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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS I ha*t .,Im undq Fst, of Fjuy lhd I o ctdF fion E (lntrrtoE Lic6e k* tor thc ftlbwnU twr (li€.?01l5
<br />Buitld id PrcIdnr Cod.)r A!, Cn, or Co!n, *htt EquiE r Fha l. orEn<l. .!q, tr4.oE &tulirh or lrt , Dr
<br />ltr*ic. Fir to irr illffq .to EqiE tL +didl tor uh Fma lo 6k . iei.d rrdrd lhr h. o, thc i lilq!.d Fjld
<br />to rh. FDvisio6 ot rlr Coflsiqt Lkar.d L.w (Ct p(g 9. Comtrins wih Serrn ,0(x) of Divnior I ol lh. BoilB ud
<br />Pref.sioN Co&) or ll[l lE d ,E k GxmF lfiddron sd llE h.si for lhc .lkB.d cran tiotr An, violdion olsdbn ?0! | , b, oy
<br />4li.d for. Fnh $bjal! rlE rppli..r ro r.iril Fuhy of 6r mc
<br />'h.D
<br />fir. ltui{icd {tolltt {t500)
<br />l, s o9@ olrh. FlFly, d tuy onplo,6 wilh $.s6 B lhcir $t snFdion, witl & tlt 6t.,t ltE llidE i N
<br />inrGx,.d orotrd.d for rlc (56 ?O&. BNi.B ed ProaqioN Cod. Th. Co r&ioit Uc.e t w <bd ml tPply to d ot6 ol
<br />tlE FFry * lb tlilb o Dgis tlrdoa !n $l, dE rrl wri hief o, bd*lf or thftus! hn s lE o$ atplor6.
<br />Fltlral rhl un nFrEEr. E d. dcrd.d d olE .l ir sl. l[ ho$w. rlt hr'ldiB s !+EEr b iB *inh m ]6
<br />ot.orpltia fi.O*E Boilb sU lirtln hddr ofFlvtB lh.,tdtt dit ml llfiG itqotllE FbFr,6rdE F,Po..of
<br />l. s NE orrh. FDFry. d 6.lAndy odrsrrls *nh lkdE d otu*16 to @,eu.r 0E F.jd (Sa 704,1. h!i6
<br />dd hok& Co&: Tt C6 r-roi! Li.e t {' dG ml .Fly lo 6 0*'.6 olFFty wlb hlit! or iDp.ot€ rhc6a
<br />od who snrxrr am sxh Fj.rrs wnh. ( odr&lo(t) ltoB d ltrBBi ro fi. ('oln,alm ! lioe L.*).
<br />I m.rmF urb Scrion
<br />WORKFRS'COMPT\SATION
<br />lrEgtaallll!
<br />I h6d'y .llm !i(b FEn, ol Frdy or oirlE f.lb$in, ddh nBl
<br />I h,\. r'd will tuinrld . Cdttsr. oa( o.er ro s.lf-lnsG for m.t6 oiFEro.. a FttiLd lor by S6lio! !?qJ of lh.
<br />L€bor ( od., aor rtc Ffoduc. o t rh. *o.I lu *ni.h rh. tEnil b isu.d.
<br />-lh.(.d*illtui .ns a.mrEdbniffi..6 Equrld b.vSdi.n 17m of rt bor Code ft,r$. Ffo.m ot
<br />$. *ut rd $tth ria pdmn i iBld My wo.l6 (oFui6r iEuft. @b .!d pola, Dumbc c
<br />I cdify rh i. rh. Fforun.. of lh€ *ork for vhich thn Ddf,ir 6 Go.d. l rhrll nol mploy !try pdsn in My nmnd
<br />i 6to b.omsti6r lo rh. \dtd'@hrFE nn h*. of ( niftlmia ud.srlh, itI stDuu tBo@ sbrel lolL
<br />uortd' onpddhn FoBioB of Sdiirn 17m of E l,h, Co& I rbll fonts'ih @r4ly sdh lh.r Fo\ ilbB
<br />waRNl C F.ilurc ro EU. wrl6'conrdllion o!6.sc n unh*ful, Ed rtdl sbjd o anploF b cnnhd lErhi! ud
<br />civil fo6 up ro oE hu,iL.d tho6.!d &llr. (tloo.(x]o), ir..lditb,lo llE cor of Eohp@aiotr drd36 B Flva.d for tlEildfr:*1#.:w
<br />DECIJAAIIq!
<br />I ha!6, .rm u.& FE[! of Fruy lhr I e h.q!.d u!d6 Foririr olch+r6 9 (oMiA3 *nh Sdl.n 7000) of D\ irbn ]
<br />of rh. BBitg Dd PrladioB Codc. td ny licde ir h tull loc ti.116r
<br />K?-/-/"
<br />cox a!(Jla!l.t:!!actcE!t1
<br />I h6!by .mm und6 FElly o I Frury lhi rrF. i . @innEi.. ldiie .rtry tu rlE Fflfuc olllE sott tu sith
<br />'hi! Fnn a
<br />L$al (sc 1097,('iv. c ).
<br />AIIUSAUT.OECIIAAITO!
<br />I i.rby r&E udd p6rl, ol p6Juy m 6frlE fouowq ddlrrb6:
<br />Dqblirion Pdin-Arb.not tloritudio! rG.k l R.SrhiD [ritk 40. P.n6)
<br />R.quircd l-.rla of Nod6..io,
<br />I csrit lhr rls f.d€.1 EluhioG Esrdi.s std6 mr.l c 'bt
<br />q,pl.$L h rhi! FoFr
<br />I colityrhi I h.vc @dlhn lppltdio. nil n.rhr, th.,livc i.aonn lion isco,r.cl I lstc ro &ndy *irh ill ( ny snd ( ounly
<br />mdirc rd Sr.r. l:s Eldit* ro hlildiIs o!r!t\r.lio[ n{ had} dbriz rq* ir6 ol rhs Cnt Ed cou.iy ro 6ls upon llE
<br />!bo!. Mrb..d Fordr for iNr<1ion
<br />,{ppli.rtrl orAgdl Signi(urr ).c4-J ?-/ -/2
<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 />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing 1
<br />Air Conditioners t7-z-lf 9 -Y-tL'
<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 />Meter Release
<br />.A
<br />Rough N-FlJE.t)
<br />Service Meter \_/
<br />FINAL K lfU/JIT
<br />Notes, Remarks, Etc
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<br />Sub-Panels
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