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APPROVALS DATE ID/SIG COMMENTS 0rr\l R Bl I t)t.R l)t I r \k\Ilo\
<br />I llrrt, .ffrn flihr lENlt! ot Flury lh.l I ur qcnr'r ,om rlr A,dfrr.F l.ir.c t s li,, rh. ,{,ll,sin8 E$n (s( Ir.ll 5
<br />aurm.r &n Prol6rnn Cod.) Aiy Cny or Cddy uh(h r.iluiN ! Fnn b om .!. rh6, nqmw, &rEli\,I ft Era' n,
<br />drucrlr.- I'rnk, it trotrrc, rls rcquiEslh. q[la. ntr such Fmii t',]kr rigmd io'eE.t lhd hcor sh. k licnsd lumld
<br />to rhc pmvhions of rh. Coirrrolr Lk.n!.d Ije (ahuFlcr 9. ComrmminS Pirh S(ri.n 7Ux) of l)ivirioi ] of$. au(im( rnd
<br />I'n,r.rri.nN cod.) or !h,r h. or rhc is.r.nq lh.rcfnnn und rh.lE\ir rft th. rlhs.d cx.mflion Any vi{'hrii'n oI Sdion ?(,1I I hy r.y
<br />.lplird for 6 Fmn suhjcl h. ipdi.rnr lo . .ivil FMlry of N, mE th.n r_ry. hu.dr.d dollrr ( llm)
<br />-1,
<br />.r owB oallE rrnrEny. d ny.tpkrF. rirh r.3.r.i rlEn {b (,nqrndpn. \ l do rh. ui* rn ll. {trE ir n
<br />.dsrbj .r {,fcr.d lor sk rS( ?0(, BuiFr rnd Pn'rc(nB Cod. Tlt (id,dri Liuc Lt* dE. d {dy r. s o*ffi ol
<br />rlE thfdy stb lnikl. c iqr,6 rtE@! ,d wtr &- ah wrt hihEl( or tE-lf or rh6u8h hir rn ls o*. .i{,loye\'
<br />I,o!id.{ rhlr ]kh inlnowdr G trn inlcnld, M otLrcd f.r e]. lL lnf,c1s. rh. llililiq m inFNId ir sE *nhh w F(
<br />orcon{'Lriotr rlE OuF Buildd*iIh.w*f,t hLnolnmvmsrMrttorlncdidmrhiiuorinvor!rrEImFqntr EF,rFRof
<br />-1.
<br />.r owFr nrrlE rroltnr. rn.r.luriwly.o dnS *nn litn<i codrr.ro( ro s.tu rrr rmF (Sr 7o+a BBiF(
<br />rn A$h1ih C.&: TIE Contsror'r LiccnE L.* d6 nn {,Cly k, r oFF .f FoFny *nn hoildr or inrrorct rlEen.
<br />..d sln odrxri f{r uh Ff.rr *hh. conddlo ta Bd p{rud rnrh. cofrddt Li.tN lrs)
<br />I rtr,.r.n,nr un,ld S(\rrr,
<br />Ihl. Orn€r
<br />Itaxf,l;tllraufrNtaltQ!
<br />uE(IlSdIIQ!
<br />I lr,.h) rllnm unllcr FMltvoIlE!!ryoft ofrtr li,ll,iri"S (lNlnrrrx,n!
<br />-l
<br />h.v. rn,ill tuinrrm r c.nifri. olcored b S€ll lBurc a' rul6r $qErohn..! tmrij.n for b, sdb.lrmolllE
<br />l,kr ('nd.- (' rtE Ffilll1rm rl
<br />'rE
<br />rrit rd *tlih llE Fnn i! i.{xn
<br />lhn\crndtillaBinr o ro'k.rr ro'nFn\ori,nr tN ni.r. n\ rc,tr r htsr.rn'n17(nolrhclthr(irl.itih.P.rf.n,!'htol
<br />rlr *'fi ntr shi.hrhi( trrn,ir i\ l$xd My *orkc^ .'trnBn\.ri, instrin.r .,rif,r xrl F,lrl ixtr,h( d,.
<br />-l
<br />enilyrhar inllrltraortukof rh. rnrl fr, ththrhn IE nri r nnxJ,l \h.ll ft crrl)toy .ny IE.(h in rnr @.8
<br />$ s(,lEr'ft ruhl..r h rlE m.t6 on{usrion L$ orcalirodi!, dnl r8G rhd rrI \h.uH t<-oft suhFl lo IIE
<br />unrk(i .omp.ns,ri,n !n)vnn'n\ of Sccrion .17(x, or rh. I ilbr Cnk. I ihilt. i,l huirh omply $ irh rh,€ pm*htrr
<br />wARNg{C: F,iluE h sft w.rt(a coqEn{in .rrvos. is !nb*tu|. rid rh.lr subFr M .trFh,F o dimimli.mti.r rnd
<br />citil fir\ up b om huldr.rl rhousd &lLr (tl(I).ullr. in lddirb. b rh. .or .a otrFNri.( &m4.. le t oviit.d ftr rl!
<br />sd rD .1076 df rh. lrh, G&. i.r.Er rnd rrrmr'r Iei
<br />coNsrllr(-nrrN I sNDIilc loFNCa
<br />I hcrhy rrm un&r Fnrh, of t'.rrur, rh.l ll.tE n . Nn{Bridn LndinS .ItE, lor lh. F.foffi of
<br />'lE
<br />f,.rt tot $'lrih rhir Fnil !
<br />tiu.n (Sa 1097. Civ C )
<br />dIIIIIANLIIESAAAIIU!
<br />llarhy rfltnututcr r--'mlry nl trrj(y nc.lrhc l,'ll,'si',X d..lnrnrtrni\
<br />l}(nnl'rxn, I'crn,ir\ A\ti!o\ NoilicdNn lidc.il R.Xtrhrtrtrn al'irL li). l'rn6i
<br />R.qlntn t.nc. .f !*.firtn
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bondinq / Groundino / UFER 8la/ tc Ddrr? /a,
<br />Transformers
<br />Torqueing
<br />a/s/tq 0t9p /a)
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Ivleter Belease 3/ t /ro Eitf -/t'r
<br />Rouqh
<br />Service Meler t lc/rc Bd to)
<br />FINAL tL-f .l')N-a t.\
<br />Notes, Remarks, Etc.
<br />ELECTRICAL.INSPECTOR RECORD
<br />Ihlr: /tppllol:
<br />LICEISEDIJOITITACIOA
<br />IIEIIJAAIIO!
<br />I hcahy lrtnnrndcr p.mlryor p.riury lhal I m lnTnan unncr nnlisn,n orchrfls e (qnnmrins oirh sc.rbn 7uJ0) olDilnn,n.t
<br />ol rh. gurircs snd Pma.\rirt cod.. !d my ricni. i( in 6rll tire and.lIN!
<br />-LL!M
<br />Nrn:h.r
<br />l rnlci\ AJdrcs:
<br />I.cniryrhd rlE r.!.fl|EluLrirni E*r ant r{E t'r Efrtr rl e ftn {llll..n! to rhir proj.{
<br />-lccrtify
<br />rhor I tEvc rcld rhn lptlh.tion &xl nrrc ltut rh..h'w inforrutio. irnmrt. I !88 toomlly wnh.U Cily Dd Counl,
<br />odinM... lri Stal. tjvi Ehrins ro hnildinS conrltuiion,4i lf,r.byruttrrnc EFcsfliriEs orrhk Cilymd Counrr ro..l.r uF)n rlE
<br />rh*c mnrhftd pop.ny fir iBFrlbn tlur,oq.
<br />ApDlkar n Aaai sh.r!F: D.l.
<br />Sub-Panels
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