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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DEI-(-ARATION
<br />I br.lry rrm uid6 Fdy ol FJUry rhd I o dmF non th. co. ,.doE Liw lr* lorlh.lollo*inB ilen (s<701L
<br />BuinB! md hofdn'n Codc) Any City or Cou,ny *hi.h ,.<lutB . ,Enir to .odtud, th6, inprov.. da.olth or EFn u,
<br />ntoddi Fior ro n, isuc ft6 r.quiB fi. rpplicdni for $ch Fnil t' lil. ! ris*d llrod lhd lE or ltE i licd!.d Fmt,
<br />to rh. ,rcylhB ot r,E Conrr.dd'3 t.-6sd Lr* (Clufli 9. Comfti.8 *nh Sdirn 7uD of Diision ! or lh. BsitB &d
<br />Pmfdha'ro&, d rhd rE lrE 6.\dtrE rlE!6on lrl llE t6L! fo lE.lLs.d d@Firi Ai)vrehntr.fsalnn70ll5.rLs)'
<br />!r'ph(q/or . Fmr sbdr rh. lpphul t. ! o$lFuhr or ml m,. lha li\( hur<L.d $llts (tim)
<br />?(,*n-ont,r'.p-r..,y.ornydnnlo)6whuu6slh.irsl.co rqsdmn. srlldo lrt{a* ildlh.trflrlE i! ml
<br />iirai.d or ofi6.d lor Ek (Sa 7044, ItNit6 &d PrcfonB Cod. Th. ( od.rr.a. l-i.CE l.s &d.d qrly to d ow of
<br />rh.FrF,r* st triLl' M sryor6 tls6c.n rho dE$t tro tiNlf or lE*lf or rltouah hi! d lE o$n.tB'lot6.
<br />Forrn<d rh'l st lIFlralEB Gd doi.d doiirn tu rl. l( to{6s. E hiildlu m rFBtEr !!.U $il'6 m }r
<br />olmfioldia llE o*F It]iU6 sill l!\t llE hr(b'.r Forlt lhi h. q !h. d'd d b{ild or imFo\. dE FoFy 6r tlE F F .of
<br />L so$E Df!h. FnFry. m .r.ldv.ly.orrrdins f,ith liccr*d co.lrldon ro codruc1rtE Fir (S< 7(xt, acr6
<br />dn Eakih Cod.: 'I h. Co.lrelor'r l-r.@ t { &B mr .pply r. .n o$E of F!Fn, $ho bdilds or inprovB thq@n.
<br />.id sho @nEr ni uh FFr shh. Coddo(rt ltdB.d FEd ro rlEcondlm t LioE t&)
<br />,,N,. l/zr/zu *,V.nroo-.'
<br />I hqdr) .rm un&r Fulr, of FJU4 oE ot rh. f.lh$ iU dElmrB
<br />I l[v. rd urll nt'nru . Cdr ili..r. df ( ocdr n, S.lr- lnsur. lor \.r ld s .ompsNnon, &r Fovid.a f., b) S(rsn ll70o o f rhc
<br />Iih, (ird.. for th.t)sforIlE{. of rh. M,L lor rnich rh. Fnrir is i$ual
<br />I h.\. lri *ill Mid.in sortd .omr.Mbn iEu.m., s r.qutaj b_ Ssrirn 1700 olrlr L,b.r Co&. t r rh. FfM..,
<br />rlE sul for whkh rh! Fnn b isrd My u'o*6 cotrrFson ilsN. (dir tn !.lat.umb.r ft:
<br />I (dify thd in !h. FforM. of tlE sort for shrh rhB rEnn 6 is.{. I rhtll ml dphy ar F$n i. r! tME
<br />sr B 10 b.omc rt .cr ro rlr Nltd Nnp66iren hs .fcdifomii. M.l rgr rld it I .lru!] t*$m $b6l ro lL
<br />so'l6 compdurion l'o$n ol Scfi n 6 3700 of th. l*.r co&, 1 lrrll, fonhwhn sndy *ilh tlrr pmvilhd .
<br />w RnrNG: Flilur. to sr. sorlm onFEdion m'dts. i! unLrtul. rid lndl ruhFl - onplols h ainiEl F!ii. n'd
<br />.itrr n6 up to oa huid.d rh.6sd &,llE (tr0o,([). in a.!dni]n nr trE.oi of on[!Mrio.. d,n+6 a p.oliH lor
<br />'lE
<br />/*t/-o
<br />I hdrt y .,Im u,is Ftuny of FJw, Oi I @ [.6!.d u.dr FDvii.i of (1rFa 9 {onffiirs rnh SsrnE 70@) ol Diraio. ]l
<br />ot llE B{.iB !d PmfdioB Co&. rn 6y lc6c t , tull lor tn cirar
<br />coNllalJcilQNr[lDllc-Acl:N(}
<br />I hftby afiirm untjd Fn.hyofpoiury thit lhq. is a onrlnclirn k dh! !Ed.y for lh. pdlinnmc. ofrh. torl tu $ich lhi! Fnil b
<br />Lr:u.d (sd l(l]7,ciY ( )
<br />|.nls \ \uc
<br />iPPLt( AN',r DECr All^llON
<br />I lEdry !trm u.dd Fnrhy or Fjlry om of {h. aollo*itrg {k{ laariotr!
<br />lxmltnn PGInr-ArLrc Nonfic F. [.ddrl R.guldbm ( I nl. .fii, Pd6)
<br />Rqu@d I.rl6 or Nrr,i.dim
<br />I carit lhd rh. fal@l rcsuhtioB Eg4ditrs atErot ronoral e nol igplkibh to lhii pioj6r
<br />|r1..or,rr ,r,r t r-.,oa,m ryl.dnn rn rd. rhd rlE.tn\r i.aotuhn ir.ordl I .sre ro otrplt l'nn.ll cir! nd Coudy
<br />sdiur6.dSt.l^:EhdB16hiui.B.otuhtrrnhddrrdl$EEr,*nrnBofrhncn,&d(omr)rodql+ondr
<br />.hrflnorFn.d pmpqi! nr ingE11
<br />/4
<br />..._l).'"'/r{/to
<br />Site-Work
<br />Underground :la:,'tfr t{^(brsovtt bn fauwo
<br />Pole Bases I rl
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications 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 />+4Walls (Rough).{)z,btrvo''-+
<br />Ceilings (Hard & Soffit Rouoh Ll >+a7
<br />Ceilings (T-Bar Rough)\u
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 1"-74 )wt\
<br />N S,Remarks, Elc
<br /><tr\f
<br />lt-
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<br />,r 'lirNnr u' ,\xctrr \istr{rurt
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