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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.(.,wNEf, BUtt,DEt DSt-t^RAll()N
<br />I hrr.hy rltlrm unkr p.Mlry or Frrury rhrr I dn .r.n{ ihm lrE (\nrrdor' l.i..nr li* nn rhc tollo*in8 (dqtn (s.r 70ll]'
<br />Burin.$ onl kof.$i.n C.dc): An, Ciry or c{'u y lhth rcquic{ tr F ln ir' .on{ru.r, rlrd. introE. &rmlnh or EFt .ny
<br />ntodurc, Fbr io ir\ islxiN. il$ Equie rh. qrplidnr rr* rh F mr h riL i riaEd nlcnEnr lh.l h. nr {t i li.m*d tE{trl
<br />r,, rh. F'vnbns ol rlr ConrEttrt Ltcnrn llw (Ch.flc. 9. Collft*in! *arh sdi,. 7{xrr ur Divnhn I ol lh. Bu<iEs rnd
<br />PNr.si,n{ Cdc, or rhd lr ry rlE h .ft'rfr rh6.tnrn rn rh. bo.t rd rtr rlk8.d d.n$xrn Any viohlio..rSccli'n 7t,31 t hr"rn,
<br />rprli.rnr rd ' Fmn rubFk rhc .pplk..' ro . .,vil FMlr I Dr m' nrE I hM nvc hudrcd doll.rr ( lt(x))
<br />J5&*""*,"r,*r"r.ny.rmyerbFr*h*!s.\rrrlrn$k$nltndrrn.wrlllllttrw't!nur(rlrtEi\n
<br />intdll.d or oflmd fd d. lS( 7(x4, Busftsr md Pi,f6ri,n\ (ii! 'fh. (i'drd.r'r lirne lit &f,r ffi q4ly fti e o*F or
<br />Itx F'Fny * ln tlilds G nqrE ilEEn &d * tn &E erh xrt hirell ot h.&lf M rhmllh hF r td orn .qfirt6.
<br />Fordal rh.t 3ut irqmwd. c d n.d.d I orEnd fd st lLtn$tw.thlnftrUdinF^tftdt$Etalmm'w
<br />or (,qtui{. r,r (x F Built *ill tE\ ,E tunhn.l FsltB rld lt m rlr dn llll hru ir iqmE rlr FrErt f ilt F,FEor
<br />l. (of,rr orrh. l'nFny, m.r.luntlt .odralin8 r h lirn€d ndrd6n'd,nlMr ri. F,Fr rS< 7u.4. aNm
<br />!d h'a(ir CdL TrE ConrEro.t l,t nr b* ikF Ln .mly ro ( orer or0n{rnt rltr h{ildr or i,rtmEr lhdor
<br />.nd *t$ ddd. rr trh FoFs wnh. Co ftr rd rin-d n{Bd r'
<br />'lE
<br />( ont,rrir'r liih. I r*,
<br />nn3-2e-1 Q ,n^EZe/ /?4a<€<ae
<br />llrSrEai:g&IgBtalaB
<br />DEgI.AEAIIITN
<br />I h.rcht rflirm unncr l!.Mlry of FJu.y om ofrlE folh*nB &.hd$nr
<br />I h!v. ud *ill minrdn ! cdirf,.r. of consnr ro s.tf.lnsur fttr mld. mn{E.sri,n. .t Imr il.d for hy s<thn lTlx) .l rhc
<br />I lhn (id.. f{tr rh. rEnomr. ol rlE *dk td whth rrx Fdi ir i\ru.d
<br />I hIft lnd *ill minrdin sorklrC .on{Ensaltun inru6ft., !r r.qutrd hy Sd ion :17(rr nl I h. I rlin ( od.. r.r rh. Fnorflm. of
<br />rh. f,ork lor shkh lhis l,.mir is hsxd Myworkss om|].ndion iniurlE.cu i,ud F,liy Notit @
<br />,14("nilln*r-rl,"p..r,'nnanrcorrhc*ortI'n*hiIrr,trtU nr \ A{r,r. r nrlltror entr,'} ntry tx^.o nrtrn} mrnn.r
<br />y, hn)tdr r \uhtarr' rltuorkcn co t{tr\ir(rhqin(rl'nrnr.rnl)!n.rhrrirI\lnrldtir.r!rhr..rk,rhlsorl(\,$n{ci\nri(nlrri\r.tr\nlS..ri(i.17lr).llhclrhr(ixle.lllul.ntrrhrrh(trntl)_*irhrh,{nn,vnnrtr
<br />WAf,NINC l'rituE ro surc *o.lcs' conr.nqri'n u'vrrsr ir !nL*tul. rnd rhrll ruhFr s.n l,F. ro ainiMl FrElli\ ud
<br />civil fincs up to oE hurdEn rh.ue,rd &rllM (tloolmr. in ddnb. b rh. .o{ ol.onF.{lion. d.m8.r rr rred.d for ll!
<br />Sali'n 1076 or lh. t ktr C.dc. inrcEr ud llroruy \ aar
<br />o.",& 2e-11 ^6*,, E2e./ 4,/acr-{2,
<br />UCEIIEIjANIIAC!'A
<br />DEqIJIAIIII!
<br />I h.rd,y dr,n und.i FElty ol Frlry rhd I m liln{d un&r Fnvni{ ol Orntq 9 I nnfttanS rhh s..ri,n T(Inr of Divirhn l
<br />o, rL Blsie{.rn PDtari)N Co&. rn ny li(..tr ir 4 tull foR lld.lTRl
<br />lirn{ Nrn*E
<br />CONSTTUCTION I rTNING AGTN(:V
<br />I h.rcnl rlfirm unln |tMlty of F JUr-v !h.l rlri. i( . onrtulhn lcndir8 n3rNy lin ih. FfornEft ul rlE rvk n rhthrhn Fmn 6
<br />r.*d 1S... :l(r7. Cir C ,
<br />APPI ICA$TDFcl AE^T'(TN
<br />I H), rfm un&r F..xy or Frrury om of
<br />'rE
<br />folloq ing &rbnl ii'ni
<br />l).mlirion P.rmir\'ArtEsloi fiorific,r k n FdkEl RcpLrionr lTiil.:{), Prn6)
<br />-Rcquircd
<br />k{cr of tJ.rildrbn
<br />I c.nilith.t rhclcdcrtrlEsul.lions EBarniry ashcslos rcnn,v6l !rc nor rrpliuhlc n, rhirtfl*cr
<br />94."n'ry,t, r r'*"*,,r'r'a arrfl.rrr,nrld q,rr rh.rrh.!h,$ inntrruli)n iidffic.l I lsrc h) mmnly wilt lll Ciry rnd Coonry
<br />onlinrn..\ 'nl srrrr lr*\ftbrin8r.hu'Hrn! (.n{d kin.alrihcftbyrurhori,crcrcs.nhliv.rofrhtCilyundCounryroenlduF,nrlE
<br />!h,v. mtrrhEd nmrcrry for invf,crion pl.Irrc\
<br />Appr.r,, o. As6r srs.ru., Qot Zazo /a n$-2a-/l
<br />P.mr,d'mrpdtr,r: .s'- -,/ lt4a c e-Ja
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />flle Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER ('r - l2 -tf
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />C eilings (T-Bar Rough)
<br />Meter Release
<br />Rough l?'la - t <b^! /')
<br />Service Meter
<br />FINAL t 1--114 't
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />Communications Cable
<br />Air Conditioners
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