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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNT-I' AUILI'EIT DITLCAI'ATION
<br />I tftby .rm ldd FMty ol F.r!y .hr I m.!.n$ 6!n rlr cofr16 tilc L,y for tll &)ll,,iDa Ets l&c.7orr.J
<br />Burncs .,xl E.feaion Cod.rr any Cny or C@nry *hrh EIUiE: r Fmi ro onqft1 .lta, inproE &mrnh rFn ry
<br />duh.rirr,t lls..& E+i6 ill {tI!li-d r* R-[ Ftri ro nLr rhr.d n..td $dlEqn 6 lirel Fr,d
<br />ro rh. tr.virioB.fuli c.nrrdol, l,rccnsd lr* I(nrPtd 9, cimEcEin! wirh S..thi 7uI) df Divnion.l ol th. B6in.s d
<br />PDli$iou Co&r q lh, E d {. ! .(q,l d.{rum.tn tlt trr! lq tn .ll!d .e!+i,. A!,vDLrihorsdm70rl.t byu!
<br />arplico for ! p.mr ubr..ti rh. trppliccn[o r civil p.tuliy 6f br mr. rh fiv. hundEd doller (ttoo)
<br />l, a .*Er.arlE F.p.ny. s hy.ryrroy.cr *nh *la.r G rhcn sk 6tr .dnn, rrl d. th. wrt.d rh. tu@ ii mt
<br />ikridi dofldr{ tu f,L (Sa D4a. B6iBt &l Plo6.rm Cc! th. Ctur'r tar l,r d@ tsr +d,to oEof
<br />th. I'nFry vho hilb 6 ir{ms tlEla !d $rD d(E sn md llim.r or lE*lf or thorth hir d h.r om.nptotB,
<br />F.v!.Ld ti.r rut uFnEctued dddnd'.adirrt U.EGE.tt tli|dil. d 4ccn ir bld rilh c Fi
<br />otconpldi[ rlt o*rcr aui&r wil] h.E ,E t nl.n oa Fov.B th. tE o. dE tlit mt hill d frSnc lrt I6Fiy rd rh. F,Doc or
<br />-1.
<br />$ o*B on& F)F y. u.r!!r.1, (oturE! rrn lir(el .drrr6 to o[rrur tlE Fojar (Se. 7u,4, BuliEJ
<br />.,n E*lsir CuL Th. ContBt,'! l.'c.M L.* d6 d, rppl, to D orE or FoFn, *,p boilrlt d h0oEr rh.@.rd wlF ftnf-rr l( och FiFL ,lh . C:odrrr.r{, l!.rd Frl@ b rb? cdn d( r r..w br)
<br />-l
<br />m.Eq, ur*r S6tur-, A &PC lq $n Er$tr
<br />]IITBf,IILISMIIIEAISB
<br />EECIdBAIAB
<br />I tE.by rfith u.d.! IEr.lldtEjqv{r of E tull'*i.a dah.rDB
<br />-l
<br />h.r.d yrll n.ir&. Cdr'fr.r. orcqEd ro S.f-llE nr e't6 lnrladr,o. a FDvd rd b, Sals l7m or E
<br />L.bor Codq Ior th. Frdilm. oI rh. hd Id whth rtl Fmir ir i!.u.d
<br />tp** ", *r,-.., *",". 'sinF.N,N,n ,n$,*.. !1
<br />' rrr qrt ft, *hrh rht rEd n lrrd M' r.rloa orp.M EquEd byS(r()n ]T()Odfih. Ljlxtr alod., for rlE Ffom'r. o(
<br />iNur.N w dd F L.y nudE r:
<br />7.,
<br />A,// / ).) (
<br />C,_l .d,1, rh:r m d. Frftxn*. of rlr *ul tr !h.h rh! Frfrir i! !u.d. I !h.u tur .Rpt'
<br />$ e ro b..oft rubj.r! Lo ttE krt6 onpctrdhn h*r o, C.l,kna. .rn rar rhd if LrnuU h...fr sbF.1 to th.
<br />uortda .or+.niDn FornbE of Sdio. l7u) or dr Lhx Cul, I drll. ldhslb dnply *iih lho. ,Ntiinr..
<br />WAI!iINO: F.nu,. r. ku. rirl.u
<br />Livil fm! up r, oE hutulEd ilbu.drl
<br />S.(rbn 1076 ol th. t gCod.. irdd
<br />..np.dbi 6r...r. 6 u.L,tul. lri !n (u alphFl ro niniEl ,rli.: .rxl
<br />rsrion. ddnA.r rt Fovd.d ir rh.do[.i! rslm.mor. h ddnr ro rlE cor
<br />I lEEby .,I(h ud.. lEMhv uf p.rp.y Ihd I urld F!vBr,. o, orpts e l$nur*[3 enh Salu ?00o) ot DNuu l
<br />oI rlE ItB'Ei! rnd PmLsioE Cd!.. lri ny lr.rs ;
<br />'n
<br />fu[ ror rn .rIer
<br />()er,erol L (/29 c" 61
<br />^,, b.tg./,+rlo c*,,*,..'fl/, ct, ze T<.,l,ty 9erv,-q77---
<br />,:aIEIAI,EII9N,IEDIG.AqIBIA
<br />I h.r.b,.rlrs u.d!t FEtyol!.rirvrh. tlE i. r.ddir Liiltrt.!rE,lq 0E pafifu orlll wI lb.,ahrhi F i
<br />i5$.! (s6, lo9?, civ. c.),
<br />ITf,JIAILDESIAAII9B
<br />I L!t',rfrmu 6 F.d(y orFrjory om orrhc fouoein8 .kil8dio.'
<br />D.h,llir6 PrmEArtEro, NdfEr.n tu6rl R.tuldb (rrb,(l, Pd6l
<br />-R.quu.d
<br />ldra ol fk{irb.
<br />_l .{rir, tlu ill Lnd.l r&ldrB ESadir! at lbr Eerd r. d {9!..bL !. rhir F)I<.
<br />&ndrr, 6d r lIE Ed rh6 rrrr.ri,n d rr. lbd rL rfo|dm B cffi I {r ro onply rin Cry In CM,
<br />.ilinMr:andStak Lr\rrchtrn8!rl{ild'nE.. ito(r h.eby rdh..ir r.pr.snuur. .I $ City a Counry ro . 6 u!l,n Llr
<br />.hor. ndmn lioFny lE EFd
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service Meter -/ /t]
<br />FINAL .//Zdr4oao '-#a/)
<br />Notes, Remarki Etc.
<br />Rev. 08 o7-2015
<br />Under Slab / Floor
<br />^,ar/21)-,)o
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