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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<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 I
<br />Bonding / Grounding / UFER t \q l8 Jff.r4--
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough),l
<br />Meter Release 3 tc1 rg Jq6^.l-L
<br />Rough 3tFl lB &r2-c[-Utsta-a-
<br />Service Meter tg \t(<JL /,2h'g-lo
<br />bA4l,59FINALq!t A-J,A*,/,/cVYz\
<br />Notes Remarks, Etc
<br />-)
<br />OWTf,t AUILDET DEI''AXATION
<br />I ffi, dtm uidq pd.ty of pdjury lha I a adnB 6od rlE Conr-rd! l-rae lrw for tlE folbwidt la. (Sc.10l L5
<br />Buina od Pofaioo Co&): Any Ciry or Counry shtn Equi6 r pq,nh ro otdruc1. .lts, inprov.. d@lith or Ep.t ey
<br />,l,ucrwc Ftu ro hr irsl@...ho r.quir6 rhc +pli&r for M! Fnn !o 61c..'S!.d .ra@r rllr lE or ri. ir li.sEd plEri
<br />b r Fviri,G ol it Corr* i Ltro!.d l,* (clr+l6 9. Cffiitr8 wnh S.(b! ?000 of Divlirn I of rlE A6i!E ,nd' e
<br />AD6ri,E Cod.) or lh, h. n itE i MF rta!6oh rd ln. b-ir tu tlE db.il dalrbo. A!, r-labo of Scrb. ?01r , b Dt
<br />ipplkut for r Fhn sbjcs rlE Tpli.lr ro.civil p.tuhyotDr mcrie fit. hu,!d!d dollr. (i5m)
<br />j \.[. * .*.rr* p"p-r]. o, m) .nplorE w h s.36 d dEn nL omFEdDn. GU & rh. wl rd dErndc. mr
<br />urcd.d trotrsld fo, sl tsr 704r, AdiB.rd Piofisbn Co&'Tll.co6..ro r ltlB t *&€d+tyloDoeGof
<br />llEFDFi, wlb t!il4d irFtrEllE@ !deho d6rdr wil tilMlldlErllor llloush hir dt oEdplott6,
<br />F6vid.d rhr Bh 6Fo€dr&d ira.Ld dolE d fti( rL l( lrrt€, rlr tuu.a c itFrffi ir -ld rrnb c )6
<br />ol@npbin\ dE O*G As dr $i[ lxE dE hriqr .aFovi,E ti lE d .h. dil d hild or itrV.!\r dE FrFty 6r iE F,por of
<br />L * oec olrh. F!Fy. m achai!.ly (oddlB $th lkd!.d .odr-loE lo ordM llE Fqal {56 70,t1. ttred
<br />.n PhkiE Co&r Ttc Co'nr-loir Lt.e l.r' d6 Er qrpl) ro u ow ol Fopdy * ho b{ildr or imFord rha@1
<br />d who offirfdshFoF wnh.Co do(t) lilIal Fl!!d totlEConrxld r Li.* l^)
<br />lm.r.mDr Jd Sdttr,n
<br />-",bl,lLs
<br />.8.&PC ((lh!r@r
<br />*.-* f1o*,. \)
<br />!!8E!88-CA!S.1S rl)!
<br />DfIIJXAIIOIj
<br />I hd.b, a mrfr un& p66lry ol pquo oE ofrh. following &.ls!rio6
<br />I trv. and will mli.tain r c.niaEar. ofco,Ht ro sclf-lBurc fn mrt6 co6n Ndion. s lrovi&l lor by Salnrn l?1xl or lh.
<br />llb.r coae b. llE Flm. olrh. mrl an trtah rh. Fnn ir isu.d
<br />I h.tr !d vill m.du *o,t6 conF!.rN. uMc. - r.quEd br Sdhn 1700 of thc L,Dor (h&. for th Fnffi. of
<br />$. ert ror whtfi lhir p6nn . s!d. My *!rlc mnFE rn 'BuM. crnd .rd polry .u6tE G:
<br />5 d:r coriry rrur ir rrrc pqr.ltlE. urrlE worl ad whth rhs Fh! ! s!.d. I ddl sr stploy &y F$n 6 6y @6
<br />$ B ro baom€ rubjct to rh. $1116' compqEnion hw! of Cllilomi!. ed asc rhd il I 3huld beoD. lrbj6t to llE
<br />wort6 omFr.liod prcvEn'B o l S.dion :1700 ollhc l,!.r (in , l !h.rl. aonhwnh .omply wnh rh)- F.virioB
<br />\raRNlNC t.ilu. ro ff trerlG onFli'on coratsc ! u.b_tul ltd ih.ll ebrer e 6phF ro 6imml FEhi6.rn
<br />.n nnd up io oE hun<L.d rh.uLld dolld (l lm.om). in .dd rn to rh. .d ol .oniFM i.n, dM.36 d F.vd.d ror th.
<br />\rritf 11176nfrh. r,t rtdl. '.r
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<br />r riil-sr-ri iiiir nStox
<br />uKl..leulg:
<br />I hdrt! .trEn u*ld pa.Iy or Fjlry rhr I m liGEl u.& Fovirio. of Cl'.C(r 9 (o,rll*'.8 $nh s<li,n 70(Jl of Dn ision 1
<br />of rh. Buind dn PmfdioB (-o.!., .rn my liN i in tull fo(. d clt6l
<br />cartlaagp!.LldD&clcE!(aIn.t,.IrmlntaFrXyolFJUryllith.ti'todrEri{lddt8.sd,totllEFfttttEEofllEw*fttrsnrtlhi'F!ra
<br />iq{.d (s< 1097. Cit C)
<br />I cirld'. Nc
<br />IPPLrClrtT D[f |_J\qATION
<br />t h.!tt.fiih u.dd Fdly of Fjo,t om of ln. folt $tE d..l'rrhB:
<br />I).mlnion PamnlAshdro. l'{orifdlion F.ds.l R.suhnB fink 40, Pur6)
<br />R€qut.d L.fi6 of Norificibtr
<br />I .drit thi rh. Ldq.l rcllldi'N rEgrding ab.ed lgmt J E. d tplic.bk lo lta FoJ.<l
<br />Q \l cdr6 rhd I h!'. @d rh! q'phcd'orud rd. rhd rh€ !bov. inronntrn, ! (.ft6i I ,|Ero 6npl, wnn lll ci,
<br />'n<t
<br />couory
<br />ordinlNd md Sl.r. L.wr El,lin* lo buildins conlltoclioE erd hs.by lurhori,,i r.F*fl ir6oflhi!('it,.rdCounlylo olq uF.lh.
<br />sh {. mdr o.al Ir,,ncn r nv iBndr i,,o Frpqs
<br />App,k n,orAF,shi.,r( >. Fe.t -t
<br />) D.,.
<br />pmrremmrrpanrr, F 5e^.*.S \) o'\etrc <rnt
<br />.C,tln
<br />tEt
<br />Eth'
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