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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OI{NER BUILDI'T I}ELCA RATION
<br />I h.r.by eflnn unds ntdxy or F jury rh.l I d .r.n{, fNnr rtr (i,nrdoF l-irnc br fo, rh. follo*hl rc'sn lsn70ll t
<br />aunEs\ rid Prors(ir C.id Any Cny or Counly atrh rqud.t t FId rn onrud. nra ln!)h(' &mh\n or EFn inv
<br />srtoduE, prior lo ils L1\!' ., dlqr EqliEs rk q'pli.{t ft{ tkh Frmr n'! lik. !r3rd n,.ft rhd lE d {E i' lic'd l!6rld
<br />lo llr F vnioh of E Conlrl( s LE.tn lr* (Ch{ d g Conftrins rirh Sdion 7(ln 'f Oivnion I orrh' Burimrc a'd
<br />Prri*hnr Con.r or lhll t! or rrE iq.rcnpr lhs.rrm irxi th. b.r! nn ih. rlh8.n.rdrrritn An, rifiri'.orse:iion 71'}11 :l brr',
<br />!,!th.!nt nn. FmilrubFrrth. rJ,l,lkr.r iL..ivil,Entllyolm,l dn rhu firc hundFd dollm (S5m)
<br />l.,.o*mrolth.l'orEny,rmycmployErwh!t3.5d.rhctshNmFnslti.n.sill&,rtrentdnth.{e1unmr
<br />in!.ftl.d or oficrcd thr e! rsa.7(41. gu{irs lrkl t\tr.si.nr (iil. 'In Cod.anx \ lj.m Ii* drr d .'lllv lo u o*w ol
<br />rlE rn'Fny *h t{ikh d rFoF itrcr. uxl sb dlx tuh s\nl hnr.lfnr h.rcllo! rhtu!8h his or lrr own ci!t'l'vt'!'
<br />pmurlcO rtu .ucl itrl,.wors N mr inr.di.rl d.lrotrl ri, sL ll. bstw rlE t ildi.r '. itFok'd ! sll rhhin 'm Fd
<br />;r onphrin, rlt or B Brit Lr eirl rEE llE hd.n urF,tin8 $ll t (rnr
<br />'rrl ml hi'lt n ir{n'E rhc I'!ld, rmtlE Plqft or
<br />!s owtrcr ol rlE ln,p.ny. m crclD\iv.ly c.nlr&rins snh liccn{d c.dt..ri'E io $ncMl llE ltoFr ( sd r(lrJ Bhims
<br />h[t1r. Cd.t] I lE Conktnr's Lt.ne u* &* ftr.rPrv lo rn orB, orInrF.rv *h. t{illr or impmtlr lhso'n
<br />'ho sorB( nn .hDtr'rrrs*itha(ir m.ton s) lten*d OFunr n' rlt ( onrtu loit l.tcn( trw )
<br />li D.\L n,Ji trnnr, s..rtr' '
<br />)lll8flll-llD,lElsArlad
<br />DICIJXAIII)X
<br />I hcrch, atlirm uirl.r FBtry of tE ry oE of rlt tolh*i.! d..Lnri'F
<br />-l
<br />hlE d sill Einllin. Ccdiff,dc of CoB lo sdr'lM fti rdk€a mdFN.lrin..r lrvi.d nn bv S"tior lm) or rlr
<br />llh{ Cod., fd rrE Frr.mLr of tlt e-t lor enih rh. IEnir s hsucd
<br />.-l h,r. rnd will m.it rln $orl.^' c.n{Ensrt nn inruM.. .i rtrluiicd by Ssr irtr lTlX) ol rhc l.rl'oi Codc. for rhc pc'ntrmie uf
<br />rhc {ort hr shi.hrhir n(rnir i\ n"En My*rkc( dnFnelln inrurrm. cr.l lrtl Fni.y nun*Ei m
<br />l..nirnrr ir rhcrno rnccollhr *rrt nn wl(h rhr\ IEnnir n tr{Rl.l lhillnor.n\rkrv in) prwnr !rj'v unmr
<br />y, m h t\!nE $brLr r' rlt trod.F ()mltnqti)n ldtrs ol( rlinrno. inJ 4r( rhd il I 1h'ulil h'Inft ruh]'{r t' rht
<br />ro*ctr .on,rcnn[nr,'trnNn,tr\orS.cri(r:l7rx)orrh.tjhrCrrlc.l$ill nflhwi,h .on9ly $ ( h rh.. In*tbni
<br />WARNINC: kihr. ro t.ur. umtrrr d'np.nub. .I,v.nsc it u.hf,tuL t,rl rh,ll suhj.ti rn dqrk'F ro dni l rflni! 'rd. il riftr ur lo oE lD.dr.d lhouq'n d.I6 (slul,ux)). ia lddaion k' rlE on .t orFNrion- d'm8tr B ptuvid'd ror rhc
<br />S..riir l(, /6 of lh. trtrtr CdL. hl.rcd ltll dktrEy\ fes f- r/,).,., n*u*,,11-f-';)f--'' r tcr'rsiFFonfrrc-n tn
<br />DECI.AEAITg!
<br />I h.riy .lfrm urj.r p.fllry ol Frllry lh.! I m liQrd un&t lFri<sn of Chlprd I (ommEin8 f,iih S'dio' 7fiD' 'r l)i!ti'n l
<br />or ihr Bu\itr$ !d Pnrtstfi C .. slt mv li..n{ ir in tull lorf ,nl .fiftr
<br />ATEIIIAULDECI.AXAIXN
<br />I hodry,rm uftLr Fnrh y of Friur, om ol rhe ,ollowrl8 &.la6rnrnr:
<br />t>mlitbn Pnmh-Att (or Nrifr rtn tur.l RcsrLrhnt (Ink t0. Pd6r
<br />_Rctluird t lrd of ltrifr.rrn
<br />I .dly rh{r I h.E r.d rhs lnlltlrion 4l sr.!. thd llE .trrc (ord I lBrN to$nr{'l! rnh nllCi'y'nd (-ou.ry
<br />crrrcenl ivr( ollhn Cn! snd Coutrly h.nid uF)n l,rordnEmt(!n!Sr .l,aqr(hrithttrildin8connd.non.
<br />hrr//-<
<br />Site-Work
<br />Underqround
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bondinq i Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Bouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter / /FTNAL S/b/toSa t TLlz ln4
<br />Notes, Remarks, Etc.
<br />-
<br />l.kmt|l.riGl,"r,-r*\;?f
<br />gaslBllctroN.LElDla-agEB.l:l
<br />, hcEty lllr undlt Fmlty ol ,.rjory rh.l lhcE n ! o^{nrrirn hidins rrmv ld rlE Firffi oI llE *rI 6r wtth lhb tEnl ii
<br />h{rd rs4 Jril?. civ c r.
<br />I !nd.r'r N.m.
<br />-
<br />-l
<br />.diry rh.r rlE a.dcrnl rg!! ins Elddin8 r{Nor Em,v.l m d {,f'lilbL ro rhn ,,oitl
<br />^ppfr(etrt
<br />or
<br />^i.nr
<br />\lsdu*
<br />^
<br />2
<br />Pole Bases
<br />Under Slab / Floor
<br />Air Conditioners
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