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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER'UII,DEtr DELCARATION
<br />I h.rt'r r nm unj.r IEMI, o, Friry rh, I m.r.nri ln'm rlr cdrr6 l-i(tu l:* nr r nrb{ 8 E.$n (S.e roJl J
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<br />.l)alronr rttr r tEm[ ruhFrs rtE .t4lk5r io ..rvrl pcMlry ol Bn mE rhrn fiw hud..J &'ll$ ($m].
<br />l. r orF of rtE FrFiy. m celuftl, codr*rD! w h lrsGl codr*r6 6 o.rltur rlr F'Fl (se Ix4. aBEs
<br />rd Msr Cirl.: Th. ConrBro L.6c L* JrB n{ .ptlly ro u ow( df FUFry sh' hu it t mPoEt rlsE(
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<br />hrvc nwrllroinlrnrC.nificrrcotConEhttiS.lllnsuEl,trq.s.onll{nqrhn,!rF,vrl.'lntrhyS.dbn]700oarh.
<br />lr:tr (irlc, litr rh. Fdn'rMc ol rh. R)d nr*h.h!h. n nn( s $ucd
<br />_l Mr. r[] *,ll tu,nrrb po*.R' com[E.r.ll'. hrurr*c. .s rcqurcJ b, J5Lr D. ]7t10 ol rlE lrhtr Citj.. ntr rh. IEdn]rrrnt of
<br />rhc h,rt ld *trh tftF rEmt r 6qEl My k{l4 d'r{Etrqi[n mlrrn. cas !n F'l.y.umhct e:
<br />-I( 'ryrh.! rn rlr lE.tormLr ot rlE *o.k l,r*hrhrhnFrn tr (r!.J.I sh.ll ftn .n[l,y !., P.ron mrnymr6
<br />q' r t,lrr.ft lutJ.Lr brh.hrk6 lr)n{Engrrr hrl of('rlrlomu.:dl ladrhlr 'l I rl!'lld tEtnm ruhr.l torh.
<br />*oll(i $nFnqr k,i pn'vnb.i o, S&r!'n .lrl,lr nl rh. I itrtr ( d.. I {ull. Ldhw h u'hl'ly *( h rh'r |'lNlr'nr
<br />wARNIN(; i,rlu. n) {.uru work.. (nnrrh\xr(r, (ovcrir. r\ urLw
<br />rrn lhd\ rt' I' otr. hu,rkcJ rhou\anJ 'lolld\ rlllxl,lxl)) n rliliknr
<br />$hr.(r !i cninloy.. lo dmhal rEMIicr lnd
<br />$nli.nsarrn. J.m!8.r .r l'roviJd n)r lh.
<br />srr(trr l(,?6 0l rlr lrhn Gdr. nr.rc{ Md rrr{,ry xlhL:- appllonl
<br />I lEEby,lt6u lcr Ftu[y ol F.rrt, rhn I d lt*n*J q& F vs$. or Ch{r( 9 (o,tl!m6! *nh Ser.n 7lID) or Drrir ]
<br />of tll aulmn ol Pr$fdrbns C.rL..ll ny l.ctr( ! n fiill ioN ,n.ffdr.
<br />qaNlrSlllIIaNIESll0GlcENcr
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<br />-
<br /> PPLICAi{T DECI ATATION
<br />I Hry .nm unr.r F..lr, ol Fjur, .E or rlE loltr*hr tLrlt.rInr
<br />r).d)hr,. P.ro e^.tErku NdifEd$n Fal.rrl R.3uldnn. (-rnk.l0. Prn6)
<br />_R.qumd tdr.r.f MrlifstM
<br />l.crrlyrhrr(n l.,lcr!l r.gulron\ n.3u nrS r\lr'{o\r. !nalJc n, rttpl(!hl. r' rl,'\ pn!r'(r
<br />lL.'('l! rl'rr I hxlcr.iJ rhr r|)t'l(rrtr,.drl{ir. rhJr r \. d!trnL rn '\(!r(1r lrlrNt ,!Dt!lr_ *dh ill(
<br />'rJ_rnJ
<br />(irtrrY
<br />!hr( 'ry rl(nunrv n,cnrcruFn'rlIorJn rk{\ lnJ Sirr. l rw\ RllnS rD hurllht c hyrtrrhtrucrltr.tnrrnr\ ol
<br />rh^. nrtrrrr.J |r,Irnr ntr 'n\F(rB'n trf
<br />h o L.e
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER /o.?-2 71 /.Zzz,
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduil)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rough)
<br />/n a-ztz rZcza
<br />Rough
<br />Service Meter 6Jel?l|--c z'1
<br />FINAL /o -22 -(9 Pc z2
<br />Notes, Remarks, Etc
<br />Meter Release
<br />-1,.s
<br />wkr o, rh. noFn y, or my.trFLryc.t *rh wr3.. .r rh.tr a,k con,xnsrn n- ! !d'rlrsi(.alrlE{tuimhN
<br />otcBLl orolitEJ nr Eb(S\-, 7x4, BurR(rnd Pn'L{dnr c(rkr'rh. CbnrBrtr.! li.o* bwd,xr k rmlyinsowftrof
<br />lh. pn,Fny wh, ln Jt or uqmEr rlEc,n. {rt wh, .!x! {sh ufi hrNcli or h.6.lt or rhNU8h hF or h.r own cnlby..s,
<br />F)vrlcd rhrr ru(h rnDn)kmnk m tur or.ftlal .r olt FJ ntr $k ll h,wEr. lhe t'o lr3 or i.{hkmnt ir {)tl *nhh oE Fd
<br />ol Ldc|)Lr$n, rh. owftr Bu Lr *iU hlE rlE tid.n ol ln)!trs rnd lr or rlf, J, m' hlill or EF'E rlE FrFny l rlE t'{4xEo,
<br />lppli..nr or 'tre.r Siidtut:9rf
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