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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Bouqh
<br />Ceilinqs (T-Bar RouOh)
<br />Meter Release
<br />I
<br />Rough ,f/u/tr
<br />Service Meter
<br />FINAL /2-E-/,\/zlJr+,G9
<br />Notes, Remarks, Etc
<br />OWNEI BUILT}EN DELCAR TION
<br />I h.Ehy rrrf, utrl.. FMhy o, F,lrr rha I M .x.nri ltsn Or CodrrloF l-irn€ t,! ntr r,r folhpina E!$n (Sd 70.11 5
<br />Bu!in.$ c,n Prcfdshn (1n.): Any Cily or Counl, qhth r.aunca r Frdn lo onrnd. rlt6. iqrow, &mlirh ot rFn uy
<br />$ffirur., Fi, lo n. irum.. rls Equ6 ln. {'plixr for $h Fmr 'o
<br />nk r rQrd {.r.ftnr lhd lr or dE n lk.nsn rurultn
<br />t, rlE rft,vin,ns or rlE c(,nhbt Lk..cd lr* r('hr!t.r 9, C.nmmin8 *nh S(li,n 1r(r) of Ditirbn I orrh au\ims.d
<br />Pmf...ans Qn ) d th{ lE n <ll ir.r.q'r rhc.dorn !n rlE h.rir nn rll. tlk.n .kqr k,n An, vhL'onoiSclnn 70ll5t'r&y
<br />rn, ic!trr aor r tErmir {bj.{r rh. lnplic.nr ro r civil p.n!lty.r@r frrc rhd nv. hudrd dolLr! (l5uD
<br />_1, $ o*Fof rlE |,oltny, d mr.'r{)t,yer wirh wra.s ,r rrEt q,k sn{Enelhtr. willdo llr *6k lrd Ur trrBlG i hr
<br />inr.nkl M olidd nr rh (S-.7(x4. 8urim. ud Pnf.snF C.d. Tlr Co,rrEroir l-is- L* dxr d qrly h e o*F ol
<br />rlE F,!d, wlb tniLk or inproB rlEda .rd *ho d(B *t qrt hinEll o, tEelt or rhmtrd hn - hcr own.r{,l,yc.i.
<br />,rovircd lhal $ch inFoErnl5 E mr idcnd.d dotu fd {b lr,howw.tEhildryri,lttot*riinld*ihiior}w
<br />o,drtplrir irOed Builro *dl h.r E h!d.r' of FovirB rhi lrdtEdn d hild d inFtrE UE F4qi, tGlL Frpt ot
<br />l. rt n*mr rf rh. Inrtmy. m crctu\n clr_ cotu.doS *ith lrcnrln .onlrrt,n t' d,nnfl.t rlr tnlr*r ( Sd 7r!,r. 3u!im\r
<br />.nl PRtssir Co&: 'rh. Conrtrtd r Ltcne I
<br />rnd {th d!frt td uh ImFds w h. G
<br />rs rlra bt !t ly b oqM ol FoFny lho buildl o, irrrot.s rh.i6n
<br />rnldono lNn-d purud rorh. (?;-l rmr\.n,tn undcr SLrrn
<br />I h(rch) rnnm u*k FMltr ot Frru!
<br />IrE(ll&ula!
<br />-l
<br />h.vc rn *ill mi.r.h r C.nirE.G o, Cotrrir ro s.r l6uE rs *i,t6' oqndi'n. f,i lFriLn for h, Sdrion 170(, 6r rlr
<br />L$G Onc, ror rlE lEnomm of rlr rnt rry *tich llE Ismi i n.u.d.
<br />_ I h.r ind *ill ruinrtia rort.^ mqxnqrnn '.orIrc. ri Erluird by sEtirn l7(x, ol rhc bhor (bd.. tor rrE Fromft. or
<br />rhc wrk l- shih rhh p.mn i. kud M, workrB d,n{Erui,. inru.ffi..ut. !n Flty nun'h.r e
<br />-lc.drfyrhd
<br />mrrrFrlormmof tlEro nx shth rhis rsmit ir i!tu n. I rhlrl mr .ir{,loy r., Fr$n itr rny .uF
<br />$ !\ ro t str ohirr b rlr work B cor{Eneri,n Lwr ofcr nnn!'. Md {r lhll ifl llhuld }dom.uhjdr t! rrE
<br />sort6r' dnqEMrbn tmvni,N of sdi'n l7m ol rh. l,hor (.lrL. I rhll ffihsnh oqny f,nh rtD€ F,vri.,B
<br />WA&Nll\G: FiituEt @ rdI.R'
<br />cival finct !! lo oft hnndBd rholrMd
<br />Sft1ion 1076 of rlE lrthr c.n . idRr
<br />I h.r.ty iirn u'*r FNly ol Frrnt d l d lirnicd !n Lr rtuvirnn ofcll.Pd t (otlreEin8 rnh Ss1bn 7i[)) ot Dirirbn l
<br />or llE Bxsift* ..d t\!f.$hns Cor!.. arn ny li.ns h in tull loft &d .fi.cr
<br />rolslf,ucllrJBljBlnlli-AoEuqr
<br />I n ,$y .arm un&r Fuk, ot FrFry rh,r tL.. t . 6.n.siirn llnh! +rBy lor rlE FfqtlrF or ! h.r tu wtkh
<br />'r$ Fml a
<br />istucd (S( 109r, Civ C)
<br />lr Lr'r N.m
<br />APPT ICAITT N9( ]I.AIAT(TN
<br />I hddry rtrm lnLr Fn.i y or I'dlrry om or llE (nlryin! d.cL,rr ionr:
<br />ttn,l bn P(nir!-Arrsrn Nr af*.rir. tu hl R.3llrr i,.r (TnL ll(). Ptnt)
<br />-Rcq!ircd
<br />Lcrrs of Norifrdirn
<br />t J.ml r.luhri,ns R3udrry u{tEs.! rcnx'v.l urc nor rnl,lalblc t'thisljn,Ar
<br />r r.al rhis rppltark)n aftl llrrc lhur or.u tr,h i\ ror.cr ldgrNroconl'lyBirhall(iiy!tr (hunty
<br />ruiEnnc kf'rdrnrh olrht ( ny.rn C.unry ro lnld uFmrh.
<br />u"-,'L'q-"
<br />Air Conditioners
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