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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNEX IUILDEI DEL' ,.A'ION
<br />I h.Eby dlrnr u .r p.ndy ol p.rlury $.r I o.i.npr 6om rh. cblfurd LitM f:, tor th. folloei4 Een (Sc.70r1.5
<br />Builg .rt kofNir Cod.): An, Cly o. Cddy uhth EquiB . rsoi r. @dnE( rlrd, ihFoE .lmlih d .qe uy
<br />nnrift. In b r3 r!l@. .lo Fqrftt rh. {!L.d in sh Frd ro 6l. r rlaEtl rtr.Gd 6r IE d & i! hs!.d FB.d
<br />r. rh. Fnvniod oI rh. (nd.-r t l,itn..n lrl (CtuFd 9, C.ftrin8 whh sdid 7(E) o( Divirhn , of ft BuiEs rrid
<br />PtuL$iod cod. ) 6 thll lE q l!. n .k,Pl tnd.tDn .dt rL bdi! aor rh. .Lr.d .rn$ion. Ary vDLiion ot Sdrir. T0l l 5 h, uy
<br />lppltd rn. Fmt rcbFr rlE rprlEd ro . dril r.Miy of mr mE rlrn li€ turnr.d.k llu (l5ml
<br />_1. u o*mr of rh. FoFny. .r my .npbr.r *nh w.t& .r rh.t hl. orrFndirn. will dd ilr *rt rn rh r@e i d
<br />iddlld.l d oil.d fd sh (Sc.'7(xa, Bu{6r rnd ProIBi.B CqL: TIE Codd6 r Li.* b* .lG nor t9l, ro d orE of
<br />rtE Ftr?qiy *ho hiBr q u+DE rll'a .d llb d(E rrdr {t hilMf s lEr[ q rtud ni! d k o*n.qloFr.
<br />ForiLd th.[Bh ir+..w r E B'{ n.ri.d nolH Idnt.lL i.tfr, rbbiuirc r+.@@n i,,Ll,illiid Fi
<br />olcDdphi'[ tlE oeE Buit a*illhoE E bu^Lr or Fovlrs d rt or d! di.t mr tlix Dr inqDE tll DDFry tm th. FllFE oI
<br />-1,
<br />a oy*r orth. pniFry. 6.rcluiiv.ly coMrins *nh lic.nGl coturd 6 MsM th. DoFt (Sd 1x4. BuiiEs
<br />id EDasnI Oodr: Th. atDnrt, ! Li..n( llw &A n{ .pply u' u osE ot FoFny *ho build' or utpn,kt d*rcn.
<br />rld vtr mdl4 lq rsh Ftdi *id' . Gffint lt.E d FttlM t. lt C.drrd! LIIM Lr*)
<br />I r .r.n$ lnh Sdri,n-, B & PC lr, itu irrsn
<br />IAXIIES:I]AUEBIAI!]!
<br />DECLARAflON
<br />I lrrcby rrnrm und.r IEMlry or lEror) oB .l rlx loll)l s3 d.rbrdift:
<br />/
<br />-l
<br />h,E rn arll nrinru r Cd t.r. of Ci,Mnt ro S.ttlM ftr *(t6r' Ntrp.Br.& 5 FDvrLd for h, Sdin lm of Or
<br />t lv Codc, rd thc F.torllwc or rlE nolt nn *hth ltE l!.mnr n !$.d.
<br />XI h.E rn wtl ornru *olto cdrp.urxrd iM|:r., $ r4uEd b, S.rrs ,7@ of it t h(, Cod.. for rlE FnrrlrE ol
<br />srt fs *hrh rhi! Fhn ! isrd My ,(16 mr+oern 6ulaE ffi rl |DL.y nuriq e:
<br />It-lcrno.ln 1--r r (\d qlh)x)
<br />I cddy rhd in rh. Fdomla of nr *ort lq drh t!! Fd B itrEd, I rh.J d .tpb, my Fs! B (, IIlllB
<br />s s b t or sbd ro rh. x,ts'sFdhn L*r or crlrrma .tld {r lh. ir I Jndd t qr abr.d r. rlE
<br />*od.r6.onpcndiotrpovsioDoaS.ctirn]?mofrlEtrhorCod..lrh.l,fonhwirh$nply*nhlhocPovni,M.
<br />Wr\IiING FntlE h r@ rer.d 6.r.d6n.o!.rrt. u !.Lrt!L .rn ndl {6F & dnrbF ro f,iEl Fmti! un
<br />.Ml fDr u0 r, oE lrulEd rh.ldd dolldr (tlm.OJO). r rldnr'. io r|l @d of coq.Mxoi, daD3.t a prolal.d ,or rlE
<br />S.ci.n :1n76.f t& tllv Cod.. hr.r.r iri dLriElt l(s
<br />{-,blqlap
<br />I !ab, rfrh u"Lr FExyorFlry u I o lincl u'is Ft iEo,Ct Fd 9 (ffii.! sih sde,Ooo) oa D i.rb! l
<br />o, LIE BullB.r{ }6I6iN Co&, rn nr lrc i n tull ror.d.l[d.
<br />\Ds43o
<br />\
<br />g.INIIBII{:IX}NIENDUG.AIIEIIIA
<br />I h.rby ilft'n und.r Fn.ky.f Frjuryrhd rh.rc I r...cDcri.n lcndin! q.ry for Lh. Flhrll1e..f rh. mrl li]r *hrch rhis pcn ir
<br />irs.drsd 1007.cn. c.).
<br />AEJCAII.DECIJAAI]9!
<br />I 6y rrm un Lr FEI y oI pcrpry oE oI ilx aou,*ht rLcl,rii,h,:
<br />ItnDhb. Ft oirr-A do' li{rfrds F.Jdrl R.8uLtra (rrk ,(,. Pd6)
<br />-R.qun.J
<br />Llnq oI N,i6Gii,,n
<br />_l dily 0- rh. a.d.rn rlul]jira Egr n! xt rtB EDr.l c d @lI.Dl. t. tni! Fnin
<br />y rl{ I lew Erd $ir llllrlgrion {rl rr. {ha! rrr fi)w inktrmtbn n .(E l I ur to om{'ly eirh r[ cny lrl coody
<br />rrn Suk r*, rcriB h hildr3.ilrodhd rd tfthy dluia trFlxdB.r rhit Cry ud Cou y r. can up.i tlt,*kr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lighl Slandards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers 1
<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 Rough
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service Meter l^\\
<br />FINAL !
<br />"-7\-20
<br />\rLril\
<br />Notes Remarks, Etc.
<br />7
<br />Rev. 08-07 2015
<br />DATE
<br /><lll>o
<br />slzltD
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