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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER EUILDER DELCAR TION
<br />I tErcby lnnn udc. FElry ot Flury rhd I m.r.mB from r,E Contdon l-i..n{ L* nn rlr nnhein8 rc.sn lsaf D-rl.r,
<br />Busircs !d PmLr\im (in.) Any ( ilt or Counly *hich rcqoiEi a lsmir k, drNlnr-l. {lirr' i.il,l^'v. d.qrhn ot nlbr d,
<br />{Mm, Fi{ h k isu.N.. 5lo Blur.\ rh. +nli...t ror rkh Frn l. filc r .isnd {r.mnr rh.t h. or {r ir li..rd Fururn -
<br />b llr r.rii'ni ot rrE CdnrdM \ l ftnsl l,* lcnqi.r 9- c;mmrins *ilh S..rbn ?dr) or Oiviri'n I nt rlt Butttl rld'
<br />hot si,ns Cod., r lh.t h.or rlE ilcr.q rtftfrom..d rlE triir fot llE llLS.n.r.n!tnn Aryvi'LrilofSdrr701151'v.nv
<br />.t li.. lor.FmnshFlrrlt ll4lkrnr (,.orilFmtyormr mr rh,n nr. hudr.n d.llrn I t5{r,)
<br />-1.
<br />!\ o*rr or rrE FrlFnr. rr mt crl|l,)rr *nh *ls6 .. rlEn v,L Nn{En{ti'n. s ill itr rlE f,r dnlh.{r!rwinx
<br />inrddl ornlT6.rl ft{ {k rS.{ ?([.{. Burilxs md Pr,r.$iin.C{n Thc ConBrd r ti(s(I!&rrmt
<br />'I,I,ly
<br />!. rn o$mr.f
<br />rlE Fr'tdy rln |!il* d i,llhrB rlrB,n. nrl * l, rliE trfi s* hin(lf or h.relf or ltmuat hn .* h.r .*n .,rnlo)6-
<br />Dbrii.n rhlr uh iqmErd! e dr nrdrkl {.lfcrd f.r {b ll tnu\E rli t{iuina.r lntnNmnr ir i,U qrhin oE }s,
<br />.r$,q,h!ir rrE oBm Builtr trill h,r rh hn&n or F$ine thd lEorslrdii m iU or iqft*! rh. |Inrsly tu rlr F,IDc ot
<br />rtrd qh!.omner\n{n(htno}.n$irIn(itr[rn.!r1\ilr..\cdPur\urn(n)rh.(i)ntn.nt'\l(.r{lrsr
<br />I ar.rcnDl unrlcr Sccrn,n
<br />tIlrxf,Ef,srautElsallll!
<br />ITECIAIAIU!
<br />I lf,rcby rmrm ufttr n.Blry ot rE4ry oE ol
<br />'lE
<br />hlbEin8 d.chmrioBl
<br />I h.v..,r! sill minlrh. C.nit rr.utC.M h s.ll.lNE rm *nrts o'qt Ni,...r Fotil.d 6r h, sdrin 1,u) orlh
<br />trb.x C.rb. ft{ rlr FrlrmN .f rh. wxl rs rt.h rlE Ffli 6 Fnxi
<br />2lfuE .d *rll dhhin snrl6' cnn{rh.rr'n rmurrx.. 8 E{uir.i hy stri{ r7m d tlr uhtr G{.. t{tr rlE FrlflmE ol
<br />rlr rst fd Ihth lht Fmir ar n{tri My *{tI6 .nrFnoi.n inrnrrN ffar arl Frry nudtr re
<br />,',,-, !y'e2e o
<br />,"n rntrr*, ly'h/t ,)
<br />./€ez,a_ ,,,..7af4.
<br />l.rniD lhrl in rhc Frl,trn'nrt. ol rh( n!{k n, !hth rhi\ ncnnir i\ t\\uflj. I nrrll ndr.nDl(ir trtrr I[^otr $ nnv rN'ndr
<br />{i J\r) h.cotrr {rhjtd t, rh. truler\ .'trnIf,n\rri,r l'{\ ol C rhnanin. xn(l ig,u.Ih3! ir I \h,ohl lt.otr* n'hl.{r n, rh.
<br />$ork^ .. rt.\.ri' fr"vi\i,ininS(ri,n,.l7lr)otth.l-nhtr(1 c.1\h.Llnnhriih..rt,lrqnhrh'r{t'o\nirn\
<br />WARNINC: l,nil,trc ri, *{u( trf'k(\ (onllrn\iri,tr, rorcrxrc is unk\tu1. rtr(l dr(ll {i
<br />ci\il inc\ uIn,onr htrnlr.d rhnn l llulln,\ llllxr.lxr)). itr r'ldirin, n) rh. c.{ nl f,
<br />Sc.rion.1(r76of rlrl]hn(ixlr.ir cru\rinlrrk{'f,y\Ir\
<br />,""_,,6 :;-li ^;^^ {n-.-,7
<br />LTCLNSTO CO\ rE\t roR /lIilllSallor
<br />hi.r xn rtrl|noyrr t) (rnni'ul |xUlric\ rnd
<br />nntrtr\nri,,n ,lJ r8.r r\ p('!il.d tur rh.,
<br />/ 2.tV4
<br />LERt'y dlfrm ud.r rEdlry ol Ftlry rhd I mr lM<i uftLr Fnvnhn ol Clqtrd 9 I omEr ina * nn Sd i'n 7uI)) of Divnhn :]
<br />of rlE Btrriftl( .ftj PmfstirN ('.dc- ud mt la.n* n h full foR .rd .lIrcr
<br />.__*.,* ,2^E:6-/7
<br />.a 22-
<br />//*'
<br />q]ITIAuIIONTEIDI.UIjIIjIiICI
<br />I h.rcby xlltrutrd., Fo.llyoaprrrxry rhnr thft N d rlniruuri,n lcndin8 Dscmy I't !h. tirrr{ruftc ol rh. $nrl i(, rnich rhn t'crmi n
<br />i\\uet lSe.' lllr7.(ir ( r
<br />lrtrd.a\ dthr$
<br />AITII(ANLIJE(II&}fION
<br />I lrntyrltn rufrlcr$nrIyrlIirjrro'kol rhc l,'ll|$inF,lc.l irnn\
<br />I)Imilirn'n Pcrin \ A\hc{o\ Ndrl'.rtLr l.J.,rl R.roLri{rn rri[ !r. Prr6r
<br />R.quntn I.rr' !r Ni'rn.ii i
<br />l.difvrh.t rh. Gn.rdl (iubr x,n\ E}.ilrn3 r'tE{tr rcmrrl rrc ni q{)luhh !,lhNPn'itr
<br />-l
<br />difylh.r I h.E rd rhn rmh!ri!. nfil strl. tl.l lhc lhort infoturi,n t.onRl I lsNrod'!r{,ltrrhdl( ilrrnd CoD.rv
<br />.dimre!.,n Slsr.lj{\ Fldrn8 t' t rrlrnr(rion.{ntmbt rbrn.rc''sdrn-ofrhnC{ttn('ounlylo.mqq$nrh.
<br />!lt*t rEntnftn O!JEny lor nr!|^-.rii
<br />Appli(.nl or lA.nl SirMrtr f-'th /-6 -ry
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />ll4eter Release
<br />Rouqh /oto-19 lLL zh
<br />Service Meler
<br />FINAL tlc I zo DA,t0 t \-*y/
<br />Notes, Bemarks, Etc (I
<br />Sub-Panels
<br />fT
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