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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.(,WNET BUILDER DFI,C T TTON
<br />I lra.nt rfrn ud.. Fehy ()r Fr,lry rn.l I o cr.n!!i fDm rrE Conrdm Li.cn* lr* for rhc lollowin3 rc!$n (S.c 70.11.5
<br />Burift( nt Prolkri.. (.d.) A.t Cny o. Cd y whah ,quiB . Ftu ltr nnrnrt. .lts. itqmw. &mlirh nr EFit y
<br />slture, Fir rn irs nsumc. rl$ rcquiri rl8 !9pli..nr for rul FmI h riL r iiAd ii.ftd rh, lE or rh ir larnr.d lurolr
<br />'o
<br />llE F,rir$n! or r,E Conl kxi Lirncd lrr (Ctr0d 9. (o.tftEin! wirh Ssliotr 7fix) ol Divnion:l of rhc B!\ie\: !.d
<br />Pn'rcsirns (-odc) or !tur ll s tlE ir.rcqr rlEr.fn'n !n rlE 6.in ror rlE.lh.n Grir,lbn 4., vi .rb.ofsd.n70ll !byrn,
<br />sritltlir lnr 0 lcrdir ruhF.k rlE lpplics ro..ivilpc@lryornn ' i(rhu fivc hrndEd dollrr lt5fri).
<br />-1.
<br />as owmr ol llE FoFrly, or my c,q'trF.! vith ut!6 ar rlE sL odqt di,n. *illd.ll!EtrdlltiBimi' d
<br />illdLd q olYcE{ ,or qlc ( S€ 71X4, auiie* dd Ebfcqion! Cid.: Th. C.Nturol r Lirn* tiq d{Es noI ia'ply io u ovrr of
<br />lh. rmFty wln iuiBr q nrmB tlEEn rn *b dc rxt *,t hiel or lEelld rlml3h ht ( lE orn.rI'loyni.
<br />pmvdal rhlr .uch ir[NEmic m ml id..d.d ffofisrd lor nb lt lDEw. llE txildil' or nryrcwcd ir $ld wlhii m Jtr
<br />oterllrbtr 0E ()wEr auius wiu lrE dE hlndr olliolilE rhr lr6{Edit n, hrild 6 irFr lr FD,Ery r
<br />'lE FrFeol
<br />-1.
<br />.i o*8. of rlE F rEny. m dcbrirly ql.llrriins *nh tanrd oftds ro ddd th. FrF (Se 7ol.l, B6'Rr
<br />lnd Pn hsia c(dc: Th. Cn.rturofr Lr.ns. lrw dcr mr rrply to & oeffi of tmFn y rln l,uildr or inpov.! rtErco(
<br />rnd rho .!dd. rn *n FoFr Bnh. Colrn tqro lirnsd Fnu.n h rlE CDlnraird i lJde L.w).
<br />-l
<br />rm.r.opr und.i Sdi'n_. Ii .t l'(' n{ rh^,.r\tr,
<br />llr8f,E8sir]ltrEsArlllN
<br />!&(l.AAAIllIN
<br />I lrEt').lfirn unn . FEny or rE|t yoE oallt folb*ini dccLmriotr!:
<br />-l
<br />hlr .,n will mi.'!in . Cdifrn. of Consn' r' S.ll-lnsurc tu qril6 strrrEnsarn,.. N ri$vid.d a{, by sdr bn l7m or dx
<br />t:h, CoL. fi, rlr F(t]!l*.*.. of $. rolt fd wh.h rrE Fnir iisud
<br />-l
<br />h.w .rld *ill min!.in $rrt6 corqEndhr in.uEr.. at rqusld hy 56l i,i 17t0 of rh. l,tbr Gih, for rh. pcrtutmrc ol
<br />rlE *orl lor whih lhir Fmnl n iqld My *otl6r' .nrF.solhn itrtuac 6ir rtl poli, Nn*Er t
<br />.""",, ' U.Dr^,t\l CA6I -t-,4s
<br />a,n, x*,r*, ,-FNr,ltJC Dl ,3-lo 1o--O.r*.,
<br />'\'\,\<
<br />-l
<br />($ilyrhe' in rl* Ii,n,nukc.llh.*ork htr trhrh rhN rErmrl r F{'!l.l shrlltr.r cmttrv rnyff,r$n r!try NnRr
<br />$ r\n' h..o r ruhF.r t, rll sodm onqrnrrr)n b{\ olCrlifonir. ml aE@ ih! il I 1h{ld t (orB ruhFr r,,rh.
<br />$orls\.on,,xn\rnnnIn,vtri,,n\orScrri(r.17lr)ofrhclllu(1,..1\tulltudhq[h.nnlolywirhrh,t|mrisi,n(
<br />l{ABllNc liniturc t, @ q{ln1, onyrMn. s\rn3. is uLrrul .rd inll lul,Fr u.trlt'btrr ro oniEl lrEhi\.id
<br />k, otu hundrc,l rhoo\lrldolrr\rllrxrrxrr) $,kidrrtr,n r, ttk .r{ ol .ortx.srion. &D8.! ri,r.vil.d ft rh.
<br />Selr,n .ri176 or rh. ljhtr C(rL. dcrc{ !trd d )
<br />APR r 0 201
<br />I lr.tiy rltrm u'ns Frlry ol F,lry lh.l I rm lirnqj ulna trlvnbn ol Cn F I (drnftftin8 wirh s.<rb.,ffi)r of Dris$n l
<br />of rh. SuriBri,ri PNl.$bN ( od., .d my la.n- 6 in tull f.e 8t ctlcr /' e.
<br />i$nrrfioru
<br />oq,cfu.
<br />€\/c-\<tru -
<br />gllsrauJrl!1,[lptlti-acEdgr
<br />I rr6by rmh uftld trMhy ol Fr'lry rh{ rrs. r r d,NMra. bdtr! rB.B, lor rlE lEf(ltllEm or tlr *r{t ntr shih rnn Frni n
<br />trndrfs Addr.$
<br />AIEIICANLIIECIJXAIIO!
<br />I hodrysnimundcr Fnolrt ofll.rrlry otu of E rolhwin8 &rhdionr
<br />D(mh'6n PdmnlArb.ior tL'irrr'i[ tunl R.Suhirnr (T{lc40. Pnn6)
<br />RcquiEd lf, n of t*rifdin
<br />lrcn'lyrhd rh. a.d.rrlrcsuhrtrin\ (!T irgn\h(no\'. xlrrc'xn.tdrlhk!rrhht'n)l..r
<br />bn !n nat( lh, ilE rh,k rnr(trMiin i1 .(m1 L3N lo (
<br />-l..nii,vrhlr
<br />I hd\. r..d rhr\{t'li(d
<br />on,'mto.(!, s!!r. llsr rbrin! r' hu
<br />nc nrdi.Ln nn,Fnrr,r o.JNn
<br />^o**r* ^n"rtn-*,{ -*^in* -* rra"u, -Z'zQ,i\-.I A,,"*
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Sa lety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough ,!/n ls 5 Drn lz77+*(
<br />Service Meter
<br />TN,FINAL /,9 1.8.'Len$\
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />hrkd (sN 1097. civ c ,.
<br />l.dd'i N.ft
<br />I
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