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ELECTRICAL-INSPECTOR BECORD
<br />APPROVALS DATE IDiSIG.COMMENTS OWNEN AULDER DAI,CIIRATION
<br />I h.Rhy .lltm uBlr lcMlry oa Frlury lh.t I m crcm lnh lh. Conratn- L(.nr tr* for rlr i'lltr*i4 E.o. lS.. rull 5
<br />B!sin.* !,rl Proti*i(,6 CdL): Any Cily or Counry shih rqonn , rrmil to (rnsrru(. .Xcr. itupovc, &frnirh or FP$ .ny
<br />iturur, Fff h (. rlu*c .{e N+Er rlE rrtlll! ftt 'xLh Fmn k' tllc. rrsrd ll.rcftnr rhd rr or rlE ir littr(n p{der
<br />b rlr I'!,vNFnt ol rrr Co.rErn t l-r..cn L:e (CtuFcr 9. Con1mn68 wirh Ser.r ,uD ol Drvllu I dl rlr Burtrrs !
<br />Pnrt (r,nrCdk),trrh.th.drlE!.r.q rhd.fr.d rn rlI t[rs ldr rlr .lh8.d .tt{rir AnyvsLrrmolSeliin70.115hyay
<br />appn(d nr . rrm rulr.rh llE llplKsd n, r crvn r.n,x, or tur mtrc rh.n fiv. hun lE l Jnuts l$Jll,)
<br />l. rs orFrolrh.ln,Fny.f my .noloyes wrlh u.s.\ r! llEr Y,k .omFnerrnr. w l d{, tlI *ut r, rlE {n{m !
<br />dcrLal orolt 6l fd qL (Se.70.1t. BurEs a.! fn'l.n$n! Cui.: Ilr (idr&!r'. lrcnq lletI6n +nlylox sE.ol
<br />rrr F)Fdy *l$ hitl\ or dth6 rt-rtn, rnl *tD d- rh sI( hutrkl, or hMlr nr rts,uah hs ti ts ou.rqtkrx.!,
<br />ptuyikd rh.r $!h .rr{'n'@fi m Dn nrdLJ *.n Gl litr qh lr, hrkE. rll tI J,n8 or mthkmd n tu wrrM rft F{
<br />olonlLrrn. ttE()wncr Burllcr *illhlt rrE htLt n ol tn,vry rhd h. r $. drl ftn htll] or urtrk dt l]tltEdy tuih. PUIFE ol
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<br />rt owE of rtr F{6y. r.lrlulEly LrllrBrn8 r h lt.trrJ odr&1,n bd,tr{ur rlt ftuFr (Se r0a4. Burc.!
<br />.ni ti*.sm CnL: Th.ConrR(tr'! l-f,.nk hw &.r n{ +tly h s o*tur orPn,Fny rb bllllr.r FI,DB rh...'n.
<br />.nJ plr) onrnctr nr {ch pn,Fk w n, C.n!tuh(!) lrfrd rr^uor r. rlE G'ntrntr'r L...< U*)
<br />I rn.rrh.t un l.r *Lrion R & PC hxrhN rcrw,n
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<br />DTCLARATION
<br />I h(r.hy rllrn unJcr no{lryo, nc'jury onc ol rh. nrktwnt J..brar!)nr
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<br />u.r.C6r .tllc ol Cbnd n) s.ll-lrN ld qrtd @qEqr$n,8 FtrvrLrl ftr hySnri,n llTOO of rlt
<br />Lrr, (ur.. rr
<br />'lE Frlilrilnr ol llr *rt tr *tdr rl.. Ftut 6 sruJ
<br />I hlvc ind wrll m!! .r workcrr' rontFn\lr.n rnruiltr(c.1s rcqutr.d hySe.r(,n:17(llolrhc tjh.rC,ic. ntrrh. FltmBn(o,
<br />rhc worl l,n which rhil ncmir,! inu.J Myqork.G (oflDcnurk,n inlurrnrc.d dn F,lky numh.r d.
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<br />(nrrrrhrr orh. pdrorMruc ol lh. uork nn *hf,hrhnFrm r Nru.d.l shallBn.q'k,ydy l.r$n in.nylmmr
<br />s' $ r' hetm ruhFr r, rrr k'ln con{rniro. lrwr oi C.lfomr. rrJ .3r rhn if I !h tl b.tom tuhFr ro rh.
<br />*ort6a df,{xtrer F)n Ixo*-B oi S\-rr,n lrmol rh.l:hxCtJc.I {dl nrlh*trh *'rq y *trhrh-F,vlnns
<br />tl^LNlN(; I'!rlur. t) {.ur. w(trk.^ ronf.nqfu'n \ovcratc rr un!$iul. rnJ \hrll nrh,('(r d.nrnl()trt n) m'nrl fnalra !.d
<br />S€ri'. .1076 ol 'h. I ih, (ixl.. nr.rn r,rl
<br />,/a. /, 1 1
<br />lEI.rdSaLloN
<br />I h.Nhy.litm unticr FntrhroftF jlry rhrlI m li.!n\:l unJq lr)riii'n o, ch.J)l6', (comnrh-.m3 w h s.tr[n Tldr) ol l)rYi$'tr.1
<br />ol rh. Butft( rll Pnr6ri,n5 C,rL. !n ny L.cnc r tr lull tiE. .d.iR{
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<br />I h.ehy dlftrfr unJcr JEMlryolrcrjury rhlr rhcft i a dtn{rurrin Lnlo! r3.fty t{n ri. ItrlMlint d,lh. w.tl Ior enrh rhtr ltm n
<br />isreJ rSR_ :1097. Crv C r
<br />AIEIISAILDECI.AEAIIOX
<br />I Hry .llm ufrLr Fn.h y of ,rrjory om ol rlt nnlrwuS d.(l,m$n.:
<br />rr.r,lrNn P.m're^rh.rkn Ndfur.f, For.[l R{uldDnr rTnb{o. Pd6)
<br />_R.quftd lrn.r I ttllfstrn
<br />I G1 i lhal lh. l.lcrll rcPhrR,n\ F!!rUr! $hc{o\(n'r.llrc ni rml.ahk tr, rh(l)n,l.tl
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<br />..n ny !,'rt I rEv. Erl rh6 .I"isltD rn {tr. th, ilE .k t ulofrr,'. r .mr I lsr h o,rtnrdh.I C[y rd Counry
<br />orJuN.t .Bl Srrr. brr Elndls ro tu lhtof,iRlr,^.,rl lElrby rtou.qffidrErolrhi!C,.dCou vnl.d(uFrrh.
<br />,h)vc nurrnrJ pnilrny I'n 'n\l^_(rDh t,tr'
<br />,\|lllln trr r \!(nr sixnnh'n
<br />PdrrlL. rm r.rt,l rl
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bouqh)
<br />Ceilings (Hard & Sollit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Itileter Release
<br />Rouqh
<br />Service Meter \
<br />FINAL ld -2 -t?
<br />Notes, Remarks, Etc
<br />Cr
<br />b,, /o'l E./1
<br />Life Salety /Low Voltage
<br />Sub-Panels
<br />Air Conditioners
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