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ELECTBICAL-INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS O\YNI-T BUII-DET DP-L(ATArlON
<br />I h.ri!, r,t r uft&r FEty rf Frpry ln. I D.tcd{r lDh rlE Cndrrr6' Lrfi€ L.r lq rlr tolb*h! Ea rs& 1l1l s
<br />aurn s r Pn,f.s$. CrtL): ,\., Cdy or Couar, whf,h EquiH . Fmr ro dt {tur, dr6, mFow, &mlah or EF! ty
<br />irturE. F!! ro n! s!un., rlq' Elurt th. {ll'lrrr ltlr rEh Fmi ro tik I !3Er! n.r.ftnl th.t lE or rh. ! lic.ri€tl Purunl
<br />ri' itE Fosrrr of r ctflafi r LEiEJ Lr* (Ch.Fd 'r. ConwEr! enh S-ron 76) ilt Divsrn ! ot rlr ,u.Eir tBl
<br />Pml.$s.rC.J.)orturEtrr,.N.r.t{ rh.dirnr,tl rh. hr.Ll lor lrE .lLs.d .rci{rNn A,, vi,hlrn or Sdrnn 70.1! tby y
<br />rfflrsrtdrrFmishi\krrr.0pla.nrr,..'t'lt'.Blryolmrmr.rhl,liv.hu !q.l d.llet (t:ll ).
<br />-1,
<br />r< owxrofrL tn,ltny.or ny.qrhF.r wnh *186I ih.r v'k (,mp.nsrrn, Bdld) rrE q*.rn 0E (Brm. nn
<br />inr.nldl orofl.ftJ r,r eh lsc.?044. Buries.nd Pnrisiln! CoJ.: Ttr conlr&lor'r Li..n€ LtwJ(Erfr rlPI}toDowrror
<br />rlr tF'ltny wh' tull! ix !tF'E rlElt^ rhl rh s gn s* hmelf or h.rllor rltuulh h. d lE oq.tl'lly..t.
<br />p$rrlol rhr tuh lrtFr\(rd. & d d.drdl d.fl.c'ln et lllnk€.rlEt dllta,{ ntmErn ir a[! Mrtr,* F{
<br />or or{rldbr. rh. Owmr Bu Lt sO hlE ihc huni.n .l Inrvht rhn lE or rh. Jri nn i{ d or rn{mE rh. pnrFny ntr rh. PlrF,s or
<br />l.1rovrrofrh.F'n.ly, c r.lurk ly $nhd ht Bnh lk.n€d ..nlr*kn n, .r,ndo.r rh. ln,,.d (S.c ?044. Iruntrr
<br />rnl lt,t si(ii.: Th.ct,dr&rrtr r LE..c LrwdEr rmly o m o*F ol lmrrny uln hurlJ. or iml)('sr rh.rd)n,
<br />sftl who (dBir t{ rufi F,fdi *rl I Codrrlnr) l..nql |[Fur b rtI Codntr's Lr..< br)
<br />_l d.r.n!t oBl.i S.rron
<br />WORKFT,\' COMPENSATION
<br />DECl4.BdUq!
<br />I lIFhy rlIrn u.d.r FMly ol Frrry oE ol rrt lolbrlB &rLtrraN
<br />-lnlvc
<br />Inw l Ertrh.C.n i.l.ofconEd n'S.lllntu! fq *xl.n' 6nFNcnn, .t Pn'va.d tor $y SnrDn l7($.1rhc
<br />L.trr aaL.ld rlx Friirlm! .t rh. s'lt lir rh.h itE Fm i( lrEJ
<br />_l hrvc rnl wrll m,nrrr *o cc .oryFnr{ion rn\oraR.. r! rqu ltl hyS&l!'n llTmol rh.l2litC,xk, ntrlhc p.nomncc ol
<br />rM e tfr vh.hlhrttmn ! 6!,6I My *qr6r' ('r{f,ndi,n nudEt dmi.rn lr)llt num$.r d?:
<br />-l
<br />(niry rhrr o th. Irrr(,Btur.f llE wort for whi.t rhir Fmir B a.!.J.I.ldl mi.tql'y uy I.Br in rny trnkr
<br />e .r t' tErd sbilr t' rlr qr16 (uio.nds. Lw! ot crhloM. .,n .!r rn r it I lhurl tRom {bFr l. llE
<br />Rrt6' @nrEnrrsn tnrvieN o, s..rnn .t7m .l rh. trh, co.l, I th.ll, tui'h*rh @ncly wrh rhE Fovsio.r..
<br />W ININCT }.'lu( ro Be wrt.B'onFdm oEr.a. ! unL*tuI. rn !ll.U tuhFr t al9trF !' lrMl Ful.' r,rt
<br />cry rircs !p n, oE hudrd rhrlind.Ltlc illm,om), r rldtiih t' rh. eo{ ot.omt!(.sti d.m!cr rr nn,vi.d l.r rh.
<br />S.lrr,fl 1076olrh. tihr Crul., d.E(ul rll,,fty rl..s (,lnzeLK
<br />I tttiNs ) (olil RA( T0R
<br />UtlrrISrlIIo:
<br />I hdrty rflim ulLr FMhy or Fr,ury rh, I .m Gn.n orl.r Fohnn or CruF.r 9 (oImBir! *rh Sdr.. 7(ID, .r r,Ntri'n l
<br />ol rn Bltiftn oi Pn,r.s$nr Cdl.. .fli f,y nc.nr. s h tu|, n'Nc rn .ffB-r
<br />COEIIAII AJ,BDACAqEdqI
<br />I lEEl'r.lfm udr.r Fulyol F t ry rh, rlEE i! ! u'trrturrn Ld!l!.!cy ror rlE Frl(||rl].E ol rh. *rt tur *trh rh! Fmr F
<br />$u.J (Se. .l('97, Civ C.).
<br />LLL,'( Nrm _
<br />AEUSANLDESUEAIqU
<br />I hdrl'y rlfrD und.r Entty ol p.riury ox or rh. rol[,er! deLrll onr:
<br />D.d hr Pcrhrr^rlError lldlfuhn f.l.nl R.sol,ti i (TiL{{. P.n6)
<br />R.alursl l.ll.r ol l'&rdxr.n
<br />I.cntty rh, tli ldL[l Flotimr rc! rn3 rilE{oi rcmrv.l & mr q" rd'k r. rh! PnrFr
<br />I Gl rli lh.r I h.E r.,l lhis q'rli,irn ud nrr. rh{ rh. :h'!r 'nldrNrr'. 6 r.tr cl I r3r n) $mnly vrh tI cny rnd (i'unry
<br />nlrLti.tn sldc L.!rrlrry h t'orliht.,lErt, .urh{u. Err.Ed.trEr .t rtut Cr, 8l (i'utrl! ri' ..rc uFn rh.
<br />lbE mhtortl Jn'Fdy n, DtF.ri,n
<br />Appli(rnl or Ar.nl SEMIoF 7
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />FINAL \\r.r-\'s //,tk1td
<br />Notes, Remarks, Etc
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<br />Service Meter I
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<br />Ihr.:-
<br />DrLr-
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