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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNI'R NUILDT.]N DEL(|ARAIIoN
<br />I ltrht d0nfl u.&r Fuh, ,'r ncrjury rh.r I o .r.no ft' rtr Contrct6 Lkcn{ l,$ rr rh. rolk*iry rc!5n {st 7011 5
<br />AusnB( rd PtoLr.t'n Gn , Any Cn, or Cedt *nrh r.rtnn.\ n Frtu lo o6lm! .116 iqr.rc. d.n irh or EF rt
<br />nrudua. Fn. ',, r ir\uam,.ls EquiB lh( ll,pltsnr ti, ru.h |rihi ro nt ' r,8rd i.r.rnr rh.r ltot nF ii litned pur d
<br />x, rh. nn,virhtrs .f rhc Conlrrcrr'r Lacn{d Irw (('luPtcr 9. (iinftrin8 wilh S.crion 7000 of Divirio. :l .l rh. Buqi'r11 rnd
<br />PmLr(ilnr Cndc ) or ttur t or itE ircrmnl rhdrfioddd rtt ha{r r rlE llksd.r.nvion Anv tioldion olsdion 7l}11 :lhrlnv
<br />rpplic,n! r rlf,mr iubFrrlr lpdiInr ro 'civi,Foh!olml mcrlln ntt hndrn dolbr ( !5(Dr
<br />l. u\ owmrol rlEImlrny. nrycmll"yccs *irh*n3s$rh.ir q,lc c,n,Fn\uriir' wlldollEslnk ond tlE stluE is n
<br />inkrtrl r olIccl nr q!. I S< 71!,r. B,riNh lnd htrciioni (i!l( Tlt (-onnxlm'r I i.nE l,* dB m' {r'lv ro r. .f, tur {l
<br />rll. Frlxnt Eln tltt r 6 nrFrs ilttrh. n \ h, ds si rr* hnn*I or h.Rll .r rhmulh hn t, lE. oun cr{'h!d'.
<br />nrovid.(l rh( \xh mndtnrdl e mr hr.nlcl orollrRl Ltr sL ll. lF*cBr. rrr t{iui'ls or nllrftr t alll wirhin oE Fnr
<br />ofon! .ti,n- llE (r*mr Builkr sill hav. rir turdq ol PtrrinB rhd lt !r sh. Jii fln hdill or ifilmvc rh. pFFny I(, rlE lqr'{of
<br />-1.stowe!.frh.lm)Fny.u
<br />ci.hrntly .onka.t m8 w h liccnt.l c.nrd s t, d,ndtucr rlr tr.Fl (SE 7(!'1. Btr(imr\
<br />,nd h,tr( Cqlc l'hc Cohn(u. Licc.\c l-cwd,Er mr lnllyt, tno*rc,.lntrl.nrsho hildrn, inDnl$irhcrdnl
<br />.nd *h! .a,dr(r rd iEh ln,Fds sirh s Codddr, litr<n pu'Td k, rlE Codrf,lo. \ Lin{ lr})
<br />I h.,ch! rlll, r 0tr(l| NnJlr\ ,'l l{'rur\ otr. olrln l,nl';
<br />-l
<br />h'tr rdl e 'll nE'nr.in r C.nifrar. oi (im<nr t, Srlr.lnrur. n, rvlr! i,n{Eftri L .s I'ovikd for trt S€ri{ -17llr of tlE
<br />LotItr (ixt . for rh. tEdalmN. ol lhc !o lr whkh lhc tdnrir n rtucd
<br />I hrrc .d Nill Brnilin sorr.,r' .o,rrr.ql hn in\otsdc. ( ..1uncd I'y s6! i.n :11t) .l tlE lllrr Cod. lor llx pcrforM! oi
<br />rlE ruk n, shthrhtrnri! i( F*d My*tth 6n!ineh{ rniutN. r.tir IiF av Nrrs rc:
<br />$ARNli(; Fril'tr. r, r(urc trdlc^ LrnlFtr$nr (oLcr33u tr tr,rrl, !lr] rh.ll \uhFcr s olt)lt!).r k, ftmind Fnalri{ ..d
<br />t, rhc cor .f.oqEnsrion. drnE!.r !! Imrn.d fd rh.$il nrc\ ull ft'.8 hundrcd rh'ueDl dollrA rllll
<br />Sc.rk ' rr)16olrl[ lihtr (ixn. trrrc{ rxl r
<br />I h.reh!nllirNUn,l.rpctr,'lry,,r t{!|m!_rhir I nli..n\rltrnd ;rNr ,nIl,.r,r.rr)rLf nnr r,(\ h
<br />or rh. ,nnirr. i'i Pnrfc!*)nt atxic. nftl nrv ltcns n in
<br />coNsTnt( T(rN I F\Oll(: lt:FNCv
<br />I lE,rt, lrm ffJ.r r.flxy of Frrury rhn rnd. k . onrMirn Lidhs r8.ry lor tlE Fllxffi or rlE q,t for xtth rhir psnl k
<br />irEil (sc. .lol7. c.l c ).
<br />l.nl.a. Nam
<br />-
<br />aPPl r( aNl Dl-cl alldlroN
<br />Ilrrlb rnn utokr ttnJlry ti ltlturt o'x ol rhr n'lL,nn! 'l(Ltrrrrnr\I).m,l,rtrr l'. n r Asti{o\ Notllc i..l.n.rrlR.(uLnK,n\ I Inlt Jo.l,J 6r
<br />-Rcqulrcd
<br />t{cr of t{olilirlbn
<br />_len,fy rhd ilE acn dqrLlirnr Etdint
<br />I $niry rhrl I n !c E.d rhn.di(!lhn !n sltl
<br />.rt rn\rcm,hlE d rt',)h.ht rorfir lmFl
<br />r"dm!n_.\.d srrrL l*rd.nn, k,t{illnr c{
<br />ft,r frnriftd rn,Fny ror
<br />\ppli(nn or'\trtrr \irnr!
<br />I r!rt\r,L,int,l\ \irl'xll(ir\ {tr(l(i n r
<br />)i'*
<br />(r { rN,i,h.' ' \ Jnrril'a.'i''nLr.'F'''h'
<br />L,' \ ,,n")'
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Satetv /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding i Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffil Bouoh
<br />Ceilinqs (T-Bar Bouqh)
<br />Ivleter Release
<br />Bouqh
<br />Service Meter
<br />FINAL b/zL//t
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />_I !n.rc'npl undd Sdion-
<br />D.t. r-
<br />l..nilt rhxr i', rlr FrrianEk. olltu rorl I{n shich rlri\ ll.irni! i\ i\\urd. I \hrllnur cnFlol rnv P.^dn ir rnv m,nncr
<br />sr,\nrtKnn'uhl.\thrhca. r. (rtlitr$rrnl Ur\ ol( rl'ntrnu. rnl i8n( rhrr il I lll'uki tNonr {hi.t! krr,r
<br />s ufkd\ .on{E.\xrin nnr i\tr)n\ or SN i$ l7lx, dl r h< I 3htr (ixt I rtull. htrrhs h .rnfll I i h rh,. Iln sr)n\
<br />aWr/^
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