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ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.APPROVALS DATE COMMENTS olaNE-T BUII-DET DEL(ARATION
<br />I h.rchy rrnrh udcr nculry.t F.jury rh{r I an .r.nfl tom rh. Contkhr' Licns lje rd
<br />'tE
<br />folh'*'i.8 B$n lS( 7rr:ll IBuri6r .fij P.of.\r.n CdLt Any Ciy o. cd t rhah rqriEr t Fmt r. uh(Mr. rlr(. inFow. &mlirh or rcFi iny
<br />rrmrurc. Fri, rn it. n{umc. sko rcqun* rhc {rtlicc tu \En lE,mil ro lik r siShd ,r.mnr thd rEor dE n li6ed PUm.,f
<br />tu rlE F,viri,ns na rli (bnrturoar Liftnrd lr* rch.t d 9. C.mmNr.! rnh Sdior TlIn of Divni,n:] of rh. 8unn.$ lnd
<br />PmLsrirnr cuL) o. rhor rr or {r n crc,fl rtrEf.om.nd rlE h.rir tu rlE rllcs.d cr.mprion An, viohrn,6orsftrhn 7(,31 5 by in;
<br />aptlicrnr for ! F rr{bF.r:ih. umladnt rorcivilp.MXyotNi nft rhln fiv. tutrlr.rl doltrr lltm)
<br />-1.
<br />rt owRr of rh.I Fnr. or my.mploJ$! wilt tras6 $ rlEi, sL ltmltn$ri.n, w'll.l' rlx *rtt !n llt {ndw n n,l
<br />i .nd.n ( ofl.(d fq .L (Sd 7(!4. BltiF! r.d Pr.t si,n (ird. TIE OrdEror'. Lhnc uw dEs nor rllllv ro m oskt.r
<br />lhcFrrny wln hrlds or iq'm\$ llEE,tr !d ah' dB uh wrl hint.lf o. l'.Ela or thFugh hk d h.r o*..,q'r'rB.
<br />,,mriLrl rhd tkh in|f!wd! e nn ir6i.d o, olYsd fd qk Ii bw. rh. tliui{ d intffimd k $ld vilhm oE )!I
<br />ol dnBrLtbr. ilE OwNr Builtd will hlh rhc htunlcn of F ling lhn tE or slE dil h! trrkl or fmE rh. FrFn, ft rlt FrF&ol
<br />4/,"**,",,u*'*r..m.(tu.,Et,.rd,dn3 r h tr.Kd conn.lm rn.ndai rrF rmF rsr f(r.{. BF,r$
<br />in hi,ts\i{ Cd. 11r Cofidkr'r Li..n* lrw de\ Nr .Iplt h d or.d ur l)n)l.ny wtu huildr or imrm\!\ rh.,q'n.
<br />und eho odMr fM ru.h FlFdi wnn t Codr-16rro liE$d tnlBun bih. col,lrrlr 1l-...ebtr)
<br />rmcrcmnr ufrld Sdrk,n't/'a\'zZ :9
<br />DEIIJIAIIIN
<br />I lEEhyrmrnund.r rE hl0r Fjury ok ol lhc nnhvi.S .^Lb l ion\
<br />-l
<br />h.r! !,rr will minr.in . (..rifrgr. of Con€nr ro S.lr' In.uE lnr *dkci\' com{rn{.r hn, .r rmrilcd ft, hy S..rion l7(xJ orrh.
<br />llhor ( od.. fd rlE Ffomm. ol rlI H.ll (tr shf,h rh. Frmir i! i.ru.tl
<br />_l h.v..nd qilllminr.in r. cn comrEtrrrion inrurrmc. d. rcquir.d by Sdi)n .uol).l itE t,t[r Co&. ror rrE Frfn.Em ol
<br />ih. srl fd rhih thi.Irm ri n{xn My *uk6 o,qEn!r-,n insu.r. utrtr &d rnlty nunftr e
<br />)tlatytn;ar rrtwB! orr,E m* fu wh.h rhn Fnn ir i.1u.d- I rlull mr cioL,, rnr rse'n in.ny mnmr
<br />$ .r t' lE$m lubrd ro rh. !0A6' onFnern'i hwr of (Uifunia, sid r8E. rhd ir I srhu5 h6.m $btrr lo rll
<br />krrt6' o.r{En{rhn l,Fvi.i.n or Sdi'. .17fl, .f rh. lrkr Cod.. I rrrll, fdhrnh srtly *ih ll's Ftrviibns
<br />WARNIN(; Faitur. t, wurc vnlkcs'$nr.nqri'n lrl\@sc ir unl'vrul. anl \h!ll rlbrdr !n.nl|lr'rF h dnrol Foti\ lrn
<br />rivil fircr up k, oE huidk! lhouBn! dolLr (Slu,.lxxrr. in .ddili'n t, rrt.t{ or mn'Fiuinn. d!m8.. !3 p(rvidrd ror rh.
<br />s..ri( , lo7().1rh.Itrir (i!ll tr .k{ rnl rtu"x v \ 1(r\*2*=.-""""'//'o)'/7 nppri.n., f(-
<br />DESIIXAIo!
<br />I h,$y .mrm ur&r FMty ol Frjrrt rh, I .n lRnyd undd Frynhn orct.nrd 9 loltftrin! whh sftti,n ',flIo) of Diriiinr :l
<br />o, rh. BoliEs !n l !rtrf.$i,.l Codc. rln my ltc.< t in flll i(re rn! c[c.r
<br />cq!.t[8!,]qulllu.Ellac-ac!Ncr
<br />I rEEby .mrm u.dd Ffltty nf Fllu.y rh.l rlm t t .orrB-rion bdins .rwy lor rli Inf(ffi of E wI nri *hth
<br />'hk Fma ir
<br />kru.rl rse 1097.civ c.)
<br />lxidc' s (l rcs
<br /> PPLICAITT DFCI {IATION
<br />I h6*ry .rm uftkr Fn.lt, .t pcrrury om ol rlE rdh*'n8 &{r.r.r bn3
<br />D.n,lira,nPrmik Arh.rnx l*{irk{rin ldrrl R.a!L,l,nr lTnL,$, Panr)
<br />R.auiFd lr(.r of N{rft.lbn
<br />/l/,-l (srily rh.r rll tu ol Esubriont Elrdins .ddor En$lolm [1 qrlkrhL ro lhir tmFl
<br />sriry rhd I hat rsl rhir rppli.ibn arl n.lc !h, rh. rtbk lnrotuion i. orr.d l.grr..!trply eirh rll Cirt..d (tlunly
<br />o',1i"xtr..\rnJ Srrr.l xr\n rin!nib,l,hn,:..n{'n.rktr'.r'xlh.r.l\
<br />drr. EnrioEn nmrEny fi, mrE li.n ruqr
<br />\Dpli{nl or,\B.nl Siretur.}(
<br />L .4/*4 qt
<br />rhF Cily.ril (ounly ro.nt!T uFrn rlI
<br />- y'/-?2: / \
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER t7-'.f,W t "\, r,ru,l-
<br />Translormers
<br />Torqueinq
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release t 7.a t1 /AA4 Tylr- xob ,.o"*
<br />Rough
<br />Service Meter I I
<br />FINAL t7 l/tlv i'%I
<br />Notes, Remarks, Etc
<br />-
<br />2,4"-\
<br />,)(\lUr'.
<br />Sub-Panels
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