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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\INrI AUILDEI DETI'^NAT('N
<br />I hd.ty alftu ur&r Fn.tv of FiuD- lhi I 6 d.iq'l from tlE ConrxloE li* L$ lor lh. folh{ ins ttun lS( r$l I 5
<br />tlnriBi ri Piohrio. ( o&) Ahy Cny or Cou,r! triih rcquir6 . Fhr l. N ruc!. !lr. !,{mre dmlah or rqir u}
<br />nruduq Fnr ro ir iLrllm., iB. r.qtrno ri. qrlfl for Mh Fmi b nk. rBn.d idm' rni lr or nE ir lic.6.d pGuli
<br />'o 'h. Fo\i3ioG otrhc ( ont&lo s Ltc.sd lr* l(tu d 9- Comsiis wnh scdhn 7000 ot Divirn\n ! of rh. Bai6 ud
<br />PmLsiof,s Cod.) or lhdr h. n sh. i!.xdpt lfie.nom.d rh. tult fo. rh. ill.8.d .rmFio. Anyvnndri.nofs..lion 70:l I t hr&,
<br />rpplicanl for i pcrmil tuhjdl! llr lpplicrnll.rcivilp.Mhyoanolmo.!lh&li\.hlRlt.ddollar($t001
<br />l. 6 osE oltlE Fotdr. m y mpbrs f,th w!3d a rh.t hk .nnFdio.. ri[ & dr *dt !n rlr rirru. i! mr
<br />inrd'&l or offqld rG nl. (sd 7044. AuiB ud Pn'f6h6 Cod. TIE Codrrlni l,iEE Lr*'dq rxn 4'9' ro & orF ot
<br />rh. Frsry qib tril(h or,!soE li.EE.d *trl d- sh {o h'nElrorlE*llo. mu3hhEmlE.sno?b!E.
<br />FntiLdrh.rsd inF.\ffiGd iroi.d ofied 6r sl ll, lx)Gs, rrE tlilddE M iitsErd B$ld$ihhffi
<br />'-ol mlipkia llE OsE ti,itts will lBw llE h,rla of FvrE thn lE m tE dil tr'l hitl n irp.o\r dE FDFy fi,ll! F F*or
<br />l. a oMs ol thc Fordry, d.rcluiv€ly cotrrrlctiu with licft.d conrmron ro .onsrrud rh. roj(1 (S(. ?044, BBilB
<br />.nd Ptr&sihcod. Tn. ft'ntetois Lic.N. lrw &6 .or applr- ro m own6 o I proFnv $ ho blild! or impr.!6 th6on.
<br />md who sdrrlt for u.h p.rjcl! wnh ! Conrio(, licdE d prEurr b 't ( onrr*roii LtG& lr*l
<br />I @ .rmF uft.L S(hn
<br />D.r. Oinr. ulabll&t(oufrlrlllu
<br />lr};CI.A.BdIA!
<br />I 1,.!clt, arlirn undcr Inrhy ol,Elu'). on.oflh. f{nl,Nn,s d.clnratiotrs
<br />I h,r. &d *nl Bnlrin . adrifrcal. o f Conqr nr Sclf- lNurc flT $.rt6 comFEd io.. E ForiLd for h, s<r io. t 7(x) ot rhc
<br />l.hE Code fm lh. Fliffi. of lh. $nrt lor $tkh rh. Fnn b i$cd
<br />I hrr.,nd srll'rdnrlm tro.L6'conpNlbn rN!,.N.. {r rcqlEd h! S(ri,n r7mof lh.I{br('on . anr Ih.l)6f.me. of
<br />rh. \ort ld \rhrhrhE Fnn n isr.d ltr \ort6'comFsii.. iBurft.crF rdF)Ii\ nlnrha dc
<br />I cditthd i.!h.Ffoflm.of rh. *orl lorr'hi.hihiFnir i. isu.d. r rh.ll mr mpk,r iny Fen inr.!,M6
<br />$ a ro laor ql*{l ro rlE xrtd' (mFaiion lr*r of Cdliaomil di *r rh, it I rh.uld tE om !hr(r ro llr
<br />*0116' onFsrior I'.rir6 of Sdi,n lr0o of rh.litr. Co&. I Jnll- tonhih srq,lt. s nh lh- F!\ irie6
<br />wAnNlNC F.il!r.lo su. q.rt6'mmF6dnr or-+. i! unlNtul, r*l rhll uhl..l m dphtw lo aimn l FrlG i
<br />civil find up lo on. hun&ol lhoMd dollm lll00,00o), in !&ihn b !h. .or oI.onpcNrio.. rl! 16 a F)vidd for lh.
<br />S(tion 1076 oalh. t bor ( ode inl.r6r Md .uormy r fd.
<br />--f-=-@ Da(l {qall(rN
<br />I 'EIu.* rnrn udl6 F!x! ot pdrr_v lhr I h uGEd u!!d.r FD\ ti,n of ( Lflo 9 l.onrll@irs { nh s6t.h 70m} ol D lFn :t
<br />or
<br />'h.
<br />A{iIs dd Pmfsi,B Cod.. rd mf lkae ir ir tull loN nrl.lTd
<br />lrrrr ',)- j i. t-r,"r-
<br />carslBltgrcNrrdllNincE!(a
<br />I h.Eta rrm !t'd.r Fdi, ol F]ln thi rlE i!.odndion hin* .sd, ft). rh. Ff.ffi of rlE truI loruhthrhiFmi i!
<br />is.n tsa 1m7. ( rv C,
<br />aftu(AlfDDgaSallll!
<br />I hddt .iE n uid.r Falr) of FIn, oN of rlE lolh*inr ddl&llio.r
<br />Dqshbn Pmil}ArlEi6 Nohrrc.rion Fcdqll l.8lldbN tTnL r0, P[l6,
<br />Rcqui,.d L.rrq ot fJorifi.iFn
<br />I cdi&rhd rh. f.iLr.l r.suh'ioN r.Brdirs ehGror hnov.l,. nol.rini.ahl. ro rhis pmj.d
<br />I cdlifylhd I hsv! ral rhii ipplkarione'd ltc rhtri th. ahl\. inlomar ion ir cotrst Insrrrocomply{ h ill ( ir) and ( aunl}
<br />ddiuncd and Srltc l,$ r rcld rn8 k' hlildin3 codtucr hn. a.d h6cby rorhrl i,. r.FMllrn 6 of rhs ( nv ..d ( o!nr) ro 6rd uFn rlr
<br />rt w mliod.d pmpdry fnr rqcrion Fr!o!6
<br />.-*-, *.^.-, ".-!-[-zt#-r*r*-..1parf-, - l\.,-iLo6q f\Ao< L. s
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<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 Rouoh)
<br />Meter Release
<br />Rough
<br />FINAL tlTlt&-6 uflt'c<r\/-?h)
<br />Notes, Remarks, Etc J
<br />Sub-Panels
<br />Service Meter
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