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ELECTRICAL-INSPECTOR RECORD
<br />ID/SIG.COMMENTSAPPROVALSDATE
<br />Site-Work
<br />Unde round
<br />Pole Bases
<br />Q s, Pool Fountains
<br />Si NS monument
<br />Fire Alarm i Dam rS
<br />Communications Cable
<br />Buildin
<br />Under Slab / Floor
<br />Bondi / Groundi / UFER
<br />Translormers
<br />uetT
<br />Sub-Panels
<br />Air Conditioners
<br />Facto Wired Unit
<br />Walls Conduit
<br />Walls Rou h
<br />Ceilin hsHard & Soff it Rou
<br />2-9-t1Rouh
<br />Service Meter
<br />LIS €14\1
<br />Notes, Remarks Etc
<br />-I.
<br />.\ owxr of rh. pn,Fny. m c(lunwly.od.&ro8 w h l*.nrd o, rtm b d'hstur lh. F)Fr (sd 7oa4. 6u\ds
<br />.rt hr,ft$s Cd,l: Th. ConrE-ktr'r t-..nE trw &- *r .Pily ro u o*tur ot FrFnv *ho hu ftr " mprck\ rhaon.
<br />d who (1,ntr&is ftr luh nn)rLrr enh I conlrahn, la.N.1t ponu n' rhc O'Mtlrtr'. La![t Uw)
<br />I lm.rcmpt unJ.r S.cr$n-. B &PC rorrh!rcd{)n
<br />WOTK'ILS' COI\IPFNS TI(IN
<br />DECJJXAIjII!
<br />Ihcruhv.lltrmund., pcmlryoIn rjury rc ol rh. l,,ll,winl d(lurroN
<br />thrvcall*nlmmrin!C..t'li,. t(l'n€ n'Sell-ln\ur.turwdkeF ron{f,n{lon.s !n,vrl.J lor bvSrtrkJn.lTo0 ot lh'
<br />lrhtr (irL. !,f, rhc lrrfollre. df rh. vrt (n whth rlE Fmr ! trskl
<br />I hrvc rll w l f,rhr.r *t,it.h comFnl.r[n nturrr.. rs GNr.! hy Sdr.. :U(U dl rtE htxt G{.. ntr rlr lErtffi' 'lih. k{l trtr *hrhrhKIErrur ! $!.:l My qort(r cohFnr{r'n !n!u..Ne (rE.rn Bnry nuhh.r a.
<br />R,lEy NumlE :-
<br />-ErPrc!
<br />S..rFn 1076of lh. lilrr CuL, rr.E<.rn.rk,cy,r ln\
<br />J,\,\t1l/q aS
<br />IECIJEAIA!
<br />I rEnty irm url.r FExy of Fl!! rhd I m l,rnsl uuL, F v66. .l Ch{i6 9 (oncmhs r'tn Sdbn nm, oa Drtrhn J
<br />nl rt Burrcs .nJ Pn'f.(ionr coJc. iflj 6y liL.n. i! in lul tu( .,n .ffcrr
<br />c0lir8u{Jlll!-lElllMi.d{iEN$
<br />I h.El,y dars dnl.r Fnalry ol F.Jnrr rhr( rh6. R r otrdtu.rDn knhS !3.Ny ntr rh. Pon{lrrec of rh! wod 16r whrh rhn JEmr is
<br />L.'!.i! Ad,lr.s:
<br />-
<br />APTI ICANT I'SCI-ATATION
<br />I lrnl'y dim ldd Fn.hy.r p.r,trynk of llx lrntr,ms &\lI.rrrs:
<br />Drfrr(tr'n P.rnnk ih.nol lft rrrx,n fc*El RcSulaitr'n\lT l.40 l'.n61
<br />_R.quEBl L.rtq of t{rifi{M
<br />-l
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<br />-l
<br />.qt[y lh, I llw drl rlB .IP!.dsn ul rrc rh.r rlE .tow dom r. a .rtr.d. I .!N lo 6 mdy *'rh all cny ln Cou ,
<br />onl i!!.\ rn'l Srdcllw( Eurrng k)huddrXc.tr(
<br />rh)v. mnr$mJ pn,n nyfor 6\F\ri,n plqicr
<br />nl lrrhy iuifunrc r.t'cwrfurrvcs.l rh,\(''ry dkl Coutrry t').nr.r trF,n rlr
<br />tonlll
<br />Apt li.snl or ,\$nl Silmlurc
<br />P. llfrrm.(print)r
<br />rcoELcaRTloN
<br />I h.rh, rlrrn uhj.r Frrry ol FF.y $r I s .r.i{ir rntn rlr (irrrEk* tf,gE L* tor rtr iollorins E $n lje'tul l'5
<br />Burms !n Pnn'.$iot CaL): An, Ciry or CN, y whi.h FqUftl . Fmr ro odtut. .ld. lqiow &Dhn d tFa ,
<br />rtEruR. Ff b nr !est, .ts BrtuB rlr qrlics! ror rEh Fmi ro nk . s'8mn rl.rc thd h. or {t n hdnkl Fm'nr '
<br />lo llr r.vs.B o, E conlranx.t t-Enrd llw (ch.t 'r 9. Co,rmBins *nh selnn 7(xx' of Divlrst J or rh' B!rm$ '
<br />Pnn !!rnr Crxkl ,r th.r h. ( rtt B .r.tuf{ lh.Ffron .rn rlF b 6 ror rlr .lh.rl .knYllrn Aiv vi'l'i" ol Sd-lbn 701 I t bv "v.mlic$l for.Fmn subiers rlr rPnliL. t l.ivilFEliyolfrn Blhrnnv.hudF jtbug(S5@)
<br />l. .t owmr ot lh. IxoFny. d 6y tn{,lort.! wnh {as$ 8 rh.ir eL coqt6eri,n. will & rlt urt rd ltr lrnrrm 6 n{
<br />mcrrAr o orcJ ftr ;l. tsc n}44, AurBn,n Prorctt-h ctrL: Ttl Co.r&1n r tr-.@ trr &n 'Et rpdr ro ow of
<br />ih. FlFny ,ho t rll. or ulqn,F rtENn, rul wh, JtE! uh utlt hrn<lf or h.r$ll or thNo8h hir or h'r own 'dti!'v(s
<br />t,ovrlal lh.r lNt uisrwdr G n, d.nl6l or.tlBd frx st Il.lDxw. r,I t lta !t lrF,tlrd B i
<br />'
<br />*rh' m )r
<br />;, onphtrn rlEo*Er Bu[,r?t wrtl h.E lhc hnj.n orFrvlB rhn lt q rh.dri ft,lltr or ulproE tlE FIEiv rorllE PotProf
<br />-l
<br />rcniy lh.r u rtt p.rr.rM! ot rh. *ott ld rh(h lhE F,hn 6 s!'El l lhtu mr clr?lov.n, FB'n 6
<br />'nv
<br />nlffi
<br />$ Ero b..nm rubr(l ro th. urdf, .$hpctrsriotr hws orc.lilomD, lnl asr th.r rl t sh)uu tEom $bier ro 'trhrtdl onIrtrsru Flvstos ol S.dM lru or th. lrhr OrL. I llill rdhvilh d{nlv rdh rln- In'rBffi.
<br />WARNTNG: FrnuE ro -c wt6 NnD.trqr$n dkn8. r un!*lul. !n srdl sut'Fr u .nPktF to lminrl Frl6 'n.Ml fms u, ro orc hunJr.J rtxrs dolls (SIOO.0O0) r rddrrion tu rh. coi ,l uomPctrllro' dim!'r I nn'vil'J ro' rlE
<br />I r .n( Nun*rr
<br />ltEn (S<.lo)1, Civ c.).
<br />trnLr'iNffi
<br />-
<br />Liqht Standards
<br />Lile Satetv /Low Voltaqe
<br />Roof Top Equipment
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />?c2r
<br />FINAL I
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