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ELECTRTCAL.INSPECTOR RECOBD
<br />APPROVALS DATE IDiSIG.COMMENTS OWNEf, BUIII)}:I' DITI.C TATX)N
<br />I tftb, rnrDun.,,.Mty ol Fpry rha I .r.rpr tlm rlr ( dsr6 Li.te br for E followil}B Een (s...7011.5
<br />Burim6 .r!d Pr.tKior Codc) Any cay or C@ny vh.t r.auns . Fd r. sirN, .ltd. rtrlrow. &mlii rFtr xy
<br />iMrE, rntr b r stu.'r.. $ E|Urr rlE .pdi.d ltr suh Fn ro 6L . r4lrrl idftrr rhr lr o. cr ! ll!.nrJ $@nr
<br />ro rlE I'myisi.trr of rh. cmr*ha' l-k.nsd l.* (ch.rns 9, c.hmrcin3 *nt sdrbn 7ull o{ Divirhn I or rlr auime sd
<br />Protunira! Codr r or rhd l. or rlE n .i.ry rlrEftrnr rrd tl!. tr!! lor lrr dLr.tl.i.trrgir. Any vbl4ilnolSdtlt701t.5byMy
<br />6pplic0nr ID. o p.nnt rubl..k tlE lpplic!trlro(civilp.ntrllrolblmr.rhsnnr.hundrcddolloB(IJm).
<br />_1, r o*mr orih. roFny..r ry cdrhrG rirh r.3., r it t mk orp.dion. willdo lll *rit,rd th. {i.r4 n d
<br />inralai r o[.r.d ar ek (Sa 7(]44. BusiE. md PrcfdlioB C.d.: Th. Cldrdd s Lic.M L.* der mt lcply to u ow of
<br />tr'. F.F r elr tri!! nr uqhrEr rlEi6\ rrn v,E do6 !d! srt hilMror lErlror rlEulh hn or t4 o*n.'ii&r]€.
<br />p.odr.d rhr rch irFwEd. & rn n .dLd nolldld r dr lf. lxffi, tEhrildiA( int @ftn !t6ld *ini6@ ra
<br />orcu.pLtia dr oerr Buill. qill lrE tll bunl.n ofp.ovul3 d. tt r rlt dit d hiix d !+.D* di F$F, n* llt p,FE or
<br />_1. bo*mrorrh pqtnr, m.idurir.ly.drurr3 *i$ littr Jotr r6io(o9Ml rt p.UFGI rsc. ?u,1. B6ils
<br />drl PlutsincirL: TIE Co r*ktr! LE.tr€ l,w d(B ri.flrly ro.no*F ofFoFny sho hrJdr o,,rrtov* rh.rar
<br />.nd elh .odrdr tu ruch F.Ft' s n r CodEtnlir liird pur$tr ro (E con &.46 La.M b*).
<br />I m,.r.tuo utrd.r S.rhor
<br />luraf,[&trau&llAlls!D[rtL8lrlad
<br />i hcr.by aiftDUnJ.r Ftrrlry ortEJUrvum.l0t l,)lh,sDE d(lmi,m
<br />-Ih.r.iiuillnli.hr(dirE{.ofcmt
<br />b S.ll-leE f6 *rfn'@n+dtu'l a Fvid.d for h, Salirn ]70 orrh
<br />t tor Codq rd Or Frlo,l'm. oa ttc *o.l rd rticn E F6n ! kxi.
<br />_l h.E d wrll rodNrr krL6 .orr{'a!aid nsuBm., 6 E{usln 6, Sdbr 1700 oarlE bbr, Gd.. rd rh. pafl,i:m of
<br />rh. rtrt tur vhih tt!! rEd n i!$d My r*l6s ontEMrn rNu'iB M rn poky nuub.r .t
<br />Policy Numl'.r:JrpiEs:
<br />_l (nili rhd mrh. ltrldnrftc nl rl( wo,k fr uhich.ltrr tt,nrn n s.ucd.l J lmt.rykr,r.,Itrhn rr ylMnd
<br />$ a ro tranrrc uhlar to rh. lorkc( c.r{Esdion ,.w\ olcrl'rom4 .ft1tgN rhd if! shdulil h.drE rht d b rlE
<br />*ort6' lant!.riarbn pn,$rN or Sd{n 37m of lh L.un (:uJ.. I lull. lontwih luply srh rt s pbvrbtu
<br />W I.NING: Frilur. ro Ge wL6 6np.Mbn ovqt i\ unLrf!1. rnd ildl subii .nplorlt ro cimiMl FDlis.n
<br />civil fEs up ro oE lonlEd rhrod .ro[.r. lll m.(ID]. r rddlan b rll od o, curydirn. d.r8!r $ prDvit d fu trE
<br />S.ctbr vl76 o(rh. t hor Cul. hr.Ei rld dlmy r rrs
<br />LlcENSllD CONTn (]mR
<br />Deqdlallo!
<br />I h.Eby .farm und.r FMlty oI p.rlry lhut I u LicDqi lrh p!{ion or Ch.piq 9 l.onwNinr lith S.clion 7000) of Dilision 3
<br />.r tb. BBibs rrd Pmr.Biom Cod.. an hy lic.M ir i. lull ,o@ lrrl .[eL.
<br />Lic.ecLs: Li.eM Nun$.r
<br />coNsTf,t c_Trol LFtrri(:
<br />^GFrta'YI h.rb, .finm !nd.r Fuhy of F.ir.y rnd lle ! r con{trti. Lndirt rr.ry for rh. F.fl'm .l th. *nk *, vt{h fii Fnt i,
<br />ir.Ed (S€. ltl97. CiY C.,,
<br />ASTIICANLDECTASAIIA!
<br />I h.trr.nim u.ds F.rly of r'.rjr, {m or ft tu0oqi4 .L.l-dion'l
<br />D.mliion PsdG^llrior Ndirrd,, tue.l R.3uldxu Clrb.r0. P.n6)
<br />-R.quiEd
<br />tdtlt ol t*rrftari{
<br />_l..!1 yrhd r Icdcril Elol!(h i r8rdiry arlrsror r.BNl (c mr E9[.abL ro ttn ploit
<br />-l
<br />c.nrly irat I luw rcnd rlur rpllxdt'n &l ndc ur ilE lhrc nlfor.lron 6 c.|d l.!Ero mtrI)ly*nh sll Cn, r*l Colnry
<br />d.dhMccs and srd. lls! rcldrB t, b{illing co@.1iotr .d h.Eby &rhoril. r.F.sdrivcs oI lhi3 ciry rrd Chunt! rd . 6 !p.n rrE
<br />rbov. Enridn il pDFny ntr iNl.c(ix ruqr$s.
<br />Apptot or Alai Skulue- D.t.:
<br />Pmilc un.lDrlnlr:
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Vollage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER ftz-b L-t / tr)
<br />Transformers l0-b-h
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Bough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release j-z5z vlt,WAul
<br />Rough
<br />Service [/eter 4-27-2,tfid
<br />FINAL l0 - L-Zo
<br />No Remarks, Etc.
<br />Rev. 0a'O7 201
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