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ELECTRICAL-INSPECTOB BECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ()wNt_n nl,ll _DEn DFI_(1R ATt()N
<br />I ttrtry rrEm undd Fflhy of Frury rhd I s cx.qr lmn th. Co rri6 Liqr Lr* lor ilt n h*art Esn (st Lll t
<br />Bucinr$ and Pn,fc$i('. Codc): Any Ciry or Counry *hth r.quiEr o Fmir h con .r, rhd. i"{now. d.m,irh or mpat &y
<br />nMturc. Fir r. ir\ n\l).E. !l$ EauiEr ilt q'pli[l lor uh Fmn !o [b . riarn sbkft.r 'h, rE or ih. a lirEd poroDr
<br />io llE Inrvistu.l of E (tnitukn\ LRn€d lis (Ch.,rd 9, Coltmm'n8 rnh Sdhn 7ur, of l)ivishn .l of rh. BuriE$ rld
<br />hoa.sioni Co{.) or rhdr hc M 3lE n .rcr{'r rhcEfrcm sld rtE bq\ir tn rhe .llcs.n .r.rprion an, vniiirnofSclbn?031.5t'yrn,
<br />+Iltdr for r Fmir {hj.it rlF rpDlt r ro i civ rl pcslrr df mr frft rhi liv. hrrrEd dolLrr (ltn)
<br />-1.
<br />.! o*mr ol tlE F$Fny. or m, .nplorr. *nh *t8d ri llEn nL drnp.trrdi, *ill d. llE sti lll tlr {rur@ & ml
<br />id.nd.n c ofr.r.n lU sl. (Sc 7(x4. BuriB od &Df.ltilN Cod. TE Colfud . tiw t* ds d Tply lo u oeE .l
<br />!h. nNrBny wh h{ittr m itrtm6 tlEstr rd rlF &E ut m* hiMll or lrrclf or ilmu3h hir d hG owr.t{'L,t!cr.
<br />Fovi.lal thi iBh in oElldi c mr hrsd.d mofrd.d fm rh ll lnww, tlE t{iuiry {t ligrGcd i! -ld wilhir,E ,.i
<br />ol.ld?Hin llt O* F autl' *ill lrr ft hnh 6r FbvilB ,!. h. d cr dil |d t[! n i'rymr lll FDFIy frr tlE FIFE d
<br />_1. m o$E of rlE I'r{riy. r'n.r.h.ndr onLli.3 r h li6<n.o r{m to ('NB1 llt Fjril (S( ?(x,t BBIlIs
<br />and l\'ftsih(i c: Th. Contrslol s l-r.nsc t w dcr fln rr{'ly r. u orn.r ot ttroFny rho huildr or imPNv.s thcron.
<br />and sh. .odmk to! tkh |h,j.rR rirh. c.nrBbno lain*d purd brlE OhrR(tr r Lt.n{ ll*)
<br />I !mcrc'nfl undfi Sdtnin
<br />D,t lA't1-7A rP I c1l t t\c/
<br />lr(rta.utQf,
<br />I h.r.ht rfi n uB](.l lx'sht o{ Frlury oN ol rtr ft,|k,$ rE &rUr r)nl
<br />-l
<br />h.rc urd will ruinlain ! Ccn ifr.rc oa c.,n{nl i0 Sclf ln\uE fir sorl.( .onF.dirn, ( ,,ovil.rl lor h, Sdirn l?00 or rhc
<br />tihrr Cd.. ln tlE Friir:Im or llE qd rq shrh lh Fni ! isEn
<br />-ltuvcr will minlrin wortcc conyEndhtr insusR-'c. u, r.lruicd by S<rion l?m of lh. bti.r ('od.. tu rlE Fforrc of
<br />rtE lfir l $h.h rhir txmr ir isr,.d. Mr 6t6 o,Frt rirr itrllJm! ffir rd Flq Nnn r nl
<br />-l
<br />eniry th.r ir llE Flormm or rr. *orl f( *hth rhis Frhn n ai\ud. I nul n{ crphy sy Frun h rny lud
<br />$ ar k! txftm $ubF!
<br />'o
<br />lrx *Mt*'on{E.s'.n hpr.rctltumn. .,n {r rhd r I irDru lttft sbF'
<br />'o
<br />rrE
<br />*0116( comp.rqrhn pNvision( of S6thn l7(D .r rlE tflu CGi.. I {ull ronhrhh dqily s irh rrb* I,mvi.l,ns
<br />W,\RNIN(; lx'|trr n) {.urr {o'kc^ .o {r \nr(nr co\rrrlc '\ unlntiul. nnd d$ll {hirr rn cnl'loyrr h (ri' i',rlF[,hiG n d
<br />n, or hodrd rlxred &'lls (!lU),0U0, in ai<l{ion h rlE .on otcon{Eosrio.. d.mr.lri pnrtikn for rlt
<br />S.(r)n 1076or rh.lihn (iir. dcrc( rnd dr
<br />o.", 1k t7-rf H u
<br />DMrl&IIllD
<br />I h.Eb, nrrn ud. FElr, dt FIry rhd I m IE8.d u,r&r Foviri,. oI oali6 9 (onlEri.3 win Sctli,n 7m0, of Diairaon .l
<br />or
<br />'lE
<br />BusiBr rn Pr:fshnr Cod...d my lr.o. n h tuI ftrlt d cfier
<br />ra&flaltcllQulaDllli-AcEN.l:r
<br />I h.,rby rltrn u'd.r Fdy of Frr.} rh.r rtE! n r 6ndnrab. HinE r8.Ey for
<br />'h. Frfoffi of llE,qt fr,r whah thn tEni ir
<br />,isu.d (s(.l(r?, civ. c.r
<br />AITIIIAILDEIIJSAII!]d
<br />I H,y afmundcr pcnllly of F irry.rc of lh. foll,*inr d.{hrurio.r:
<br />D.ml i,. P.rmiG-Atthtm tio'ifrdbr ki.l R.SrhnnrOnk ao. Pln6r
<br />R.quir.d l.ll.r ol Ndif*rlir
<br />-l
<br />cdify rhor rh. r.d.El Esuhrhnr Esld'nr r{lEsror rcu*al d fr,r ir,'lmbk ro
<br />'hn ImF .
<br />-t
<br />6ify rhd I lEk Erd th6 rl' adin rn <d. th{ E rh\c mtudElon n cmd LgE io otrt,ly rnh r[ Cny lrl CounD
<br />o'd'nimc\ rnd srrrcljrr ftbh8 n)ildin8..nnRlnr !d h.Ehy lulhtri,. r.FcEnllrn!{ ofrhil Chy lrn G'!nr, k,.n'( uF,n rh.
<br />Jirtrc nrnrioN(l tn,pcny i,tr in\
<br />|1,k-n-t{,\ppliL nl or ,\trnl SiAnnl l)a"a9l
<br />TE lN a -+\)
<br />Sile-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Sately /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Groundinq 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 />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />Service Meter I
<br />FINAL Eltt {I qt/tv.r,t-l 't/-lzl )
<br />Notes, Remarks, Etc
<br />PI l I
<br />Under Slab / Floor
<br />Meter Release
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