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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNF,T AUIII'Ef, DF.I,C IATION
<br />I h.rcby r,Im undcr pcMlty ('f F4ury rhd I m .x.n{'r tuln rlk Ctinrdor' Lic.nr lrw ror rh. tolb*in8 Er\,. lsd.tu]l 5
<br />Busin.* rtn Profcrtion Cod.): An, Cily or Coud, rhth E9ui6 t Fmn lo o.rnEi. .lt(. iqmE. &mlirh m EFir ey
<br />{e1h, Fir rr, aB b.!lN. &r r.quiB rlt rrrliur for lEn Fm lU nlr . {i&Erl sr.rcE rh.r L.r slr i! h.n{d pnrrer
<br />nr lh. I'nrli.ion\ ot llE Conl[clor'i Lic.nsd Law {Ch.p'd 9, Collmmin8 *i'h Serion 7sn of Divnrn I orrE Bu!ft(.rlrl
<br />P,.tc$i,n! Gxi. r - rtur lE m {i n .rn',r rlE rli.m un rlE h.iii fq rrE .lL8.n .rrflbn. An, vi .tb. of S<riln 7011 5 hy u,
<br />rlDlkrnr ft, , Fmir uhtr{lr rlr rDrliu t' . ciril pcdr, o( tut nc thrn nr hlndrcd dolk! (S51rO)
<br />-1.
<br />( owd ol ilr FoFny, q m, crnh)cr *nt *l!6 .r rlEir $l odFn lioc *i[ di dE eat !n llt itrE is ml
<br />idai.d ot of.En lor ek (Se 7044. Burim.. d PrnrBiirN Cod.: Thc C.ntuttr r tile 1., &a n, .9pry
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<br />rlE FoFn, *hl lnilk d iqmB rlEEE rd rtn d6 *h wrr hiNlf or lEr-lf n dmuSh nir d h.r om.trphF6.
<br />Fovi&d rh, xah i'qretmnlr E d n .ri.d rolId.d for {l li lDw.wr. rlE &ildin8 or nprwnd k sld *ith6 m Fuof(E!,laira rlE Orffi Boitlr siI hE rlr h!d6 or lmvin8 irr l! d dE dn d hiB d ingok 0. FD,..r, 6. rt FlFr ol
<br />_1. r owd of rlE ,rFny. u.i.lu{irly odrxrfu eirh lir-n ontulG ro on{rEr rlt Irirr (Ser 7({4, AusEriIi PrDG{ir codc Th. conrmior'r t-i.cnr. ks dftr nor lpply ro .i o*mr nt Foprny *h. t uilh or inpov.s rnddn.
<br />dd llxl oda1. Ir Gn FDF! rnt . (o ddlr) li!.rn Frlad h r C.tudtn 3 lirfi t w|.
<br />lrn'r\n {tr n, s,.,1,,
<br />l,, o
<br />Itaf,f,l:tsrrl.)utllrAraN![cLAtauoli
<br />I hRhv !flin' onJ.r Ftulr) of Fruh. o'E olrh. n'lb*ne 'lc.lslrDn\
<br />_l hrE rd will dit tir. Ccnifrr. of Collgt ro Srlf.lBe fd ent6 @rF8.rin. B Fvt !d rd by Sari,n l?m of i!
<br />L.lrr C{d.. tu lt ,Eftrnlmc of llE s* fM vhth ltE pdmi I ir.Ed.
<br />_l h.E tid rill midrin so.t6 srFNrhn inshr., .\ Equird by S(rb.l7m ul th. lrb.r C!d.. fitr tlE Fforlffi. ol
<br />rlE wort tu thth
<br />'hs Fmn L ind. My worl6 $mFndi^inrll,rN ffi .,n Fll.y nu.$cr e
<br />.*.,,F*tL+ /,</<{ E.ce €e?/-Sc,,.t'r't / /
<br />,,,r',r*"*, F/*c-Ol</za'o - .,** loy'ry'g
<br />I (n'fy rhrr in rht Frro um. of rrE "orl for *h.h rhi\ Frmir i\ i!\u.d. I \hrll nor .tr{'Ly rny lf,^on in riy 'tunncrs r\ h h..om subr.rr hr rh. sdk6l .on{xn*rrrn lawr or ( rl'n'dir. lnl s3^: rh, rr I \buu h.$m !!t!F{ ro rh.
<br />sortdr, ostmrr ir. llnn s,nr of S-lbn :r7U) of rlr Lhr c.rL. I rlell. fif h$irh drnuly rir h lhE pnrnirni
<br />Wr|RNINC: FliluE to ffi wtrkftr'on{Enshn otrhe. ir unhsf!|. drt sh.ll shFr m.rphF ro aimin l F tirtn
<br />cn iH un lo .E hudr.d tlhsnn dollrE ( l l Cll,()m), in lddn irn k! rtE d,i ol oqEnrnion, drmg.r .s pbvid.d lbr ltE
<br />::::';l[;"1iBr, inr.rc< ind !trorfty r lL{.
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<br />Ll(I]rux!!r.u!raB
<br />DESJAAIUN
<br />t trEby rmrd ud.. Fdh, of rErrury rlBr I m lE6d unLr Fvirnn ol Clapr( 9 i @ffiin8 *nn S.(rin 70@, or Ditilao, :l
<br />of llE BuriBi nn Pn{cBntr Cod.. rn my lacN ir h tu[ (re.!d.ral
<br />c: Zo >
<br />^r, 1
<br />I i.Tn\c Nun*rr
<br />/'6
<br />caNiral]clloNLElllNliltiE {:rIh.rby.mrmunLrFnlr,.tF,yrhrrlEftii.odturinnhrdhBr8.myrorrrEpqrollie.ofllEwMtrorwhkhlhnFmln
<br />irsucd (se :lll97. (:iv. (:,)
<br />L. c.r Ad.lrcss:
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<br />APPI ICANT OEC| AEAT(TN
<br />I hdlt y rrm undo lEnlh, ol rErJUr, oE ol llt fdt's in8 &rl.'d io.i
<br />D.ml{i)n PdmnrArlBror tldirE.rirn lnknl Rc8ll,snr (Tirk :&1. PM6)
<br />-R.qutcd L.nn ol ftt t{in
<br />I.d'Iyrhd rh.l.ri.rxl rcElLrnd! r8rdin! $trno\rcm^rlft d !0plarbktu rhr tm,Fd
<br />-l
<br />ccn ily rtul I h.w r.!d rhh $lltaran !d s.k rhd lh .tbr. inntrEri,n n .ofr1 I !3r h orq,l/ *nt dl Cil y rtd Counry
<br />o^jiNrn.nl Srtr. L.Bt Ehtin3
<br />'o
<br />hildins.onrdi4 !n ht{'} iudtrt. EF.cnoliEs or thn Cil} !d Q,untylo.nls uInn l,E
<br />rhrN B ookd t'n,Fny ror mst^-tNn
<br />Appliont or ,{sdt SlBEtuE:
<br />/1A 7 a>4//t S
<br />>/"'l s
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Slandards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFEB
<br />Transformers
<br />Torqueinq
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Bouoh
<br />Ceilin gs (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter /il
<br />FINAL c|''21-l(h.Wt)lVRemarks, Etc
<br />ID/SIG.
<br />Sub-Panels
<br />Notes,
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