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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEf, BUILDET DEI.CATATION
<br />I h.r.t!, rlltn xil.r tErlry ol Frlury thr I n.r.rqrr tmm lh. Conirkro^' lr.n< br n, rh. ft'llowD! Er$n (Sd.?0.11 5
<br />BunF!\ nrt Pr$Lsii)n Cd.) A,y C'ry or Co y wnih Gller t Fn, !o uoNru!'. rlr(. in{Ert. tld)ltrh or ttF, dy
<br />srlcrR, F!trro rrt Lr!la., rlq, r1|ndrrh. +plrmr (tr rkh Fml tr lik r nSErl {.rcBni th4 h..r tu i.li.sGl r{N.
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<br />l. !! orftt.lrhc rnlrdr- d, hy.i{ilrF.t wnh w.t.r i. th.r qrlc d,mltnsrrn *Jl& rlE *rt td rlE ndrG s nn
<br />ur.ni{d or.ll.rd ld qL (Se.704.1, Buru.s uJ Pn,li(nN (irL:'rk (nnlr*rnis 1...n{ tr* {r\ h{.JI y h.n okr ol
<br />rh. F)Irny *tn hilltt or ,rthrEi .Nr. rrn wh' LIE Bh sd nmicl, or lrr(li or rtnrSh hn or h.r os .'r9k'y..r.
<br />llnrv!.rl rh.l lEh mlmmdr m [n c .d:l.xott fri k, qh lt h)M.llE hu!!u8 or iqFtrd i\ oU *ihnm Fr
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<br />'hc F'p.ny nn llE FIIr,Y ot
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<br />.nl rh,L:qh Co&: Th( Codr&roar t-dn{ Lrw &kr nn qllllyt! rrown.t dr n!,rny *ltr, rurHt or iml,n't( rhndln,
<br />lnd who 6dalr fttr rfth FrFrr rnh. Codtul n,lEnsdpnro n, th. (idtatt'r Lkc.\c ljw )
<br />Ii .r.mpl uBLr S..ri,n-, B &PC lirrhrF.q'n
<br />lroEaEElJall[Ers IIor
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<br />h . lil wrll mmtdn . ('.nrli.l. dl Co.Enl li' S.lll.t!rc ld w(trI(r ohlEnrri,n. $ I'r,*L'l for by S.crt!, l7m ol rlE
<br />LlItr Arlc- lir rl'. Frfomnc. or rh. u'rt lq *nrh llE Fm 6 nrEJ
<br />Ihr.n w'llmi lrn *.rk{! ri{\rn\Jritn rn{nrBc r\ r.qtrtr.J hvS(rkn rllxr ol rlx lltx, (irL. i,rlr !cnomR-. ol
<br />rlr udrk,'tr uh(hihFIErn[ r( trnal. Myrorkc^r{[ndir E$htu. raf,r .nl r
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<br />-l(n
<br />yrhd hth.p.rlomE-..olrh. *ort kr whrh rhr Frmr tr r(Bl.l rhilrn cmph'rlnt P.Fo. mtnyBn,tr
<br />v, ri h t.uom !uhi.\l k, tlE Mnt6 . n{EnqiM [*r ol C.lronr. rnJ.tm rhlt rl I lhuld lE$tr rnt'Fr hrh.
<br />u{tcu u n'tE.qhrn pn,vs$nr oI Serrn l7m ol rh. lirtr Gxl., I lhrl nflh* h NnFly *rh rh,: !^,vGonl.
<br />wAINING: F!ftE i) rce sft.ii .trmFNtir !rrv.E8. ,\ unL*,ul. .nd rh.ll tuhFr in mr'!,'F n, .11,1ml FBIB xd
<br />($') hn.i utl h om hudr'l rhou{.ul.lollsr ill{t),r ), D rddii,n n, rh. Ldn ol (or{Enlrrim. Jrm8.r .r Jtovilcd ,q rh.
<br />S.Lrtr ro;6 !,lrlk ltrlitr(iil.2--7'r
<br />DESAEAIX'X
<br />t hcrby .onD od.r |rEx, ol F ro.y !h, I .n lre.ral ud.r Frnrn ol (19rx.r I lohfth1.8 wnh Scdnn TUrOl or DivBin l
<br />ol rhc BurFrr ad Pnrr.rsrhr CdL..,n hy [..n* I r tull tu@ lrlclt.r
<br />t,{{{(l,s-----.C <)1o<,/ o z- I
<br />LO.EA!qI]ONIEBIJI!!E.f,EE!O
<br />I lINht 1lt.munL' FmhvofFqurvrh! rh.r. tr rcdn(NlDn LnlmS i3.n.y, rh.Frl ru c.lrlrslrtn,*hkhrhrIEmnn
<br />ir{kJ lS.(. Jlr7. Civ. C )l.Bk.r N.m:
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<br />APPLICANT I'FCI ARATION
<br />I h6r.tt dltlnunk{rnrhy Dl I'(4urv oE ol rlr lolh}r! &rLr:tonr:
<br />D.m,l i'n P.rF s Allrdor Nor r.ron lid.r.lRqul.ii'nr rl lc .u). Pdh)
<br />-,R.qtrr.J lr .r ol N(rni.trr
<br />I (cdrlyrhnr lh. L'lerd rc3uhr nN r!{tl'n8 'sh.no\ Enx,v:l@ tun rr0lr.hlc h rhn ra)]ltr
<br />I .enrl y rh.r I h{yc nst rhtr l|,oliarif .d n.r. rhar rlr zh,rc rnn,ml rr 6 ..tr(r I rsre io (n{ily rdh 1ll cry .d couirt
<br />qUMn(1 d Strr.lis! rhrn8 io ho'I$8(on{turin. nii h.Ebr ruthtre Eli(cntlrtrlr ol rhtrCn}lntlCou yb.nrduF,nrlt
<br />fi)vc frrrrr.d nn,Fdyn r
<br />ADnlicxnl or ,\Eml SiEnrlur L )-z'? -
<br />Ut /l h,u /,\
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soff it Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service ltileter
<br />FINAL +lpha fi 'a.z )
<br />Notes, Remarks, Etc
<br />l,rr. _ Or*r:
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<br />lJBk.! A< s:
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