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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\,Nf,T BIJILDET DETTANAIION
<br />I bc.6y rmm un& FElry of pqjur, rhn I 6 ddF tom $. C.d.EroE !,iw lre for lh.hlhvins r@5n (Se 7011.5
<br />a@in* nd Prefaion con.): Any aily or ( ou,rly $fitfi r.qun6 ! Fna lo onnru.i .t6, 6Fo!e dmli$ ot t4.t er
<br />,rudEe Fsro nr bqffi(.bo Equi6 tn. +li.!x for uh Fdn lo nb.lan dnndBl thn lE or rlE i ti.ot d puNE
<br />lo lh. I'rvnios ot rlE Contr.doit Lic.N.d lrw (Ct pla 9. C.ming wnfi S.<rhn 7000 of Divnion 1 oI rlt BGind od
<br />Ptlts.E Co&) or rhn h. o, rE i! dnnp( rlE I'on !i tlE bGt lor rh. nk*.d craFrci Any v.hl6n of sdb. 70! t 5 b .n,
<br />.pplt!i' aor . Fmi 3ubjek th. .ppli.6t !o ! civil pdhy ol nol mor. lhe fiv. hud(d &Utn (1500)
<br />I. 6 6*6 dfrL F!F!y, or n, anphtd with s.!6 s ih.ir hk comros.liotr, will th rh. worl ad llE (nd& i\ ml
<br />i.rdrLd orofid.d l $Ltsc.7oa4. BuiE Ed irofdioE Co& ]lEcodk r Li.M te 66ml4plylo&.trnoa
<br />rlrF)pdty *ho hlll(b d arl,or6 thaFtr -d lno &!6 st *n fiiMlror hq*lf or $m!8h hn or ha ou oryhyE,
<br />Fovid.d lhlr !!ch improEsn! N el adari.d orotu lir rt l[ hoM,lh. hoildils o. itrprorqE i $ld wilo om tdofonqlb( tlE olIE B{iBa *in hir t E hr&! of Ffrre dr lE n JE dil
<br />'El
<br />hild 6 inFoE lt. Fepat} tur llE F,Foi ol
<br />l. s of,G oarh. FoFr, m dclBiv.l, codreri,B $ nh koE d coirr.cro6 ro odtul.t rtE Fojd (s6. 7014, BumE
<br />.nd fhbsir Cod. l hc Conrdcroas Lic@ l.s dod nor ,pply lo e o$ n6 o f p.opdry q ho ll{ild! or iiprc!6 rh6d!n.
<br />r.d $ho oddrfor rch F.j.<s *it rCoddo(.) lkoEd F,EUrr ro rh.Cdr(rd r Lt.E r^)
<br />I Mr.rmpr utui6 Sdri).
<br />D.t€ Onn.r $otxl Rs' coMPrt\s{Tlon
<br />DE(IASAUS!
<br />I hd.h! lmrm lndd pc',|'! .f Fjury ok o I th. nnbq i.* dccL,rl x,F
<br />r hrv. drl will minlsin r csrilrd. of cotgr ro s.lf-lBE for worl6 sn odio.. s Foid.d fo. by s(rih I7(r0 of rn
<br />I rhi ('ode tu rh. Ffoffi. o I rh. $dt f "t.htlEFnn.s.d
<br />66K.^*ur^.^,-*o d' (nnp(d.n '@.. . rqFn.d b, sdbn 1?oo otrtr t:ru c.&, t,r rrE Fr..*. ot
<br />rlE Frl fr shah rhir p<nn i isr.d M, $016 ofrFBdion inlrN. (siq !'d lblk, Nmbd dc
<br />G,t- .1r42-Zz1z .
<br />,"nyx" t : //J zl-t2 ,,,*,. zLZY
<br />l..niry rhll i! lh. Ffolrrm. otrlE work tor *hih rhi! Fnir it Bu€( I ltdlml aryhy ty F$n i. e' lffi
<br />n e lo b<or ht*xl ro dE wrd 6mFdi,. h*. of C.lit mq ud lsr lha rl I trhuld bcoc $brEt lo !l'.
<br />s{ 6 comFMli.n pbvnioE ofs*lion .1'700 oath. Llhor Co&. LlEll. ftrlheilh compl, *ilt rtF* F.vitioB
<br />WARNING: tlrlu.lo su. \ro,k6 comF!.ln,i cov6rs. a unh*tu|. ed shil sbj.ll e 6r9loF io @ind Fukii tnl
<br />.iil lin6 up ro oE hurd'.d thouend 6lld (tlm.oool. in rildio. ro rh..osr ol rcn4Eis.lio.- d!,nrsd a Foudd for rh.
<br />sdion 1076 ofrh.lrurrCd., i.id6l od drorEy'r 16
<br />za/y/z z
<br />1lE!b, lmm !nd6 po!h) otFjurylhal I m lics*.d undi F$lson of (11!pl6 9 ({'nllmcirs wnh Sernn 70001of l)ivirion I
<br />of th. Bci,B xd an'l6ioc C.&, !d nv lic# i' r tull loR fii.itdl lz
<br />,,/l z ,"*,,,,*
<br />IAIIIBIIIfIQB.IIEDINC-AGE!(a
<br />I hdrby rrm un& FMltyoiFglurythd thd. ir ! con ru(ior ldd'ns,sd.y for th. psfo,ruc. of thl wotk lor $hich lhn pqf,il a
<br />i$u.l (sR 1097, civ c )
<br />lA&r', NM.
<br />AIfIJ(AtrLDEOJAAIIo!
<br />I hd!h, lfim unrld Fn6t y of Fjury on. ot rhc folhsin8 drlasr bB
<br />D.,mhnn PmneAsbdc Norificdion F.{s.l R.8ulrnN(lnLl0. P-16)
<br />RGq0tcd tnt6 of Nrri6cnis
<br />Bb6rm lEmvd ,. mt .t?lt!tL lo fib Fojiir.
<br />c lh.r rh. !bov. 'nforulio. i! coEdr I .grc to onply wilh .U Cit, .rd Counlr
<br />ldtFria qrc*dd^6 of ini! Cnr' ud ( ourn) lo dl6 lrnn lrE
<br />abo\c marNBl ,'fut6, tu iEFlhn
<br />rpdic.nror,tsdrsho.lu..x
<br />ecmrrc nrnr (pAnO: X ,,.2a *-*Z-^,.2p/,
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondang / 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 (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release - /n a.Lt"/-()u)
<br />Rough 5U 'czl
<br />7-Servrce Meter -
<br />IFINAL r
<br />Notes, Remarks, Etc
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