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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER AUILDBR DEI,CARATI('N
<br />I rraby a,Ird !nd.r pcn.lry of pc,Jury rhlt I m cr.rpr nnn rh. (onr&r u' L..nr tjs r,tr rh.'roft,w'?€ rc.r,n (sd.7o]r ,
<br />Burifts rJn Eol\snn Cod.): Any Cny or Cddy whi.h Fqud.r d Fnir ro conrrkr. .hd. inpmE. d.mlirh or qrt my
<br />sMm. Fi, b n. i1r@.. rk, rquir.r rh..rpltr! ror sfth Fmir io nL. riexn sld.m $!l lE or rlE k lic.nEd [unur
<br />ro rL Fovnions of th. Conhcr6\ LianEn lj* ((laprn 9. (o.trEi.B snh sc.rion ?qD ot Divirhn I of E Burincri rhd
<br />PoLssio.! C.d., o. rh:r h. rrE n.kipr rh.r.fftrmrd rlE h.lN ktr rtE .lLr.d .xcnprion AnyviobrionofsNlirf,r0Sl5l'y.ny
<br />lprlionlfor!r.milshj.{lrtlE.rrrlkrnrro.cirilFdlrorrxmrrh,nnkhuid,td&,lbr(55{n)
<br />-1.
<br />ri ovE of tlr ,,trFdy, d m, .qrl'F *rh r.g.r .r rh.n $t oiFtrrlhn. dll &, tll wt rn U. rrErE i! mr
<br />i si.d qof.Ed, xb (Sa.IX4, BuriE( rx! Pllf6dDr Cod.: Tlt (-o,r.x!( i Lift t , &8 E( +?1, ro d 0*6 of
<br />OE FtF!, wlr, tliLh tr iiF.oB rrEs4 rrd *lb dB rh k t hinslt or hdrllo|uou.,l hi n tE om.qioy6.
<br />prDviLd rhd uh iqDGE r c n, ncid.d rofi.rsl fn sL l.. norlk. rlE tliBlt d i.+m'd ir $E eihir m lsrofcdrphi\dEOwEBuitkwillllErlEhnbiortn)viu.lE.rtEdndhrilddi"pmE0EFllqr,t dEFrrEof
<br />_1. rNE of E Flttny. m.r.hrntly.ldrdoa rnh lirn€n.n 1116 lo on{rucr ir FF (S( 7Or4. BciEs
<br />drt FnfrsirCod.: TIE Conltroir l,ic.rr LIr &B ,r {rly x, u orF of rnFny rlh boildr o. ioptuEt rharhn,
<br />rnd vtb offi!tdshF)F$* h r cdd(,l n liin:n purud ro rh. codrdoa s Lirns hu).
<br />I crcmpr u Lrs(tr,n
<br />l)!r€ ()ro..
<br />uaalr&StruurrNs ra!ul(lJadraN
<br />I hcr.ht rlltr utrdrr Ntrnlrv rl t(|[v'rk ol r,r l(nLu r! (k.ln r(r\
<br />I h&c ald will .Dint.in rc.nirtrl.ol(ons.nrtr s.lrlnlur ntr qortsr'd tr.nsrrhn. !s [ovid.d for byScclion ]7(r0.frh.
<br />bb.r C(dc. td th. F$fomfrc olrh. wnrk ii, whkn rh.rxnni n iskd
<br />XI hrvc !trd will mainl.D wor*.6 co lEnsuli'n inrunBc, .r rcqutc'l hy Se.-lioi .1700 nf rhc L,hor Gic. fnr rhc adtutuic. ol
<br />rhc work foi rhi.h lhh lrmit js n!u.n My *ortst (nnFtrsltion nnuruEc.lricr ud Flicy nlmh€r rc:
<br />Co*gP"tSl OF AtN't
<br />c./r
<br />-l.cnifyfilr
<br />in rlEFforErcof rlE ro.k r.tr sh.h rh6 t'.rmn s rru.d.l rhlll Br .rryLy .ry Fm. inanrD.E
<br />s, N b tter suhirt ro llE sr qt o,r{E.!cion la*! ol (-rlitnmn. lnd aAft ih8r if I str,lld h..om iuhirr b rrr
<br />*0116 otr{Etrsrhn pn,yihnr of Sal i,n .17(lJ or rlE l,tr, (ixL. I rhll. t flh*nh Lrrqrly *nh rb{ |,ovirrN
<br />WAtNlNc: Frlur. ro sm krLr'd,nyEtr{x'n
<br />.iri! ams up ro om hu.nral rlx,uqxt (t)llar llltt)
<br />o'Yrn8. n !nL*tul. .d th:ll (uh r d ..it'hlq h dininal FmbF rnj
<br />(lrr,, n ellnrr. h rhc..{ ofc(ion. d.Er.r $ Iroln.i ftn ilr
<br />rt...
<br />n Jur6 d'tE Lh{ (!ik. nr.E{.rn . r}i
<br />Yu-s-Ut-o-/t*Ltu:Itfjr(t)u&lrtaxlLrlJ$aruri
<br />I h.Eby drm un&r Fdty of tr iury rh.r I m lirrFd un |.r FBi.n of ctqx6 9 (mnmin! *nh S<rbn Im, o,DiGid:r
<br />of rh. BuriB rn PrDIarioE Co&. !i mv li.n€ t in hill f'rc ri.fl(r
<br />V^/ \.'.
<br />C-Lgu G<7 o7 +w /13 SUI-LIvAN (A-+n- fe,^Jd\-
<br />SNSIAI](IIIINIINITBA.AIiEBIT
<br />I h.Eby smrm undcr Fnrlly of F+ry I hrl th$ n . .oinurir bnins l..rc, lor rhc poro,mE oa rlE $brk frtr ehih rhn Ftnl k
<br />hsucd (Sd. .1097. C,v C.).
<br />t-.nd$ s Addrc\\
<br />AEELETNLIEIId8AI1(,!
<br />I hotnt efrm undc. Fnrhy olFUury om or'tE rdkning ddLrdhnr:
<br />D.d,hion Psmn\-Ait rtot Norilicdion tudd R.suLln,nr lTirk.lr). tun6,
<br />-R.qoicd
<br />Lcrr.. of thilt rih
<br />I(d,ryrhd rhc fcdcralrc8rlnii,ns R!u,ln,g r1tr{,rrr nril n,. noi xmliahk t, rhn pnrF
<br />-l
<br />cmify rhr l h.E E.d rh6!n,i.,irrn r. rh{ rh..h,r i.nntr '. t c.nccr I rse io 6'rpry Bnh .ll Ciry .nd C.!dy
<br />odimrs.fll Si.rc t *t rch'rB r. t[ilj'n!.on{urin. rn hrchy.rcFsndihs ofthir Ckyrd Colnir ro.ntd uF,nrlr
<br />ltrtrr rnri)ftd fln,Fnt fEn\F\]x)n puryE\
<br />)*,*^.-,.n-r*
<br />\-r,*-*'e,t.,,, fA
<br />U..'1-a:,;sS c. I
<br />Q/an/,e
<br />Site-Work
<br />U nderground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Groundino / UFER
<br />Translormers
<br />Torqueing I '2"2'1./(A \De$r1 {rt
<br />Sub-Panels
<br />Air Conditioners
<br />R ool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 6/zt/14 M )
<br />Notes, Remarks, Etc.r 7 w
<br />c
<br />APPROVALS
<br />Under Slab / Floor
<br />7
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