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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS OWNE EUll,DEn DELr{R T0N
<br />I hs.bt rfrm !n& F!.hy of Fjur' rhr I d ddn! lioa $. Cor.rtloE Lit@ r^ for lh. folh\in* l!&n {Sa 70l t.J
<br />AsinB dd Ptofcsbn Co&): An, Cir, or Coudy whi<h rclutd ! F,ril to onriicl. !h6. if,prole Jamlish or EFi Trynodu( Fbr ro i[ L.l[m.. dto r.quiM lh. +plicol tor tuch Fnh to frh ! rign.d 3rtr@Idl thtl tE or rhc it li(6i.d 9!tud
<br />b th. Fovhiod offi. Coit6croir Lic.ru.d r,* ((]rp(a 9. C.'Mtrins $ilh S.clhn 7000 of l)nithn I ofllE BEind rd
<br />Ptlldid Codc)o. fin E tlE irdmF lhgcnon rd lt bGi lor fic rlts.d doFb. A.y lilldhn ofs.ciion 70! I tttDy
<br />.ppli { for. FDir rbjat! rlE Tolidrll ro . civil pdtyof mr mGrhs ,ir. hoLidl &lLB (lJull
<br />.l
<br />I. 6 o*G olrlE FoF.ny, or hr. lplor6 whh *rs6 s lh.t sL odFadit.. trill& llr s l!nllErnrlEi ml
<br />i.raxLd or olI.r.d for nk (s6.7(x4, aul@ od Proa io6 ( o&: T1r Codf,doir Ltru lrw {hd nor idy lo ...s8 of
<br />rh.FDpatt vlr nriki inp.ov6 tfido( ud {ho &Eru(h Nin hins.lfor hmlfu lhreushhn or hd o*ndnl,loycq
<br />FoviLd lh.r kh ihF!!qi.d. e er i{o!,.d orollqql ftr. rd. ll lEes€. E tlrUit{ G iqrcrs*n i. hld vihh,m. t
<br />of@npLia llt (xs B{itb pill lr1. tlE hrdn ofFurt $r ltd,rdd rx !!ild M rp.otr llE FfEly k lt F p*of
<br />l, B oNG of rlt Eop6ry. 6.i.lun G! coddins $nh [.aed m rnoE lo odrud llr F.F (sd 7lx,l. ltl6i6
<br />rd PDEsinCo&:'rh. Cont4loi! l.ic6k bE {toB nol.pt,ly to d o*nd.fF.pd, wno hildr or impord 1fi.6n.
<br />ud who conrdct! ror iuch p.Djrr! *irh ! co'm.clo,l, lEa!.d B6urn ro fi. (o mror! Li.d! hn )
<br />I m.rm,l !.dd sdrln
<br />lr.l.: _ Otc:
<br />ltoRkIiRs' ( oiiPr sAilon
<br />IlTClJAA]Irld
<br />I h6.b, .mm undd paBhy or p6jur, o.c ol rh. tollo* ins dRhririo6:
<br />I M* di will mi ri. . cdifE r. of ( oB4r ro S.lf-luur. for *o'td omFsi,i. s F.riial lor b, S.clirn l?00 of llE
<br />Lrhoi Cod.. fo. tlE Ffd11e. ofth. sorl fd $ntt rlE Fmn a is!.d
<br />I nt\G lrd $ ill minr.in sdla oip.i!.rhn ieisc. r r.q!ir.d bt S6lbn 1?(E orrlE lrnr ( o&, n r rh. Frffi of
<br />rhc qori for rttt rhi! Fnn i! isr.d My edt6 smF6abn ilu.R (dir -d policy mdbd !.
<br />I .drat Od ii rhc prfoliMc of E *orl ld rhih rhn Ff,i it Lsu.d.I rldl mr ollploy e) p@r in.n) nu.a
<br />$ dbh6oGulrdrorh.w B oiF!.l[n L*! of(Uifonq rnd lsc lhd ial 3h.uld h..otr st'j.(
<br />'o
<br />rll
<br />mrt6' comFulion F!1tioN of Sdion 1700 of rh. lrbor C.rdq I Cull. tonh$ nh .omply wilh lhor For nhB..
<br />WAR,IINC: Flilurc ro suc $!116' omFBdion oedr|t. i! !nla$ ful, bd nrll tubj.rl e onphrd r. ciminal tmhi. !d
<br />cn fi6 up ro oE hun&.d rhound dollr! (llm.lxx)), in ddnhn ro ilt cor ol{mFu.lion. &tusd a Fo\il6l lor lh.
<br />0,."1", BnU.o-^,\<lnn r07o I rh. l.E! co&. dlnd erl i'.f,-.! !!6
<br />_ Applidtrr:].trrc[llEo-cotrIBAcll)a
<br />D[1jIA8A]IAN
<br />I h@b, amm undd ,adry of Fjury th.l I m ln-sN.d un&d For irioi ot(]qr. 0 (.r'fficins \ ilh S.d irn 7tulr I dl Dn ni.. l
<br />.l th. BciB rd PmadirG Co&. rd my ltc i i. tull fore id.f..r
<br />,;{"JL u^t "*..*.
<br />(ad$rBIJg.[r!.rE!!l!Glcr!cx
<br />I hdlty lltm unld Frlty of Frory rhi tlE. t r 6l(ru<rih ktdrB .sdy fttr l,E Ffnllj'd .llh. $n l 6r $tah tti Fni i!
<br />irrxd{sc. 109r, civ c.).
<br />Arru(AlfDrclaaaraa
<br />I hrq.trm unl6 F, of Fjury oE orllE lnlh$ins d..l&nnB
<br />Dn&liio. Pdmhl^.b.roi Mdfk.tion Fa{aJ R*uhl io6 t I n k lO. Prd6,
<br />R.quL.n l.cu{ or Notiarc{io.
<br />I c6ri$ thn th. Ld.Glrcsuhri. r.ridins 616k,.r.tontrl&. mr ,fpli.rH. h rhn FojEr
<br />l.diry$d I h.y. r6d rhir rp?ltdi.n nl rdc th! rh..i,.r. inf.rrnrh ncoi6l l.rs*to.on'Pb snh ('nt.d(ordr
<br />ordul46 r,!, srnr. ljs! Ehrils ro [illins ..hrn r.F6dritr 6 o I rhi ( iry .nd ( nud! u dln {pon tlr
<br />.t r. mfitbnaj pNrEny for iBp.(
<br />Appll.mt or Al. shn.ruru:_
<br />t@llenrn.lprlnll:
<br />3 /zfln
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER !2-zt-t1
<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 />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meler Release l-9-ly X:lltt)
<br />Rough JdLlTA-l2-zg-tt A.glld),
<br />Service Meter
<br />FINAL l2-Zt-t7 h,w)t
<br />Notes, Remarks, Etc.
<br />I DATE I rD/src. I CoMMENTS
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