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ELECTBICAL-INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS OWNER BUII,DER DEI,CARATION
<br />I hcE y rlttm und.r rEMhy of pcrjur, rh,i I m .r.,{'r amm rh A,nd.^ La.n* trw for llE nnhwifls r.q n lS( 7o.rl 5
<br />Aurin.s rnd r\oftsnn G'dc, AnyC{y or (oxnry *hki rcquRi. Fni' lo.onr.uci,.hs. itri'ot- d.mlth or qtr !n,
<br />{tu1ur., ri, r. irr i$um. !h r.qut.i rlF$nltmr tu qch Frmi n, fiLr isrd (i.ftnl rhti ttorslE ir lir.nsn Nt{ri,
<br />t, rtE I'o!ni'B of rh Conrfttr'. Li..nrd lr$ ((lEpro 9. C.ntrRrn8 lnh S<ii.f, 7flD ot Divnno .l or rh. Bu(m* a^d
<br />Pturcsi,ns C.d. r .r thd lE.r (h. n cx.n$ ln Efrom .nd rh. h.rn fo. lh nkscd ct.drfl i.n A.ytbl,rij.olSdhn70.115$y..y
<br />nflkanr t !Fmni!hj.!ttlE{'Ilic.nrro.(ivilFmlryof,.nrcrhznnY.hudtftd&rlas(35(f,rJ.
<br />_l-.roqErolrLrDFny,orhrrirbFri*dh1186!r'h.rrk('nqEnrrhn.* d.llEuql.drh.r reitm'
<br />iordrLd .r ofi.rcd nn sk ( sN 7u44, BDlircs lnd Pn,rcsi'nt Codc Thc (bnr|.trl I j.rn€ bv 'lBs
<br />(n $Dly lo !n olnlr or
<br />tlt Fnfdy rb tril& d iiFr$ rt 6.. ,n *h d.B iuh Nit hilRlf nr hr€lf or rlFu3fi hir r li o*r.nphyer.
<br />ln)vidcJ rh'r iu.h ioIrelercfiNmri cnd.d or.fiftd nn sl. lt,x,wE.tlEI itliq d inlhEmnr ir sld *ilhi. orc For
<br />of.onI,lJin. rh. (r*ftr auilddrilllEkilr hrr.n or rori{ ih.r ,r n {r dn { tniH rr htmF.h. Fqdy ft, r IiIFEof
<br />_1. aroftr nrrhc pn)Fdr. rn.r.hlnaly.o dn8 sirh lN.<d.odr&1on h (nrrrucl rlE !roj..l ts6 7(x,1. B!18.
<br />. l Pror.$ir c.dc: Th. C.nrrrroai l,tcnsc llw &B mr rpply r. D .sr, ., nmrFny lho hild! or inpmEr lh.rc.n-
<br />rnd *ho o dr f{r rBh Fn].d. r h. codd(nr,la.nrd purud h rlE cotrrrsr(i Li.r.E L,e)
<br />_lrnrr.mnr tr.d.r SE.-rr6 .B &PC nrrhi\rcrqrn
<br />l)Ir. ()xn.r
<br />Mrf,E8:il;lJltfBilt[rN
<br />DEgrr&lIIA!
<br />I h.r.hy niltr trtrJ.r l{rlr,olIrrlrr) r'i olrlrn)lk,$'n!,L\lrrarr)n\
<br />_l h.v. rn sill Enith r (-d,r.!rc ntco!6r ro s.ltl.flft r(, *.rtar'd,qENrhn..r Imvi.d Lr sys.dbn.l7m or rlx
<br />Llhn GxL. for llr p.,formmc ol rhc *o* tor lhich lhc rEmi n nrued.
<br />I hiE iftl wrll minriin work.h .on[.ns.ri(,n inrurutr.. d( r.qutcd hy Sdt i,D .l7lx) o, ih. lll*tr Cdk, r.r !h. IErrorNrtr. ol
<br />llF *!rl frn uh.h rhr Fmu ir iun My *'ot6 .aDFn{in 'Nurm. crir ,n |slry.un*tr i.
<br />c."- It^+-{-(:^p$ ae.JAl TV ENS co.
<br />P,,ri.yN,n,h", @E.rn.\<l$+-
<br />I.cnrry thrr $ lh. trrloiruh... r)lth work tu! whi(h thn Frmrr h i!\ucd. I rhrll R,l cfrtk'y lny Frw)n 'n
<br />lny mlnNr
<br />w' t. troD \ut'Fr hllk *rlsr' q,ryEn\d irn lr.rof C,lif(,nir, arn rCN rhd if I <h,uH tE om ebr.r rolh
<br />sorlc^ comrn\ari,,n nmvNirnl nrScdn'n l?(llolrh.lihr Cod..l rh|ll, f.dhwnh.onfly {ith rl$c pn,vhion\
<br />.ivrl liEr up ri, om h!.drcd rlt,ur.d d.lL^ (!lU).UXJr, tn.&linn lo lrE ra,tr ol $iqEn
<br />S.(nntr 11r76',f rlrtrhtr(itr1..trr.rc(trnd!n,rfy \lecs
<br />t+qA+.
<br />DESIAf,IIITId
<br />I h.Eby.mrn ud.r Fmhy rl pcriury rhrt I am lirtr.d uti.r Ftrtrion ofC1uIr6 9I(,.fttin8 wiih Sett'n 7(xxrIolDivi(ion.1
<br />uf rL Busir( 'd ftDf.$bnr (txL. !d mr la.nc ir in lull forc .rn .lfdl,s
<br />\LlA {f
<br />\ \rr'11 tq
<br />I lsr,t y.lfm u,n r FBhy orFrrr] rhj rtdr k r sn{nxrion Hhg.g.ry f llr lEfdmr of llE (it,ot $nih di. Fnl ir
<br />nru.d (ss 30e7. civ c.).
<br />trLlcri N.m
<br />Atg.lc ttlE(JtAIl!]!
<br />I hmny lfm undcr !.nolty of Fqu.y om ofrh.lolkrwin8 d(hmrt'ns:
<br />D.ml irn P.rm iA.h.r.. Ndir(dion rtdc..l R.8ul,li.m lTnt,,0, Frn6)
<br />Rcq!rcd l. crof N(rilt.rbn
<br />l.difr rhd !h.l.d.rilr.tubrirn! Egd{nri rilE(nrrn,v.l d. mr rpplirhlc h rhn pn,Fr
<br />-
<br />I ccn ify rh.r I hM rc.d rht applaarbn !i sr!i. rhd rh. llr're inturnuri,n t .oGr I r8a t) Nnlny virh rll ( ily aol Counrt
<br />rdiBNs rrd Srrlc l,*! Elnlla h ltuiuiq..n{ndbn. !d lEr.ny rurbrn. RFe.r.rnlr rlthc Ci!y rnd Counr}ro cira ulno fi.
<br />,h,v. nE i,nr nr)F.rry lir r\pccrk pu'
<br />,\0t,lirsnr nr,\!rnr Sit nrr'rr
<br />arri t I | .a\-
<br />rlonf g
<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 />Bonding / Grounding / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs 1T-Bar RouOh)
<br />Meler Release
<br />Rouqh lt lt tolit 9M t lrflr.#{
<br />Service Meter
<br />FINAL tL/i L} ',.'rx.fuL.rl{ q{
<br />Notes, Remarks, Etc
<br />. drEr.r $ |ro\i,.d n, rlE
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