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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE lD/stG.COMMENTS OWNER BUILDES DEI]CARA'IION
<br />I hcd, .frm unda Frtr ot Fily rhr I m .i6nF tioE llt codrtrN' LiEE l^ for lh. folb$uts r.&i (Sc 7o:rlJ
<br />B6i.{ xrd Protdnn Co<t ): Any Cn, oi C@ll, stth tquiB r Pomi io odnd. .n6. mF\e drrrl.I ( rT.i dv
<br />$ErruG Fior h n3 !.o4.. .t!o Equir6 lh. .ppli.sl tor .uch Fnir lo lih I riSncd ndmd rhd lE or 3h. i! licaEd p!d!r
<br />ro $c Fovirh6 ofth. Coorddi Lkd!.d !t$ (Ch.Fa e. ConBtrins $ih S..lh. ?000 of l)arilion 1 oflh' aBiM ri
<br />PrltdbN ( o&, or th. h. n J. a 6oF rha.nm &d lh. bd! lor rh. dktal .t@Fi,n ,A., virLrbn olsaiion 70! I J bv ev
<br />lppli.or tu r Fnn tubjar rlF pplk&l lo !.ivilPcmht of ml mr.lhd fiv. huitu &ller ll50ol
<br />.L s orc oftb. FDrdlt. d Ey ctpby€ snh {rC6 6 ih.i rL onFldior $ &r rlE$sl.d rrElFitd
<br />iddld.d mor6.d fo;; ls<.7oi4. BdiBod PlordiE co& TIE(odrrrd r I klE t $dEd+ltlo6o$Eor
<br />rLproFry *ho tuiL! or trp.sv6 iEEtr rn $h &6 oct *!ll hiA.lf ot t.Glf ot lhmulh hit or lE o*n mph)_d.
<br />FoviLd tld un inprola,.it n d ncd.d off<ld liir st lr. hqe€ ttt hiEna d rp.uqc{ t -ld silhin r4 !q,
<br />of*pbin rt O** B,,ildo $ liE tlE hdar ofFDriq $i lE JEdillbl hdldor ng$! tn.F!F, torrlt FrF.cof
<br />l. u o"c olrhc FoFt . h aclsnd, c. rrdirg $nh [cd!.d snEdo6 l. 6'uru.1 lh. Foidr {SB. 7(I{. t}lilE
<br />!'d ?totin ao&: TIE Conr.3.. r tkd lr* d€ bl Alt ro r dE of FoF, slh h{iur or isFotB lh(M.
<br />.!d lho otrrrii lM rch Flixl! *ih. conE i.(rl lit6.d p{6d io lL Co rrld.Li.ELan)
<br />I dndcm un&r s6rii'n
<br />(ri na $oiKr'[s'ao[riIiNsAr toN
<br />DE(Jtljtlt!
<br />I lE.br !,1i' !n&r Frn, ol FJu.) (( .f rh. tuuo\ 4 J.<lrd aB
<br />I h.!. dvl will tuindn ! Cdtifi.lr. of('oNdl kJ s(lHdruE n\r sorlfl codF(lr ion. s ,ror idd ht hv sslnrn lr 70O o f thc
<br />l.E, Cod.. [* rh. FfmffiG of rh. {.rt lor $nth ln Fnn irBu.rt
<br />I hr\. rnd e ill d.inr.i. (srt6 conp.E.rion iNur.tu.. 6 r.rlun.d bt s(i M I7u) (
<br />rh. unrl (r *h(h rh! tnri L! isdV) tr.'Ld' cn'nFhdi.n iNU,d\. (rnd 'lF'
<br />t.-o \ (\<1r u/!"'
<br />,ur,.rr,,u,ro,.Vt.o\3Lr1l"vo\,r-
<br />)f rh. ltt,r ( d., turn Dsfot]la. of
<br />\Y]ln
<br />I cdit lhd in rh. Fto'rffi. nf rh.$o rtr$hihrhiFoi 't su.d. I rh,ll n.l .r9t') !n) p.r$n in !n) Mnd
<br />$ oro td,n. rbifti ro th. trortd'ooFiaioo la(. ol Cllinrmit. .nd .src lh'l ifI rh,uld b..orE subjdl k 'h.{arld' o'nFqrio. poririoB oas..rhn 17oo oarlr lrtrtr Co&. | lrsll. l.nh{ ilh .onrPl, q irn lhrs rtrr ki,rnr
<br />$ARNINC F.iluE lo m. nd!6 .omFdion .orms€ ii unhf,tul. tnd ih,ll :otlcl an qt lorn b dnind Ftri! ald
<br />cilrl fin6 up ro oE lurd.d rhousnd.Lll.B lltoo,lxrojrin ddrhn rd rh..ni olc'nlFMrmn. d,ht!6 6 frcld.d tot lh(
<br />sdnn 1or^.rrh. I*rr ('dla'.rd rd rh.r*'r lH,r ^*--' l I- :\-:i* *"- -- -- \' f l r{<-----
<br />D.r.: s\1:{\ \ ,rperr-,[-!' Lr(ErsE!-grdraacraf,
<br />DISAEAIXA
<br />t ho!b, .Ilm !'!& pqdlt of Fjrnr lni t m li.Eel u.dq Foliti]i 9r G.nt g (offiii* $ nh s.d nn To(,.)l .l ItY66t 1
<br />ot rh. Buins dd Psf<ilG ( od.. ! m, lk6F k in tull ftrrc. drl .lIftr
<br />'\J urt\1_- \c f.*.*..o,
<br />,.",.,;<[t&"aj\A\l
<br />(ol alglaNt,:BDlxc-&cfl(I
<br />I hd.ty.,lim udd l.n lrtolF4uD thd rlE. i!..odrudi.n ldding +o() lor rh. Ffof,w. of lhc\orI ln' \hkhIhi! lEnn ir
<br />i3rEd (sE 11097,(ir ( ).
<br />ATIII!!!I.II[g48AIIA!
<br />I hddy rtrm und6 IE.ll y of Fjrry oE ol rh. follo\ ins d.<Ldi.n!:
<br />Itnrliri.. P6ni9^:tdd Ndincdbn f.&r.l R.8oldFB (TaL,l0, Pd6)
<br />_Rqut d L.rE of Ndificdbn
<br />-l .srify lh. 0E ftdq.l csubi8 qdir eG ,€fuul a. ful +9ltd. ro rh. Poi(
<br />I cEri! rhd I lErc rd thir !p?li.db. dld tr.t. thd rhc .h.v. inLmiion i $nEl. I tJ,6 ro sndt t ith rll (
<br />.rd!e6 r.d Srrr. t sr
<br />.h\. lmtirn n FoFny
<br />App0otrt or At6t Sltm
<br />rn IE.hMlmtu lEre'.n6oltu( nlnd (oud3)v\
<br />D.,r _r _<,) I
<br />1r, I
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm/ Dampers
<br />Building
<br />Under Slab / Floor ,4\
<br />Bonding / Grounding / UFER (v.w0
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />a\
<br />Rough.i 'olA x-YJ1A
<br />Service Meter
<br />FINAL i -l- l)YY4lIJ
<br />Notes Remarks, Etc.--r
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<br />Communications Cable
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