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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS o$NEn Blll.DER Df L(-/1ltrtllox
<br />I h6.b imrm ondE p6al) of FJun lh.! I m.rm fFm ln (i'd,.(toB' lkos.l,ar ror lhc r.Uo* !r.Mn(S(7(rll.t
<br />Busins dd Proa<!i.. Ccl.l A.t Cilr o. ( outrt \h(h r.qun6 d F.t ro oldn(l. .hd inFor.. {bmluh or rpalr d!
<br />ntu.r@, lrFr ro s Buffiq tho Gqun6 rh. qnnctd lor s .h Ftm lo 6L i r'sn.d {dmdr lh.l lE or rt. i! li.ds.d Pmua,Il
<br />ro rh. FollrrG of rl! ( o.t*toi! l.kosd l.\r ((-n fld a. Comffi'.! $ih Satir 70m of lhtion I of lh. tlilidr md
<br />Pmlsirni ( od.).. rhd lE or !n 6.i rl lhs.fionrnd lh. h.tlr lor rh.!ll.s.d.rdri'oi Anyriol.lionots.di.nT0ll5 hv.nv
<br />dpnli(nnl lor . pcmil 3un cE lh. a+?lica.r fu 5 iril P.dlr' ol mt mr. 'h, fir. hun&d doll6 ( ls(Dl
<br />l. nr o"n6otrh.rinFny. or f,v nnrh!6 $irh $46 ar th.n sk codFdhn. qill do llEscL -d lL rM& it ml
<br />did'd.d or ollsld ror $k lS( ?Ol,r. t B|B xd Pmt.$N ( od. I h. (i! rrl.is l.xce 1..* dE nor qDly 1., d 0\.6 ol
<br />rn ln,p6it sho tuildror inpin6rlEr6n. ird *hr do6ru.h tr. hil*lfor h.Mltor lluough ht or h6.rn mPh)6.
<br />nro\xLl rh.r 3u.h imF\NoElnl G nn irdrlRl rfiiul tur5L.lt lnn6F, rrt h'IlrB in4lsqEn E$td sihin oN !6
<br />ot conlPrd i'n. rhc (,$n6 lloili!.r "in hlvc rn. hrdd ot pro\ ins lhn h. or sh. did ml tuld or impro\ c rh. ,,!Fy fttr rh. Fq[* of
<br />Lso{ffi.aih.DroFl}.ucr(l6ir.l!o rdinx$ h h(.n*rl n,nlralou b frdtud rlE Fol.d lsa ',O{{ &al,B
<br />ml Ptokrr (o& Th.( o.tturor'r l.icar l,n do6 ml !rrl) lo !notr.( olF('p<n,rho huII&.r nnprcIc!Ihsuln.
<br />md *hn .ont*lsfo.e!.hrroj.dt*nh.conl lonr)lidu.dpoBudroth.(o r r.i!l-kdlj$l
<br />lr tr.n1ntr rnllc' Sr.r(rl
<br />D.t. Ornd
<br />noru(ts&s ( orrPlns,rriiiN
<br />DI(IrI.SAIIOX
<br />I ha.hr" antm undd p.niht ol Fjury on. ol rh. ldlo$ in! rlaLrttioB
<br />I h.r! erd vill @inr.i. a C.nificrt. or ( on$r o s.lf- lMt. f.. e orl4 smF6dn,n. s F!!id.d for ty s6r6n u00 oarlr
<br />lilv ('od.. for rr. Ff(ffi. of tlE ed f( nnKh th. Fn( 6 nsEn
<br />I h.rcai.l (l1ltri.r.rir, \o'l.r ,nl".nb\\irk!,r-Lrirfrhtl
<br />'\e ('L'.r $\(1, !.rq'tr'. F.rcl \h r .tc\ \'lrtEFi {' -^r.ua(,. Id. i n,l(\ rL.SbW fr\-i
<br />,,n(\\un,,r qb-q- HatQi'l--C) ,.,,,,- -
<br />,Io, Cod.. 6r th. p6fo.ffi. of
<br />Elq14
<br />I di$rhd in rh. Fromft. of rlE {orl lor $hkh lhE Fmil i! u.u!d, r 3n.ll mr anlo} rD F$n '. t.,_ neE
<br />$ s ro b.(omc sulr<r r. !h. wo 6'comp..ldtun la$! ol ( alifomit. Md.{ralhd ifI ould b<om. tuqd to llE
<br />N.lsl con!6!!.rionl'o\iihBoaa{(lion r7(r0olllE |lhor(.ql..I tldl fMfi$ hotr9lye(htlFiF.\iix!N.
<br />$AR!{!NC tiilurc lo su. nnrtd .omD.Mio. .or...S. i unhulul, .id shrl eblor & drph}d lo dinrul Friis di
<br />ro on! hun rcd ih.Edd d.ll.,s (tl(X).ootr).
<br />'n uldiri r b rh...i ofco,np.trqin'n. d,na!* s pro\id.i ror rh.
<br />sdrirn 10'16.frh.l'tnr cod.. id.d ud drffi t lq
<br />,.,. '-1 . Ig'\4 ^,,,o*,!!
<br />I HD lrrm undc FIhy or Fjurl ttd I m I'GE d ui&r ls)ri.Nn.f (-i.ris e (sndftnr *irh S.dhn roqD of r,'Uon r
<br />of th. ltGind ud Preiraiioro ( od., i,n ot ltG is ii tull rorc. nn.ffdr
<br />..tr.((hs - C.ZV
<br />,r"r" '-\ \('t'1
<br />o-2-'\lO\
<br />CqIIIAULAIaLLEMIIGAGIICT
<br />I h*t'y .mm und6 Fnslry o r Fjory rhd rhdc is . .otre tudio. Lndinr 4d.y for lhc psforlrm. ol !h. slrt tor *h..h rhat pdhil b
<br />iri!.d (5d 1(r9r, (-iv (')
<br />APPLICANI NFCLA[L{TION
<br />I hdd,.v ltrm u.dr F!X! ot Fju,' oc ol rh. folL$ ir8 .L(Lr.l ioN
<br />l)srchn'n Pdmh3 tuh-Ns Nolification FdFd R.subln'$ (Iil.40.lul6)
<br />Ro$t d rdrd.f r*ii6dim
<br />I cdi[ thd rh. t d6!l r.suhtioN ..sdiht dttsos rmrll r. frn t|4hc.hk n] rhs For.d
<br />is rord I asG ro s'npl, tr nh ill ( n) tnd Colnr!
<br />Ern.srrrivd of rhi ( it,'r.d Colnr.ylo drd uFrn rlE
<br />ic lmrn..d Fnpd) tu itrip<r
<br />Applic.nr or ,\grtrr sisn.rure
<br />l,srnir(,{mc (Fl"rt, K *
<br />1\t'trr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release
<br />Rough 1l*/t4 a u/N$)r'
<br />Service Meter U
<br />FINAL ?lrtl L4 'ilrrru,tz &,) )
<br />T trrNotes, Remarks, Etc
<br />-+
<br />Roof Top Equipment
<br />a-r)
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