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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Flouqh
<br />Service Meter I I A/_-,r'
<br />FINAL 4rL',flu lz(En w{/4)
<br />Notes, Bemarks, Etc lt
<br />-+
<br />OWNER AUILOET DELCAR TION
<br />I lErcb, !0nm undcr FEhy of Frjury lnd I m crcmrr liom rlr Conrrlon Lictr Llw ,6r rL folhwoS crs,n (s< 7011.5
<br />Eoirc* .Id Prot *b. Cd.): Any Cny or C6ury whi.h 6nu!6 r Fmr ro 6dM. dtd, itrrFow, &nDlnh .r EFr uy
<br />nN1@. Fi, ro ir. asw.. d$ Birm. rlE +plad for iBh Fmi h nh. lilrEd nd.mnr rh.r lE or dr n lirnsn F i.
<br />t, tlr rrerilions oa tlE Conudd ! Lkcn*d trw (CruFd 9. ColtmEinS sirh Sali,n ?0@ of Oiviii,n I oa rh. aurirs .nd
<br />l}d.ribnr Cod., G rh.r lE d slE n cr€q{ rh.nliom,n rh hrn fd, rlr .lLscn ct ntpi6n ,\., vi rrid otsdi,n Totl ! by.ny
<br />l,llicur ror r rEmir ohj.T|\ rlE .I,lkrnr ro.civil FMt,o,mr mr rh fiv. hulnrn.,olls (lJe).
<br />_1. a 6*rrof rt FDpcnt. s my crpt tE! wnh $rt.! x rrE, sL onlEMiotr viI.ro ttE ert dn lll sulE i. d,l
<br />id.rd.d or ordd fd eh lsa 7044, ButiBr md PrrfR.bnr C(d.: Tlt Cotr.xln! Liw t * dB mr +plr r! e 0{6 or
<br />rlE FIdy who hrild! d irtftB l,Em dn who dls rdr qrt hirell or h..rlf or tlnugh hir q tE o*n cr(,bFl
<br />,'mriLd lhlr trt inFom'rt E d -rdrn d d olibsl,or gt lt lbffi. OE rx riB d i,!+mwd ! s! *aho om lot
<br />or.,rpld.n. Eo!,E Buirlo sll IEE dE h,tln orFovrB lhr lE E {. dn d hild q itrFoE 0r FqEr,6. rl! FrtEo,
<br />l. rs o*rc. ol rlE Fnpcn y. !m crclu\ivc ly (otrrrur r.t *(h lNnwl ro trrbB ro on{ftr rh. lln,Flt tse ?orl. Bunr$
<br />itl tlof6s$ Codcr Th. Confr.rof: Liccnrc ln* do.! nn ltply tr !n or ncr of pmlEny uho huilds or nn iov.\ thrr.on.
<br />und *ho contrrls for such Dmj.Tts wirh u Conrmcb( n lic.nkd Iu6ur.r ro r h. co.hudor'q Lk nc Lrw )
<br />-l
<br />um crcnpl undcr Selion-. ll. & P (: Ior lhk rcdso.
<br />lrraf,r8ti-tllMfBlula!
<br />D[.s.a8auq!
<br />I lrEh, lrrnund.r p...hy of F]!ry o,E oftlE fdbrh, ddLr.ln6:
<br />-l
<br />hlE !d sill minlri. a Crnifr.'. otcon$r k,s.lf.lNE ld wl6' onp.BrIiotr B Imvii.d for by S6ion :1700 of llE
<br />Iitu Cod.. fu tlE Ffotrilr. of ltE tqt f6 whth lll pdhn ! iiqd.
<br />I h.E rrn rill minrain ert r! onqENti,n inru.N, .! EqliEn hy s<rb.l7m orltE tibor cd.. rd OE pdfdM. of
<br />rh. qnk nr *hth rhn Fhir i! nrrd. My *ort6 srFtrdio, i.ffi ffi .d polay numh.r E:
<br />5Mlon7go1 t71l
<br />-ErpiH
<br />_l aniftrhlr in rh. tErfornffi. of rh€ Bo lor rhrh lhi\ IErmn ir n:td. l \h.ll ei .'rplo, rry Fen io rn, 'Mkrs s xr lEor slbFr ro UE s)ri6'@qrnrdi.,i Lwr orcrliftnn, (d n8c rhd if I rlDuld h(om .ubFr b rlr
<br />hrts' @!p.nsr i,n pDvi'ionr nf SK' ion l7m oa rh. Ljlrr c.d., I slEll. lMhwnh 6mply q nh lhc Fmvirirnr
<br />WARIIINC rritum ro KUc w.rkri .onrJx.rri(ln ()v.rE!. ir utrl.wtul. rnd shall subFr on cmllo'll ro ain nrl Ffllrid rnd
<br />civil nncs up ro oft hundEd lhous.rd dolhs (ll(x).fix)), in oddirion ro n .l cnmp.n\ariin, d!au3c: 8 l)n,vkl nn rhr
<br />sc(rtr r .1076 oi rhc hbor nlrcr.n rl rl'rrt \ 1..\
<br />K
<br />DEqdSAITTN
<br />I h{rutyamrnuxLr pcn.lryorFrj!'r rhd I !m liNnar! ! lcr fnrtki/in ol Ch.rr6 9lollmrcin8 *irh Sel ion 7{XD) of Lrvnnn l
<br />'l rll llu$m* rJ holt\\ion\CoJ.. rBl'n:/ li.n{ tr lulll,tr\.r .ll.(r
<br />L)4z te.- /
<br />t/z-/ui (
<br />SABIIAUgIIXU.EUDIEIi.AGENIT
<br />I lErEby lrrmundd FMtyofFruryth.r rlE ir.o'Entlion lc'din8.s!fty tor rlE Ff('lr!N orilE *st 6r *hrh rhir Fmi a
<br />irslc<l (se. J097. civ. c.).
<br />AISIIIAIL!&gLAa TN
<br />I Mry ofm und.r lEnalty of lErlury onc of ttE nrk'w!n8 dcclqllions
<br />D.ft,lirbn Pcrmits Asb€(os Norificdiotr l:cdcrll Rcsllori,n: (Tirlc40, Ptrn6)
<br />-RcrluiEd
<br />L.[cr or No rmli)n
<br />Etuv.l uc mr dl)plt.hL b rnL Foit.
<br />.br inf.nEio. i! md.<r. I lgr lo @mply wnh .ll Cily rid Coufly
<br />bri4 ctrcr {rvca of rhc Cnt {rl Cou.ry ro .nrd uFr tlr
<br />\t,plnnnr,r rrcnr Sixturur.I{{5 /4,
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<br />Rov 0n'O7 2015
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