />IJirh. t Arllr$
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<br />Sub-Panels
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