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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 />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (T-Bar Rough)
<br />ughCeilinqs(Hard & Soffit Ro
<br />Meter Release
<br />[ough
<br />Service Meter I
<br />FINAL 'l2qk4'I trrfrl<rc ,4*',
<br />Notes Remarks, Etc
<br />OWNER BUILI'ER I'EI,('ARA IION
<br />I hrdy.mrm unda Fshy of FJury rhn I e.rdF fion th. Cofix6 ti@Irt 6r EfolL$r8rd$i(Sd7oll,
<br />B6ai6 .td Plof*io. Cod.l: A., Ciry o, CNtiy $hkh .qut6 a rErnir ro .oNlruct. .ho, improv., d6mlith or qtn v
<br />lrru(ua p$ kr rr3 i$om., ,h. raFr6 $. afillk l for luch Fnir ro 6h r sEn n lrd.lMt lhd lE or CE * lico!.d ti@tlr
<br />ro rh. F.vii6E ol rh. conlmn-t Lto!.d lr* tclqia 0. c.mftin3 wit S6rhn 7(D0 .f Diri.ion ! orih. adins .nd
<br />PbrsioN Coil.)or El tE or rh. i! .rcnrpt lhq.tuh dnd rh€ hsir 6. lh. ill.s.n .rdFEn. Any rhl.iion ot scrrn 70r I 5 b, ..t
<br />imlc&l roraFh lubj-ls tk lp?licer b . civil p. hy or rcr mE rhr. liE hui&.d &Uis (t500)
<br />_1. s otr'E ofrt. p.!IEny, or m' .mphr6 vnh s.3d B rhci, -k 6ntEBdir.. sill do th. qnt ,i tlE i(d4 . mr
<br />ind'd.d or oftdld ltr rk (Sd.704.1. BGi6 ud lr!f6.hr Cod.:'l'h. ( odr..l( r Lke kw &E ml apply lo e o$d of
<br />lh. F!F1y who hiildi or imprar6 rhdEr,. rn vh. &6 nn-t *$rt hi@lr.t taslaot rhmuah hir d ls o*r 6rgl.tE.
<br />pmvi.d ds(h imFDffi Ed idqn dqora.i lbr El l(tn*Eg,rt tlil{iru n itr?r.rt'1d i, bld sirhin.n rd
<br />of..nlphtrtr rlE O*n6 llxildd *ill h.r. rlE hrild orFovi,tS rhi lE or !h. drl d ttuild or inrm'r tlE FoFry 6r ilE FrF* or
<br />.-.1. souFolth. rmFry. !n c(lurtr Gly .onrtl ins *'nh licdEol..drxroB ro co'dM rl! Foj..t ls( ?04,1. &!!6
<br />i.d l\rk$ Cod.: l h. Contrkttr'. LicN. Law do6.or atplyro M.*n6 ofFrotd, wto buildr nr inlllrovd lhcotr
<br />ud vlx' conrE13 for r6h For.rr sirh. Conn lo(,ltoE d prlfu ro rrE codr-rtr'. Lt.e l^!)
<br />, *,-",,,1*, '.y,,,*"1'L/z)/,q
<br />,a&PCforth!ren
<br />?
<br />I hq.by amnn utrds rEuhy.frE
<br />I htrr. ai \ill'mmrir 6 ( dilk .of c..sr n, sdr-l ad s d' (omF6rhc s FoviLd ltr hy Salion 1700 of$c
<br />IilrtrCoLh.Iulh. rErlnnmnc. o r lhc sorl nr sn'([ rl'.
<br />lharcsnd \illtr,rinrrr Nd!6 .onrrEn$lnn i'a!r5nc.. s i$ 17lr0.frh.l-6trn ( oJ.,I rhcrGn)mmn.of
<br />rh. $nrl lor shich rh6 Frnn ir iskd Nly \rntd dmrEdi.ln i@rik.
<br />._.1cdritylhdt in lh. rEfonn.nc. oflh. vorl for shi(h ihs IEnr $ sru€d, I 3i.llB{ oFlo} m, F$n in.oy muF
<br />s ! b hcom 3!qd ro rh. snltd'snFdirn b$r or(.tliro i..nd.Ee rhn if I .lbllil ltsod. rubj6' tollr
<br />s6ltE' coDri.Mriotpovitiou olsdrion:1700 oflh. L.hor codi I rhnll nnh\ h mmdy *nh 'iF- rmlEioB
<br />$ LNINC litrlur. 16 <ur. \ o, hd comIEer tr,n co\ 6.3. t noh\ lul. !'d ll'all n,hjdt ao onnloys 6 o n.rl Filra atrd
<br />htrndr.d thoue.d dolhn ltloo.firo), 'n .di i.n r. rh. cor ol.omFtr(rrn. i.mEd ! Fo\d.d ao. rlr
<br />I L}2n/ )
<br />I rE by .m' r u.d6 rE rllyotFrju,I !n lirdslundn povisnrnor( hapr6s(Nmhdcr! lirh sdi.n 7(tro) .r
<br />of
<br />'h.
<br />Bu.m6.nd I,rot6NB Cod...d ny lk.e 6 6 tull lor€ id.rft!
<br />dttu!6lllrl(:Ldtallo!
<br />I hdd'y .ran nnd.r Fniry of tE ury or .l th. lolb\ l'ls &(lr.tnE
<br />Domhb. Pa rgA3hdor l.lorifdri)n F.ddll Rclubr ioN { l itl. 40. P[t6)
<br />_a.qrucl L!rq ot No{itEdior
<br />I cal iay thd rh. anl.r.l EguLrx,6 ,.sidroc Eb6ro! roxn.l r. mr q'rltrt L ro rhi Foj.rr
<br />cir
<br />I 'VJ;;
<br />a,/r-/
<br />Communications Cable
<br />Air Conditioners
<br />qolfralcra!.t !u!!-dqr!(r
<br />I hdtly lmrm u.d6 FMhy of Fjury rhr lha. ir ! oosru<rbi lddii* .sfty for 0E Flon1e. ol rh. *!rl ft'. slBh lhs pEinrl iisaj (ss 1097, Civ C.)
<br />Lcndd-! N.mc:
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