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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNF'R IUN,DER DEL('ARATIoN
<br />I h.(hy .rfun uLhr FDlry of FUury rhrr I u .r.m0 fntn rh. C.dtNnB' lr..{ bw lor lh( ii,Un*ul Ex'i (lE- TOll 5 '
<br />Bu(krs ri Prnash. (iiL): Any C , or ('dnry }hf,h Equu.s n Fmnr h $nsnEr. .llc.. inl[*,r.. &m 8h N En ir av
<br />{ru.rur.- Iritr r' rrs ss!f.. rl$ rc$u.s rh. qll'lrd! fft ld Jrrnnr trr liL r \i8mJ nrr.mnr thd lr or {E i( ll.ntd nlJJald
<br />t' rlE Frvs$nr oi rlr Conrrxtri Lf,.nkl IiB ((i!Prcr 9. Comm.Nn! w(h S.(ri'o ?0d) nf l)ivtbn t .f rlr anrrs ri
<br />Pnn.sin! C'aLl ff rlur h. d rh. F .r.mpl lls.lrom !n,t rlt hanr 1,, rh. !kS.n c\cryi!,. Ahy vni{MotS(ri'n mll I brrny
<br />.I'I'lErrr! lfirFm {hFtslh. rmlcntrln'.crlrln irlry.lnd ntr.lhu liv. hodr.d dollrt I !5{U)
<br />-1,
<br />.r owF I lh( JnrFny. (n ny .ipk,yes w h w.8c< .\ rlEn $k .orqrnsbn- *iI &r rlr qrr arl r dErw ir nr
<br />"r.njdj o, ollir.! n, 5k (Se nX4. A$m!t uJ PFa.lii,m Grlcr Th. (tdrf,rd'r tlm€ tlw UE! d rfll! t. M owF ol
<br />rtr FIdy wb tr l! m lqEB tts!4 lrl *b dK t*h ktit hrm*lr or h.rll o, rl$ulh hB,, lE ot.rrllrt ts
<br />Fovrlcl rh,r rNh mFDmntt c mr nraldt otoflcftrt f qL.ll,h.EE, tto uB or urlmEr nq *al,mF,
<br />ol o,q :ir4 rhc o**r Bu ,lrr * l hrE rlE htri.n .l !meE3 rhri lI or !t* drl d tui! or lqNE dE ltnFry rd rlr FrtE of
<br />-1.
<br />.! o*k ol rlr FsFny. .m .rclunvc ly .o tutng P h lic.icd co kn'n (, c.nnd.tltr ln'j(r (S( 7044. BuriK
<br />1rl hjt.rirQrL: Th. Co Btn'rl-t..e L.w &Er H'l ipnly b uo*.dof llrllErty *lr buddr N mlmwr rh.r.ot.
<br />.,rl *h, odrr\ fd uh FOFdr wlrh ! con r.rofln listr, poBudl lo rtu co,tBkr'r h.tr€ L.v)
<br />. a & P.('. n{rhr rer('n
<br />WORKTR.S' COilPi:NSrrttloN
<br />0E(La8lIroN
<br />I h.Rbt.llrn und.. trullv.l ltrjury o'r ol rh. t,llt,sm! J.dr.h'nr
<br />-l
<br />h!!c nn * l llMrrD. Ccnilsl. ol(l,tr{n! k, S.lf-lnrlE n, sf,ts dmlttrdrn ( Irovrlal tu ty Seru l'tro ot
<br />'h.Irh, c(rjc, ltr lhe lErlorllec ot rlr $rt fd *nah llE tEmr i !!u.J
<br />lhlvc an,l*rll mx'nri'n wortt( .dtr{Enqrr)n hturiR.. r\ icqlr.J hySet'n.!7Il).l ilt trtx, C'rk,,'rlhc Frformm. of
<br />rh. *.ll fir vhiuh rhK I.mir ir rrElt. My*orl.^ .l'r{rtrur)i fiurft. (rs rn Fnry nrhh.r r.:
<br />I r,.,r"y r,-r,", -l_r\f,r.. '
<br />-I
<br />tcnrly rh in rlr pcrlorron.c ofth. wurk tu whEh lhf tErmir tr B\!.i, I rh.ll r{ cq,hy r., ttFon ir rny m.nF
<br />qr .s ro tE!$m $hFr t, rlr k'rk6 ..np.trsdnrn bwr ot Cdin,h,. 8t +8. th.r il I rbu! thtm ruhFr li' rlI
<br />Rrt6 LnmlEn!.ri,n ln,rsmnr r sehn l?lD ol rh{ l ilr{ oiL. I rlEll. hnhv h d,rr9l! t n rlrl€ ltuvtr$.!
<br />wARNIN(;' I; lurc h crur *,trlrr (,n{tnQrir, ro\ci!.
<br />(,v'l ltrx.\ u0 k,.tr. htrtr(lrtl rll)uset Jollil r1lU,Uxr. r
<br />{,hr.(r in rmtl,'rcr t, ! nnrl Ftrr
<br />oI .nmFn\rrnx. Jrhr[.1 rTrovrl.d
<br />S.( rxir rl)7n olrl'.lrtrtr ( (i Dr.rcq 1rl.rt .By r les
<br />IECIAEAIIAN
<br />I h<Eby .l rrm ull.r lEnilr, or t'crjur, rh.r I d l&rnql u^Lr Frvirir of ClEprd 9 (6mBs! *ih Sard ?eC) or D'vtr5n r
<br />ol th. Aurtrs .rJ Pnlr.rians CoL. !n my lias s h hU ,id lri.fidl
<br />o 4420
<br />l;DT/-CONSTIUL'TION LFI{I)IN(; AGrN(]Y
<br />I h.Nhy.ltumuBi.r Fndryot lf,riurr rh.r llFt f ..rnrelrr L mS rr.tuy ntrrh. Frlonluh-'c olh. Mak tu whrhrhB Fnn !
<br />ksr.J rsd !097.crv c r
<br />AIIIICANII]ESJSAI]A!
<br />I hdttly rliim uBlcr IEn!I y or FrJury oN of th. n,l,l*r.3 de.'lanr x,or:
<br />D.frnnon P.rhn$Arh.rrot M ilrrr.n F.ddl R.8llrfurl(Tib4, r'n6)
<br />_R.quftd L. doi MrrrMrr,.
<br />-l
<br />!d rry rhar rh. lokEl rsrl,roni Er8lm3.ctEdos rcmrvrl dr mi.fi,lalhL h lns IeFr
<br />rl,rharlluvcR.rhMmlrrrrrlll(arcrhrrrlf,rhtrc'nl,nur,n'\(,nccrIrgen'(,tr{lytrnhrll(irylBlCounry
<br />oh.lo.R6.nJSrrrc,j*tEl,r0urohurLlm3lnn(ru(r lrl &rhy rurrbru. rcFcc.rrlrycr or rhn Cr y .ni Cdnly
<br />rhtr. nrnrFrr\l Pl,nny l', uap..r()n ttrr loApplicrnl or Ap.nl SiEn*l
<br />-L1\6 r ^'i )A t1?<t'
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Salety /Low Vollage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor /..-..\
<br />Bondinq / Groundinq / UFER l
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilinqs (T-Bar Flouqh)
<br />Meter Release t L.u ' \-/
<br />Rouqh /,-.\
<br />Service Meter -6'l'l \-)))h
<br />FINAL -6 j1
<br />Notes, Remarks, Etc.\-/
<br />-)
<br />APPROVALS
<br />t t7'CrrEr.
<br />*- t1
<br />"\r- t -l u
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