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ELECTBICAL.INSPECTOH RECORD <br />APPBOVALS DATE IDiSIG.COMMENTS OWNEN'U&DER Df, I,CAN NON <br />I lkeh, rm.m undd Fndlly of p.rjury rhd I ffi cr.nfl rron ltu (l,nk&rc Lacnr ll* ror llE nnh*in8 Eastr lse.?o-ll.t <br />Bu\incs{ !,n ProL$n,n Crnc) Any Cil, or Counly vhi.h Ejuircr . Fmil ro ('nrlnxr. rlld. itrtmvc, d.m,ltn or Fr,.t uy <br />dddxk, If,rtr ro i,r i.{orN, alv' rq!i6 rlE qrrli.er lttr lrch Frhn t, liL i i'!nd {d.ft rhd 1E.1, itE i! lift.vn |[l{Et <br />ro rrt liDvniom ol ltl ConrErd i l-i..ned L,s roul'rd 9- CoftEitrs *irh Sc.hn ?qm or DirFi{ ,t or ilE 8ulift.r .rld <br />PmL(*,nr Cdl.r o. rhrr lE or stE ir .r.r?r rhcr.fhfl ul rh. h.r" [., rlE .lbFn .rcqri,n Any vioblln ol S.rlim 1r] I :t by Bry <br />rt'tlicunl for ! p€milruhj(ls lh. !t'!li(rnl to . .ivil Fruhy of ml n$r lhln fitc hlndrcd douu! (t5u, <br />l. .r dmr otrtr FlFny. d my.npLFs ynh ers.! N rlEn $h d,qE.era,n. will do rlr wrt rn llE.lrL]rE i1 tr, <br />in d.d dotr rcd fr, {L lse.lo+{. Bur-Br.ri Pnlf.sbB Cd. Tlr Co dq! LIg- L.* ds ml {It'ly lo o o*d o{ <br />t FE nt *lD lniui or nFDh tlEsn .,n *b dB qh *qt hinr.lf or l.Elror ird{rh hi! d rr o*n.!r?bF.i, <br />F,viLi rh.l u-h oqmEB t @ tr -rcdLd tr otu td sh. lt h'EE, rll tlrlrlla or irF.ENrr n b! wafiu oE F.t <br />ofsirrLriin. rrE ol,mr Buirl.t will hlE llt hrn . of pn,vin! rhd rE or ilE dil ml hrll or iqmE fi. rR Fny fd llE n{rF]- ol <br />l. 8 osmr orihc Inlitnv, m.r.tunEly d, Rrin! *irh liln$d d,.ra16 ro dr{M rlE FoF rsd ?o:!L Bu1tr( <br />.!n h!.*ri[ Co<L TlE comBr.l! l-i..,* L.E d{Er mr {r,} 'o <br />u owE. of ForEny ytn hild\ o. inpDwr rh($n, <br />rnd who onbxt f.n $chFoF(k *irh s C.nrturonn l&ns.d prFod b rlp c.nnak \La.nctre) <br />l$rrrrnrrr xi (rS.rrkD .tl &I'C ntrrln\r,{rr <br />!trl. ir'Er <br />lurttil,&r!1rllt[lraMru!l:l &u.l0x <br />I hL'.n!,lrnnund.r |{nrlrlol trrlrtry,trr ol rhc l,'11,,{tr,!'ll.lJrrrtrnn <br />I t.r iln will minr.ir r Ccrrif.d. of Consr ro S.la lniuE fr frxtoi onp.Nrion, $ Frlil.n n, by Sdritn l?ln or rlE <br />L,t( (trl. f6 lh Fnrffi 6a rlE k'rt lq *tah llE Fnil ii ttEd <br />lhrlcrndsillnrn i,n eorkcr{ conlff,r\di'n NUn rr.A rcqutrc hyScdn{17(xrurlh.tjhorCDdc,frrlhcpcrti)nuncc.l <br />ttk $ur k !,tr whi.h {hn Fnnir i{ i\\ud My *orkd{ .omltnsri,n iNurrkr .rni.r ffit F'|tr, nunrbcr Mc <br />-*^.tfulrPotity N!ntE:-7Le-= LP-L <br />-, <br />(.n!fy rhd rn rlE Jxrlormmc of fi. *orl for *h(h rhk ltirnir i\ iiru.d. I shall Rn.flrtk ylny F $n in lny MEr <br />q' N n' tE()m surF*r lo tlE Blts\ crnnru\.Ihtr h*\ ol Crlilomr &l !3E ih,r i, I fi,uld lE(r uhFr ro tlr <br />$1"t6 NtrrrEneri,n ltrorisi'E nrSdrrn:ull)ofrh( lrtr Cd..l rhll. finh*nh Nrrl, *nhObt F,virini <br />WARNIN(; f ilurr i' r.trrc wort.^'.on$.o\shon .,,kflgc i\ trilrtlll. sn(l \hdll uh}.(r if .n!nn)tr I' mnrinll Enrltl ind <br />.iv'l ll'r\upk,omhrnJrcdrhouuidd.llrr\r!l(t)lxxr)-inaddiri,'ni(!rhc..{ol.r Irnrdiotr. drntrNc\ rs pn'vil.rl nn rhc <br />z-lz-z I t r ^pp,@,: L -/I tLrNr,1, toN rRrcrdr <br />UI!.LAf,AIUN <br />I h.ahy sm,m!na( pcutryolFrjr,y rh.! I !m liInrn undq Iftririotr o,( h+ro 9 krnrfthS rirh sdi,n 70uJ) ofDrnbn l <br />oa rlr B$iEre .rd Pmr6tnnr Co&, rd my lt.n€ n i. rull toN !d .lI&1 <br />rr," -l <br />IEi rot 64 !(io e,*il a;t\.:&'.* <br />gNsralJlfloNlallt! i-acEist <br />I h.Ehy rfiirn undd ,rMlry ol rsjury lhol rh6c n ! Nn(Mrbr lc'nin3 !3crcy fo, rh. Fln,rrr.d ol rh. htl ror shrh rht Frnn k <br />is{u.d rs.c 1097.(iv C r <br />l.nd., r Nlr <br />- <br />APPI ICANI DECI.AtrA1]ON <br />I r6.ht !frimund.r F.!t, Ilrrjury oft oflh. aoll,uing *^h,!!i'"r <br />O.fr)l i,n Pdnik Arh.ioi ftd'r$r-n fqkralR$!Lri,n( (Titk{r, Pad6) <br />R.rURd Ir crol Noff,.ri,n <br />I rd,ly thd rh. fcd..rl rcguLti(,.\ <br />I r$ilrrhd I hd. rll rhr applilr- <br />orl'M rr dl srai. uwrEl,ing!ot ,t <br />rr!nlinE ,\h nr, rrnx,il r'. r r!t,l'. lc n) <br />I +re ro oipl, * n rllCirr.d Cou.r, <br />,iB ol rht C'r y .,n Counry ro .nrs lFn rlr <br />rhd rltdr{c infonturi,n t conL\1 <br />rtx,r. trE rtr'ncd ptilrny n{ nxli(ti,,n I <br />fvt('tAppli.$r nr AAenl Si,!Mror urf <br />(i"t -u-,: <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lite Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFER <br />Translormers <br />Torqueing <br />Sub-Panels <br />Rool Top Equipment <br />Factory Wired Unit <br />Walls (Conduit)1-9.tb <br />Walls (Rough) <br />Ceilinqs (Hard & Soff it Rouoh a.v'18 <br />Ceilings (T-Bar Bough) <br />N/eter Flelease <br />Rough <br />Service lrileter <br />FINAL SlPlr*'i+'\^{re, <br />Notes, Remarks, Etc if\ <br />Air Conditioners <br />I