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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS OWNER AUILDER DELCARATION
<br />I h.rhy .rfm urkl Fn li, ,,r tE r!,y rhf I d.r.qi rnrm rlI cdr&kF' lr.ns L.r ti,r llr fduoerE E&,i (S..iull,5
<br />aurmr !n Pmti$on cdi.r Any C'ry or Cru,ily qhf,h EquiE\ . ,mur ro conro.r, .1r.,, '4rov(. tLrmFh or RFr ay
<br />(ruLruE.I'fttrrr s $u!N.. $ rqoErrtr {d.d nn run Ftur b nkr i'8Ntl irrtmr lh.r rlr rlE ir liLuai Frlrd
<br />h r,E lrrv6Fr ot rlt Cdr.rrM r L.lnrn L* (Ch.fld 9, C]otlmBins *irt Sdrii,n 71xx) df Divrkn 3 of rlt Buti*$ !ft1
<br />Pdi*kinr C(xl.) or rh,i rr or ih. r.rcml'r lh.r.fmn rnl trE h.rlr !,tr rlE.lls.! .ro!r!t An, vDLrrn of Sdria ?01I 5 bt &,
<br />.a0li( r (tr . Fmr iuhFG rlI .I?liLrnr h . r'vrl Fu!, .r r, EE rt n li{ hunlr8l dollr. (55d)
<br />_1. .r uvFr or rhr lm,trdr. (, n! .f,Flly..i sirh *.8.r ar rh.r r . (nFrr.r rn- rill Jo rtl *dl ,rl |tr rdtF n rt
<br />!r. ol q oncEl ntr sh r Sa 70,1t, Bori6t oJ Prrf.sbnt Col. Th. Co.t.rrri Lk.nF uq &rs nol .I'IIly ro m owftr oi
<br />rh. pn,Fn, rh, hIUt or qr,B 1116r. .aI *hi dF rh krt h,mkll or h.Ell or rlwu3t nr ( lr om .nphrcr,
<br />Ft'vrr6l rhd ruh unFoEEnrr E f,, ido6l s oliicl inr qE ll h'EE. rh. ftrlrin3 6 qhk*m ( e'U wih6 (w y.d
<br />ol.rnlold ntr tlE Orrcr AUULi q{l h.E rlr hrd.n ol FrvrB thr ll ,i nx J! D, hi! d rymk rrr FIdy li* rrE FrF* tt
<br />_l. .i ow .f rrE F tEry, .n c(brv.ly ( dr*r Da * h lf,.nrJ rdd.{t,m k, (on(ru.| llr Fn*( (Sa. ?0,{4, nurtr(
<br />.r ftln6un Cdlc Thc Conlrttx r l-r.nr. L3w d€t mr .pFly k' o n*K ol ImFdy *hl h 'Llr or m{tnrws rh.r6r.
<br />lntl rh, .onrE_.rr nr ruh F,Frs * h . Cidturo(n h.hGl p{l\sr b lh. (idr.dq r tilnr Lrw).
<br />-l
<br />lnci.hfl odLi S on-, B I PC. ft,rhtrrqr
<br />uaB6EEti:l;llltENtarq!pElldSar(a
<br />I lwchv ,! llrD undcr n ulty ol F-rjrd onc ol rk tulk!*r8 d( ldzr nil
<br />-l
<br />h.E rn vilt rEurrb . C.n,li{r (r cnn{nr k, S.lllnruE nr M,km' conFns.r!'n, .t FNvrl.J lor hr Sarx,n l )dlrrr
<br />lrhrr (ii., ntr lhc Frl(nm*. {l rlE k'* nr rtrh rt Fhll i lien
<br />_l hrv. r l w,ll n,a6r,tr! wolt.d' crmp.nr.ton rn$htuc. .r rcqur.ll hy Sar i,n :l7lx) or rh. Lttr Cnr.. i,tr tlE F.lorut ol
<br />rlE Hrl fd whrh rlnr Fmn r. nral My w,rtcn .u{E.dhn FsurrEe.r( nl F,lry numhd e:
<br />_l (ndyrhlr n rtx Fd'trll*r.t rh. *o* litr *'h.hrhtrFm r !nEJ.l rlull * ci?by rn, FNon tn.n,lMmr
<br />ar rst' hcdrE uhrer b ih. srrdl u'nlp.n{ri,n lr*rofCdlifr'mD, .tu1l3N lhrl rrl lhultl l'..or tul,F(r t, itt
<br />*ortci .armpenra! n,n |hrv'rrrns o, S&ri,. l70O of llr bbf, ctrk, I .hrl. L{h*nh $q'lt w n rho: I'Drr{mt
<br />IIARNINC Frnu.. k, c.urc uorl.n lltrycn!.rnn d)vcnac r\ unb*tul. .,rl !hz! rx6Fr d .nj0k'F !, tml FEIB:nl
<br />lNrl nR. up h om huni!.d lhrgd &rllB ttl0().((lo,. m rtlllln k, rlE ..i ol $n{ENrro^ Jr Bcs rt PFvrl.! tu rrE
<br />S&ri)n 1076 ol ltE L.tnr Oi., hl.rcd.tl tlbmy\ l!cs.
<br />ADdlmlr-
<br />urE$f,DgrNllAlfqE
<br />DPCIISAIION
<br />I h.Fhy altun udl., F.dry ol Frury lhal I .fr l$nsl uDl.r FivEM or clqi( 9 (ol|rllenS w h Sd..,m)) ol DrNi.h I
<br />o, rll EurEsd Prufdrird Cur...,rl my l.a€ tr r tu hrE,n.fi(t.
<br />l-f,cn\c Cb$ l.(cn\. Nunrlrr
<br />g,EiIBUCUANIfTU,INIilliEllI
<br />I h.Nhv.l,irnu d lrMlryol Frtury rhdr rhcrc (, (,n{ru.r.n LnJnS .3cEy ntr rlE Fn)lruE-.c o, rlt k,rt ttr *nth rhr Fmr .
<br />!!En (sa. .Ir?, c't c.,
<br />L.Dl(i. N.E'-
<br />lal., r Arl&.r!:
<br />-
<br />ATTLIIANI.IIECIISAIIIA
<br />I hdr-r, itim u,ricr Fulry orFrjury om rl th.lolhwh! dcrllarbnr.
<br />l).fr,hi,,n Perm $Asl'.{or Nohf(arrn }alhl R.Eolir$ns (ldk 40, P.n6)
<br />Rr(totrci lrrr(r or N,r'ln. nn
<br />Iucnrlyrhr(h.lcd.,!lr.!uhrk'n\rlarJ,!aiti.no\r.n$vrlr.norrlltlkrhkn'rhFnnFt
<br />-l
<br />r.niIy rhzl I hdr r.al rhn dtplkll'Dn lri .l!r. rhrr rh. .bv. hfnmli,n E (.Bl I rarc r) corqrly *[ h ill Cdy .d (irnry
<br />MtlD,Lrs :i] Srlre trB rl,rh! ro b(AI 8 on{url( d lEEby dlur. rcJft<.r.rrv.r of rhrs Cir y r*l Courr! k' ..16 uB'n lh.
<br />rti'E mnrom! nnDdy ttr rln.rr[n purF)*r
<br />Appll(inl or A$nl SisMiu
<br />P.mltr Em rDrinlr:-
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bondinq / Groundino i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Arr Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh )/8/"o -4q \
<br />Service Meter I
<br />FINAL an q /at --,ffiit)
<br />Notes Remarks Etc.
<br />Under Slab / Floor
<br />D.L
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<br />('o mtor
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