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ELECTRICAL.INSPECTOR HECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNF,X IUII,DER I'EI{TNATrcN
<br />I ltEl', rfnr u tcr p.nrny uf Fnlry rb.t I !n .r?npr lrom tlE Cbtu16 Li(w tr* for rlE lollowinl Een (5.<.7011.5
<br />AsiMs .rn Pretsb. C.&): An, Ciry .r C{'ry sfith rquit' r F n h ..neMt drs. inPmE. &tuli.h or cr.! uy
<br />drfu,Fitbis 6 lM. r&' E{!Ft rll qr+ar aor 'e[ Fd to 6L. nrr!.d rr.ld rhdllqa.!lctril Ftd
<br />x' rh. Fsvilion ord! Conkdoas l,ilnsd lrq lch.pr.r 9, ConrEi.i *ith S6lhn 7(l)O drDivirhn 3 or r Buix& Dd
<br />Ptoft3i'd Co&r d rh.r ll r rlE !.r.,qr rdlto6rn llt h.$ lqft dLrd.i!4ir Ant v.hM otsde 7011.5 by uy
<br />.ppli.lnr for ! Fn rubj.{k ilE arrlrco.r ro . civil,.Dhy or mr mE th$ fiv. hun lEd do,l6 (l5fllr.
<br />_1..r orB.Irh.,mFny. r my.npbrs vnh wrri r $.n $l strD.MFn. s[d) tE stt !n t .dc i fl
<br />nrdrLl orofi.rJ fd L (Sd.7u44. BdE . Prua.$ioo CoL: Tn (oturcrd! l-ic.n. tr* o.t no! .PPl, ro s o*E oI
<br />rlE FDrdy ultl toddr ( sFrE orrq !n wt! dE qt Et hiNl, q ha-lr q lllDuSn [i.! d hr ou.rtplo!6.
<br />,hvid.d ttrl luch mreEEd! E rn iddncd tr .lIdrd nr ..r.. ll, h.*m, tlt hildill3 d u+rwEd ir sld *ihin d Fi
<br />oI orrphria llE OrEr BuiL!.i yill trE [r hlnt . or FbylU rlg lr n ,rr dn d hi! n irrgDE lr. F.Fty r* l}t Fryr ol
<br />_1. B o*F oI {li Frdry, d d.lusar.lt (.tu1oe *rn k.el .ffir6 h ld4 rlE Ford {Sd.7o{,(, allcs
<br />.d RuhrncuL Th. G' dol! LF.nc Lr* dE! ml .ml, {o u o*F ol ltoFnr rlb b(rllt or aPreE rhadn
<br />Md !h. ftddt tu such Foirrt *ih r Conl*ro(s) lt.^*d loB@I ro rh. c{'edor'r Li.rE L*).
<br />-l
<br />sn'.kn' u'rl.r S..ixr , B & P C |l, tlN '.r$n
<br />lvlrttr!8I:cal,Ildaarllr!
<br />TECI4IAIIO!
<br />I lEcb, rntm udk. FMt! .r Fr,t om of rl* rofi*nU d..ldirB:
<br />-I
<br />h.E.rn vrl M.in. Cdir.d. of G,'ld to S.lt'ltum f( ft.tln LnnFrdDt. & roviH t( h, Sa.b t?00 oltE
<br />L.kr C'od., Id rh. Fn,tu. of rlr *dt td qhrh rtE ponir i! q!.d.
<br />-I
<br />h.E .Bl *!ll mdxn *ult6' .ontl.urEr hu'm., s n!!ftd b, serm l7m ol rlE uLn Co&, 60r rl' Fft,lrllE of
<br />th. $orl f* wlEh thu tErmn ! ii{hl Myrorls'otrlEo ior tuu@ ffid rnFl.y nuntEr i.:
<br />I c.d(y rhd m rli Frfomrrc,,1rlE rDrt fG whrnrtu rEmir ir i!!eJ.I Jd, br.n+hy dy F$n h uy 'lW, s b b.<.r.ulr<r b iL w*ai.onFMs Lrs of CiliIom, drrr0. nI nFlB t or uttd rotlE
<br />wo*.ri coqrn{ran rDvhiou of Ssiion :l?UO oa th. bhr Grr., l JEll, fdhwiih coiply *nh rho. prcvBioD..
<br />d.!.g.i a Fovil.d fitr rlE
<br />I tftby ,fnr unLr Fn lry of FJury rhr I .n li:rG.l lnld 9 (@ntrlftiq 1rl, SErD. 7([}) ol D(sirn l
<br />.f rh. Burfts rnd Pn'r.(inB Cod., !,rl lnv ,r.trs n in tull ford rnd .fler
<br />IO!SI3!JCII!]SIEDI!!iIqEBqI
<br />I lEEby rftrh undd FEly ol F iir) rh{ rhd. t r c.nsdion L.din! .irry td tJ\. D..rnl]ffi. of LIE e*k Ii, rhih rhi! p.mi i'
<br />'surl (se. l{t , cn c.).
<br />APPLICANT DECrr|I^TTON
<br />I had, rrm oi.kr FNhy or p.rFy oE or rtE lollowint .L.turrioE:
<br />D.mln.. PEn@A,lEru NdfdDo Hsn R.ruLri(N (IrL,l{). Pi6)
<br />R.quir.d lds ol t}Irfdi{
<br />_l .sriay rtd rh. ldl.nl rcluhri,trt E8adrn3 ah.J.s ftm'vrl r. m( .pplizbl er thi! prrlcr
<br />-l.n'ly
<br />tllr lluvr rc ,rltrrlppl(rr(rrrl ^
<br />r'nd I r3rrt,(o.lPly *nh dl ( 'r,)
<br />,rUil$o.rld Sur. bs! rcLrh3 ro dth.ir rFCrdaB .r (hn Ciry !n
<br />.boE ImrioErl lroFnr rr <-./
<br />P.mllF mD.l'rlrlrl
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />FINAL c//z / tuzo ,4
<br />Notes, Remarks, Etc. | / t t 'lz/
<br />Rev.08-07-2015
<br />J*<n
<br />WARNING h'lur. !, Ecu,. *orl.^ $mp.rvrtr'n coEo8. ir utrh*rul, md sMll lubl.cr !n .tmloy.r ro omtul FMIiE url
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