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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILI'IIT DEI-CARATIoN
<br />I rEkht rrrm undd Fnrtry of Fr!ry rh, I o .r.q, filn rh. Codrrlc Ltrre L* tnr rtr folbrh3 rc.$n ls.t m:l l I
<br />Ausimsr ,,n Pt r..shn anhl. Any Ciry or Counry which rcqlnc\ a F n'i t. NnnM, !ltd, in{'t E. &m'hh or rFn y
<br />(ru.rurc. prior lo il\ isusc- at3, equner rh. +plicdr rin.sh F.mi h nk a riSBd rllrcmm thlr lt o. {hc h lkcni.d luNNnI
<br />n' rrE FrririrN orrlE Conredi l-itn€n lrE lch.Fn 9. ('ommEiot $irh Ssri,. 7firr ol Oirni,n I ol llE Buri*s..d
<br />ftolcs. Co& ) or rhd lE or dr L! ctcq{ rh.Efrom $d tlE hatir ,nr rh. ilk8.n .r.i{,'rn. Ant vhhlir or Sdion 70.r I I by .ny
<br />lnpleor fttr !pcmi iuhr(r! rlr rttli.ln! k'r.ivilFnrxyorno' n'Erh.n 6v. hu En drnh6 (S1 r
<br />_1. !! o*rcr.lrh. r,.Fdr. d ny.r?k'F\ *irh w{ct sr rrEr $k d,qtn*lr'n. *il & rlt *(i !n ir {tu m ir n
<br />i cnLrl d ofr.dd ror sl. ( Se.?044. Ausims md Pmrcsiom ( od. TlE (i'niracttr ! l.icn\d l ne do.r nor ar'ply l0 atr o*ncr ol
<br />llE F)Fny *h, hoirh o. brr.B rlE6( !d rln &F cn hd( him(lr or t.rclr tr fimuah ht fr l.tt o*n.n9k,F..
<br />F$vrl.d !h!r lkh inF)wnti e.u d.nLd orofiasl fn sL ll hJM. rlE hilling q irym\md ir $U *lhin or Fd
<br />ufc.rdcri,( rlr ()*B Blilhr erll hrw lhc tonJcn of Jnrvidg rhu hc or +. drl mt tlih or iqnw dx pn'Fny for rlE ltr4b< of
<br />l. owkr ol ihc I'l)l.nv, an.!(luiivcly conr&rin* snh li..nrd cont! rs n, ronjtud rlt Pnrr.Lr ( Sd nlr;. Buqrcr\
<br />,rxl lh)ls(iotr (onc Thc (i'nlra.ir's I ic.n{ La* d,k\ nor opnlyt, rno*mrof|Blidy*h huild\o. inPovc\ rhcron.
<br />rDl {ho dx r s nn (kh FrF1t f, irh . ( ' dlo(rrlr.na.(lturlunr!,rh((i{,,ckn\la.n{ljrr
<br />l).1. ()*R
<br />t!(lRt(FRS', (r lllr Pir\saTroN
<br />DECLASAIII'!
<br />I hcrrht x nm undc! pculrt,'f ltrrur nft ol rlt r,,lhr tr,! Lk<l2h[rs
<br />I hrlc md*'ll trrinn'in C.nnl. or Co \cN h Srlf lnsur. nr tr.rlch .onrn r!dn'n. s\ F,vidcd litr by S.(rn lTlx),'lrh.
<br />l2hn (ixl.. finIh. nc.tumEmrofrh( rort lnr shi.hrh. Fnnr r rrkd
<br />Ihrv.indRrllnuitruin*.rkcrrconlI]cn\rri,)ninstrrmc.a\r.qun.dhfSc.ri('nl7lX)olrlRl.ihor(n.b.li'rrhrlrrrdrnurr.r
<br />rnc *.rl lor uh(h rhhFnni n i\rhl M,*o*6 Latrqrnsri'n in\urrir..mar drlF,li.ynun crr.
<br />l..rIlv rhrr tr, rhc Frnrtru,f,r,'l rhc s(ktr *hih rhi\ rnnir | ${rc(l. l shull nd!.nrnl,iy {ny n ^on i nny nrrNr
<br />y, di k! ti$ft tuhjer (r rlr *ortdr'.nrfEnd krn l!*i ofc.hlnni.. lrd l3r rhi if I dbuu tt om lut'ftt ro llE
<br />eo dr lrm+.nqrxn lnrni,nt olsdhn lrl oftlE ljlfl (ixL.IrlBll- rinh*rh coq)rt *nh Onc Frvnhd
<br />WARN|NC t rtuE to arurc *orlm oryrn\rri'n .-rm8. i\ u.he6,l, rd $.rl ruhFr .n c,rp!.rF ro oninl] FElir ind
<br />dvil lifti up ro oF hornrcd tL,!!nd doller itlm.fi ), in udd irn h ih. .orl ol mnD.Mlion, d't8.r ( ,roviLrl td rlE
<br />/a/g llb ^USJITIII(uTI&}(.IA.Bllllt"l&l,U!]!
<br />I tEElty nrrn un&r FEty ol F!r,y thd I m liBrd ud.r Flvirhr ot (lEfld 9 klnmri,g {ilh Sftlion T(lDr ot DirFnn l
<br />u( rh. Bu:im{r r.d Pr.f.riirns Cod.. lIId mv lkrnE ir in tull ft,E rn .fisl.,n
<br />d/L4P ,"
<br />7t,/a///I
<br />SNIIAIICIANIENI'ATCAGENCI
<br />I rFoh! rffrn u.&r F lry of Friur,lhd ihd. ir . Mcnrih" Lndhs .r.fty ror rrE Ff(llfrft. oI ilE rort ao. rtih rhi. Fnt k
<br />irs*ri (sd 1()97, cil c.r
<br />L.nJ(,'i Nanr
<br />AIILIJNLIIECIJXAIII!
<br />I hd*, rrm uni.r Fn.lr y of FJUry om ol rlr folhqrS &<hr!l i)nr'
<br />O.d,li'bn P.rflnt A{br{or Norin.rrt'n tud.nl RcSul0ri.ns (Tilc{1, tan6)
<br />R.quir.d L.(6 of tarifdih
<br />I.cnilyllrt lh lirLra| rc-lullr bns rc! dir's $tE{or rcm,vrl i,c nor rtd i..hh k) rhir t'n)|tr
<br />-l
<br />ccnify rlur I h.v. Er
<br />.rdiorc.r lnd Sr!r.lisi
<br />.hoE rnrnmn loFrl,
<br />Apptonl or &.nl Slgr
<br />d i,n\ rptlrrr( anl {rrr rhrr rlr Jh*. nronMrtr( 6..trN I rgrN n'
<br />(Lriryi(ilnrl,necon{'a.rnnr,tr'xlhr.hvrutlrtrr.rcnrc$ rriv.\ol I
<br />l''//<o)
<br />cotrqry *irh.ll ('n, i.d ()unry
<br />tn Ciryrod Counry kJ..rd utrn lll
<br />,,,)?)t)Q
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Arr Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Bouoh
<br />Ceilings (T-Bar Rough)
<br />Meler Flelease
<br />Rouqh l-2/-.lg [-Phd)
<br />Service Meter r{
<br />FINAL -1. lq >
<br />^q.1()Notes, Remarks, Etc av
<br />Under Slab / Floor
<br />I
<br />I nr.rcn,t tr ,lrr Sr!rnr
<br />tsrlc, . Ad&cs
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