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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS I owNER EUTLDEI Dgl-cananoN
<br />I hcrcby illrm ufflq Fnrhy or F tury rhrr I rfl cr.nll'r [i.m thc ( onlmdm l-t..q lrr for E i,llowinS Eaen ( S.i ?9 1 5
<br />Au\in.!\ id Prot r(i0n Codcr Any Cily or Counry whkh rcqun.{ ! Itmir b .on{tu 1. all.r, iorProv., &mlih nr ftImir .ny
<br />{rudlE. Fir ro ir{ n u.Ec. .ls !qui6 dr q', t! lor iuch rffi! ro liL. riaMn {.l.trnl lh.l lE or rt k litnrd.F,sd
<br />b rrr F*i.ionr of rlr Con|trd r t-irn<d t r ioEflc. 9. cl,mctritrs rirh Sdrion ?m ol Divti,n -l ol rh. Aurirs r,n
<br />Pn,r|(k,nr CdL r nr rhi rE or srr i. cr.q'l llE fion !n ilr h.rir Io, rrE rlk!.d .kqr i,f, A.y virlllion.f sdnn 7o.ll, brrny
<br />q,nlaa tor a p.mir tubi<rsrn lppltrnrro r.ivilI,.@hyorm! EtBiiri!. huilEddolr8 (l5ulr
<br />l,;. owN or rrr FoFny. c my cryhFs wirh *!Ecr !\ rh.L rrL .o'rFn$ri,n. *illdr rlE nrt r.d rhc sdE i
<br />i'rcd.n (oftEd ror slc rse 7fi4. turi6.rd Pi'r.irffi C.d. rlE Co'rn rdrlitNtlw&E.flx+t yhrno*Foa
<br />rlt F,Fd, wrb hirtrd in!.nrB rEr .,n *E, d6 uh n'l hinrlrot h.rerr o, rrmulh hi d lE os.i?L,F.r.
<br />nn*ld.n rhrl lEh OqmErdt E mrhcn&{d dtd for sh lt b}ffi. tE trildi.A or iqx'Eld i. bld raho rE Fr
<br />or!{l{lhtnn, rtE I }iiLr Buildq willhrE rlt rnd.i nIl[.lins rhr rBr rhc dd mt hoit ( itrFrt Ur ItuFny for E |[rIrEof
<br />-1.
<br />!! N'E.f rlE FrEny. .rctu\nrlr.odrldina f,irh li.nel.odrdoF lo nh(Mr rlE lrord lsd Tor,1. Aurtr(
<br />,di l\I'ksim c(xi. 'Ilr Conrdrofr l-i..nr Lp 'ldt ml aflrly t, !no*B 6llrl,Frty wlE boil.lr or imProE. rhson,
<br />und *lkr .odn.r (n !rch Far(rr sirh r Conro ,n,lt ns.d pununr '. ttr (L'nrrnlmi l-tcnE lir)
<br />l.D.rcnfl un,lcr s.irion-
<br />lhl. ()rer
<br />tloRl(sRri c(rltPff{sanoN
<br />DECI.AIAITA!
<br />I lcr(hyrllirnrutr crp(Hlryolpcrjryotuolrh.tulk)*if8d..larulrtrr\
<br />-lnlEsdrilldi
<br />in r Ccdirr . otcoMr h s.lr llls fo, qlrr ' &ryr.et ion, 8 Folircd ld by Sclir troo of rlE
<br />ljtri (xj.. an ,lE F.fmllrd o, rri *nt fd *hi.h
<br />'rE Fnlr ir i(Ed
<br />lhtrv.n dqrll,minr nr workcrr (ornn n\rli,nlnr\ur ruc.u\ (qutrrlhySc.ri,rn lT(x)ol rhc litrr(ixt. ntrrh.ldn nhN.ol
<br />df, $ Drk i(r wh'ch rhi Fmrir iri$k My$orkcn (onr|Foeli,)n nsursr. caft iRlF,licynumhcrik
<br />ll^llNtNl; I.ir r. i, y.. r. ! ,(.^ LonrF-ni rtr, ,,tr.rr8r d 11 11{'6,..r rtr. ,rl,)tcr ru airni' Ftrillics trtrJ
<br />.trrl liN\ trp n) oE hutrJr rhotr\ trtl ,lrllrr l!lrr,.rrrr)f.( ol conrpcnsri'[. ,lrtrn3cs tr\ pi,,rkfud frn ihd
<br />,,",. Lu"ilt4
<br />IIECIA8AIIOX
<br />I h.nn).ntrm und.r FMlryol F jury rnd I d lifta<l un,.r Foli<rr ol ChaDr( 9 (omrrin8 tirh Strrbn 7(Ih) nft)irilion.l
<br />or
<br />'h.
<br />Bu'6. inl Pnrrc.rhn. a.&. .,n ny l.or n i. tull t,N a'd cfidr
<br />6ltq IK
<br />coNstral icTloN t sntttlN(: acFNcv
<br />Ih.Ehy0fiiflnuRld pcnrhyorpcrjuryrhrr rtse kD(,n{ru.ri,n Lndint !8.rcy f.rrn por{r@kc ol rrE work for *nth rhn Fmi n
<br />ksu.rl (S.. lm7, ( iv (.r
<br />A.8EL&nNfDElt IBAIIO!
<br />I ho*! .trm unds Fn.lry of Fruty nt o, rh. tolk,*in8 rt tl[.rir\
<br />Dtn,liibn P.mn+Art {G tlotrfrdrD tu ol RcfuLrinnslltk *1. Pd6r
<br />R.quiEn krr.r oI Ndirrrhn
<br />I .slify rhd Inc kncd e8uhrhnr E8&,ins !+E{$ icm,vll (c fl qlolk.hL h thi. nmitr
<br />l!(ar'l! rhrr lru\.krl rh'\rl,p li.rhn n{,r.ihd th..tnE i.tuiulion ircirdr I 4rr ro dr,tdy *nh.[ Cny rd Cou.ry
<br />odina,R\ lnd S!"r. 1,*1 rchri.E )n. !n lEEhy .urhni,. rF&r dns of thir Cily .rn Counr, ro dd rlnn iE
<br />.hrvc nrnln,ncd nn,Fny tur inspr{i
<br />Applnml nr ,\*.nl Sittulure€i Al q lt)
<br />{lrq/ ry
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />l\ileter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Pole Bases
<br />Communications Cable
<br />Air Conditioners
<br />I c.nilirh.t in rh.FrhrmRrol lhc work rin *nEnlfin Ftnri' n ni!.d.1chlu nn m{,hy r.y lxiv,i in.nymnmr
<br />v, n) lrsB slhFr lo rtr k ldr onp.nqn. Lr i of Glirornr. rtrl laE rhd it I \buld h..om ubii to rlE
<br />*oil$ srFngri.n nn'lni'nr or sdi ir. lTln of !h.liffGxL.I ltrll. tdhr hn'n l,wnhrh'tInoltinr
<br />I
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