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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNf,A BUII.DSf, DELCAf,ATION
<br />I na.by .lrm uidd pquXt of Firy thd I m q@S tno rlE (tinranos Lte ts for rb. folLwi'S ta. (Sc.?Oll.5
<br />B€i,B .d Prof6i.n Q'd., ,{., Cny or ClM, whi<h Eqon6 . Fnr to orEnEt ills, itrp.oE (hsllt or r9.r !y
<br />n udlrc Fi'ro itt iMa *o rcquE tlE +plir,n ftrshFni h fiL, iti.d nidtd lhr lEor rlE i li.qE d F,rri
<br />ro tlE Fovi,6E oa di ( m .rr( r Ltd!.d t * lclq'rs 9, Coffiinr *nh Sdrbn 7000 ot I)rv6ion I of rlE auilE -dPFfBioN(od.,o.th.rlt6nE!6@prrhd!6oorldrlEt.irforth../k!.daslpli[.AnrtiohlFnolsdnn7011.5by&y
<br />applicd for . Fmi sbj<ir rlE rrplk.nl to. civil Flnyotml mE lhu fiv. tudH rtolle! (1500)
<br />L a d$F of rh. Fn'Fd!, o. my mplotd $irh $aB6 a rlEi $k.omFrdion. rill do rlE wtrl ad r rru1e. ml
<br />inrdddj or6.d ir. sk (sd 7044. BusilB sd PmfsioN ( (ti. l1E codrlcroir Ltdg It* &6 nor .pply h o*n6 of
<br />th. FoFny *h) hilLLor nvr016 rha€r dd who dE $.h uorl hin!.lf or helaorthou8hhtu or h6 o*'n 6plorc.
<br />pdvid.d thdr tuch inFovodk ft mr inrdd.d or orEal for sh , I hiwR(, rh. bildin! or inBr.vmar ir irld qihh on. yw
<br />ofamDl.rhn. th. (l{n( Builds will hov. rtE hrnid otp.o\in* lhd tE or lnc dij B,t t!'ld or nir6!. fi. FrFr, 6r rh. prFs of
<br />l.6oMdotrlE FtrrEry. o.KlBn.ly.o.rrdins snh licaB.d .odr.croR ro c!'rro.r rh. Foj6t (sa ?044. LdlB
<br />&d Arts, (od. I'h.Co.trdor'. Li.ekwdo6mi rpply ro rornn of F.Fy who boil4r or inprorBlh66c
<br />..d sn c.nrnr fm $ch Fqdr wnh. CotnE rolr,li:s!.d prrld xr rh. Con.xrd 3 LtEE lr*)
<br />l0.ror undcr sdrn
<br />,.., lZ -7'/ 2 ** t.,.*#?-("tDr(liaArlQ!
<br />I hdcbr .mnn unda p. n! oipgiuo oEofllE tollou'in* dcldlrionrl
<br />I hav. ud q ill Minrdin . ('d incrl. ofconsr ro S.ll-ln.ur. for tr oitcr' comFruar ion. 6 Fovd.d f.r hy sdrn,n 1700 o I rh.
<br />ribor (hd., lor rh. p.rfomanc. ofrh. *o aor $'hich lh. p6nil ir istr.d
<br />I hav. a.d tr rll nrritrrii. tr orkss' comFNlioi iNurlh--c- s r qun.rj br sd nn 1700 olrh. trb.r ('od., f rh.p.fomrn..of
<br />lh. sol for\hrhrhsIEm'l 6 isEd My \ ori6' comlErs! 'o. 'Burrhc. cffi et Flic! nrnrhd a.
<br />I .di! rhnl i. rlE FlnrmN of rh. *orr fr $h.h rhi. pdnir ir is.d. I lhll mr ophr my F$n in uy trB
<br />e 6lo bdom {hi.( to rh. trGl6'omFsdiotr L*r or( ll'fonir drd lgr lll, 't I srbuld b.<oc !b<r ro tlr
<br />*!*6' onF!.r hn rlvaiod or Sdion 1700 or th. l.hor ( o&. I t ll- &lnhsnn oEplt tr ith rh.s pm\ bi.B
<br />\TARNINC l'.ihtr. lo Kr. $ork6'comp.Nrion (n6r*. it u.k$tu|. .nJ shall subj.rl !n nplo)6 k, o'rmll Fuhi: t d
<br />civil fin* op t! .rc hu.dr.J lhoushd doll6 (!lur,ol[)
<br />sdion 1016 ol rh. lilttr (-&1., inrddr md rtlof,q-- s tGtz-z-t
<br />I halby rfrrm u.ds rEuhy of Fjur' lhd I @ licqE d ulds Fovirion of CluFs 9 (c.
<br />of th. &silld .d Pmf6ioB ( o&. !d my ltG i h tull foN rn dId
<br />h Sdsn T($0l oll)iriio.I
<br />callrBllcra!.tatulc.Ac[Ncr
<br />I hGby lmrn unnd Fnlh, of Fj!.y th.l lh6. k . .odtudhn Lidiir .8cr for tic FfomM. ol lh. *o aor shich lhir psin ie
<br />issu.d (s6 3097, civ c )
<br />AIIII(AILTEOISAIIII!
<br />I hdrht.ED u.d.r Flhr nl Fiu, oE of th. follox ins ddh,rioN
<br />Itdrl ion P6I r- rtEdc llol'lic.tbn F.<16!l RcsuLrioN I I nL ro. P.n6l
<br />R.qui(d lnrdof rk'ftiM
<br />I cdiB rhd lh. rcdqll .caoLlirE .C8{din8 Bb..t t .dtro\.1 e. n.t q'rlK.bk lo th6 p.oJ.d
<br />I .dif, rhar I h6\. dd rhi .pFli.ri ion dn nat. rhd rh. !h\ c ,nnrldon ir .oral I agrE to .omplr $ ilh .ll Cily ud ( ounly
<br />o.dim.c6 dd sr.r. L.*rEldirr ro inB.odtudi... e,l hd.ty
<br />{lxrcmctrri,nBJ t),frrn! h, nslNl d0lrdirrnl r' \[ttrr \i!trir ,(
<br />t/Pmila n.m.lprinl):
<br />-.
<br />rz eA
<br />a h, ,r,Frsndn6 ot
<br />uY,&">;
<br />this ('iitond (inn ylo ml6 trponfi.
<br />,,'n)Z'2- / 2
<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 />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meter
<br />FINAL I t- t-ta D-! t '>
<br />Notes, Remarks, Etc
<br />'lrn rc111 |'f\nl.,l hr rh.
<br />l-r.fuNumtF:
<br />Meter Release
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