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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqhl Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundino / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Itrleter Release
<br />Rough
<br />Service Meler t J I
<br />t=rNMl -"&--r;
<br />Notes, Remarks, Etf, 'U
<br />owNaf, Bull,l,ta Du.(lll^TroN
<br />I lrtly .lfmr ud.t Fuly ol Fri'rt 6i I an .ralp. 6on tlE ct ffi6' te L.s tu 0E 60strA cts (Sd.7orl.i
<br />Builr rn P.or{ir! C.id.): A^t Cay or Cddy shrh GNiB . pstri t @dnEr. .Xa. !rp.68 amli.t q ,!F! xy
<br />,tuhc Fi, h fi ffi. tto d|uc tlE {,plI.!ll lq Bh Frid 'o
<br />6k r.tr:d rd.6d rlu Ir ( tE i,t k 'sd tlr-td
<br />ro rlE FvrioB.ltlE Conrrcld r l-irn:.d lrv (ChrF.. 9, cbmmri.t eith S6lir ?ull oI Divirhi I ot E BuilB ed
<br />Prcr.sion! Cclr r rlul lE q !1, !.r.hpr Hdomrd rlE bdir ror rtE.lls.d.m+Dn Anyvi,Lrbnorsds703l.5byMy
<br />applto lor o r.mir lubJ.ct. rr. 'pplicanr
<br />ro ! .ivil p.mhy oI mr mE tho liv. hudad dolhi (tld,)
<br />-1.
<br />s o*E.rrlE InrFny. nnnr.mphlt : wirh *.a.r.r rh.t sk smFMr.[ *ill dr 0r xrl.d th. tud i d
<br />id.alai c ofig.rl Iir Eb {Sc 7U44. aEiEs r.d ADf.rio'L CqL: TrE Coe&d , tic.r€ b* UE Dr ql, b u off oI
<br />rlr FDfdy Il, tlddt m!n,E tlrR4.!n wh. dE Eh kn nietro. Lrrlrd rllturh hr! r ts oh.rlPloyat.
<br />F.\it d Lhlt E.n u4hlsdr & d ncd.d ndfid.d ftr !.1 !,lfr.g, rlt hnuit 6 iqnr.ld it hi eihnE )r
<br />of @+ba r}l olE Buitla ri[ lsE t]r h!&r ol Fovr{ lL lr a ir dil Bi bi! d -Sot lrl FoFr, fo. tlt F,rd. of
<br />_1. c 0*6 o[rlE Frr?.dy, d.rb$.ly cotudr3 *nh l.dBl offi6 to odM rli F F< (Sd. 7O+{, B6irs
<br />rid Pi,lsin Cnd. Th. Cont-!r! LE.ne L.* d6 rn .r?ly ro u orE of Fup.ny llb b{tliL ( inlcrwt ttEu
<br />..d rk, drdr Id uch Frl.clr vith . Conrhn, li.tr!.d Fald io rh. Cotuddt lI@ t r)
<br />-l
<br />m,.r.m|n uRl., S..r(tr' .8.&l'C rttrl!1r.!v,'
<br />rura[lel:l:!)lltlJlsArl9!
<br />DECIASAII9X
<br />I h.rby,nirr und., p.Eiy.lFjuryor ofrlr lt'll&DB d&lrdr)6:
<br />-l
<br />hrE Et *dl didin . Cqrfd. of Cl,Ed to Sdillu^ lq v t6 orF.drDo. B FuvrLd to b, Sdb l?00 oltlr
<br />l-.bor c.& t dE F rffi. oI tlE rqt 16 *t*h lll paair t iuEl
<br />_l hrE n! wtll nrnr,n y(xtm Equitd lry Satr.1700 of rlI L,t'o Cod., tu rlr patlrrrft. of
<br />rlE w6l lu *h-h rni' Fnln ! lsEI My qdldt or?.llfun i6ule ffi ri p.lxy dnlt.r r.:
<br />Ex€l,r?-T
<br />y rh! triIlx lt,nnnlmc ofrlx uoll f(, *'hrh rltr F.njr ir sEd. I shrll d .,rrlo, y Dann in My lME
<br />Ls!o,Crl mn. rd tE rM i,I rrnlld t cor {br.r rorlE
<br />rlr Llrr ( uL. I arlL r(h*Ih onply rirh rb. FoBIB.
<br />$ a ro tEsft 5ut .rr h rh. e..r6 mp.lunn
<br />sd6 onp..srbn pN\ 6!B ol sd!! l?@ ot
<br />itAENllG: !.tbr. h Gur. wr.r' otrFd.n m€rr. ! unL*ful .rn 3h.ll .!bF!r o .iphF ro oiniEi FrlB !n
<br />.ril tuEe ul' i. .E l BL.d ltl{stn d.,I$ (tloo.Ur), r' i.rrbd b rh tor of .oRtEBra derSd a Ftvid.d for rlE
<br />LO .:-e\
<br />ur-ryo!!.1
<br />I h.Eby ffrtr)und.r tE.rhy of p.rjury r itr,l(.Ddu'klrrF)vtrrrofChlfrd9i(tr!,.tr.'swtrhs.rrk)n70oo)olOnAbn I
<br />of th. au$Bs .ri Ptnf.s$6 Cod.. .rd my 1...c B ,. aull r{,r fll rlTd
<br />c-lo lozoGclz
<br />2-ozo
<br />I hctb, rrli.n lndd Ir ulry of ,.rury rl{r tts. L r .on{Ddh. L.din, .S?;y Lr dE F ltuc oI rh. url tor qhah rhn Fmi -
<br />issu.J (S.c. li)97. Cie. C.).
<br />APf' ICAIYI DrCL]IT TION
<br />I hdd,y.&h u,Jd ,rrry or rEiry d ol rlr f.llurifl daEr.E:
<br />D.mhb. Ptnnt!tuh.{Dr Nd'rdsr tudrl iBuh!6 Onk.lo, Pd6)
<br />_R.quind t kor|{rfrdir
<br />_l cdilyrh.l rlE l.d.r r.3!hrbN regqdrng ix E'Dul e mt rppl..bk r. (h! onrj.r.
<br />E x,tlrnurnr rcorc.r I l3re n,.on]oly *rlr uI Cny rd O,uniy
<br />n r.by.urhtric rcpr.!d.(v.! olrhn Ciry.nd C.unty to cors UFD ih
<br />AppliontorARdr sixMt 1/z-/z.zn
<br />a'-5ca+,lJ6
<br />EfrIEJIa,
<br />Flev. 08-07 2015
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<br />Irnd., \ AJJ(-
<br />rl'Jr I lLNr rerlnn\,,Uninhn rxl{rrd
<br />& Srsr. Urs r.Lainx o h0ildinr
<br />m.rtun.! pn{Eny f,tr ntrFl0n purlDks
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