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ELECTBICAL.INSPECTOB RECORD <br />OWNET BUII-DER DEI,(nIATION <br />I lxftt, .lfrn uni.r F..N! r{ FrIrry lh.l I e .rqr lNm rlr O'd6-b^' lxd{ lrf, ntr rh. inb*h! r..qr (S- 7011 5 <br />Busn.s .d Pn)L$r,n Qri.): Aiy C y or Counry whKh rcquftr r Frs! r' ..nrln'.r. r!(. m{,ovc, J.mhrh or quo iny <br />(rudorc. lrbr r, ri R\!.Lr. rlw, Equh\ rh.apdrsr tu.uchFm k'likr!s J (i.mnr rh{ h.or rlE ii h.n{J tromr <br />t, rh. F,vtrnnr ol rrr (i,fi*M r L...<rl tr* ((-lq'r.r I CnmmEin! $ h N(rnn illl) d rr*6n. ! ol rlr Bulms ] <br />Poli(r'nr C,rl.l or lhll lE or thc !.\.mnr rh.r.iroh sJyl rh. h!.\ i,tr th. dk8.d.\.n!rrhn Any YDlsrtr'norS&rnn 70ll 5hyrny <br />rml('d ntr r Fah suhlec rh. lmlsnrk'..rvnFMly.r ftr mn rlu. l rv. iodnJ Jolhi\ ri5o0 r <br />I !\ owncrolrhclrop.ny.ormy.mpk'rr.r* hw+.\r\rhdtrq'keon{rn1lrtr)n *rlld'rh.*oA rlrlEnndr(nn <br />d.nLl oroll.R.d litr ek (Se..7014.8u.m( d ftt'fcsDnr (irlc Th. G,nkantr \ l-NnE tj! tsfrnrfl yt'lno*mrnl <br />ih.ln{rn! whr t! l! !x 'qht6 rh.F,.. rn sh, l}6 *n s* hmrll or lxr(ll or ihn{sh ntr ,{ h.I .*r .hf!5tt.\. <br />poyd.{l rhar uh mFoRrdr m Bn d.ilal or ulk(n htr q!.. ll. h,Eq, rh. tullnna or hl(r*rmd r vru vihr ot Fr <br />nl ('nfkrr$. rrr owftr BuilLr wru hrE r tuLn olF,vhs rh, lror\h..liJ ri hx Jnrntxt\t 'lI FrFy itrltrFlqlsol <br />l. .\ tr*Nr df rlE I,nrFny. u .rrluna ly co rrdr,E wnh h.hed ro! r&tdn t' d'nnru.i rlr F,lrd (S( 7044. Itusms <br />8 atllkrnn Cuk: Tlr codrtl'r Lf, ..k Lrr d&r B .fll ly io.n o*N.i FrFnr who huur or mPNE! rh.r@n. <br />r*l qhr lodtuls fii rkd F)rd! * h. C.dBro(r) lrcosJ puFmr ri!rh.(i, rrrtt r LEn€ Lr*) <br />-l.m(r.ny, <br />uhln s.y'r <br />,,",, 3/ )\/ /q <br />I rErhy .flirn un&r JEerry of F.jur, oE oa rlt loll'tDt '.ldLnrnn!: <br />-l <br />h& !n w l D"*M . Ccn!rr{. oi Con*ti ro s.lf-lnle td k,t6- N.9.Nrh. rr Ftryrlal tor hy Seroh l?m ol <br />'rEbhor c.rl.. tu dE Ffolllle! ol llE qfi for *nsh rh. Fm ! itfl.n <br />I h.E !n rnl mi,ntr *6l.rr r$qinnrEn ds,e.. r GtrsrJ hySrlm l7(IlolrlE Lrlx,Col, n, t Frr(,mt.1 <br />rlE wl lix *h.h rnir Fmi ! lBL My krtda 6ip.ndsn NUliM ffi .!n F,hy Nrlr|d d: <br />Crft._ <br />_l..nryrni r rh FnormR... ol !h. qd lin *h.h rhr Fm r n.u€J. I thnll rn .'r9kr! .nt FBrn n..y lMrr <br />c' a! h t{.onE ruhjer k! rhc M'*.n .!mFns.l$n Lws o, C.lrnmu. r.J +e rh,r f l lkrll t..- nk hr( b rlF <br />h)*.r' (.r{Fni.r$n lh,vntuN ol Ssrbn .UOo ol ilr L.tr" (irj.. I {ulL 6dhw h $ndy r rh 'hE F$vFrr!. <br />t' oE hu dl rli{r*]JI'UB lsllxl.0(()). d rttui,n k' rh. ..n ol.,,n{rnerrun. Jrm8.r 8 Pn,vn.J n, 'lE <br />>/:) <br />I rEFhy .lftrm u,ier FB[y of FUury .hil I m lE!trsj und.r F ,!{n of Chr|,d 9 (omtrkins *'rh S.!JrD 70fir) oI D'vnr,n ! <br />ol th. aurmt\.rn Pt .r.m C,*. .Dl ny ll.cnc ! r tull lo^! ,rl.lfoi <br />LiccMCL!.r- <br />!:aIIIBICUAN.LEBDAIi.AIiINCT <br />I h.Rhy rflsm utok{rMltt or Fry.r lhll IlrE s r rlnstBlnn bdq.!cmt nr rM Fdollla.-t.ltlE sft ror *'fiit thn Frnd ! <br />'ruJ rsd. .l(Ir7, Crv. C ) <br />l.nkir AddErr <br />- <br />TEUf.ABLDECIJSAIIAI <br />I lEliy rlim uftl(r Fn'h y or Fr,lry oE ol rh. rd'orrg dd L,rbnr: <br />D. n(i,,n P.mih-ArlE{os Nor icrron [.d.rrl Rquhr[nr (IdL 41,, P.n6) <br />Rcqurcn k(.r or Nd'frrrn <br />I (nriyrhr llE r.J.rircBlLitrr E3rdr!.rh.no\ am,vnd. n qll'Llnk l,r rh( pnrFl <br />_l (.d <br />'1, rhd I hiv. ft,J rh( .t'tl.!i on !n n.r. rhrr rhc rhrr mlilnlll tr)n F .(r..r I 'SN b (nfly w h lll Cdy lnl Counry <br />!ri'nrrt.\ mJ Srri.ljw\ <br />'.Ln,np <br />n, hurllflr ('l <br />rh'v. Enrnmd nn)Fn,nr n\F(if F4rr6 <br />At,pli({nl tr.,\8ml Sisnxt <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Lile Salety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />l.r4wt/4.Bonding / Groundinq / UFER qltiTvt t 6) <br />Transformers I tlt ut <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 & Solfit Rouqh <br />Ceilings (T-Bar Rough) <br />)enu,tdLMeter Release UDds a,L2) <br />U <br />Rough <br />Service Meter -./.-\'nap,ud"FINAL )1,b7)4 I 'r?t / <br />Notes Remarks Etc <br />lkn'hvrurl!rrc '.F.w rrtrc\ ofrhA (\rt rnJ ( <br />Pole Bases <br />D.t <br />-