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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNEf, BUILDER DIILC TATION
<br />I h.Gby ,mrm ondd Fn.xy nr Frjlry th.t I m .xc,rfl rNm rh. Co 1116 t,icM t r ror rtE rolr'*n! E $.'rs.c r(r:rt 5
<br />Aurinsr $n ftoG{htr Cod.) Ary Cnt u Cody *hah EqliN . Fn r, .on{Mt. rll.r. irpnrv.. &ft,lkh ur rc,'Jn any
<br />(rucrorc. prft b n! iiuaB, rl$ EquiB rh. rrflt! r,, rkh Fni lo 6L . rFrn (.r.rd rhr h. d rlE a lic.n€d pur$d
<br />ro rrE rmvNi'ns ol r aonrr*roi! t.t nEn L.r lcnrFcr 9. (i'turmin, enh s.clion Tllxr of Diririon :r .l rh. Busn.( rn
<br />Prcf.(hnr ( od.) o. rh.r lE or ilE n.rcnllr rhd.rFm.rn rlx h$ ii, trr !lk8.d cHrlhI Ant rhLri.. or Sdi'n 7l)11.5 hy rnt
<br />tmli.rd ror . Ismir ruhj.rk rrf, rplricol ro.ovilFMhyorml m)rclh.n fivc hundr.d dollsr (t5m)
<br />l. r( or*r or rlE F'tEny. or my cmpk,Frc $irh wlsct &\ rh.t q,k .oqrn\0iion. sill do rlE ruk rn tlt {turm n n (
<br />' .rxtn or ofi.cl nn sE ( ss 7oaLl. 8u\irsr rnd Pblr.i,ni Cod. ThG a.drrld s Lrrtre l,* dti d .rdy h 6n orF .l
<br />rh. ln,Fny *b h(ildr r in!n,v4lhcmn. .ri vhr dE. rEh w.rl him\cltnr h.rklfor rhrouSn h$ or hs.un crnPloltcs,
<br />pmrr!.drnrr iEh irFmdsm { id.d.d rofi.'td ri, sk ll h,Nri, rh.lx,lilila r inIrcErnl ir sA wnhin oe Frnf..ql:rbn. rtr ()*ncr lluilds *ill hnE rlt hurd.n ol pn*in3 rhdr lr or rh. dn mr hdld or introE rh. treIEry f.r rtI Nrln{ or
<br />-1.
<br />ri owF ol rlr Flitny. .n crch.iEly codrfr-rins *irh lt..<d codrsro^ ro dn{M rlE FoFl (JcL ,l}&. Brri'Es
<br />rnd Proft:\i,n Cul.: Th. Conkrktr r t,k.nr Lr* dmt mr .prly t, .n .sE ., tr.Fny !h trildt or inlroFr rh.rd .
<br />'.d *h) 6dE.B rn. lEh Fsi{B wnh . Cn.ikon o lirn€d pu^d t' rh. Cont or'.Li.n(tle)
<br />I rncr.npr undd Serion-
<br />-. \lflzLr-+ ,1Vt- 9',.-. o*^ z1r.'.-'f
<br />rIo{ \} rs' Lt,\r PFia(,rrx rN 'J
<br />DEIIIXAIII]!
<br />Lx_Eht .fllrm und.r F lry ol tEJu.y om ol rh. nnb*iu &(Udrx n
<br />Ih .ad *'llmi rlr r ccnifr.k .f (irncd r. S(lf.lnsu.. f.tr r.rlnr' coqrheri('n, h fovd.d tu hy S.(lion .r 7(xl or lne
<br />ljhnr Codc. ,or rlE pcrft,m(r or rh. krrt rd whkh rlE Fm 6 i.rkn
<br />I hlt rnl w,ll minrln rorkdi $nyEh.thn insunn-.. r. rcauiEd iy Sdri)n lr(lr of rh. ti$ C.+. for rlr lxnltr@N or
<br />rh. $ul tu whi.h thn Firtrir ir ir{xd My*ortss conu.nsdtrn inrlrrnrmnirdrl Flay nunh.r m
<br />.*,, *.^Y t C,-J (4sh , "' t +4 r .ns .
<br />p.t,.yN,.,*,, tthL\X-A (ty lJqf, r.r*.-
<br />-l
<br />ccn,l) rhsr
<br />'n
<br />rh. Frrurmm.rrlr FA ntr *h.h(hn F mn r r.u.i. I rturl mr.np
<br />$ u ri! hdom shj.ll h rrr ert6 oiltmdi'n hur.t Cllirodi.. ,d.!E. rh.l il I rlm
<br />mddJ drnp..Irion Flvir.nr.,Sdion l?molrlr t tq Cd..I rhlL ldhwilhmtrply
<br />.a/ ot ltB,
<br />loy r.t lf,*,n in rny mnFr
<br />n \r\,\(, r ,
<br />r k'.m hundrcd rhtuerd dollr lllU),rxr|). 6 ddni.o 1,, rtr .o\r ol .o i . d.nBgcs ri pnvi<led fr llr
<br />;. :- "iil'.1ihtr(iil. .nir rrnn'f,! \ ri\
<br />?, ll
<br />! hcmhy irtrm und.r r. lly ol pc,ilry lhll I om liencd und.. r,ovirioi or Cntprd 9 (.ommtrin8 rith S(1h. TlxDr ur Dilrhn l
<br />of rlr Brrd3\ ud Pn .s-,nr Cdl.. .rn my l.dc n in tull lorN .ri.lTar
<br />lo o-?1 '1al\LJft L.r{_-
<br />.gaUUBU{:U'TNIEBDIIGIiENCI
<br />I h.d)y llrEf, !n Lr Foty ol FrIiry lh.l llEE * . d,nrtf,tli.n Lnrlh! .!cmy ro. rtE Frflffi. ol l,E wl {or rhi(h ihh Fmi' h
<br />irslcd (Sc( l(r?, Civ C ).
<br />f.ndn\ N.m
<br />ap?r rc^rtT Dtct an^I(lr\
<br />I hotly arimud( pcnrlry.rprrrxry.k orlh. rollowi.g dalmrk'ns
<br />D.Brhi,n Pdntrr ArtEsro\ t{orf(ari,n Mrl R.!ohnn\lT{L,lO. Pd6r
<br />-R.nui.d
<br />l,rrc, or &, ilidi,n
<br />l.difyihrr rh. fd.tulr.eullrxms N8ddin8 rihtu!rcnx,v01.rc Bn lpi)ltlhlc h thn In,tstr
<br />lrdilyrhd I h.t! r.rd rhN rnr i ,rirlrl {rrc rhd rhcrh)r i"lon,ur i(trr ,{ r or&1 lr xir{ rn conuly sirh !ll ( irysftl ('otrfry
<br />oditurc.i lri Str. ll$ Ehl.3 r. hoildinl con .h$ .f rhi\ Cny .'n C@nr, rr' ..rd uFn rrE
<br />ih.rc nrnri Ed I'oIt. tlbri'trt
<br />,\lpli.{nl or A(.rl Sitnxlur
<br />9n4u)/L,,^s-^,.1Jtzf )7
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Satety i Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Condrtioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh tn .li 5 *12t ?,, K'
<br />Service ltrleter
<br />FINAL t/u /l,t \ TYr ,lr4tr %
<br />Notes, Remarks, Etc.
<br />DATE
<br />I
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