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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNEX BUILDET DEI-(AXITION
<br />I lEEtry .mrm lndd Fn lry or F,pry rhor I h .r.q'l fDm rhc (i, d6 Lifl* li* a.r lh. folk,*i.r Ersn (Ss.7o.ll !
<br />Businc$ rn Prna.sion Gxt ) Any Ciry or (iD y ehah EnxiEr ! Fmil lo (n(rud. irs. ii{'mh. .Ln,lirh ., qrt rn,
<br />(ru.ru(, ritrro irs isaurn.€, !l$ Equn*rh. {pli..nr for suh F n r lo lilc ! sisBd nr.mnr iher rxor rh. n lkcnsrl Pu.$!nt
<br />ro rlE rmvnioos of rh. ConrrrrDl.s Licn*d tr* rch,!r.r 9. Commmi.8 wnh S.clhn ?((n of Divnion I orft Bu:aEJ rtut
<br />PrftrrirN(od.)orrhdrrEdrhn.!.rq trrEli.n.,n th tElir lnr rlE lllcsd crcr(ii,n Aryvhhrionofki'n70ll,h,rry
<br />!fi'latd (r t Frhn {bFlr r,r +plicanr ro r .avil p.dlrt o, Fr n,E rhr nv. hundEn do rs l aglr,
<br />-1.
<br />r\ nrn.. ol rh. ,'otr, y. dn crclu\ircly cont,a.r'nS $irh li!{n{d .onr..()^ () (o.iru.r rh. rrojcl (S( 7{X.1, Ilu\irs
<br />11 llh,li$rnCodurTh.Cotrtr.rtr'it-iccnr.l-!w €(n.rq,plyr,0tro*ncrofln'Dcnt*lk)build\ r nntn'vc{ lh.r.on.
<br />lnd $ho (.rBcrsl ru.h pn,j(B*irhr C{nnrrrr,(\r li..n{d nnulnr h rhc Ornrrlcn, { I ren* ll*r
<br />-l.md.md
<br />u[l.r Ssrbn-
<br />D.le ()ik.
<br />$ORKEl.\' ('I IAt PtsNSA ION
<br />UIiOrISAUgN
<br />I h.rc$) rl,n u dcr t nrlrt ol trryryonc ol ltr- loll()trnr3 d.cl iirtrtrtr
<br />-l
<br />h.w sd qill dinr.in. C.nifr.r. of Con6r 16 S.lf lftua t, rst6'o,FMhn. d FDvit d fd bysdb.lTmolln
<br />t4d Cod., n, tlr. Ft(lllltm of llE wi fn 'tin llE Fnil i irqil
<br />I hsks t *ill nrinh'n rurk..r' compcnuri,'n i.\ursEe. rs rcqui,ql h, S(rion .17(lr.f !h. t.hor Cqj.. fu rh. Frn,m(c ol
<br />tht worl [itr whi.hihis p.m1ir !s nrsd My s.rks\ .onIEnslrioo in$trakcdrirakl F'l(, nunhcr m
<br />€*:e" +7f
<br />-lc.nrlrrhll
<br />ir rlE Frlotrurt ol rhc $1nl ntr r h'eh rhir Frnri n n\ucd.I shallm cnDk'y iny leR)n r rny tnrr
<br />$ nrh, h.$nr \uhl..r k, rrE wnrkss mmpcn! irnr h*s of Calin,ni!. !&l n!rc. rh !rI.h,u!l h<om rrbF-r t,rll
<br />*nrkcn (nrr.nsjri)n !n,vni,,ns ol Sec!ion lr(r(I.lrh. ulFr Cod.- I dl,ll, r.nhwirh $mtly f,irh rlnt,'n'ri\tm.
<br />WAN\!N(; lilur. to rfur *rilda oqndi,. Nlrng. u unr.*ful- .tn sh,ll qbFr o dillloF k, dimiul Fo!i.: n
<br />ciril liBt uD nr oE hurdEn rhterd d.lla (tlfir,Utr
<br />SNIion 11076otrt Lrtv GxL. jnr.d un dhEr'r fs
<br />rrEnsrion. d E!.i n I'o cd for rlE
<br />/o/oZ/ le ,rppri.ml:(
<br />L[IISf,].l!!Dt&r(.lAB
<br />url.La&t-uol
<br />I hftn, .ni,nundcr F lr, ol Firly thn I 6lac"-d m&1 Fvhin ofoElrs 9 {mlffiil3 *nh S<re 7Im) o, Dirnb..1
<br />or rh. a8iB. d Pmlsbnr Cd., rn my lift ir i. tuU forc rn dld
<br />'c/o 7a_e6$e
<br />gllSIAlJl:DOBIENIllGlliEdJ]
<br />I hcNby tmrm undcr Fn.ll, o, |Etjlr, rh.r rh.E t ! (sn{Mirn Ldin8 .8.ry for tlE FfomId or rlE xdk for *hich rht Fma i!
<br />iriucd lss, 1097. civ c.)
<br />Lcnds t Nrnr
<br />bni.a\ Adlrc<:
<br />AIEUIX.UI.DECIJSAIII'N
<br />I hdrl'y rninn undcr pcnrhyofF+ry one ollh. folh*ins d€c,snion:
<br />D.tulnion PddB Ast rro! NorifE.rhn F.d.nl i.roLrhnr (Ti!k40. ?M6)
<br />ff'.qliEd t nd or r*r'fdir
<br />$or'rr ru r* r.a"ot .oLri.,r3 Esdans rrlE{o! m,vrl & nor qrlbbk ro rtii phid
<br />-l
<br />c.rr iry rhlr I hlw rdd rhn rmlkrtion dn nd. rhll lh. tbor. infonmlioi n cored I .!rc r. on{,ry enh .ll Ciry lnd Colnry
<br />ordier.! &d srnc Lrw. ELliig ro tliBin! corndcri,c !n hftby nxhrie Epr.s diE. .f lhir Cily &d Colnty ro..ta uFn lrE
<br />.tnw EnriEd rFFny ror inrF.ri,. F,F(r
<br />'\pplic.ni or,\!.nl SiSElur )(
<br />e.-l* -..rp,ino, X BF;;1?t 'o :/orreL to/ay'tf
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundinq IUFER4
<br />Translormers I
<br />Torqueino I
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)I
<br />Ceilinos (Hard & Soffit Rouqh I
<br />Ceilings (T-Bar Rough)I
<br />Meter Release ,21 'l
<br />Rough 1
<br />(Jd c sE,+-_(y")
<br />FINAL t-u- n l)c'a+a 'w
<br />Notes, Remarks, Etc
<br />-)
<br />APPROVALS
<br />Sub-Panels
<br />Service Meler
<br />_1. 11 o*F.f rlr lfi,Fdr. (, my.nllloFt virh *r8cs s rkn $k s,qrtrsrion. *ill do r,r *dl a,n $. {rlr h mr
<br />i cn.!.1 nr ollcrcd for slc ( S$ 7(]44. Bu\inc$ rnd Pnfc$ions c{dc: Ilr (i,nrturor r l-rcns lrp &f,r ml applr ro d 6*kr or
<br />rh.ImFny *hot ilds or iqn'Er rtmG rd *l$ d(E rkn w* hinrsllor h.rrlf or rhblah hn o. lE. oln.mpl,F1
<br />poviLd rh.r tch iqm!!ftnh e mr hrarhd d oltu for st ll h,w. rlE iriBins or inpr.tmd k sU vithin nx ,u,
<br />or(,rikrlc rlE Os,E Bui!.r *iU,rr rlr htrrk ol F,wE r,. lr ri {r dil mr htrl r trrFE dr F,rEr, ft, ih FrFn or
<br />/ar1oZr11ez,***d
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