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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ordNsR ru[rlr Dalalta.lrrN
<br />I rEEb, rrrD unds Fi.lty of Frnr.y ttul I !D .Etrpl tw' rll Cb,relo^ rrtM L.s for tlr tolbwiry EBn lsd.7ol l.5
<br />aui6 .rn P..f6hn C.d.) l\., Ciy m Cony vhih Eqle . Frr ro M{ru( .lE, t"proE d'mlio or EF! Dy
<br />3rMtuE, ,rir k, tlr iBuB.. !$ EquiEi th. rl.l)ltror toi Nclt Fdd tu fiL . risrd n.EDnr thd h. or cr ir lic.trql I'@.Il
<br />b rlr FrvilioB .r Jr ctu-ki lrrEd r* (crr.r6 9. c.llmrht vah Saro 7(I) oI Divt.n I .f tlE BGIE rtd
<br />Ptr,f.*hN CaL) {, rh{ lE d \h. i! .r.nqi lhGn$m drl rlE b.u for tlE dlr.rr .&ntFht Any vshi.n ot Setbn ?0i I 5 by my
<br />rrpldro..Fmr{biEBrh..!?r.dro..rvilp.MryolmrmErlIiny.hidr.d.roll,,(t5ul).
<br />-l-
<br />s olE nrrh. trnrdv, d 6y r,rf tilr.r *ith *.!.. s LLr ik otrp.dhn. *illdr rh. str rn iE lldf I d
<br />id.rlar r oaLr.i fr !! ( Sd 7ora, Bu'ir.. lrl PtoI6l@ Cul., Tll Cdddi tic.@ b* dB d +?1, ro & o,E ol
<br />dr FL'rdy wlr, t{illlor inFoB t E o! ud wlD d6 sI u,li tiN.U or l-Elf or thrDutl' lir d lE oqn.ryrlorE ,
<br />F.riLd rh,r txh ltFrftlu & r'l in.id do[drd & d. lt I$w, Ur toildir ( rFrEId n $B ritb c F,
<br />or.oFpbu rlE o*mr Built *illh.E G. bu(lcnoIplbvru rhi lEorrlrtlil ! ! ( i,isDw nEF,Fiy ro.6. pdpd.or
<br />-1.
<br />5 o**r of E Ftrldr. rm .r.hri\tl, cotu&to8 ,ih lk.BJ .!trixl6 to .lnrrul dE Fsjar (S<. 70a,l, BuriE{
<br />td Alasnc(ri. Th. Co dr'rLk.rsb*d6d.El,touo*ro,Fi'Fny*h.t ild! d opow! th.Etr
<br />dd wtu c.Ms ftr 3!ch p.oj.!u wnh. O,turbnn liccMd pu6u.rr h r Cotu-rtr t La.M L.v)
<br />-l
<br />,.r. rr utrd.r S.(rn,-. R &PC ror rlni r.rsn
<br />WORTO'rIS' COMPENSATION
<br />lECIdXrXp!
<br />I h.Eb, rflirD urd.r ,..rX, oI pEjury oE of rhc tolb*r8 dtbr.rird
<br />-llllErnrdlm
<br />m r C'difd. of Cl)e ro S.tr-l.e tr *ntd $trForDr!.r rovd.il id ht SdrD JT00 oltll
<br />L.ru Co4. lor ttr FlolJM. or 't. *od n{ *tEh rlr Fd r B*d
<br />,K,r.u, "^^^ *,[.u' u'np.Blron h$rsN.. s Equ-sl b, Strbn ]7m of rh. t hor cod., ror lh.IEfiru. ol
<br />GUrd. ffi {il colty Nn$.r E
<br />C
<br />_l c.nily rhar i', rt* !.rrornEk.olrlE *Drk for whrh rh! Fmir tr !.!.n,I JEll i .inploy iy tBsn n 6y lMffi
<br />s s to b.{om d*< ro rtE srts'@n{E@rn Lvr.f C$Ioni .d .8E rhr il I tlsuld b.cnm obrd b rh.
<br />Mrt* .!trs.nerbnpruvBnBof sNir.l?mof rh.lltrnGd., I ddl. fdh*trhLxnpl,wnh$orF!vEin..
<br />WALNtN(;: Ernur. k, cu. *0rl.6 en{Ensrkrn c.v.E3.unlirtul, .ni slEll rubFr rn d.hs.r{p.ovitnltrrll
<br />I LEby rfrrm ull.r FLlty ol Fru.y th, I .or lcNod ,nlq F,vnim of Ct lra I (omB[t *.lt Sde 70oO) of Dirsn l
<br />of rlE Bu'Es d PFr.$irE Cod., .al ny lf,.n€ s r rut rorE .,rl .lldr
<br />'Ltt'L
<br />t9lr18r([9fr]:ua!-xil:i!l
<br />I hftb, rfrm !n&. D.uhy or pc.rury th. rhs! n r @ncndir lc.di^! {*} ,M rlE tdrffi. .l ir q rt, }ttlt rti! Fnn i
<br />1(!rl rs( 1r.r7 cir. c.r.
<br />'d:r}l Ld.rd r.ruhi,'trr EB(drnB.rb.i,r rcDr.ls. n
<br />Bv. r. rl!\ Jt,t,l'.nr dri{rrlrlr( rh..ltx,v. tr'ntrnlhrrI 'cct I 13ra h conplv *nhd Ciry
<br />ddlffi !n Su. brt chr-y ro tlMiry col@din !d lxtby elrri4
<br />sbor Nnrirftd ln,!.ny td
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safetv /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Euilding
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)A\
<br />Walls (Rough)3-l -Zo Y"ttU)d)
<br />Ceilinqs (Hard & Soffit Rouoh )[-zo "vhlxn
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service N/eter /r..\
<br />FINAL 5'7t-20 A.{ll\c)
<br />Notes, Remarks, Etc V \\J
<br />Rev. 08-07-2015
<br />lrid.r'r A&B:
<br />-
<br />AI?TICAIYI DTCLATATIoN
<br />I hd.hy dnD u..ld Fnrltyolpcrjuryorc ofrb. nnbwinr.t l[nioN:
<br />D.nbhr,n P€MlA.tioro tidfrdu F.ddrl R.3UhDN (Tn ,r0. Pd6)
<br />-R.{uu.d
<br />h's of Nri6.nj6
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