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ELECTRICAL.INSPECTOR BECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS owNtt iutLDEt DalcrrlttoN
<br />I lEEb, rrEn unlr Fulty of Frrury rhx I m .kr+r tDn rlE clfu6' rilu t r aot t,E rollo*oB EMn (9. ?011.5
<br />auiEs ud l,r.Irion Cd.r: /t., Cirt .r C{ y }hah r.qu@ . F,rr b on{rEr- .lrd, inpreE d.mlii or EF! uy
<br />,rndE. Ff roils sue, r&...quft! !h. {'9lid lor $d p6r, to fiL r rilEd,{ord firhddrirL.u!.d Fldd
<br />ro (h. Dmviliont ol dr Co r-tdl t-i.rnBd tr, (Ct!B?. 9. C.mmEinB vnh Sctio. TqXl ol Divilhn I oI llE Bqlms .nd
<br />PreLt$N Cdt) ( th,i ll n lrE !.En+ thdrftDn.dl rrE h$ ror dE nL,rn.h+no A,y tEhbt ot sdd'7011., ht d,
<br />.ppli.o ror o p.mil ubjcb llE ,ppli.rni ro . civil p.nlny or not mE ttun fiv. hundtd doll$ (tixl).
<br />I. $ olnr .l rlx ImFny, or my .'nllh}ttr *irh v.3.r i rh.i sL otrFndira *'rl & tlt w* ,'d rh. tur r d
<br />i arial q oIT...J nr rlc (5e.?oa4, BxiE!' dd Pl.fcioB cd&r Tlf co,rranor'' Licc@ tr* AE nd {Ply ro o o*Er ol
<br />rlr F{dr, who tollb { ,lEE tt.@ an wL' dE rdr xti liEU d lErlf or dft{3h hi. d b.r oM.trplr}q
<br />proyid.d rh.l .u.h int}JmwmnB e mr id.,ncd .r oflord Id s.l Il h.l.E ur hilduu 6r u4Mcii i! mld Pini, m rd
<br />of.qrpLri'\ rt O*u Blitlr *ill h.E tlE t{nr6 ofFlira r lE r d. Jirl tEl hrill d irg@ rh. p..Fi, fn rlE FrF. ot
<br />-1.
<br />o owF of E FDFrr. o .rl'rsn.ly .oturrs8 rih lt.Ml ffi6 to @iM iE FFr (St. 70,ra. BlB
<br />u hDrdn Cod. Th. Cud.r.ktr r Lr.nr. trw des Bn aprly ro u ovft. of p.oFd, *ho hlildr or hDmvct rh.rcr
<br />rnd wtn e hr Id *h F.is *{n . c.dEr.(o li..,.d F6u!r b ii. cod.d6 r rite r:u)
<br />7
<br />D'CTJXAIIII!
<br />I h.rcby.tufl und.r ncnalry of psjury or nl rh.lnlhwin, d.cll.rsN
<br />-lhtE.Btp
<br />lnudmr(.nri.r.ofclnkd@S.I NUE nr *,,ld q,qldoc $ ,Dv ql for by Sdii,tr 1700 ot th.
<br />Lrh, Cd&. lor rlE Frls,tu. oI rlt rrl d rhrh rb. Fmi ! iiu.i
<br />_l hlv. lod siu tuihrlih wrrk.R' .onDcsdrn Bruriru., !s E{uiEl l', S(rDd l7m or rh. bbor Cc{., ttr rh. Frmrrec ot
<br />rlE kxl lr rlEh ih, Fni 6 isxd. My *dt6 Nn{.dr! lNmc ffi .!d Frlt,,S.r E:
<br />Policy Numh.i trp'Es
<br />_l confy rh, 6 r l*nu.rft c or . wdk fd yhrch rh! Itrmr ir sEd. I i!.ll rn.q)loy y Fmt r by lmE
<br />n & ro h..oE $bjcr io rlr srt.J c.np.Mnn r.ur .f Crl'fofti& &d rgE. $n ir I rlsuld tE .m rubjd l. tlE
<br />*!116' on!.Nt!r FUv6rN of SRrrr ]TCD of rh. L.tr, (irl.. I 'hll. fonnr.l otrPt *nh thE Fovsrfr.
<br />d@ wl6 o,riENror s!..[. ! !nL]tu|. lrl rrdl rbdl d .rrpt'F ro ollwl FxlE ri
<br />Blr?d iholtrnd dollss (tl00,O0o). in lddnb. k' rrE ron oI cuqEtrqriDn. d&83., s Fovid.d for rlE
<br />ixL. iord.r .rd rkmy., fdl
<br />utElsED-(])ulu(T0lTT(]II^]IQT
<br />I hdb, rffm unLr Fdny ol Fr4 rh.r I d lilst{ utrl< Ftretion oro4ra I k$.mu3 vih S<iin 7m) or D tEn l
<br />or ttE BBB$ rd PsrdDN Cod.. .n my la..e 6 r tull for.rd.lYd
<br />l-(.or. ( lrs\,-Li(.tr'. Numb.r
<br />Ql$iI8LL{:U9NlBUMi-dti!89
<br />I h.(by rlftm trftls p.Mhy.lp.rjwrhd ltE c ii r con{Mrh.lcndin! rg.ry nnfi. Fdo.Ilmc olrh. *orl l whihrhnp.rmn a
<br />AISJIANLDECIA8AI]9!
<br />I hdtrly ltrmuard F.!hy o(p.rFy om olrt tulhrini dalrrdbm:
<br />D.Dldhn P(ni!&lEroi Ndiff,dbn F-.n.nl Rc3ubdtu (hk,t0. Pd6)
<br />R.lui.d L.nq "f &rtfrrin
<br />_l cdili lhn ttr idds,l r.suLri8 r8lnrna 8lEsl'x rcmr.l e mt +pli.b! ro rhit pmilr.
<br />lc.nr,yrlur I lEvcr. tlN llIl'rrri{'n url nar. durrh. ltrrv. rlornrn.n n..mci I l8ra b condy snl, rD Cny rnd County
<br />'rJlm6 rrd Su. tr*r E&r!V h tlidi.S ..ns.rin ,n lEd! ruhrE rFI iB .l
<br />!trr. nrnr0kJ npp.ny fi,
<br />0
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Salety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino i Groundino / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouoh
<br />Service Meter t^.,tt )
<br />FINAL 2/1//-z '2,/ *\a-// /
<br />Notes, Remarks, Etc. / /r
<br />Fev.08-07-2015
<br />Cml' .ror-
<br />tarklr Add6'
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