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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDEi DEI,CAR TI{)N
<br />I hEby lrrn u'xLr Fnt!, or pdtlry rh.t I 6 .r.n{n tun dE CrnhlF Li!ft L:, aoi llt fol&,wi.! r..M lsa ?01I 5
<br />B!\iB! In Profdsi'n Cd.) Any Cily or Counly whkh r.aun \ ! Irhil 16 .onnruo, 1116, intmv.. d.dnth nr EFn uy
<br />nutu , rtu b ni ir.u.N, rko r.quiB llE !r'lt!nt ln rrch Fml r{, liL r 3i8Ed {{.Eni rhn lE or rlt i lis.d ,lhlPi
<br />ro rlE FDvrionr of llE Conr*!rr'3 l-ie.<d L,w lcht id 9. Commin8 r SccliD 7lm oa txn-r.I ol r& Burircsr ud
<br />Pnf.Kirr Cod.r o. rh.i lE o' rlr ir rr.n9r rtEEttum !i rh. h.rir lor rlE .lL8.d .r.qnidn Aryvi.ri,nofsationT0ll5h,sny
<br />ppla.m f.tr . Fmn qhj.{ii lh. lFrli.nt k' . civrl p.mlry oa ml rorc rhsn ,lvc hundr.rl dollt. Il5{n)
<br />-1.
<br />.r orEr olrlE FoFrr,- ( n,.'qrbr6 wnh *+6 at rrE ok onFnsdhn. *'ill do lL $dt,rl [r rBlE n ,t
<br />ircff.d r ofi.Ed ror slc I sd 7044, a!{E.i rftl Pr$f8.ionr cd.: ]1E Cor rcktr \ Ljenr lre dE. fr, $ply lo an o*ftr ol
<br />th.lmtint $h, t{ildr.r inlmK EGm. i,n *b d(E sh k* himrl, or ltielrd ihn,ud ht r h.t o{n.q'h}6-
<br />Ir.vii.i ih.r 1Ei qmm \ m d i .nLd qotH r' !l li,h*w. rtr }liuit d iqmErd n $E *nhin oE F,
<br />ofralpkrbn. rlr O*mr Buitls rill bk rtr tun , ofrovirE rnd h.qdr dil nn hriLl or iqfrE thr |,rFny tu rlr llrln! of
<br />-l
<br />rso*ffi orrlE FIny. rn.r.luriv.ly.onlEtins uith li.cnrd conlrrcrnBft Nftr t! rlr Fm!<l (Sd. ?Ol.l. BuriK
<br />ind Pr,ftsrih Cod.: Th. Cinlrmloir l-i$ns. Ltw diEr nn.mlr ro .n ose. orrnrFny tho h{rld. or inl''ors ihd@n.
<br />.nd $tr' o Blr rix rh rmj.<ll wirh. Codddn lirrkd |[rrd ro'lE(l',nrdo* Ltcn€ Lrt)
<br />I xn,rrr ,t, un,lrr S..r!trr
<br />Irrl. ()*mr
<br />l1lrali!;sl:.(;q Esta.ulli
<br />IIETI.AIAIIOI
<br />I hi! hy rlft r ond$ ,rMky ol lEJury oN or rh! nnhsirS dc.l$ar i,,tr\
<br />-l
<br />hlE !n $ill Bint.in ' C.difr.rc ot Con*nr ro S.lf.ltrom (r qnls ornlxtrerir'.-.s Ftrllhd n byS(tionlrlnoflhc
<br />trhx Cod.. ntr tlr rErlorlrwc ol rhc *ort fttr *hth lh. pc'nir t irsucd
<br />I hrv..rl *rllmid.i. worl6 .oqrNrt'r iNuBL_.. !r ..{!ird htSeli)n ll70oolrhc Lbor Con . n ihc Frfor.dcc nf
<br />rttrvhEhrhi{ B:mri n FsEn My *orkm.onncns
<br />V{ , ,1t 'csi c r-:1,.
<br />lriofl 'ns!rd. dri, $d IDlt, nun6.r E
<br />-3 t/\s l.\\1Pnri.yN,.bo'@€rpt".
<br />-
<br />-lc.niryrhdinrh.FrlimrBdlrlEwrr*turwhahrhnpcrmiriti\!d.d.lrhrlln.mtk'ytnyFr,.in.nymnEr$ rotE onE <ul'Fr ro r,r *od( onll{ndbtr L"r or(.llirohn, &! rld rhd ia l {r'uld tE.m.lhirl k,rh
<br />x,ri6 .n.riEnrrio. Fnisi,n dr SRtirn l7([ 6l rh. Lh, Ctd.. I .t!ll. fonh*ilh comply *irh rh,e F,virbnt
<br />ltAnNNc r-rilurc h' kurc $olt.r conrEn\olnr
<br />*:ilir+"truryryYi
<br />)n cov.rrr. ir unlswtul, sfrl rhall bF! dn cntlotrr kr mmiul FBIB rn
<br />r).dl))- in ddni'n ro.tE 6.! of miFNlio.. d.mr.r r. Ftrvn.d ror th.
<br />DEIIABAIIOtr
<br />I h.rcby arrm unj.r FElry ol F.irry rhd I ro li.ncl !i<t . Fnvnir of ctuFE 9 (mffiitrs *nh sdb. ,(m, of Dinim l
<br />or ttE B$iB3 r,i Pmr*is Cd., .,n ny li6E i h tuI rod !d crftr
<br />\oa+en
<br />1 Trf Y'-$rz-
<br />grislairIluAllllDltiGAliEll:I
<br />I h(rchl rltn)uEhr lt.rhy,'t r'.4trv thlr rhc,c i\ r.nn{lr.rinr trtili"g rlciry t rh. tfrr.nrmc ('l rlt *od t(t $hi(h rhn Fnni t
<br />atttlcaNr.llErJtaar0!
<br />I Hry drm nnLr Fn.!y or Frrury om of llr loll,*in8 dcL. ionr:
<br />lXdn i,n P6nnr Arh.noi Ml i..!ir. F.d.hl R.SuLrirnq (Titlc.10- Pd6)
<br />-RcquiErl
<br />kns ot a*rifrrra'n
<br />-I
<br />.dify thlt ih. L&rdl E8!Lrhn. EsEdinS lttEtfix rc rvll d n lpdtrtlL b rht ImFd.
<br />4-,ryur t t *."a rm.rplic.rir.rr rd. rt t!h.ltr,v. i.ro,fltkn n corccr lrsrbonplr,th,ll(:iryrnd(ou.ty
<br />odiniB.r{nl Srlrc liws Ehrhslo hoiklina oi.rd.lir( ml rEkt,
<br />rb$ mnr.Ert tin)Fny nr in.Fniotr puFB
<br />ikr.trhtCn'rndA nryt,.nr6 q$n rtr
<br />\t,l,li.x or \s.ni sixnnlurr
<br />r1 S, r.s
<br />. 41
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />FINAL bl Jfl >T>.Nzih,6l
<br />Notes, Remarks, Etc
<br />nsu.d (Scc .1097, Civ C )
<br />lrftlc, ! Nr r
<br />Service Meter
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