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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/stG.O\[NER BUILDEN DTL('ARATION
<br />I h6.ty sflrm undd p.i,hv of pdjury thlt I en .tcn{, tod rhc Conrrrdoa Lk.e l!\v for ih. lollNiis rce,i (s* roll.J .
<br />Au',B rn Profsh. Cod.) An! ( iy or (i\udv *hth r.qun6 r rEmi ro mnqtuCl. .h(. iEFor.. d6ml;h nr rqr r!
<br />ntu t6.. Fir to !'3 isffic. rlo Eqoi6 rlx qplkd lor sh F nh lo nL. rie..d sd(r6 hd lE or nE i! li.6!.n Fni&r
<br />ro rlE Flrii.B of E Co.rdoi! l-i..@l hs (clqr6 9, (i'dnftins I hi Scdior nrxl ot Dn irion .r of rlt aB'n6 &d .
<br />Proadion! Cod.) or lh.l lE or !n ir.tmpt lh6.nom.nd rlE h.ri! aor rh. rll.B.d.r6Fnr Anyviohrb.olsdirnTrrll 5bley
<br />lIpli.mt aor ! psmn rrbjGr rhc rppli.er ro.civiltsrhrolnd mE thlr fiv. huffn.d dollor (IJ00)
<br />I. . @6 of lh. EoFty, d m, drlols *ilt sre6 s rh.ir sh omp.Mbn. *dl dr rlE {rt rn rE rME ii d
<br />ilndrlci or ofi,ld l- sL (Se.7o{.4, a6ilB rd ftDli!.ioq ( od. Trr Codr-r( ! La.* I rw d6 Fr rp9ry( l. o o{c ofth.FFy *tB hiil4 or inFD!6lh6oa ad *ho &E3uct f,! hirolf or hftlf or lhnru*t hn s hd orn mr,lo)s,
<br />Fovidaj rhrl .uch ntrFD\qEIl! ml inldndi n oll*d tur $t lf, ho$6q, rlE hriur$ G inFbrffil ir mll *ihin oR )a
<br />oronpldi(a llE (xE A{ildr will hrw tlE hif,lq' olFunt rri rE d d!. d'd lbl hild or i4rnr! |lt lrqEr, i'r rrr tarFr ol
<br />l. ar o$M ofrh. Fopcny. m .Kluir.ly conrdi.* sirh li.6.n cofuebn ro.oBrtud rh. pfti(r (s( 7(x1.[lurins
<br />d t$f6in cod.: Th. conr.dor'3 l-i.d3. I .s &6 nnl ipplr k' montrs olproF.ny $h(' huildr o. i'trIl(n.s rh6<,n,
<br />sd sho codn.lltorschFor<ltsirh.(n dorlr li.cBal purlld k, rlE (.o rsoir t-i.G l,tr)
<br />I m .idp uald S.(|ion
<br />l)rrc l)hnrr
<br />n]xliEB[l.!!!ru -saUt t
<br />llI(.L^&!r!gn
<br />I hd.l') rfim unJ( lE.h\ olF]tn on. of rlE i)lltrlnt d.(LnJi,B olh{\.ud$rllnrrinl.ina('61ili(ircof(i,trtd n) s.lIlnsur.litr$orkdr ( FLdnJn,ist(rid.dli'rl,rsdri(rt70(r.
<br />l,qx ( od., fo! rlE Fn,nf,M...r'h.\$rI in \h'ch rh.Frn( . '!su.d
<br />do'.-*r,-,r".*. d mflv.rE En ituk.. - Eq!-!d bt ldirn]7m orrh.lrn co&, tu rh.Ftl)llreof
<br />E slrt a6 $ia,' rhb Fnn b is,.d. My *dtd onFBiio. iMlre ffir rd Fli.y n!mb( !.
<br />,,-,.. ST,r€ oon ftl > an b,U
<br />'\'tr\\. { 77F 67 7{
<br />.r*5. Fzl*,..* tz/y'7
<br />Iccnirylhr'inrh.pdfo,,Mtrc.ofrh.\o ntrshthrhisFmiriri$ftd,I.h.llnol.ilno,.nypdsonininr.trnd
<br />$ B lo tx{nft 3uhjd k'
<br />'h.
<br />so{qa comrngl bn llqs of ( llia.nria and d*E lhdl il I sbultl hNomc ubi(l ll' llE
<br />{ular'.omFrerrnForsir olsdnr]7urotllEttry(i+.Idtrll.lonhtrirno'np\{irhnrsI,o\.hni
<br />Nlil(;: t.iluE ro Ru€ udl6' onFdnn .o\ ds. t u.lrs tul. od 3hrll sbl<1 m dnplor"d lo minal Fxh6 d<t
<br />nn6 np lo onc ntrn'lr.d thouknd doll.n {tl00.Oo0). in iddinJn to h. (xr o, .rnrr'ctrnnnn'. Jr 'nN6 n( |'f\ .n tur rh.vyw"n,,*,, (
<br />I h6.t r !fllm un.L. Fn h!- of tFrury rhd I en lnqrql undF
<br />'strn'
<br />oa( hrfrr a (cotrnn.n(trlt \irh S.rrkr 7(rro) rl l)'\ 'r-i r
<br />o, rh.8{sil6 !,ii P6rsio6 ( od.. rn m} h.* i! 'n tull forc. rxl.,Id
<br />l\rtr(rla$. B
<br />-, ,/r r/r,f?{/} z*
<br />I hq.6t .Ifid und.r lEnthy of pGjury lhd thsc t !.on
<br />is.d (sd 1097. ciY. ( ).
<br />in8 r8dr) lnth.pdtuNnr.of'hr\1tr[ Lr shichlhnFrnil ir
<br />AIIIICAIIIIE(IABAITO!
<br />I h!6t ED u.&r pauit ot FjuD. oE of UE blhtr ins ddbn nB:
<br />D.mlilion PmnlArb6lor NoliiGihr F.dc.l R.Suhlionr lTirl..l0. P&r6,
<br />- RaNn.dlnt6otfhi6.dion o
<br />I (dif\ rnd tlE Ed.r.ii.suldFBrsrd'nsBlEslGrEnrrlr. Rn rflrlt,L rorhsrroFl
<br />U/.-,rr,nn , **,-u,n" "nli.drn. anl3r .!hnr rhc ih\. trltnn,xritr A (Lr'.r( I iS,( ro (nnf l\ \ h ilL I t\ rnJ ( otrtrr,
<br />oidiMxi od Slirc li\r rcldin$ h I
<br />.&'!. nErioE{ PrDFd, am trEFdhn
<br />ndi...,rl ho ! rtni7. r.F6o6rn6 olr
<br />,rpprt..rr o. rrgor Slrnn,c f Pl/h^
<br />":":,,':;);"/;*^"
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />ht Standards
<br />Spas, Pool, Fountains
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bondin / Groundi / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof To ut ment
<br />Facto Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ir4eler Release
<br />Rough
<br />Service Meter
<br />FINAL t>/'z ltt ./o<4r(/7.)
<br />Notes, Remarks Etc
<br />COMMENTS
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<br />Siqns (monument)
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<br />Ceilinqs (T-Bar Rouqh)I
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