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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNBT IUILDET DUTATATI('N
<br />I Ertbt .tfm unl.r D.EIy Df F')ry du I m .enpr tom $. Cffi6' Lrte br ld Ur foloru\t Een (5<.7031!5
<br />auiB .tn Phfdih cod.): A.y cny n cd y rhth Eqllc r pad to N.{rEt rltq. inproc, .Lmllh d rr., a,
<br />rtru.tE. Frr ro ih !olN, .Ib r.quiE! tlr {'' i.d for lxh Fmt lo frL . rirEn ''dcmnr ihr h or rt a lic.ntd l'o$d
<br />ro rlE pmvtioir oI rh. C.nu.roar l-t.nad l* (Chrr*..9, CommEi.! *kh Seth. Tm) o{ Divnior I ol ttE BuriE 3.nd
<br />Pbf*.ionr cod., d th.r l: d slE n .r.nB thddnrm !i rh. b.!i. for rh ru.B.d .r..rrnior /rny vbLrion of SctDn 7O3l .5 b, Dy
<br />.tplidr ro. . Fmn 'ubJ..u rh. .ppli.! rooorrlFnhyofrctmE$rnv.hu,nr.ddolls(J5(r)).
<br />-1.
<br />B dF ol r FFr, r n) .trpbF *irh *+d a tn sk 6r+adirn qll & dE xtt rt dL lldE i d
<br />irdJal ( ofl.rd fd ab (5- 701.{- Br'B ..rl ftr6re Cod., TIE C.nr-di tI@ l,* do.' d +pl, to s off of
<br />tl: FDFry rh r.idr r u\m€ Ilq !n *ln drE r.rr *rt hileU or ha-lfd rLo!3h hi! { lE orn n+k'Fa.
<br />F.riLd tn r sl' n,lowa e d id.irLd ( dk ti ot. E horfi. tE hddrt d q. !M irhB *n!i,'w F.
<br />oI cdrptiia tu ()*E Bu'Ua eiu llE 0E hr&r o, FDyrE l& rE d tE dn d h:'! d ii{rc* uE FtFry (r rlr F,Io.. or
<br />-1,
<br />NowErolrh. pn'F1y. .m cxcbii!.ly.odrdd ry enh lic.nsd.o odoR k,.oNiq
<br />'lE
<br />ptuj.rl (s(.70t1, Brsik\r
<br />rn Pn'l6ur Cod. 1 lr Ci'ntEctol! l-t.N. lf,s .lEr B, rnnly to D ov*r ot FoFn, *h, blilds or inDh!.! rh.t r,.
<br />.nd vlF odrdr n{ r.h proFk rirh I Grrrtr,l, lt.D!.d p!s@ t, rh. Cotudd r Lic.r trw)
<br />-l
<br />6.r!pr urLr Scrln-, B ltPC futhi rrun
<br />ulafEs:.q,lME;d$IriN
<br />!ESIdXAII9!
<br />I tmhy .flnm uBrd F.!tv of Fjury oE ol tlr i,lt'*rt &cl{rbEl
<br />_l h6v. and *,ll nlinrin a Gnitic.r. urcirenr !! S.lllnsuE ld wkda on{lMrr[ ri pEvi&d for by S.cr&n ]700 ol rh.
<br />ktu cril.. tor rlE Fltrnffic oI 'rE
<br />md f uhahrlrFmil i iss*d
<br />_l h,k tnd *i,l rrdu *o.I.B coqENrnn dunE.. a iqliEd by SftrDn l7m olrlE t bor Cod., nn nr Fflm! of
<br />tE *stl(ruhtluFtu5iqEr Myeqlo c,qirlnDr i,l3lll& d- il po[., t6.r 4:
<br />Polt, Numb.r:-Eryilt:
<br />-lccnrlyrlrrorlEt.rfuflumeDitlr*oltntrwhrlrrh!Fmiin!su.d.lslullfr..{loy6yp.tsnnr.,mmrs a\ h b.sr $hl.d h rh4 mrkdl c.mp.nsrion L*\ .I Crliromi., iid r3Ec rhrr if I ih.lld b..om sohJ..r ro th.
<br />wort6! .!n{xn{!(tr p(n Lions of S.rlion ]?uJ of r bEx Cud., I slEll. fonh*nh (ttrpl, P h rlDr provir$s..
<br />WA|.N!I(;, lrbE ro w *nt6 otrp.dhn ovco!. E uLvtul !I, Jdl ebFl s dtpktF ro fl rl Fris.rld
<br />civil frr up ro or trrdr.d rhon{.d .l'U.n (tloo'lm,. E lddire ro rlE oi ol coq.di@ d.nq.r ! FuviLd 6. ih.
<br />sdi{ 3076 ol rh. t u c!d., -,d rd rlEyi Ie!
<br />UCE!!EA.qOIBAIJ!Ia!IIIj8AIIT}!
<br />I tEEby rfrn !n&r p.nrlry ol p..jury rtur I rN licM{ u.d.r Flvsion olcllpG 9 ((nrllr i.3 *hn SaIDD 7000) or Dilisni l
<br />o, th. BuliE$ lnd L''.f.$ios Cod., &d my lK.ns ir ii full tore rri .lT.cr.
<br />Li..M ClE, ricr Nun$d
<br />taEtrButfll[rtElAli-aaEu{:r
<br />I hcrby.l]jnn uiJ.r FMliy.rn rrry rh, rts il...i{tod.. b.din8.t Ey f.. $. Frmnu..f rlE *trt kr *h.t rth pqnit ir
<br />i.su.,lrs.c. ]097, ( rr.(.).
<br />ATSJCAILDECUAAIO!
<br />I H,rdmudLr FUIy olFj'ir, oE or r ,ollorDt d.rLr.iiod:
<br />D.tuhi,. Ptrn l^lt.(o! Ndfrr&i FdLr.l R.auhr (Trk ,t0. P.nii)
<br />_R.qur.d IJrrr or fl{,lxiim
<br />_l ccdily rhlr rh.ltdcrrl{lulari,hs nlrdin! $ttnos(hnilar mr itrrlrihl. i, thn poi{(
<br />_l 6iry rhd I UE Fi rhit rpplirri,. id {d. tnd lh. rbok irfomdnr n crffi I ltr ro @trply vid! rll Ciiy rql C@ y
<br />{dil[s6 .rd Stdc L.wr Enus h b ildiq c.N,lcrior.n lElby.dlhria r{rt*!u6 oIrtn Cry.,n Coltll, h ds uro. th.
<br />&o\c ldiord p6Fn! fo' nap.di,n FrFa.
<br />ApDlnst nr Ardl SirMluR
<br />Pmir(u.rDnrrr:
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Liohl Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />r,)
<br />Bonding / Groundinq i UFER 7lAD&)DOhIU]4 r4)
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Itrlgler Release <i,?7blo.-lb'"VA Atula 04q)
<br />Rough
<br />Service Meter rl lA
<br />FINAL lorP4)lnuqt VA
<br />Notes, Remarks, Etc
<br />Rev. 08 07-2015
<br />Under Slab / Floor
<br />t.r._ Codr*ir_
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