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ELECTRICAL.INSPECTOR HECORD <br />APPROVALS DATE COMMENTS OWNER BUII,DEI DELCATATION <br />I h.Fhy sflirm uM.r Jxn.h, .r Friury thd I m .r.npl tion ih. ConlErlon l-ic.nE ks nrr rh. followir! r.t*m (S( ?o.l I I <br />Burings .d Prolcarion Cod.) Any Cil) or Cou y whih Elunc\ i rmi, ro d,n{Mr, .1r., imptuw. &mli{h ot rqrt xy <br />(Ndurc. Frr kr ilr nsuR. tts EauiFr llt qrplkut for uh p.mir r, filc a li8n d vd.m rh.l h. or +E i liccn€d PN.,il <br />h!h.Frviri,n\ofrlEC.nrtur'rl-i.n*dllw(Ch.fld9.CollmrinswnhSelhn7fir)o,Divni,n.lofihaurir$.nd <br />&ni(ii,nr(hL)orrhlllErrlrncrcn{ ltRtun rnd rlr tssis tor rhc,lhed cr.q'rktn An, vhh'hn .f S.dhn 70:t l.t hy rry <br />omli.! nn r rEnrir \uhj.nt rn +r icrnr ro r.itilFdlryormr mm rh,n fivc hlidrd dollu\ llSlrr, <br />ffi ^ ".*, * t* dll'*ny. s my crI,hFr *irh *rEcr I rlEt $lc d,rit.qr.,n. will d. tlE k* r,n rb (rErF ir mr <br />id.irl.n n orYcEn for sL lss 7(X.{- Euriri md Profcr\i'B Cd. Th Conrdor'r Lient L* d(a Bx .Irly ro rn o*B ol <br />rh.f(rdv pt tlilil1 d -qrtrs rh.6n ud *tF d(E uh sri hilrrcl, or lrElf or rhn,lth hi( or lE ou.il'tllt i. <br />l'nviddt rhlr uh inFrrmdr @ d d.rlcd d olk rd d. lt hoErs. E tlillil{ or iqffi'd k -ld rirhh w Fr <br />ol a'rvLri^ lrr o*F Boi8.r will rrk rh. hdc. or FottE ild hc d rh. dn di tuild m iqmE di FqEry tr rlr F,FE or <br />I. nr osF or rtE Fllrny, rm .r.turiEly mnrd ins rnh lirncd o,rrrlc ro .onrnH rrE F,rd r sd. 7014. BBrK <br />,,n h)Fdn(ixL Th. Conrrr.ir l-icnr L$ {tE3 mr .prly ro r" o! E .l F.Fny ah. htili! or imnr.t. 'lEon.rDd wln oddr [d qh lh,.dtrnh r (lfid.n.t latrEn runu r.rlEG' rar(\ Lio< l^) <br />,r.r, . g'Y '11 i,,,"".y- <br />I li,.t, rrlntr, trn,1.' p.nrlr) or Frru,!,,tu urrh( fdl,,s'a! <br />I hrtr rn rill mn{rin r Cdif..r. of Cond ro S.lf l6uE fr wk(a onIENrirn. B F,vi:ld l hyS€ra,n:lxl) ofth. <br />lrh, Crnc. nn rh lErLrmrc otrh. s fr, rhih th. Ffr (n*d <br />I hnrr rftl r <br />' <br />ll minlrm rolkr( comlEni.tion insurlr.. .s Gtutun hy SB..r ii'n l7i of rh. lllltr (ix].. ftn ttu FntrnrN. of <br />tlr sorl nrshi.hrhn Jtmn is rqrn Myuorkda omFnqli.n i.suBEe clrir rrl F licy.untr. d. <br />fk(iiryrlur rh. f4rronrumrnrrhc rork tu $hich rhil p.rn,ir is i\{r.d.I \hrlltror crnpk)yiny p.^on rtrnynrnnn.r <br />n' r\r, h(o r ruhjr.r k,rh. uorlcn ..nlp.tr\6rion hs\!,Crlil.miu. undlsrccrhd if l \h,rltl li{o'm r!hr..rr'rtr <br />* *cr\ .n.rFnntrirnrfn,urir'nr lsccrion lTlx)olrhc btrn O)de. l shuu. I(inh*nh conrdy wirh rhorpa)vi\i,nn. <br />8-b-11 <br />I h.Eby lmrnlnd tf, lty.fF.]!rylnd I lrn l.In<n utr riri.n ol Chafl.r 9 r$mrntri.8 eith S(i'n Tlxx)) or D&nn,n I <br />ol ilx. tlu{'x.\\ trtrd hrlc\nonr C,'dc, Drn nrv lf,.trr $ r fullfor.c drl cflt.r <br />raN,l.IBucur}lLltDacJcElcr <br />I lrrt'y.flir ulid FNlry.I lf,r,lry rnd rtft i onrMi,n L.din8 !8.Ry Lr rl[ Fa(mEr ol rh rvt fitr *hich rhh Im! i. <br />Fru.rl rsd. 1{r7. cr c ) <br />I.nld 5 dlt.( <br />AITIISANIDiCIIAAIIII! <br />I hd$y.rm uBkr F.rht ol p.rr{ry oN or llr tulbsinS .k LnlioN: <br />D.ffnnaon P.rndr A3lE<or tkiiri.rrirn tu nl R.8u!.!inr lTnb.r0. Pan6) <br />_R.1!ifti lr(d of t*rifdio. <br />I (dily lh.l llE ridcnlicsubrion! Elldins r\tEdor rcn rl . nn .r?lEahh to rhir llr,Fl <br />tMi^,' 'r.,,*.....uui\ 'r,rrr. r{,r.rJ.,,r'. ,ri..'h.!c trr' u,i{nr..rn, I.!h'1, <br />,-F,'*u..'.,'trr.r,t,"'.1r,+r'h,hln.u.ri.y+n{n.Jrlhc.Ft"rhr/rhF.wlrnr\^rr <br />Jh" "rlrx{\r nh{r'|} ir1::-inxb- <br />tDnrr(lnr nr <br />^$nr <br />\rrMrure F- T I I U <br />,,rmr,.r,n,.,prtn,,:F uufi &rru <br />.otrf,ly u ih n l( Ivikl( ',unrrh'1('it !'rl(i'utrrr_ t' ctrr.r trFrrtr <br />,^,"'g't'[4 <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Founlains <br />Siqns (monument) <br />Life Salety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Translormers <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equrpment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Rough I <br />Service Meter -T-?g j7-z 'l"ol .xvI <br />FINAL <br />Notes, Remarks, Etc <br />ID/SIG. <br />Site-Work <br />Meter Release <br />Poli.y NumtEr:-ErIift r: <br />S..rrn' (r7()flrl'.lrhtr(iilr triflr{ riJ rnfif,! \ lrr\