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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDEN DEL(.]{XATION
<br />I h.Eby .lrEn unLr IEEty oi Frrury rlu t 6 cknpr fDh rh. C,)nrf,tu.' L(.n* lle tor rh. f,'llorln3 EFrn ls(.70.11.i
<br />Bu\m( .,n PNl.\3$n Cd.) A!, C y or Coody *hrh c{!ft! t Ftu n, on(Mr. ird, ntn'r. &m Lih or t Fr ry
<br />{flr'uE. trxtr b r n!uMc.. rho Ettu,.r
<br />'h. {dfanrfor rurh lf,rmr h liL r rlxB! nllemnr ihi h.o. \lI ! ld.al p{rsd
<br />n' l,r F'ysi'ns .r llr Conrralq s t-Enxn llw (Ch.prcr 9, ConftN,n8 w h sernn 7(rf,r ol Orvtr.n .l ol rh. Bu .s m'l
<br />PnlLsx'n\ CoL) or rh{ ti or ir L5.rcr{lr rllrfn'm nrl rlr b..B for th. nh.J ct.n{,r,n Arr rlLrbnolSeithrl)ll5hy.ry
<br />.pnhcrnri,tr,Fmn rubr.(rrrh. amlHnr r. rcivrlp. lty.lfr,r m,.rh& rivc hunrftl Joud( (t5{xr)
<br />_ 1, d( owN ol llI ln)lFny. rr ny .mph,..! enh *.t.r .r rh.r olc d,tr{Enqru. , &' rttw*rn$.(elF n d
<br />n cnldl .r olLEd ln {l. lsa.'701,4. Burmr! uJ Etrt $ont c(ilc: 11. O'ntn( tn'{ Lt.na l r* J,rct fln {tPly ro o dwftr ol
<br />rh. F'Fny Dlb h{*lt or urmE irrlq Irl uhl &E uh *,t hdcll d h.ell or rlDulh hr or h.r om.r{'lrFcr.
<br />trru,d.d rh'r iefi dF,vcftdr & mt Drcnhl orottcEn n)r eL lt np.w. r,E t!'L!nB o. in!tuEmil is ('ll wn]u oE Fd
<br />oaliFpLrrn rrE ()*Er B rtkr *'ll h,r rt hs.LtiolF)v!E rhd lrd dE 'fijnn txr! m ntn'E rhc INFry lorrlEprltotof
<br />L rsowr. ofrM FllEny. rm.r(lunKlv.odrarh! *rh lEne.! $draron b e'h<tur rlr F,Fr rSe. r{}l.l, BNM$
<br />url PrD,iarx,n ctd.: Th. Co.rrcro.r Lr.nr. L.* d*r nor .J'nly r. u .wncr ol Foltrr y whr hn ! or mlrov.r rhcrcon.
<br />. *lrl .rnErr f({ 3Bh FFrr *rih r ConE qlr lEreJ [ri.d n, tlF cu .f,tri Lr.nc Lw)
<br />I m.kmF und.r Sdkrn .1, & l'C ntrrh^r.,h,tr,
<br />tvoRxTqs. contPENsArtoN
<br />I]ICIJIAIIAN
<br />I lrr.hy rlltrm uftlcr Fnrltyo! rrNry om olrh.ldl'vry Jebnri'ni
<br />I hrv. ,,n *rll m,nrrn . Ccn rri.ar. oi Conrnl t, S.ll'lnrur. litr work 6' uDmn ne' tun. $ Pn,vx.!.d ror by Se.'r o. :1700 oI tlt
<br />Irh{ CGlc, ld rlr Ff,llrur ol llE $-* lq vh.h llr F.nIl 6 n.Fl
<br />-l h.E .tn enl Bu rb *ort.n rorllP.n.rrnn ururrE.i .r rcqurJ hy SerIn 17fl, or lh. kht C.d., I tlt Fn,,1'jm.ol
<br />rlE *rt ld *hih tiil Frnrr B 'rqr My wdi6 d.rFMM qrurrN !.ru. pollynuhb.re:
<br />P,ntry Nuhrxr:-e,p^., '
<br />{*nrr,", .,* r",",*Nc i,trh. *ort xtr whrh rhr r.rmlr tr niucd. I .hrll nol .mJ'loy rny P.ron in !n, ns*r
<br />, rtL,tirotr olFrr hrtr srt6'(,{ltm{nn Lx nl C.r'lomr hj rrr rhd I r}n!U h.1nm ruhrt! t,'h.
<br />trilllc'u''n{rnqr nnn'vnr,n!dlS(rDnlt(ronrrh.LatqCqk.IthI]Llidhuhlu.plywlhrhU.nnrFpn\
<br />rtALNIN(;: ldurc b rur. hxlc^ (,nqinsrx)n.ov.r1!. tr uhL*lrl.\uhlar !n cmpl,'rr t' onrul trMlrr ind
<br />ovrl trn.\ u0 n, on. hn lnJ rlx)u\rel Jollrs llllX)lXXr), :n Jrk,n !))l .onqErqro[ ihtu3.\ r! ,hvrl.d ld ItE
<br />\r.ri,n trrh.,r rh( Fhi ?rr.. m'.r.{ rnn.nur}'
<br />u,,., ' L./ la I t,.1 n,o,n*,,a(l -' ,
<br />!1!!L1-E!I!]]
<br />I h.rhy 'l,nhrnkr F.alryottE4ury rh.r I rh lE.yi uR,.r lnvtrmn ol Cnadcr 9 (.r,6mturhS e h Scdo.'700{r) oll)tluon l
<br />or rh. Burmss .ti Pnncs\r'n\ CuL. !n my h.tre a o tull litrlt on .ll(r
<br />. r.70nt;r;2 ta27
<br />-r-r' 1
<br />I lFEh! .rrrn udlcr FEly or Frrr., rhr rhdt !. oniei,n hdos rlctrot th. Frrm! of rlE trrt l Pirhrhs Fmd B
<br />Ntu.trlse 1097. civ. c )
<br />ATIIICANLI'ECIAEAIIA!
<br />I lmhy rnimr uBr.r Fn.hyol Fr,llry uE ol llE nnl,}tr3 d.(l!.liDs:
<br />D.m)hrrn Pcrhrtl^irs{os Nornr(i,n F.d.alR.ItrLr$nr (T k 40, P!n6l
<br />_R.qtrEJ lJtrc. ol N({,frdoi
<br />I r.d 'ly rhi rtr Ld.rrl nFLrrfi (8.rdr! .<bc{or r.mr.l {. frn .ml.rl'L t' rhN I,n)Fl
<br />:AI (d'tvrhd I hrE krl rh..pglr.,nn.,n{!c,h
<br />.lfuo!tu.reElSri. r:ws mLrl, rn huillh!u,tr{ur
<br />( noii,Lfur n \otulr Ixst(r'( nl!*[l'rllCiryJk](i)uni!
<br />lti,vc nr.rtrtrrd lDltnyntr nrF\1F)n purF)r\
<br />Aplli.rnl or/\e€nrSiE.{tUN 4)<
<br />gFtrE E ftctr'dN.r.f I
<br />)
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />L ight Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />To rqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />FINAL rlxllu t bat*a-/'?P)
<br />Notes Remarks, Etc
<br />-+
<br />Di.
<br />-
<br />Transformers
<br />Service Meter
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