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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS O*NER AUILDER I}ELCARATTON
<br />I trr.by lmrm uftld FMlly in lxrrlr} rn{ I D .r.n+ fn'h rlt (h E16 La.n< u* ftn llr folt'*in8 EN'n (s( 70ll 5
<br />Burnc$ un t\or.sioi Codc) Any Ciry or Counly ehf,h r.quncs r Fmil ro q'nntud, ,lid, inprov., &m'lkh d. EFir !ny.
<br />{erm, Fd b nr slllN. rL$ equrr llE rlll,l.ul fttr suh rsmi tt lit r r,8ftn {d.m lh.r lE or {E ir liccn!.n Nr{rd
<br />k' rhc In,vni'nl ot rhc (i,nt&hr r Lt.nrd lrw rchuFr.r 9. (.mrNiry eith S-..ibn ?m) of Divi.io. I .l lh. B8ir3s Dd '
<br />P^ $tifi (irlc, r rhd lE M rrE i .ten''r rhacfrcm r.d rlt lErn r(r rtt llhg.d cr.n{ii,n ,\ny viohion of Sdr-,n 70J L5 by iny
<br />rpplicrnr f rl.mn ruhr.rk!h. dfi,li.rn[o ! .ivil l,.Mlty ol rn m'rcrh.n art hu,n..n {bllrr I S5fil)
<br />-1,.\
<br />osE orllE FoFny, (tr my cn{'1,t4!! *irh ras.r.r rlln rk e,qEosriln. *illd,llt *rrt rn llr ddm ! mr
<br />inrcnlcd n, orlsd fd sL ( Sr 7(x4, aurims ond Pmf6rhns Ciil ]lE (i'ntrk r Li..nrc trw dEl ml rpliy ro M n*Er of
<br />rlE I'oltny ul$ hil4s d inrm$ tlEm.. dd r h, ds uh sft hmcll r tF(lI or ihnrllh hi\ o, lEr oun cn{lloFi
<br />F)rid.d rh:r suh inln^rmnrr N mr i crd.d u oficEn ttr qL la hJkEr. rlr hoildin8 or nrPn'EnEd n qnd wirhin um Fd
<br />or oryLrin rtt Os'E BuilLr rill hrE rtE hdcn or,mvnB ltq lE or rtE dn nn hild q lllmlt ilE ImFny fn EF F*.f
<br />L a\osftrof(hc t,otrdy. nn.relusnrlt.onrdcrirrS wirh li..tr\cl.otrttunn\ t,.oNrruclrlt nr*clrse 7(lr,r. Bd.irs\
<br />.n, fmrt\ir (iiL rh. ( onlrdoi r l-k.tre I j* d,xs Bn rprrlr_ i(, nrn$Drnn'Fnytrhohurld!orimpn,rtrrh..d,.,
<br />snn *io (nrracr\br\ochtn'J.rk$irhdcir Drlu(r)liccnscdNr{uotrrt'rh.co t,chrLi..nalrs)
<br />l, tr,.\.n,I trn,].' S(r,trr
<br />]tax[lxsLaufl:$ ru!lll(llts'IllaX
<br />Ilrrrht rrltr ru{rlc, Ftr.'lr\.t tirlr\.B.lrlk nnL)r tr,S ,lNhLi kh
<br />I h . Ml $rll nE'.rrm r ccnfEi. oi ('.ne h Sclf ln\ur 1,, tr orttri (nryEnsi hn, t. Iior tdti tu l,y ssr ion .!7(x) ol rh.
<br />lnhtr C(xk. f(n th. n rfonutuc of rh. wfft fd lhrh rlr Ennil ir i{\u.\l
<br />I Mv. ,nd pill minr.in worl.rr corqrmarion iFuuc. I r.qnid by ser-in lr(x) ol ilE L.lx, C.dc. lor t E Ffnlft. or
<br />rhc wi* l,n *hrhrhnIEm F rs.i. Mrrolt6 or{rnr.tnn 'Nhmc.ns.tn Flt} Nmln e
<br />( n StT'\ 9^.&1 .P-r"'\
<br />R r", N,,,f.. B lJ u t^rco I Y7 4 1 'L F'1n: A -Z o
<br />-l.cniry
<br />rhlr in rhc pc.formrc olrrE *orl,or whkh rhir Frnn! n ru.n. I tull on cr{ihy tuy p.Mn in &y nuF.
<br />s n k b.o rubFr b rrE wt6 or+cMh. hwt ol C.lifom( lrd {ft rh, ir I .ln d betim sil.d ro lt!
<br />*orrn.onqx.qriinImvnionsolSdhnl7(r)orrltLatnrclft,Ith{ll.[onhwilh$nlnly*ilhllseIm{rtunt
<br />WARNTN(;. t,aiturc 1,, s..-ur. *ortcn mn{rneri,h.r,r.,tr8. i. lnlntrfur. !fl1 rh.[ .trr,F-r u.nihrri h dimMt Imrn !n
<br />cnil nmc l|It k, or lundrcn rlrruunl dolhis (!ldr,(l ), rn .dd[n!r ro rhc co{ .f.on{r ern,., dd.Eg.r $ Pn]vid.d fo rh.
<br />;::-'^ "{i
<br />i? iix"-' :;;_:
<br />DElCIdSAngli
<br />I rxRty fro uid.. FMxyofFrrury rhrr I0m Ifttrsl ond.. F,rnn,n ofCn!fld 9l..flumncin8 wilh S€ti,n T(xrD ofl)ivishn 1
<br />of rh. Burim( .rd Prnlcri'N Codc. rd Dy lick tr in tull ftnt .nl cflRl
<br />I {lao Y6c2
<br />q-tL1^- -1.
<br />irclu.!!!ruli r
<br />..",*,..K \+
<br />qalrual]r,IlQ l.l8uaG.AliElla
<br />I h.ftby ,mnn ufti.r Fnrlry ol Frrury lh lhft nootr(rucri{'n kndins rlcfry for rh. Fromm. of llE sort arr whi.h rhi Fmt i
<br />i(kn iSft ]07.Civ C )
<br />ATSJQIdLDE(IJEAIIIJA
<br />I h.d,y dtror hdd pciilryotFriury.nc.rrhc follo*in! &ahEln,ns:
<br />Dcmhhn Pcrmik A\r!ftr Norifr.rno tu El R.phrii,nrITirh 40. fln6r
<br />-Rcqun
<br />d L.I.r ol Ndianrit
<br />l.d"!rhnrrhc fRlcrrl..tul !,n\ E3r rBiitfqn\tunr^!l c norrnrlitrhL trthtr nn'Fl
<br />I cdrr, lhrr lhr. Rnl rhFsppli.rtionsnd narcrhlr rh. rhrc i ll3rltn'on,rlysnhlllCiryr.d(irnly
<br />oRlnnk.\ rnlSr{.lrs\ rcUritrE k' huilii'rg.on{tu.rir.,rl li_tuh)-rurh{oe rFcrnidi\$ olrhn Cny rd GrnrJ !) cnrd ulrn rh.
<br />P
<br />k
<br />rtxr. if, trr(nr(l n'!'trn1 r', r
<br />Applicrnl or ,tRdl Sllnslur
<br />Po.-l
<br />a lr J'1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monumenl)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />[/eter Belease I ,\t Xonar-rktl
<br />Rough
<br />Service lvleter I
<br />FINAL )t tt lrt EAva 1 rr(
<br />Noles, Remarks, Etc I
<br />ID/SIG.
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