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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEN DELCAR TION
<br />I h.r*y rrrm uidcr FMlly .t Friry rhar I m .r.npl tun th. Codtrrou LirE L.* f6r rlE fouotig a$n {S.t Toll 5
<br />A!{r$ r,'d Prof6ixrn Codc): Any Cn, or ('o!nr, $hkh cqui(: . Fml ro oFJMr, d6. in9ri,E, &Dltt or Errr &y
<br />(tulm, Frtr ro nr kiuMc. <' r.quiEs rlE rpclisr fo kh Fmir ro frL. r'!i.d lr.rffir rh.r tr or dE ii lrorn Pomrd
<br />ro rh. pr,viri,B .f rtr ConrB.orr Lienrd trw (Ch.!ld 9. Conmrin8 rnh Sdnn ?d[ ol Diviri,n 3 of llE Butirc$ lnd
<br />PNrc.sirns Cod.) or lh.r lE n.rE t.knlcr llstfrom rn rh. trri ld rlE nL!.n.r.nprhn. Any viollirh of S.dnn 70ll.J b, riy
<br />{Tlkri' f.r i Fmil rubFtr llE +lli. kr t.irilFEhyold Irrrn& iiv. tundEd dnusr l t5ll))
<br />-1.
<br />8 oqE olrll FiFnr. r my..r?bFr *nh *l8.!.s lrEt $lc oqrnralion. *i[ do rrE kil ]i irr {ft'E ir mr
<br />ir!.ri.d orolM n, qt lsr'roa4. BuiiB. d Pn,tdri'N cd. IE cldEddi ticE tr* do.r br $t!ly ro e owMt oa
<br />tlE Fr6y vlD htiB G i,FoE dsqa drd *tb d- uh frrt himlf or h.Elf or llmorh hi. q,Er o*n .nploy.c!,
<br />nreviLd rhrl .Eh inFDwftdi E ri -rdi.d r ofi.cl tr Et. lt tnM- llE trildin! tr itrprDtrr ir $ld ellrin ot d
<br />otory'llia rlt ()*E Bui$6 will LE tli hltbl of Imt rld lt c slt dii mr ttuiH o irqrcr dr IinIEiy fdr dE Fr,r . ot
<br />-1.
<br />.r o*E of tlr F En y- m crcltr\iEly codru.i inr vnh liccnrd .ontrk'n ro .unrru.r rh. pmFr lS(. ?044. B$F1
<br />ad Ptrltr.\ir ( ode Th. Confukr'. Licc.* h* dG mr rrtl, tu an owmr of pro,En, *lx) bu ild\ or nryroks lh.r@n,
<br />.id rho $nrtrlrtu ixn llDjrrr. eirh ! coirrl1ons) lilcnEn pluer ro rhccom6.ktr\ Li{.( Il*)
<br />-l ancrcnF urb. S6l0n
<br />lhlc (r**.
<br />w{ trKi.i,i, (:otr! pEl\sA,nr tii
<br />IIESIJIAIIIIN
<br />I h...hy .ll irn un,!q IE llry ol Frlury .x of rh. lolt,*,n3 &rhrar i('nr
<br />-l
<br />hirc.,n enl dr .h. Cdif$k of c(r€nt lo S.lf.ln.uE ft, wrt6r ei{ul!ln,( .i pFvirtsl fo. bysdlbn l7& ol llE
<br />ljd C.d.. fd rlr F fre .t rhc *r,t rtr rnrh
<br />'h. IEfrir i! isu.n
<br />-l h.r. .d *'ill roint.in *orks conrcnurn,n i.!u6m.. !\ rcqlu.d hy slrr i,t l70o .r ih. btbr Otd.. fd rlE FrfolriIr. of
<br />dE br fo, yhih 0! Fnij" ir$.d My k tf, @npc.uliotr iNulrN tui. !n Fliy nurt r
<br />- (lr. W L*-, v,..'.'..*,-
<br />[,,,"""*, alr bX [rflct .**. ((.1X LY
<br />-l
<br />dif, rhd in lnc ltraorrutrc ol lhc turl lor ehtn rhh If, ni n tt!.r|. I rhru ml .n9hy ..y tEmn in .ny nuE
<br />s r ro h6m suhFr h th. $.ntda sn{xn{ri,n l.wr orcdinrni,. srt 4N llal it I rllrld llcor ubill lo llE
<br />rofl6 6nJEnrsra,. pbv*irnrorsdn,n l?mofrh. t lItrOrL.I {Ell. ftnhrnh @mdy *nh rbi Folni6
<br />NG tuluE t, cuE sit R'mnFB.lhn 6t{!,. F utrL*l!|. !.d !U obFt m mpLF b €imiMl FMIa: rd
<br />Er un ro nr hun(H rlxr{d dolLF (l ll}r.un,\in .ddil nn tn rlr mr-!l !o {EMihn, drng$ 3r Fmvilcd lor
<br />'lE1016 of rlE lllrr Ad., inrcE{ rd ,rE}'r 16 \ \=--t-\ l( ii( ^*-. (^\.4 n \YLkr\srnwllYtd{(tc
<br />DECITAITUI
<br />rlfrm undcr rEmh, .f Frury rhd I rm li(tr{cd ur& r'gtvnbi of Chanrd 9 tonmBing *irh S{lirn 7flI)) of Divtior 3
<br />Btrli6r r.d PrcEsi,nr Cod.. !d ny tt.n$ k in lull foN .rn .Oel.
<br />(3v \o -1 \t\r*2€441_=
<br />gllflBltg[,ta.rr8ll|lIi-dqEd!]l
<br />I h.Ehy rlfrr un'ld Fmlry ol rErllr' lhd llEE n r otrnru(rion EdhS aScEy tor rh. pcrfo,rr@. of rh. ktrl lo. whi.h rhr Fnir i!
<br />iro.d {se 1097. civ. c.}.
<br />lrnd.ar Nrft _
<br />APPLICAT{T D}.CI TNATION
<br />I tmhy rninn ud.r Fn.!y ofF.fnynr ol 0r inl[r*'i.8 J..l,e'hnr
<br />txnn i'n I'.rdit A\t$ro{ Ndrfrarnn Ffli.r'lR.loldi,nrl'lirlc 4r. Pd6)
<br />_Rstuncd l.rr.. o{ ltrili.iir
<br />I (6 rry rhd rh. lirLnr EllhraB BEad,nB .sh.s()r rcfr,vul ft Bn q'plr.br. ro rhn pojcct
<br />_l drryrhll I lIr.rc.,j rhn !rn]t.' ion rd nd. rhrr
<br />,dNrrl r'd n.rc l,w! Ehr ri! r{tuiuni c, 'ndrucr r
<br />n\. ft.rnkd Ihltny fG hro.IUr n .r*.
<br />rhc lti,vc innnnujiinr i1.otu1 I+Rk'd{rfly* h rll Cilr.,n Cornrl
<br />r.prrw rrns ofrhnC y tl(i)unrtro
<br />L!\b
<br />Y
<br />(-.-,-n,-'.n-r., aP.milE Em (pri ):
<br />\'{
<br />Site-Work
<br />Underground
<br />Light Slandards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditroners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Flouqh)
<br />Ceilings (Hard & Soltit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />,^
<br />Rouqh t-lq-t{NWl{i)\
<br />Service Meter \J,.
<br />FINAL ))7h4 ?,,^wf</^1,,'D )
<br />Notes, Remarks, Etc.tl r ul
<br />I
<br />Pole Bases
<br />lr ld \ Addrcs
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