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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER TUILDER DEI,CARATION
<br />I h.El'y rllirm uBla, p.n y ol Frrury lh, I u.rcdpr aonrh.C drf,n'F l.r..€ Uw ntr lh. n,lhwm! td,n (Sd,l,.!l5
<br />Borfts ,nl PnrGrnn (ir.lc,: Ary Ciy Cotdy whrh ratuE. r Fn, k $n{tut. rh6. mtrow Lt ml.h br q.t uv
<br />ndduB, rrtr l0 ils N.um.- .lq, tquRr th. .ppl.mt |,tr $.h Fm'r h lrL. rrsEl illr.mn hrr tE or rh. n li(.nsd Pur$mr
<br />ro lrr Inryi\i'n!.f rlE C.nrrllri L(nEJ lrw lch4rd 9, C.tlmmb! wuh Sdr.n TOII oi Drvnon 1 of !h. Bu!E* r,rl
<br />Pn,l.$!,ns Crdc) or lh.l h. o. \h. r.r.n{tt rh.rcf$n !n rh. tuqr n, rlI alkS&l.rcnrpr!,n Ary vxlhrx)nolSari,n70.rl5 hv rnv
<br />:mh.nr l,tr.Fm rtbr.cBrtE.tt'lE. nr..iv'lFMlrrot r mEthr iv. hutlEJ 'Lllr( (35ur)
<br />-1..\
<br />omr otrlE toFny. rr ny.r"l)lt.t * h wr8.. r. trEn oL $rl|tnsrir, w'll.l' rlr s rn !h. {Blw r d
<br />dcn].J orofl.rcd nr srl. (Sr.7Or4. B!rm.( Md lh,rcsDN C,rl.r Th. Conk.ktr s l-iccnt.ljw &r.s hor rylv n, an osmror
<br />rlE FDIrny *h, hdt or nrtrnB rlEc4 .nl wlr' r Nfi qrl h'm(ll o, h.ell or rtu!!!h hn n Lr orn .rlpl,Fi
<br />Dn,vild rhd ru(h u{mrftnrr N ftn dcil.tl or.flcEn htr ek lt, h'e.vd, rh. t{rldin! or itrllF'rcftd x r'u w hh oft Fe
<br />ol rvrt'trtn i}I O*Er Bud.r wdl h.E rh. h^lo ol Fotl! thr lI d {s dn n, h l or r{r,w r}* F,lEry nttlr Fq,Y of
<br />-1.:sowturorrh.rn{Eny..n.rcluntly.odrturr!wihL(c.{dco,rRroFhu'n(rulillrF,Frrs.c,(,'44.BUG(. hnGsrr ( odc: l h. Conktutr'r Lkcr.. Lt* dEs fr tpllth n*.n ol PmD.n, whd bu,ld. or inpruKr rhcRrn
<br />rn{ rh, rodfufifdrEhF'Fi!s h. Cinhio(r,l.m<al P{^ut, h rlr GdBntr'r l,r.nk l,!s)
<br />_l.n'.r.nF u LrSelr,.-
<br />-,8
<br />dPC for rhN E&'n
<br />D.t :- Ort.-
<br />lrcaf,ESc.laufrulallo!
<br />DECI.AMII{I!
<br />! lrdrt rllirn u.d.. F*nrhv.l Fr,llrroE ol rli litlk,w63 ltdk.rtr).!:
<br />Yth,'rcqurc'l ty s(ron lrt() Ithcljhorci ., ntr rh. P.rfomxc ol
<br />rdt6' onll.ndtr hrurrt (:mr .rn Firy numlE tcI lr *hrhrhNFmll !r NI\
<br />./t/7k
<br />l.. rlvdDrin!h.ittlDrNB.(n16.*oll,,tr*hihrhtrFnal srstrcJ.Ishrllto cn$,)y.rryP.'ntn 'rnvnutrrcry' $r,h&!m $hFr t'rh.,o dl (!nPcn{r$n hw!olCtln,mE $i +re |hr n I {rr|l li\om luhFt n,rli
<br />*nlkc(' ..nln(ns,r0n In'vnn)n\ ol S.( rrr .lrl{r ol ih. Lhtr C(x].. t +rll. lrni hs h drdfly eih rht n!)vn(,nr
<br />WARNINC !r ur n, rruE u,trk.n .onFrrdr .ov.nSc rc unl2wrul. sti sh,ll ruhr.l o ..Prrv.r b fful Fd!" 'nluyrl tin.! rn k! oft hu Nl thuqnl dou,t (!ltD.(tl)r o rrllln. b rh..o< ol.rrtEnsrhrn. J2m8.r .r F.vn.J ror tlE
<br />s.(rk \016o hc l htrli\lc. tr[crc{ rnJ nnrrt s l.r\7e<
<br />r,lrEtrlllrarr&I1]aa
<br />D*:CI-Alitll0N
<br />I h.ehy .ltum udLr IEBhy ol ,xt,ury rhd I m lirnr'l u*r Fov6i,n or Chq{s 9 ((trnmE_Di Yilh Seriin 7Om) or D'vtrhn r
<br />ol rlr lJlrft( sd Prcf.rnon! Co1t . rii hy lf,.M is b tull nN. .Bl.fiacr
<br />L-( o lo oL/ t c-7
<br />T)t-t 1
<br />CONSTRUL'TION I FITDING AGEN('Y
<br />Ihcrchy.lluBrftkrFnrhy,ttryuryih.tih.F6rL-n<fldnnLnjESrS.nyltrih.Fn.rltrs..lrh.sn'tnr*irfirh'\Ff,n'
<br />lr*nr \ Atl,l,rs
<br />APPI ICANr DECLAI-ATI('N
<br />I tury rilim udo Fn,lr y or F+ry om ot rh. folLs in! d.rlihl bn(
<br />Ixn,liK,n P.rdrAsbc(or Ndrli.rrx,n Fcrl.n, R.alLr.nr ('I L.{1, Pd6)
<br />_R.!!nBl l.ncr .l f*r'li-nrn
<br />I (.n'trrhd rhc l.rkrrl rcluhrirn\ E8:rJo! $triorr.m\.1d fti,{,phrhL r, rhs rNFr
<br />I (d
<br />'l
<br />y rh, I h.v( rcrl rhN rpflr.u,n {rl {.r. th.r th. &nt rntumr nn r !tE(r LgG i(, n'n{'lv *rn rll Ci y ,rl C"u.tv
<br />onlmrnr.r rnd Slalc lrwr rcUrtns n) hu &r'n8 (nn{ur on. rl hcEhy lurbro. EF€r.nr'rrv.\ of rh,! C[ v lnd (itunry nt .nrd uPn rlr
<br />.hn. nni('ml phlrdy !,tr rsF.rur Ptrqt t,\pDli.{nr .A!0rslIulu(3.,Z€
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor A\
<br />Bondinq / Groundinq / UFER 't-21-11 k,Y+tql
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilinqs (T-Bar Rouqh),A\
<br />dde+epRelease .i^r(-1"rt 4 -7o'/"t \-wlq)m
<br />Roush {)l )'l^21-/1 Y,WU)
<br />Service Meter u V\
<br />FINAL 1-4-lq hwttll
<br />Notes, Remarks, Etc v \-7
<br />APPROVALS
<br />I hrF onl * l frdrm . C.nn..ic ol Con*nr t, 5.ll- lnluE ntr u{ts' $qxndi'n. .r it)Yrtd ntr hv S.1tr ]'i(xl ol tlr
<br />L.Etr C,rl.. li'r lh. p.raolr]1et ot rh. wirk lilr whih rh. lcmr ! L$u.d.
<br />va"y u" *,, 4 L4L\6?', -t1.
<br />r,""' /-14- I 4
<br />n(E! (se. ll09?, civ. c )lrLkrt N.mr
<br />-
<br />,n" T2/u1-
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