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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI{AI^TION
<br />I n6dt affm !,!dd pa.]i, of Fju,r thd I m cr@F 6om tlE Cort-roE Laa* te tor lL folhenB '@n (Se 701I t
<br />Buin6 .,rl Profsiotr Cod.): Any Cny or Coudy ".I'th rqui6 . Fnr ro @6tu<r. rla. il4rllc d@Fllt or lt9., e,
<br />3lru.tuq Fi,lo nr iM...&orcqot6tlE@plkrllhrshFr.iltonLrr'8i.d{rmllh,lEor.irli<d!.dFi*i&n
<br />lo rt FrviioE of [r Contr&ror'! Lic6].d lrq (Ch!Dr6 9, Cmtri.s *t,! s!<lih 7000 of Divnbn 1 ot r B6iI6 nn
<br />Phr6ird Co<t ) or dta lE d ,rE B 6ary $d.troD .rd th. h6ir for dE .lkr.d dsr8bn. Ary rbhi,l olsdrbn 70! I t b, Dy
<br />rpplk !r for r Fhn abjcl! tlE .p?lic! ro.civil pdhyoltur norcrho fivc hudr.d dolld.(1500)
<br />l. 6 (,{c ofr,E FDFrr, d E, @pb)6 wnh w.C6 s rkn $b @trVqEdiod. wilt do d!. *dt at dE lnrl@ t ml
<br />iddr.Ld or offdql for sL (58.7044, BuriN dd PrDfdtioE Cod.: Thc Con6cio.'r Lt.c ls'.b6 Nt {?ly 'o
<br />D o"E ol
<br />th. FsFry rtD h, i d inpDrB tlEo! in qno d6 *h 6l hf,*lf or hqElf o. tln{3h hir d lE oh dph)B
<br />F.liLd rnd s.h iDt oldllfu ft mr itd'.Ld ofiRd 6r oL U, howE tlE hrildi,, tr ibForffi i sB *nhii on. rd
<br />orcoopLli ! tlE OwB &rild. wil h.E E h,r!.ofFoilt d.lEd tE.hd d hoild !rgt\.tlE FDFry 6rllE FrDror
<br />I. - w orrh. FoFry. h 6.hBi\.ly .o'rr.rins *nb ltd.d .0'r,116
<br />'o
<br />@lFn.l th. FoJ.ll (!td. ?01,{, BalB
<br />,i hrtsi. Cn<t : Th. CooIrrl.r'r Li..e t w d6 mt pply ro o owna of proFny wh. toitd! o EprcGlhdotr
<br />sd who olnnr for Mh Fors13 \''rh . Co'rElo(, lad poB,n b rh. Coff.dd . LilB L$)
<br />I m .r.mrl unds Selioo
<br />D.l. Oro.r _\ orl(i{stoF I'(s^-IoN
<br />DTCIJaAIqB
<br />I hFcty amm un<!s Fdty of FJUry oc of fi. follo* Es &.lrna6:
<br />I hN. id will minl.in . Cailicdc of CoEn ro Sdf-luN for wrtd o'!F!ii),! ! Fo*Ld for by Sdio! 1700 otllE
<br />l,60r Codc 6r t,E Ffdffi otllE rrt fq rtlih lt FEn i isur!
<br />I hr\.3ni *illmJnrrm trorlr
<br />rr,( \ ,r L{ \r.{h rhs trtn L Lrt-Ll \l\r rc',i{ ry'ir
<br />,,",," ' qla4o't-t"4r(' t/D
<br />,,,,.,,,,,,,* - /41 g>7 /
<br />Equi.d bt Sdir. i700 ollh. L.tor C.{c tor lh. FftnM. oa
<br />io. itu4. ffi td polay nMbd e
<br />,,,,,.. E//z.o
<br />I..('ryin ! i. rh. Ffoffi of lh. *!.L fs *tth lh! Fnn i! is{.{ I Jull mr orpby m, F$. i. st IDE
<br />, a to halm ubicr ro rh. *td6 o'!F!iio. L$ otcditom! !d .BE dlr ia l nEuE beom lubj6l lo llr
<br />erld coopqsrion povlariaofseiion l?m olrhc t bdco&,I ltBll. adhlnh onpry lnh rbr Fovliod.
<br />$il fin6 xp lo onc hu.&61thousd'*"Y"/lryff^*
<br />comtEBrbn m\cr68. s
<br />- Apptotrr:-!(-
<br />u(f,Lltlx.llul&1u4tru,(rlaAtl()n
<br />I hcrtr .rm utx,6 Friy of Frury rhr I @ li.q!.d uxrE Fririoi of Cll4la 9 (
<br />ol E lkir rd PrcEsioN (o&, !d ny ltac is in nrl lore rld .trct
<br />*nh s.di'n 7000) oal)ivsn,n 1
<br />' ."-,'," 0.,,,.,.7f4/rt
<br />(()\stRtr llr)\ I t\Dt\(; \(;l\(l
<br />I h6rby .fm ur& Fdy ol Fjury lhd llE i! t N.rrBrb,ldtdoS {dr fn th. FfotrM.c of llE wt tur *dE
<br />'
<br />th6 FEi .
<br />tru.d (Se.4097. ( iv C ).
<br />A?PLICANT NECI {TUNON
<br />I ha!t, .ftm u.(b FEt, of Fjury oE oalrE lolt's i,8 ilalrnbE:
<br />hElirio. Pdon'Aib.3d tldifdbn F.d-.| R.gulri(6 (Tnk t0. Par6l
<br />RGquir.d l,alr ol llori6.rid
<br />I.di4 rhd rh. fald.l rcguLrreB Esrdh8 6lEro! lRr.l rc B{ 4?l..bk 6 lhi F.i{
<br />I cqrrly lhol I havc r..d rha 4dr6rodM6 lrd Su. td: r.hi{ to tlr
<br />.totr mrio'Ed pnrpd, lor ispc(ion
<br />Appll..nr or &dl strluR
<br />PrnXfr ..m. I pnrr l: )(
<br />lo coiply sdh.llCir).nd (-ounit,t"r^ff#
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
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<br />Rough 7 /1/tt ,Man
<br />Service Meter
<br />FINAL ILt I,tr/il .-, x Lu4r6tr
<br />Notes, Remarks, Etc
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<br />Pole Bases
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