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ELECTRICAL-INSPECTOR RECORD
<br />APPROVAL.S DATE ID/SIG.COMMENTS OWNER AUILDFT DET,CIRAIION
<br />I h.Ety .mrm o.r,cr F.rlr, ot F i,, rh! I m .krfr rion rtE C.nrdrm liw t,q lor x folt einS E.s ISc I I 5
<br />BuriBr .,r, Proa.(on C{n , Ary Cnt or Cody shan r{uiEi . Fma ro onrlnxl. .lld, inpmE- d.mlnh or rcFs sy
<br />srrai6.. Fix lo ft kw, .ko EquiE! tlE {pltd lor trh Fni ro fiL. riSEn nlI.nEl lh.l lE q iL i. litn<d llrqtr
<br />ro rlE Folki,B ol r|.E Conrrrd-. Licn*n L* (Clu,'t( 9, Co,tEri,g *nh s.di,n 7(xn or Divi.b. I or rlE Auik.r ..d
<br />Prcf.ribnr Cod.) or
<br />'hri
<br />lE d ih. is .r.n{l tlrE om rd rh. harir ror rlE llL8.d .r.,ll'Nn. Any lnhion of S.nion 7{):l I 5 by uy
<br />apDltrnr nn. Fmn !uhr..c rli alpltrl ro a civil F hy nf mr mrc rlEn fitt n!.d,.d &lls! ($m)
<br />-l,
<br />as owrcr rf lhc pmFny. or my .rployes rirh srt.r !s rh.t vrh .nnVrnsd ion. uill (ll) lh. wk od tlE rl.ud@ n ,n'l
<br />intcrLd.roficrcdforslc(Ss.?0{4.Bu\inc\ratuhorc..htrsC{nc:Th.Codrocrnil.tcn{l,ederrerlprlyrnino*ncrol
<br />rlE pFFrly wh! bilrr or r{i.E !lEE...trd rhl (-q.hk hinslf or h.rklf or tiouah hir 6 h.r.wn crqlbyei.
<br />pmvrld rh.r rah in{r.Emds e d il.id.d d ofiaql ftr qE li tn*.G, rlE LiBin8 d iqnrhftd n $E *aho or ]E
<br />ofoiphin rlE O$Er Builld wiU h6E rrr h!d.n o, Fovina rhc h. - sll. dil d hriu d nqmr ttE Frrriy fd rlr trlrllr of
<br />-1.
<br />.r orrr o( rlE FFrr. m .khriv.lt c. rrrins warh li.ed odrd6 ro 6n.M ilr f6F (S... 7(x4. 86!lr
<br />.td h€annAn Tnc Conlr-roir Litnr t v drs mI rr?ly lo u o*F olF.rEny who hiLl. or imprcEt rhF@r
<br />rnd *lI! mddh ftr *h FDins wnh. C.d..roiti) lisi.d pllrud h th. CodBrtr r LitnE t w).
<br />Drte O*n.r
<br />t!!atrD&[!!J!lrEN5A.r[]!
<br />IIECIJXAIIAX
<br />I h.rby rlfirn u .r l{Elry of Fjury om ol rh( n,ll,*'n8 t^llnEri,n\
<br />I h.w od *aU ma.r.b r Cdird. of C.nar r, S{ltlns r( wddi onFrdin, ( FrviLd ror by Serbn])u) or rlr
<br />rr&t Cod., d tli Ff(irlre ol lli srt f *htt lL Fnn ir Eecd
<br />IhrE.dsiltmi rin rort..r' oiryENri,n inro'.rc. r. rlniftn hy S€!$. l7(t) of rh. Lls. Cixk, fot llE Fnolllrm of
<br />rh. w.t for uhich ihir txmn 6 n$.d My wtrtd.' $nIEn-hn iNaN.Eir jn Fnay nun&r E:
<br />9 \rft\,, " =rJJ
<br />Notrmql
<br />-lt6-6 1 rq
<br />-l..nify
<br />rhr in rh. Frformre of llE *ort rm *hinthir Fmil is iesEd. I nullfrn .ry'h, uy FB,. i. rn, mnK
<br />$ rr ro lrsB rdrFr k, rrE wt6'.lqEndii,n h orcdiromi od+rrh{ irI rhrB ll.oB slFr lollr
<br />srt6'm,qmq'hnrmvirhnrolSBliorlrfl)or r l:hr Cda l <dt fdh*irh crtrly *nh lhE Ftrvi.ira
<br />Drl.: lllldnl:tll]li!$,LlaNrra(raf,ll:l;uf,alllr!
<br />I hcrchy rrrnnunts IrMlry.l rErluiy 'hd
<br />I um lkurl und Imision olCha {r)l.oNrrxi.! $irh secrin, T(rx)roll)'\ann.t
<br />f rhc 8u\irf,( rM hnlcsi,.rCod., rrn rv l.c.{,\ $ rullnrclrncllNr
<br />,,..^.,"* @{
<br />h,, € /lr /t4
<br />'1r{
<br />qA
<br />coNsrnucrr(x Lr'\DIN(: l(:FN( v
<br />I lEGh, llfinn unlq rEnlh, of rErrnry rh,r rh.rc n . cnn(ruclion k ins lscry fdrh.Flirmneof ih. wk lor whkh lhi. Frnln ir
<br />isrucd (S( .]09r. Civ C.)
<br />AIILII:AdLDECIJSAII']!
<br />I hod,y .trm un s FEhy of tEiry oE of I h. lolbrin8 &.hr.rions:
<br />D.mlirb. Pdmnr-Arb.rkr lioriff,dnn k ..l R.8ulrtr,.r(Tnh40. Pd6r
<br />-RquiEd
<br />trlr.r.r NxiaEcirn
<br />lr.n',yrl'i rh.l(,l.r lr.guhrn,tr\ frgnnl'trt r\tr.(o\nlxtrrlrrc nortlPplnahi. r, rhn t,n)r.(r
<br />l.cnnytL ltu\r r(&t rh'\ rfflicrrx rln rnhihr,fitrc rnnrnrdi(r tr(,,nc.r li!,,rt).u.{lttrilhill('r!
<br />rdrr'rc\rn,lSrrrrlf,s\nLiitr!k)hu'lli6F.on(ru.r(,n xdlhc'chrrurhtr/rr.Frq nr\.\ "lrht (-irvadC.unrtn).ntr utx rli
<br />Jhrr rdh,iJ r,',,n n\ htr 'n,nc.ri,n,rurF {.
<br />^pp,cm,or^!m,\,!
<br />,uE .-444 h..5/tt,/1,
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monumenl)
<br />Lile Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / GroundinO / UFER
<br />TransIormers
<br />Torqueino
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar RouOh)
<br />l\ileter Belease
<br />Rough
<br />Service Meter /.-.,\FINAL VO)L l-2"2,VALJ) )
<br />Notes , Remarks, Etc
<br />Air Conditioners
<br />WAn|iING: FrihF ro *E wt6 oqENrbn Nq*. ii uLvtuL .,rl {dt ruhj.rr s.npbF ro qfiin l Frrir !n
<br />civ rmr up ro oE hodEri rhoue,n rlolla (llm,(ml. i. rddtirn ro
<br />'lE
<br />6r ol conp.Mi,n. drd!.r.t pmviLrl ro. it
<br />Sftri.n :!076 of r,E Lrh, C{n . inEH.,n rkmy\ fB
<br />I
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