ELECTHICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.GOtvli,'!ENTS OWNER EUTT"DET DEL(INATION
<br />I h.r.hy lffirm ud.r Dc lt, of F.riry lh.t I m cr.B{,l in)n llr Co,*rrod l,.tnr lr$ ro,
<br />'lE
<br />lolhsh8 B$n IS...rOll 5
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<br />-1,
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<br />thc ln,rEny eh)t ild. o. iqmEr ltmn. snd *tn d(E\ \kh M,l hih!.lr.r htslrn lwu8h his or h.r.wn cq)loyel
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<br />s. owE of rlE FotEry. m.rhtirly .onrrrlins *irt lio<n co,r.xrd ro oNd rlr Foj.< (s{. 7l*1. BuIK
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<br />rnd vllr odd. ln * h P.oFr pih. Cod .(r) li!.Ed,rr{,r l. rlE Conrrrdt LrlN tir,
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<br />I h.w orn *ill tuimain r C.n ii..r. of Conctrr h S.ltlnruE for wt6 con{EN.li,n. rs leviH fir by Setion l]m ol ft
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<br />rhc *ork n, uhi.h rhii Frmn t! i$qr My wort6 er{Enrdio. inru.m. ffii.r an IDli., nuf,lbe E:
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<br />rh.l in lh. FrformNc oirl* worl ld shth rhi! Frmn ! Eru.d- l.hzll Nr.nphy.ny FMn in my nqEt
<br />q, iro trsft obj.ir.o rlE vtri6 on+..di,. Lrl or Crromu. .,n .8N rh, if I rlr,uu li.om ohr<r ro rl!
<br />w.trs( .rnFnorton pmvnioor of Serhn l?m ol rlE llbor Cod., I L fonn*nhotrplyrnh Ft pmriri \
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<br />o.", q?1 1L-- aDrror, )
<br />DEf,l {rualolt
<br />I hcrehy afltn und.r p.ndryolpcUury rhxr I ! lt(n*rl und.r llnrvi$n ol Clut s 9 ( lonnErcin3 wiri Ssr i,n ?dD) oI Dilni)n :l
<br />I rh. Bu{cr.od Prcf$rirn\ (iric. !n oy lacn{ ir u ftu f,nr rd.rl(r
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<br />,ru, \;z! -tl r.ir* Numk, 9<rlu t
<br />eo-er+-t nW q.^1
<br />gllitrStlgrMd.rBDM-atiEdct
<br />I hcEh, lmrm !nd.r Fi r, nt Frrry thd rh.E h . ftsrrudi)n hnding og.my for lh. Isforn@c ol I h. sorl fo, whih lhn Frn, is
<br />iiqrd (S.. l(,'1, Civ C.)
<br />I rnd.i. N.m
<br />-
<br />l.ndc Addr.$
<br />Attusuullcta8Alrrd
<br />I Mt rtrnnund.r FnrxyolFrFry or ollh. rolk'*in8 d(L.!tions:
<br />O.mlirirn P.rnn+Artdor Ndrfrdio. kr.l R.8ubr bn! l_fnL &. Pdlt)
<br />-R.quiErl
<br />ttlt.r ol t{difr.lin
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<br />cdrif, ln.r rlE 6...1 rSilbrbG qrdru r$.ft' Ennrl a b' .rpltrl,l to thi preFr
<br />-r "d,ry rru r L* ,!rddG.)k! bn rd .[r. llu rh. rtnE lnroftrrnr h.!i'd I rsr6 ro onply,nh r[ cny.rd cos.ry
<br />odrnrk.r .Jld Shr. hl6 t ELt,rs rdAld'ns qonturx,tr r,n lEEh, Nrhori! rcF..,rdiwr of rhir Cny .rn C.unl, lo .nl6 upon tt
<br />nE mdDEn pmpdoy r( irp-rl"\rp"al
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<br />\ )\L -- o.*tal1-[
<br />*tm.ri Ie rp.r.r): S}\Lrh',!
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Lite Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFEB
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meler I
<br />FINAL q\)11\, /(l t4tfi )
<br />Notes, Remarks, Etc.
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