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APPROVALS DATE ID/SIG.COMMENTS o$'t{El ltlllDr-n oELcAt TloN
<br />I h.Eh, rrrrm und.r I'.mxy of IErJ{ry rful I m .r.r{'r rmm
<br />'h.
<br />Co.lr..n8 l-i.rN tj* ntr rlE folt*ht h$n tst 70.t I t
<br />Dusin.ls ind Profcsshn Cd.)r Any Ciry or Counly whi.h Equircs u Ism lo connrud- rlrd, intmv., d.mlirh orrElrn in,
<br />srB-ruE, Fior ro ns i$um.. rle rcqoiEr rh. rPt ku| nn {uch Fmir ro ,ilc . {isNn nr1.mnr rhrr h. or 3h. ir ri..nql PUN.i! -
<br />ro rlE rfrrniinr of dr Cr xrorr l-irnr.rt lrr (Ch{*d 9. c.'imEin! rnh Setbn 7(xlr or Divnhn .! or rh gnrim( .id
<br />Pn .rqrr C.d.) o, rhr ll n rlE n.r.ry, rlmlmn.,n rh tir. fd rlE.ll.td cr.q{ion AnythLrb,orSdnnT0.ll5 by.ny'
<br />!prii..d hr . Fmi .uhrtF llE .9r,lktnl r. r civil n Elt y .a ml mE rh.n fiyc hoidrd d.lEr ( t5m)
<br />-1.
<br />$ o*rcr ofth. In,tEny. o ny.mploFcr rilh rl8ct $ lh.n sb.oqEnslion. willdo rlt edt.d Ux nrB1@ i{ mr
<br />inrc.d.d or ofi.rcd fr qh rS€ ?Ol.. AuiEs ud Pt f.lrionr Cql.: Th. co.r.rl{it l-i.cn€ lrw d.E! mr rplly h tn owF ol
<br />rlE Fidy *lb loililr i, inthG EEn nd s,b tk- qhq,t hiI*lf or trrlf or murh hir d lE 06.r?l'trs,
<br />Foritn rni 1xn iqmftdr E d i"cid.d r o&rd f,r -L ll kffi, rlr tliBnB d intftE'd k oS *rhi. c )E
<br />.f(xtpllntr 0E o$E BuiBdrilIEEfih,n.of FnwB t trd.lrdt Ei hild m lqftE 1,. I'r+dry fti rl! F,FEot
<br />l. rro*rcrof rlE tn,Fny. d.r.lurihly.o r..riq wnh lbnr.d.odrdm ro omh.r rrE pn,.d lSE. ?044,lrurircs
<br />!n ftDft$irc.d. Tt Conrr-lor's Li.r.E trf, diEr r +Fly ro a owffi or pmtEn, *ho buiUr or inqDEr rh.6(
<br />.d rlD odrr-lt f( sh Ftri{r *irh. Co rxhno licrEd poraer ror,E(-o,rnd\ lifl- t p,
<br />l.m.r.md undd Sdrtun .S &PC (orrhtRlron
<br />Drl.: OrRr:
<br />]U]AAI&II;JTUIENSAIIT}!
<br />DESJTIII]N
<br />I Ercl'y rrrnun&r F nylltFrrtryoE ofllE,ollo$iq &(!mri6
<br />-l
<br />nlvc !,rl will nDinrarn ! CcrlifElrc o, Concnt ro S.ll ln\urc for rork.n (,,r"xnerhn. ns F,vii.d r(tr by Sdtrm lTln ol lhr
<br />Lahor crrlc, lor rh. FlonMmr olttE uo tu *hkh tlE pcrnrir is irsucd
<br />_l hlv. .nd $ill tuinr.i. $on6 coqrhuri)n in$otr.. ri c{.i,rd hy S<rb.l7m of rlE l$or Co&. fo. rL Frf(llmmc nl
<br />thr *,nt rir *hihrhn Frn n Fqril Mtsortr! !r,tr!xn! r inorlnc c:n$ ,rl Fl.y.unls ac
<br />-l
<br />dify th.! in rlr FformR orth. qorl f rhah rhn IErm is i<ad. l .h.ll mt cdrrl,r ry rtu i..hy BnF
<br />e s3ro lEor subFr ro rlt *ftrd'NiFtrr.li,tr L*r oa (tlitomn- ud rrd rh,r itl rrbuld lEsm obFl h rlE
<br />*o*sr $trFnernn pmvniiinr of Sccri'n ]rU, ot rlr lrrn (id., I dEll, trnheirh 6n{lly r irh rh)- pmtrionr..
<br />WARNINC F{lu6 ro B.urc *o.kc.( tnntf,.di)n ewa. i{ unL}fut. r.d rhlll 3ubj(r m crplottr b diorbl FDlrb. xrl
<br />.ril iiEr I,l ro oE lurlEd rlbrsid i}rllri (slm.Ux,). in rll[bn l. rhc d,.l oa mrFtreri'n. drtuB.i I FnrB.d r th.
<br />.4*rio lI))6olrfu lihr(irk. inrcrc{ ol "s7*'+/t6/Lg
<br />IEIIJIIIIQd
<br />I h.E$, rlirm un&! Fdhy o, Frru, rh.i I rn lienan u'ild Firi,. of clqI6 I t6nmri.! e h Seli.h 7un) of Divisin l
<br />or rlr BfiiBs.rd Plol6r$B C.d.. rrl ny rt.nr ir b ftrll fm rd!6
<br />to) tttf.---------------
<br />c0lElalclu!.L[dDlltiltiElct
<br />I h.Eh, rmrn x6d.r Fnrhy ol Frru.y th{ rtm k ! .onnrudi,n hndinS aBcmy r(, rh. Fraornerc of lhc eA li, r hti thlr Ff,n n
<br />i.rxcd (Sa 1097, Cit C )
<br />attltrAll.trEclJtlrrlu
<br />I hE*,afinrlndcr pcnrllyofpcrruryot ol llf aollo*i.! dtLr l,ns:
<br />Dcnnihn P.rnirs Arttrlol NolifE rhn k nl RqrLlionr arnl.,(). Pd6)
<br />-R.quird
<br />L.llcr o, Ni'rmliE
<br />l.cnilyrhrr r)r l.drtul rc[rhtn,n\ R.8n i'I r\ttio\'.nIvtrlrr ior rl,|!f,nhI t,rhi\ Dr"f.r
<br />_1.!n,Iy rhd I hn\r rad rhn lmliDr i({ !,n nrrc rh3rttx!h,rc rfGnEri{ n.otrdr l !3rcn,drnlyqirr,,ll( 'r\ rnd Cuun(!
<br />onindln ul h.r.l! eurtnr! rcF.Td.t n cr ol rhr ( y.rld (i'u yn'cnr6llnnrh.ord a'r.1r'rl Srrrc lrsr nUtry ro ho'ltn.I
<br />JN\r .dr kJ nn,ntn! n nrnr'nru,F
<br />tpptituat or t,eqt Sttttt{-
<br />"r r*- ,,on^t, Cr'-
<br />+/>t1rY
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / FIoor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough t
<br />Service Meter
<br />FINAL e/nt /H 5.M 'r.?It)A
<br />Notes, Remarks, Etc.
<br />ELECTRICAL.INSPECTOR RECORD
<br />L
<br />Communications Cable
<br />Air Conditioners
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