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ELECTBICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDTiR DELC TAT()N
<br />I hcrchy amrn undcr pctulty {,t p.rjury rh l rn.r!'rNtr fitm rrF G)nridon t.i.cns Llv ntr rtu foll,ri.s Eab.,ls.o 7,)ll ,
<br />Burr.rr md ho{.r(r Cd.)r Any cir, or Cou.ry whah EquiRr ! Fmir ro ondrucr. rlrd. i'rpbw. &mlirh or qtt my
<br />(nrluc. Frtr ro rrr tffi. rk rcquiE\ rrE {dalnr tor \xh FrnJ, ro iiL. \'tn d qd.ftd rh, lE or {E ia licn*n l$ld
<br />b rlr F,$iont of rlr Conrrdi I-iensn Ls ((lBpl( e. (iimrina $irh Sdrim 7fiD or Dnirn. .] of llE Burirtr .d
<br />Prllclrnnr Cod.) o. rhlt lE or rlt n .i.mpr rtE.rom.nd thc b.\ir ro lE ilktcd.r.nrrbn Any viollion 6r ssri,n 7oll5 hr.ny
<br />lrplicnnrn,rdFflnn{br.ckth.0ppli.{nlto0civil0cnrhyolfr,rRtr.lhonli!.hundEddollu,.(t500r.
<br />_1. !r owE. of rh. F,r.ay. d ny .!i9btr.i wirh rrrn r. rh.! r,h €,{Endin s'ill & rtE *rl !i rh. <uJa i d
<br />iddri.d o.offdrd fd qL ts(,(x:1. B!.irs.nd Pn'tsi'nr (in ft. Collsld\ l,i.a< l.* 116 d.flrly ro u o*'F.f
<br />rlE F'Fny wln hoik* r in{r.6 Em.. arn *h, d6 uh w'* hi,Nltor tEElr or rhmuSh hn d h.r own.nphFs-
<br />pnvidca! rhar slch nqn,venB m I inrenLd or o(c'.d frr sk ll. h,w.rr. tlE h{thtiry or irIr.Em.r h eld *irhin oft F!,
<br />trf q,rylcrin 0E ()*E Buitt." ujll hrE rlE hr&h .l lr)vrS thn h. or \lx dd B, trill or intmE dE JloIEry frn rL FtF* oa
<br />_l. r\osEroIrh. riopcdl.3m.!.lu\ikl!.onke1'n! rirh h..n{d.onra(trr\ r, rn{er rh. tr.rNl ISN 7r!.1. Bu\m\\
<br />ikl ltnli\rmCo,lc lh.Conrncrtr'r l,iccnr l.rr drc\ n.r applyn' !norn.ror pn,Fnywho hx,ldsor nnf)vclhcrcoi.
<br />rnd *ho conh$ ntr such pn)j.\r\ *irh r C! r'kk)d n hcM,l N.uid n) rhc (i'nr{cntr \ l,i.cns lj* )
<br />-!
<br />.m.r.rpr ui.Li SdiD.-
<br />]YI)Atr,DEI.IIIITINSAIIIJN
<br />DECL .E^IlQti
<br />I h(,rht r,li'nunJ.' Nnrlt) oI ltrlUr rE olrli.n'l['N
<br />'ng
<br />{[rhrrktr^
<br />-l
<br />h{vc ltd will mrtrroin ! C.nifrlrc of Conrnr b sclaln\uE r{tr knk6a snFN rn. .. F.vicn for n, SNrion .17{x, ot 1,.
<br />trhtr (k1.. lor th. Frfonumc ol thc -olt lor wnth r,E pcrmir ir ir\ocd
<br />_l tu\r rrd will tu'nhi. *brl.6 .nnJENrbn rBuhE,.r Equind by S.<li'n l rlx) ol rhc l.hor Co<b. ro. rrE tErdLm ol
<br />rlE h fd *hih rhn r.mir t i$id My rrrtn mqrndir in.urm.ui( rn Flty nun$c. e
<br />,*., ' 4z*+ -cr-. b'
<br />p"t* y t,.*, -!-_Ld.&4773L I \tk\ :6-2 )
<br />lrcnll)rhai'nrlrFrrornu'N,'trncf,orknn*hf,hrhr|t.rdrrlual.I.hrll'x{c'nnk!}rn}P.rwln'nr)mrnftr
<br />v'Ntih(trftshrdrrhc$o*cn(o'npcn\ri,'nhtrsof(al'knn .rndr!r..rhdifI\houl(ltt'rm(Dhr(rr,'rtE
<br />s.' k.^ omrn\uri,n, r)risi{,trr ol SNr ion .l7lx) ol r lt lihtr ( ixl! l \lhli. fi nrs(h complt s ill' rh,{ pniri\i,n\
<br />IVAf,NNC rriluB ro sm n"k r'.onp.nd.n d,wE8. 11 unLr'6il- rnj $rll sbFr !.rri'loF ro aimirl FrlB ild
<br />t rh. .o( .l.onFn$ri,n. drmBcr !i t.ovil.d lor th.
<br />ii:l /I r1
<br />DEITJf,AIII}I
<br />I rrEhy 6mrn und.r F.ihyof,).ljtry rh.t I rm licnEd udd I'fl,vni'n oaCh,fls 9 (ommki.8 *nh Sali'n Tlrr), r,fDilnii l
<br />of rhc AusiEsr lnd PDtesiod\ (i'd.. rd my li.n* n in ru,l ruE! nd clf(r.
<br />to ol 6b -)
<br />cortsrRuL-ll(Jlti I lnDN(: l(:frt(r
<br />I lrrht otltrm u.dd Fmhy of Frrury lhar llEr t 0 mn(n&1i{ tnlihs !s.ft, r.tr
<br />'rE Frfdmxc of rlE *itrl fot *htn rhi. nnt il
<br />ksu.drsd. 1097. civ. c.).
<br />t?ndfl r Nrm
<br />Atfl,trAll.llEl;tAaau0!
<br />I tur+y dlim undc. ncn,hy oarcriu,y om otihc n'll'ditrE 4.hEri,n\
<br />Dcmnnhn Pdm r A\b.do\ MxfroliJn H.nl RquLlhn. rTnk *)- Pd6,
<br />Rc.luiEn l.Ilr, or No'ifrlrin,
<br />l.unilyrhar rlr li\lcrll rc8Ulf,ri,n\ r.!rdn,t \irio\r.mrr! c Rn I|!rnhL t, rhtItl,rai
<br />-l
<br />.dily rh.t I hr\T Ed rhil appli..rh. !n {rrc rh,r rh. ahrr nrlotrd io. n .oBl I .rB ro $tr"l, s h rll Ciry .nd Co!.ry
<br />odiurer &d Srrr. h*t rhrih8 ro hoiuine .on{odr,n. ad h.khy drhtrt. EIr*r d nB of ltn Cny rd Counry h f.rd u,s. rtr
<br />ffi:#j:*/wt u...t/ut l
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<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 & Soflil Rouoh
<br />Ceilings (T-Bar Rough)I
<br />Meter Release ll rt It *ood-t%It
<br />Rough
<br />Service Meter
<br />FINAL I .t Dqo?q-*n
<br />INQteQ, RemarkF, Etc.
<br />tow
<br />I \l
<br />->
<br />-t.*";4I4,
<br />-a-**"* 144
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