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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWNIR BUILDER DSI]CAN TION
<br />I hdty .frm !n& pa.ly ot Frur, rh! t h ddF ion rlE Co,rr-rd Lilr tI* aor tlE ftllbwint ,En (S<70llj
<br />Buina lld fiotdbn Cod.)r Ary Cily or Cou , $hth r.quir6 r Fmil lo onrdd, !hE, ihFov.. &elb! nt E .n My
<br />s<ruq Firto il! i!ll.R. .to EquiE tb. ttlt ,rt aor ki Fnn h 6L. rbn d rrqE{ $r lE or tL it lid!.d ptltd
<br />lo rlE FnliioB of dE Contmtoat Li.q!.d trs ((1uF6 9, Comd(ing vnh S.dion 7000 of Divnirn I ol $. auind ad
<br />Pmfebr C.d.) orrld hd nE ird6pr tn.!6!f, r,n EtGir tor llE dks.d ddFi'n Any !it!r&n ofs<lbn 70:rl Jt'tmy
<br />edigt for . paiil tubj*1! rhc rpplicol ro . civil pd.hy 6f not mrc tha 6v. huftH d.Udr t 3100).
<br />l. d ow olth. FtrFry. or my EnployB wih *!Ad s th.n $b coiFBdDn. *i! do dr *dt td iE rMc i mr
<br />id.i.d trotu fo. r]. (Sa.ro,l,{. &riI6 dd RofdnB Co<l. Th. Coir-rd! tioE l^'rh< bl sgl} b e oGot
<br />tlE FoFty who buil& d irp..E 0E6t\ rn who d6 nA hd hiN.ltor lEElf d ltED!8n tb d hcos. !k't6.
<br />ForiLd rhd $t irqlEErs e d irdrd.d dotu for sL l[ lF6s. tlE hlildi'g or trF66El i.$6 sithh oft Je
<br />ofotrpLtioE tlE o*M B{itL vi! llw iE hlrla ofFluB lL lE G JE dii mr hitt m irFDr! 0t FlFiy 6r dE F,po- oa
<br />l. ao\rEotrhcFnFly, eqclunrl,.odr.cri"g wnh lic.tu dco doB lo conirud lh. pmrel (S(. ?04!. BdnB
<br />.rn PtDkir (-od. Tt Co'rk.ir LrN L.w &B mr 4ply ro & o*'F of FsFi, $lb t{il& or iDpm!6 lhqon.
<br />dd sho .oirElt lor $ct p.jcdr wnh . (bffio(, lE.6.d puRd lo lh. Codrdoir l-icoe Le )
<br />--l d.rdpr urdd Scrbn--,--- , B. & P.C. for rhi! i6on
<br />Dir._ _ _ _Orc_
<br />WOT(ETS'COMDANSATION
<br />OE(lJTAIla!
<br />I hd.hy tm un.l6 p6aly of Fjuryoi. ofrh.loUoqDg <k ldlio6:
<br />I h.v. !d will ui rn! ! Cdifl..r. of CoE lo S.lt-lEu. for wdk6 @rq@!aa r FviLd aor by S.nbn lr0o of llE
<br />L.hor C.de 6. tlE Ff lmof tL rut f, *tih lh. Fnn it isld
<br />- l htr.d will dioin sorld o6r@.lion iau!e..6 r.qltcd b, Scrio.1700 of lt L.bor Cod.. for th. FlorlM.. of
<br />rlE lut foqrt{h rn!,9Fn . e,.d ,{y wt6 .q'nF.r.. UEJlre ffi rn Fky Mbd E,* Herl=fu blnlrEan'<x. (,,p..7
<br />^,.,n"-n lL LE44T Ai'/{ u,,*'3 ! /' r,
<br />-
<br />I..fiitthd in th FIorrc of 0E sott tu *hth lhi. F6ir s s.d.IJdl ml oI,b,uyFrcn h6ynj&s
<br />h 6 b baoE ntid b rlE klt6'6nFErin Lf,: of Cdiftlmil tn *c rhr ill .lbuld bcoE rotlj.{ b
<br />'lEFttd' @rpddbn FDvbi,6 of Sccbn lI)O of rlE tdor Co<L. I slull. afilNirh @opry wirl' tlEi pmlirioB..
<br />\rANrlNG Intu b se sfllo' c.,pddhn .ov.r+. i. unLntul, ed ndl ubj.! d mpL)6 ro simindl ,<fllti! d
<br />cNil lin6 up ro oE hu,<lrcil lhous,n d.lle (tll)0.0o01. h.ddn.n o rlE .o!l of.6mF6dr.tr d.,Ie6 a por ntcd fo. llr
<br />Sdrion !076 ofrh. lllor CGjc. i.t6d ud nloiEy s f6
<br />I hd.ty lrrm un& Fohy of FjuD 'hd
<br />I m lccord uftjd of Outlrs 9 (on1l,ffn'e trth salb. 7000) oa Dn irion I
<br />of ln. BcinB dd Phi ioN Gd., !d f,y li.N i! in tull foE. rn.flcr
<br />,t2
<br />lK*<w )!/)o", ['/o't7
<br />I lElht .frm @d< tEI, of Fiury thr llE! ir . @'.iadr bn
<br />i!u.d {s6. 1097. civ. c )
<br />Lat6 r Nd:
<br />4try for lh. Ffffi of llE mrt 6. $nkh lhi! Fna L
<br />APPI ICA T DACLAXATION
<br />I hcd, rnm undd F.lly of Fjury oE ofrh. folloring d..k l ioN
<br />D6mlnbn Pmt!-A.b6rc Norit(dion F.dn.l R.luldi.N (rnt 40. Pd6)
<br />__R.!uird L-.nc of Nor'f.rir
<br />, I cd'b rhr E ftd-.l rqulnbN qrnr4 ddd lEmr rl & d rpl..H. ro rh6 Fojd
<br />!kd-r,rv rU r h* ,-a rr'i, sldio, rn n. rhr rh. .toE ,ri,flrrbn ir corrEr I .arc t onpry rih .r ( ny Dd (tr6ry
<br />llifiiLE6 dd srr. t.{ Ebq ro buinrE coGrh.tr.n @! oln. rqerriE or{ti' ciy !d couiyro orq l4o. r
<br />tto* "or.oca p."pary t" oean.r e,rpoqa
<br />^ppro,or^rdrsfu,u*.--&4- -- ^,,, k'/o17 -.-P.rrcm.rprr.o: \/ .eg- Ao-i
<br />Site-Work
<br />U ndergrou nd
<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
<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 Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough 4/s /ft\"\Ln,;:,t 'l
<br />IService Meter
<br />1/i,ltFINAL t? 5. Ve Qtz1h 6\
<br />Notes, Remarks, Etc. f
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<br />o.,. K'/ct l7
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