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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.OWNEtr BUII-DER DEI-'AR TION
<br />I ha.4 rmm n.d.r pc hyof p.rFry lhr I s acnF nom fi. ( onrrlm' Lkde t u fortlE rolbvi,g tu. (sdr0rl5
<br />BBiB r.d Prctdion Co{,.} Any Cily o. counry {hi.h r.quir6 t p6hn lo coinru( .h6. imrmvs dd.olilh tr r.ltrr My
<br />rtudG rnr ro ir! islff.. rko 't+i6lh. slkd f.r {.h Fii lo nL.3g..d risE{ rhi lE or th. i! li.6j.d FEin
<br />ro rh. FotuioE or thc Contr!.1oa! l,i.d!.d hw {Chrprd 9. commocins $ilh Scclhn ?000 oa Divirion 1 orllt h
<br />PNf$irB ( od.) q rhlr lE d 3lE ir .rdF rh..non id lhc lEir for ln lu.rsj cianFion Any r i'hior ofsdion 70.1
<br />ip0lrr forrFn $bjd3rh..r?licelto!cirilp.uh).rmtntr.rhmnr.hon&.d&116($m)
<br />I'r,
<br />l. B orE oflh. Frltnr- or ny anplo)€ $ nh r.86 s r h.n $b comFlr io.. $ill <L rlr est tn dt rnd@ i. mr
<br />ii6it d or ofd.il f.r laL (S< 7Or,1. BBitB md Prof6rE ( o<t. 'nE Cod.doit l-tcE l:v &.t ml +dt 'o
<br />e orE or
<br />th. FtrFly *ter hil(h or lrFolB $qotr t d who {b6 soch *tlt hid.lt.r h*lf .r lhtough hn or hd o$r mphy6.
<br />Fir id.d rhd kh imFrsEtr! rc ()l irdn d uollsld for rL lf. ls*qr, rh. btitlil{ d lBm\EEr i! hld *ihh d !r
<br />of 6.r{)ki)a rlE (x E a{itl6 qill h\r llE trtrlor orFlrit{ tfitr lt d at dA d hild or inFnE ln. Fopqry for trE F,ros of
<br />S4lA "",. "r,r,.
<br />p.p-r). m crclBidy.ontddios *nh ri..n .i..nr6doE ro connrucl rrE Fnjel (sd 7or4. Blind
<br />- and h!tui{ Co{,. I h. ( ..kdo.r Ltm. l-tw do6 ml.r'pl! lo uoutd.fp.oFnt *ho b(ildt or ihp.ov6 lh6in
<br />xld $ho o dr for Mh FoJ.dr *nh! Contro(r l.dr.d prl:d ro rh.C.drxloir l.16g lrl)
<br />I m.ropl u.d. Srlnn , B & P (- for'hL t@i
<br />vo,. bl ZZ- tL *,L\a]cl1+ ^ 1A4q\^rr^r'
<br />\vdlt(FRr, ('oitPf-IsA fl oA
<br />DDCI {RATION
<br />I h6.hy afirn trnd6 FElry ol prjury onc . f rh. foln)*ins d<lmrioN
<br />I ha G ,n $ill minr.in r (-.nifE!|. of coi5r b scll lNrc tu "od6 @!4diior a Fo\iLd aortlrkh.:r7(Dor'h.
<br />ljtir coda aor th. pqfof,ndc. o f thc *olt ror which lh€ ,nnit ts iso.rt
<br />I b\ c ,nrl r ill n.ir.i. sotrd c.np.6nhn i6u..mc. B r.qur.d by sdrhn ]7(ro of rh. l,bor ( od.. for lh. pdfomlR of
<br />rh. r'o ( aor shah rha! pqni t irsal. My{ortd mmpqBdion i6uran...Mid md Flicy nlmbs r.:
<br />$[Y,,,5,n, .,r.r-^nMnc. oIrh.vo,L ro, shKhrhi]Ff,ir i3 i!su.d.l 'lullnor mPl.ymyFsn inliymdn<
<br />' $ - ro b.co rbFr ro rh. q$16' mr{tMnn Lr! or( .lifo ( .nd .8c rhi if I nruu b.(oft stir io rh.
<br />hltf,.rmtN!ninForilioEofS.dnr.11700oflh.ht{rCodaI3hdl.aonhwnhsnplys'rhlbsl,rcvthB..
<br />*aRNlNO F.ilur. ro Kr. *.anr'smrEMion oros. is unLtrtul. !d null tubid M anphls |o mind FEh6 lri
<br />ciil fin€r up ro oo. hundr.t rhousd doltB (t100.000). in addilnrn to rh..o{ of.omt Mtion, derorc! B FoviJ.d for lh.
<br />Sdrhn 1076.fth.l at{r (ixl.
<br />ry-X","O}zL- \
<br />DESJA^IIO!
<br />I h6.h! amrn undd Fmlly of Fjury rhd I e licrei u.dr FrBion ofcn Fo 9 (NmMcins $iih sdhn ?0i)01 oI l)Nnion .r
<br />of !h. Bsi6 drj Prcf6i'6 C.&. tt n) l.e a i. lull f.rc.,n dt(r
<br />ATflICAtrLDlg.A8AIlq!
<br />I ,-!-.* .trm und6 F.hr oa rErjuy orc of rh. folhu i.s d<l[.' irs
<br />Ddml'rion Pmn!-tub6ro. NorirEarhn Ed.rll R.rulalioni (riE-10. Pd6)
<br />R.quEd lnr..f tldifrdion
<br />I c61ily rhar th. a.d66l r.rubrn)N rcsedins sh6ts rdnor.l ar c 'Ir'l all)hcahl. t) rhis prurcd
<br />9jS1,l *n,n^",*o,n'larplkdnn E na,.,hd rh.ah\c iniomnrn Bmnd I asrcrocompr) snhall(-ny.ndcou.r)
<br />lrd;unc6 an i \r src ll( r rl,n4 ro b{rld'u c urudFn. dd h(.by.urh,rn. kFshn6 of lfiGC y dd ( ounrt lo 6t6 uFrn lhc
<br />^ffi:l:*.:X*"ffi- -,x07'724q
<br />"*.r--..,r*{X \Iut^^ .,fV ilrt-c-.,^.*
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER 8lr{ \ rr Eic:9 ro!
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release th t 1,.D45e? l(r!
<br />Rough alrql,q DEa.rf iro >
<br />Service Meter
<br />FINAL €lrrlel *R lo\
<br />Notes, Remarks, Etc.
<br />Atu rsoa.c A PP€tr€.5 eDA ar€rt *FiJ6rE( Llo g€l*t mrlj i,r r- \a
<br />D eA.r,aL t. Na Lotrafit€ E+tE-a (oa
<br />- coth austtr A lrsl n i--r€? ,o2
<br />COMMENTS
<br />(ANSTBUCIIaXI.ENIIdC{iE!(I
<br />I hddD amrm md.r tFMtt) ot FJuD lh, lhd. a . odtud io. L.dna .Bfty aor llE Ffmft. of rh. trtr f.r *trh rha Fmi ii
<br />i$u.rl (S< .109?, Ci C)
<br />l 6ds s \o.
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