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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNE AUII.DII DEL(ARATION
<br />I rEchy dfrrn xndcr Frulry or p.r}rry rhlt I m.roifl ,bn thc Conrdclon l.iene L,* nrr rt ,ollowinB rcdhn (S.( 70ll 5
<br />Euim$ ..d ftoLrli'n cdLl Any Cny or coldy vnth rnum ' Fmi ro 6Ntur. .xd, invok. &mli.h or r.Ftr m,
<br />(NcluE, rrh. n, irs rssurE., rlso EquiEs rh. lrlrlrd ntr su.h Fmi b fil.rrigftn nd'.mn! rnd lror!h. n li.cnEn !'unu.d
<br />h rlE Fo$iin< of rh conr&rd r Lirn*J t * (clEfls 9. cDlt4Bing rirh s<ri{ 7m) ot Divi'irn I orrlE auiift(.nd
<br />Pn,f.s$ns Cod.) or rh.r lE r !1: F .r.n4 r,mrRin .ni
<br />'h.
<br />b.nr for r r!L8d .r.qrion. Any vi.,Lhn ol S.d i.n 70-l I 5 hy tn,
<br />llrlk3nr for ! p.mn (hir( rhr .ptlicur b r cilil FMhy nf r, mE rh& fi !c hllnEd &lls. ($m,
<br />l. .t owm..f ih. pn,Fdy. m ny.mploF.r wirh wlrct as lhcn $b conlrnd bn. sill do rh. *dt Enl E nrElm i! ml
<br />irci.lol qofi.Bd fm uL (S€ 10,1.1. BuriBr .rd Pmf.saB CcL TlE (ddiit Liffi l.w &.r ml St y lo r o*B o,
<br />rh. F Fny wh, hildr d intn,B rh.M. lrd *lrl d* sh n t him.llor h.rclf or rlmuah hir or h.. o*n.rphFs,
<br />tmvilcd rhai loch itrl['rm.B e r'r ,t!.d.n d dl6d nr qb lt hoslffi. rlE hrillr!8 d LqreEmil ir sld rithr om Fe
<br />olcori?txirallE(rFBdtldvillLEtEhr(l.n.apftwry.lEm{EdAn,hild.ritrpoEdEFr{dyfn,r|[,FEof
<br />_1. I o$m. of rlr In,nsry. rm.rlu(iEly coiturn! w h lim6t s ncr6 h en<tuc1 rlE FoFr (S(. '7o1,{- Burfts(n hbksir Code Th. ComElnr'r Lk.n* L,* drct Nr .rrly ro & ow*r of teF.ry eh. build! or imptusr 'h.ron,.nd rho o.'tur rr *h FoFr *nh . Qdd.n r r lftnrn t[RM ro rrE Co rdd'!lffibv)
<br />I lnr.r.m uftLr S€tirn
<br />Drl. O,Rr:
<br />$ onxr'&\r($rPFtsATloN
<br />DICLABA.IITN
<br />I lErchy.ftun unds |EMhrolFjuryom.f tlE rolLrer* &<k!!$nsr
<br />-l
<br />h.w !t e ill mrnrrr a (lniarut. oI C.trsnr n, scll In\ur. rm wort.rl onFnsri.n, $ pf,'vid.'i n)r l,y SNtion 11700 .f lh.
<br />lrtr (ixL.I rlrFimottlr eoll n,*hi'h!h. Fnn ir k\kJ
<br />_l h.E !d sill minl.in rodsr' (otrFrurhn in{uaft., as Er|uncd hy Sstin l?u} of ilt lrtu Cd.. fo, ilt Ffomt. of
<br />lL qrl fd rhth lhn Fnn i krrn. My rort6' onFn{.n in{l.N ffir !n l[la, mmns n
<br />X,*, -Yt*+c--Fx..l.
<br />[o,-"n,,*, l5&{lt5r] - }ot t-,\,.,*. eo t1
<br />-l
<br />lcdrOrhirrthc n.rr.flstre ollh. rort Li whichrhh pcnn i\ n\ucd.l rhlll nol .mrl,), !n, Il.non in rnymxnftr
<br />e, N n, h(r,ft \ulrF n, rtr *o -\'.or{Indir b*rotcrliftm{ nt +ft rh.r ifI \truU h...m rubj.ir t'ttr
<br />eortdi N,mFner tr,n pflr irioni .f Sdin .170j or rhr lrhr Cixlt. I {Ell, ftnhstrh o,ntilt * h rlbr fm$r)n( .
<br />wARi\ilNG l' turc h Eu!. wnk(ri snvEnsfu{ dtrcrl8c r\ !trhrlll. ini lhrll \ubFt U, mpk,Er nr .:'mnrl ltMiK lJrl
<br />civil ll'r\ up h .n. hundrcJ rlx,u\rnl dolhr\ (Sl(xr.Olx)r. in ldnirn,n t' rh. (o( oI (onDcnr i,)n. dtr sgr\ r\ Irt,vidcd f.{ rhc
<br />76* z1,sl
<br />lrrn Ark. inr.rc( Ixl rrk'mr'\ las(tr (,.,,,fr-ra-fz.5o q6.'1 ta{cL-urf.r!!_rarr&tuaBDISJ&IIA!
<br />I tfthy rtrrm unL. Fdk, of Fr,lry rhi I d liurcd lEls F*nir of o!fld 9 (nffi inB *nh sdi'n 7(m) of Dirirxn l
<br />of lhc BusnErs lnd Pmfc.tio.s Cod.. ud my lic.trE is in lull foEr rn cnsl
<br />>(,,-*, "-. Ar 9, l-rq, I{lt2X"^ *-*, ?{rfa5f
<br />K,. 21, f t t fr X.,-.;{ur^-!<{ vo r"ABqgL ts:vcrld a
<br />C(INS_TRU(jTI()N t INDtriG ACENCV
<br />I hcrcby sfirm undcr Fmh, .t }.rpry rhar llEE i3 . drn(u1hn [din3 .EcEy nn rlr n rfm^-'. of rlt **l f(tr *hah rhir FmI i!
<br />t{BJlsa 1r9r, civ c )
<br />AIILIIJANLDECIISAIIO!
<br />I hod, dlm udd FMhy or F.iry .rc ol llE lolt'wi.3 &.bdirs:
<br />D.mlir $n P.rmnr. Asbcro. Norifkdmn tu nlR.8uLrio.t (Tirk.t0. Pd6r
<br />-R.1!ircd
<br />ldr.r ol tldildm
<br />-l
<br />(cnify ln ih l'.1rs!l EgoLrb Ersding atl$ro\ rmrd ec r, q{'li..bE to rhn phFd
<br />@ry rrr"r r rr"e."a rr,i. "pplvr ntri Jrlnrr( rh.r rh(.nrrc iIn,i!.rn.cr lrtN k,.o'nplJ_ $irh rll( ir!r Coutrry
<br />dd'Me-6.nd S'.r. trw\ Eht'.f I hfrbinso,n(ur.n {lE L.i4 G'I.eln.lit\ ol ihi Ci! r rd (ilniy ro
<br />h,rc mnttr rd ntuFny
<br />e,lirxtr! or ilt.nrSi,lncruFd Li AJ &\,. z lts
<br />rPe'l-ti t
<br />Site-Work
<br />Underground Lt qlvlt g </4il9 <t'L. -A.k, ( ,bt-p
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<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 & Soffit Rouoh -Ceilings (T-Bar Rough)5ltrlM I 'fnll'9,
<br />Meter Release I
<br />Rough
<br />Service Meter I
<br />FINAL 5l)tltb wt*/
<br />Notes, Remarks, Elc
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<br />Translormers
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