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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DEI,CAIATION
<br />I lrEtt rffmr unLr FMlry of Friury $.r I ut .rr4r 6oE tlr CldRr6 l}.e Lw tur ttl lolloeoa E sn ls...roll.J
<br />Bui*.r rt F nLrhi C.d.): An, Ciry or C ny *hth r.9!i6 r Fmi r. codrEr- dt6. iiIroE. &ml!h or qrr ry
<br />lrMrw. Fr h ,'r isoc., rl$ ttqliB rtr .flrli.sr lM at FDi io 6l.. rbEd 3'rErd ihr lr or {r a lt d.d F.ad
<br />ro ih. FrnbL ol tlE Cmv-d! l.a.nxd lre (Cll.Fg 9, CollEEh! *ili S&ris 70m or Diviri'n I of r BuiE! .rd
<br />Pror.si,nr Co,.) d rhi tl d dE s .r.qr dE tlm ird rh. h.ri lor dE .[.sid .&qri4 An, vbldbn ol Sdb! ,0! LI by ay
<br />.prladr ro. ! Fmn robatk rtr ,r?rr.d to . ovil p.Mry !a d l,m tlqn fiv. llurn .d dollB (t5m)
<br />_r. s .*ffi .r ft Fn dy, d oy.dFliya wth '.a6 a ,Eir -L otr qdi)., un & 0E urt rn 0E rdG i d
<br />i.drlal ( oftEJ lr * (5< ?tx,l, Blrnr* xJ PrDrdiB C& Tt Cffi rti.Nllr&-d.prl,rororcof
<br />rlt FrFr, *1, hirn d lqtu6 r,E qn rn vbo d6 *6 uflt hir! or lE*ror &s3! hii q t r om .r+r,]c,,
<br />Fn{d.n du rEh !,trn!@d, e d licd.d roIH Id rL I( lr*ffi, rlE hin4 r iqrudn !' nld riL c Fror.qlPhia d. ovE E!'lE 'iu lr* rrE h,*.olForra rll dr 'lil d hlld(irsw li. FrFry &O.F,Fr.or
<br />_1. ros or E Ftary, m.r(llln.ly.odElo3 e.n l.qEal r!fuI6 ro olllM ri. FoF (Sd.?lxl. BrlB
<br />ud hris.Cud. Tn Co E(d r Lr..r L.l d(B d.Flr ro u owF olFoFny rb toildr d i|LoB rht.*
<br />.id *tb .lfui (, kh FrF! *rn . (nftLin lilB.d FJrau b d. codr.r4l tite bq).
<br />I a,.rqi !d.i Sd
<br />r!r[r8s:.gr4trl6Al9!
<br />DECITEAIIOU
<br />I 1r..5, dftn un&, Fn ry of F ry oE ol r& lolt$ ra d.{L.abo
<br />-IhrE!nv
<br />l nri.rs. Crdfrs. ofcl)B to S.r-!EE tu wI4 6tp.idn..6 Fovii.d fd bysdDn rrooof tlr
<br />l-.lIr Cod.. td 0r !6Iffi. or rh. k t ld rtih rh. tsnjr i. i$!d.
<br />Nf:x !d ynl nuDrrn kd.n conFNri,, ffunr., 5 Etu'ld b, SdrDn l7m of rlE Lh,r Cql.. rot i Ff(imu .r
<br />Mr *dldr lu|ftMln Nu]u.ffi rn mlrv nunt , n.
<br />2-uad-,A VVLY.1<av1
<br />5toqr\o o16o5 1\lz-,
<br />Nlccnrry rrur . rt. r.,r.,.u,rc or rft wo,k rrtr rh.hinu r,crhir R lsudl.I sb.I fl{ cn4hy oy p.,vnn uy nuk,
<br />s s h h.otrE Nhj.cr ro rh. *o*.ii srlp.a{ion lrqr or Cdrromi.. .rn laE thd rf I shnuld bc.or sbJ.d r. rh.
<br />$Drk6i .onrD.n\.ri,r, tDrhiotrl o, S.dion l70O or rlE bt'or Cotl., I slall. fdh*irh &nply wnh .tD. pruvilioN.
<br />WAXNING, Iiiluc ro *.ur. *o*rn conf.n ri,n .ot.tu3? ( unrlllul, md chall |ub.,al u .mploy.r ro dihinrl p.MIi| 8nd
<br />!,vrl lnE un r'.tr. litr'nn.n rlkrwul dollrrt (tloo,Ix)OJ. r J,nu3.r f,\ F,vrl.d f(tr rh.
<br />I 5l?-;)\,
<br />DESIAAIIAT
<br />I h.Eby ltrmt unLr p.n Xy ut p.!!.y ihd I m U..o*n udd Flvtion oI OIp.q 9 lolftxirg witb Sdnn ?0O) of Divi,ibD l
<br />of tlE BuErl .rrJ PmC$ioE Cod., ii my lE.ne L r rull fod ird .ffd.L \0 q1315b
<br />(,L v\c c\
<br />grA:IrulfudteEllE-6gldq
<br />I h.Eb, .rrrn u,n . Fn lv oI Dc'rrn lhrl rhd. ir r odMbn Lnding .r.r, lor tlE Flffi oI 0E rnl ,ix *h{h rhs Fma i
<br />b.EJ rsa: 1ur7 Cii C I
<br />AISJC}ILAEqdAAIAN
<br />It 6, ltr6 urd.t Ful, or !di,, c or th. folbr.r .lxbriE:
<br />D.mln.tr Po@^,!.ru l{o.rfde Hqrl R.ruliiE (TiL,l{), Pd6)
<br />-R.{!iEd
<br />tds !, tldt6.rin
<br />_l duy rh. rlr Ld.rd EtlLrirD Eaadlnt nb.ro. '!mrd d ri rr?lt hi. b lli FnFr
<br />Ntren'frrtldIl.EEdrtu.pilsrff{nnn.dutlEdEEhioldbns.qrrrIrlrto@rplyrt!r[c.yrdcddy
<br />dUtre6r l srr.lrtrrE lb.iz E ..rdB.lth! Ciy.!n Coutrly lo
<br />rlon,EriEii plDFn, n*
<br />appllc.nl or,{tdl Siablu ule lzo
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq@roundihs / UFER A/1-Zo /2c z,
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinqs (Hard & Soffit Bouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Ir,4eter Release
<br />Rouoh --..-_\
<br />Service ftrleter /^t/-44 //,.. , ,a -., A <.,44 )7 )
<br />FINAL )o-tl -2-7n//
<br />Notes, Remarks, Etc.
<br />Rev.08.07-2011
<br />lrrd.ri AAdEr
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