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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BTII LDER I}EI,('ARATION
<br />I hs$v lmd undF p.nrht of Fjory thrl I m .rmF 60r. lh. Cotuld.r! l.i.6r bq for lh€ follo*in8 d$n(sd70ll5
<br />tlurin( .nd Profsion Cod.): Anv C'ly or Coudy *hich r.qun6 . lEflni ro mnnEr1. !h6. idF.te d.ndnh or Etnt d)
<br />rrucruc. Fmrro iit isurnc., rh. Etut6 rh. E,dkd for s!.hFmir lo fikr iiBncd lrdodl rhd h.nr tE a licekl rurilln-
<br />k, rh. Iirrntunr ol llk ( onl*ror . l-ims.d tl* (chEid 9. ( on'n.riry *th s(lirn 7fix) of l)I\rn,n r of lh. trutin6 lnd
<br />Pmt<'oni ( od.) or !n!r ti or rh. i! .tmd lhE.from dd ln tE.t ro,lh. tlr.Ed.rmrri.. Anr_riddirnofs<ii.n70rr 16trn)
<br />,m,lt.nt n! . rErnii slhjfrlr lhc lrrlunl lo ! civil Fn.h) or (n to.. rho fir . h!..lr.d &ll,i (S100 |
<br />l. B otrE olrh. For..lr, s nj_ mdorc trnh *as6 s d.n $k on9.Mhn. qill&r ltl qd tn tu !rd!. ir m'
<br />idqrj.d d ofisql ao. eL (S< 704.1, BuitB !d PbfdsioB cod. TtE ConEd .l (.e lrs &6 d tPly l. u o*nd of
<br />rh.lrnts, trt tiill M insiE l,Efr rn rho dE *n {t t hiIellor ha*lf ot
<br />'lmurh
<br />ti. or llr osn.rq,lor6,
<br />F.rid.d rh, *fi inF\!F* ft d ddi.n ofr.d ireL lf. h*6s.rh.hlildnt d inqo\ffi irnld srho N E
<br />olNl9kia rlr (hn lruilda $ h!!tllihr&rof Forins il{ lEd!tudn d tlild or lrrrctt 0E FoFr_ fttr EF,FEor
<br />l. 6 osF of rt FoF!!. m.r(hsndl codrdin8 $nfi k G<d.o ncrG k .odtud rlr FrFl {Sd 7{}.l.l. lt!!6
<br />an l\sls$ ('od. I h. Co rxl.rr Lic@ Lns rt6 ml qDly lo d o*na olFopdly *lF tu'ld. o, inFot6 rtddn.
<br />od rlF m' rxr3 f{ $ch Fjdr $ith r ('offio(r)lt.cai puEulrl l. ih. Coffioi! Lk.a lr*)
<br />lrn.r.m un&r Sd('n
<br />D.r. Oi.r
<br />*onl(Fi<'( omPExsarloN
<br />DECIA8AIIO!
<br />I ls.l',.m n und.r Fulr.f FjuryoRof rh. aollos in! d.rh.'h6
<br />I n6!r lrl will minr.r . Cdri6.!r. of CoMr ro s.lf-ler. for $mt6 $mDdBdiln. s Fo!(.d fnr tt S.di'n t700 .l lh.
<br />L.nr (irL, f.r th. laaollm. o t lh. sod lor Inth lh. Fnn i! asu.d.
<br />-lh!r.and $'llmri.rlin wo d' (onFNrion iBUraNc. 6 rcqut.d b, s.di'n ! 7(xl of rh. I !t'or (o&. ror rrE Ff(timn(. of
<br />rh. *o ( hr *'hkh lnn Fmn i! inEl My rork6 comFsden iduraft. .Ei. d polic, rumhd tc
<br />..,',,.. . o
<br />Ll _l- znxl',is isstrd. lslfilnor dnpl,,y!n) tfrn,n in0nyn,0nnr
<br />v, n\ h lnf r sub|..-r (r rM trork(s .ort nsariotr la\s of( alift,n,i( and +r( rhir 'll sln{l.l l(om $hi( h rh.
<br />$.rld1 orirtEsrn l]lo\hknsotS(lion l\?lroofrh.ljhn ( ({l..lsh.ll. fonh\rirh(.DIn! \'rhrlk)ktno\isnnN
<br />w RNlNc: Iia,ltrr. kr Rurc qorkds .onrrEsalion covsi!. s utrh$ful, and shdll suhj(r in nllqq k' diminal Frli6 lnd
<br />(nil iind trp t,, on. hun'.l,al rhouetrd dolla6 llloo.r(m), ,n ddJittun ro rn. con ol comr{nertun. .tm8* !r Prn\i'jdl fu lhc
<br />1176 flrhr I rl\{ (nd..
<br />'nr$$rand rnom$ s f.6
<br />L 'r6.t1 K CL,.-lo 5 \^ . "'- .^
<br />U(ETiELCqNIBA(ANA
<br />olc|Jaallatr
<br />I hd.t, .rtrm una.r pcod! ot rE Ury lhn I m li.lFd un&r rmriion of Oq*6 9 ($,llffii.* wnh Sdrn 7qJ0) of lrvBn,n 1
<br />ol tlE &s'.B md PmldioN Cod.. !d my lt6E i9 in tull f.ra en dld.L15
<br />L't8 -tt
<br />7bo?{J
<br />317^s
<br />COISIBIJIIIOII.ENDIIG.AqEIiCI
<br />I hd!r^ lrm u.d< p. ny o, FJ!r) rhd llEc a ! mtdnxrion L*iins.eft, for llE Ffffi. of rh. trsl (r, nnah lha Fii it
<br />isu.n(s( 1 )7.(\r cl
<br />AIfIJ(ANIIIECIJSAIIAN
<br />I ,rEr* itrm ufrld Fn.h, ot Fjur' orc ot tlE tollor i.s d..hr i)n3
<br />l).tuliion Po(r'Aib6r NoriaE irf, Fcddal ReuLlions (Tilkr0, Pd6)
<br />R.qun.d lludofr*iift hn
<br />I (di& rhd rh. f.:jsolr.tuhrhN Esedi.s stdos rm.rild. hor lY'rlic.hlc k,lh! rfrjitr
<br />,/(:,'h,hn rhr.'Rrr,rJnnr(!\ l\rxt Iitrs rc
<br />hlr airli(.tion dd slatcrh3l !h. ah,rc inromri)n i. cond l irEnrcomllysirhall( irr.nd( ounry
<br />!r^6otrh'l(, md (i'u.\ ti drs trf.nrhr
<br />rti\.nE nnal,,'opoly Ir inrtdrnn
<br />,rpphnnr or,r*orr Slrnrrrrc, X
<br />t,er ilk nNm(r,nnll: K 35\-.- -"-
<br />"""' /o'/B-17
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicatrons Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<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 & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />I I
<br />Rough ff
<br />Service Meter 1r I ./-)t
<br />FINAL lb2b,tto M.rba ,4W
<br />Notes, Remarks,. Etp. ^lt
<br />fEHZ&/
<br />* (t5),ttr/kJtd .h,tol t
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