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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNET AUILDET DELCARATION
<br />I h.rrhy rfinh uiJ.r Fmlry ol Fqury lh.l I am.rcn fon llE Orha.t'n l-(ik Lrw rot rhc n,Uo*in3 rc.sn is.t 70ll 5
<br />Bunn.s ,,rl Phf.(r,n Culcrr Any C y or Counr, ,hih r{oE! u Fftr ti d,n(Ncr, rlra. imp.ow, ,Lnrnnh or Etf, y
<br />rrBru..Inxb ! nari- llgr E+r tlE +?l.dr fin rEh Fm k, nk! rladl {i.turr rh.r lrd, rlE ! lf,t.<J Frq..r
<br />rr rh. |x$yFn.i .r rh. Conr-ki\ l-r.nrJ Lr* rclu|ie 9, Colwftr! * h Salrr ]lrlr .l D,vr.n I .l rtr BUrE( .fi1
<br />Pn .(!rns Cixj.) or rhd li or slE N .r.r'at th.rcfNm . l llE b.\B tu llE rrkS.J crcqiitn Any virhrirn ol Ssrhn 701 My y
<br />ErtlRrnrr,tr!pcrnnuhi..tslh.0p|h.!nrh!..rilFralrrornnfrtrcrhrnlrvchun,lrci.lolh^ls5m)
<br />2( r osm or rhc rh'Fny.,, mt.q'byal * h *.!.r.! rrrt $k Q,,vtnqrr,n. r![.], tlr rr*.t] t rdrm 6 B{
<br />d.nl.J .r off.EJ nr {k lsa ?(xl. ButErr d PnrL{n8 (irk: T}r cn.rratf, ! llcn{ 1,* &6 d .0d/ t,...rBr.1
<br />rlI pn'Fny wh, hrit!\ or D{hwr rlrrfl, lrl wh) &r nrn w'rk hm{lfor tFrqlloi rhn'!!h hF,tr lEr oPn.q'bt.\,
<br />px'vrhd lhdr such mlh,wdt u nn InmLJ orolliftn t'r sL ll,lx,wcxi rlr ti{ lh!orn{r)kmd n q J w tunnn. y.t
<br />ol (ni0krxn dE Ovmr Bu&r s l h.E lrr hlrLn ol F tu! rlui lt o, {x Jrl n, t! l.r urF'v. rh. F,ldy lir rlr l{rlr)c I
<br />-1.
<br />r\ rwn.r ol rlr F,rtny. am. t( luqrlly .orrrlrh! * h l(rnal .odfu !th!.nnd!rilIFn.riS.c rol-l, BurF(
<br />n hn.(rn Cnlc 'fhc O,nkr.ntr'\ l-'(..r. l-r* d(B rn {'fly n' .n o*n.. ol pr,a. y !h, hn,[r or rmDn,v.r rh$.o..
<br />rnrl uhr (,nrrd ! ntr s.h pr('At * t a cr)nrE-k'(n lic.n\.d lllKuft b i lE (irh.ntr'\ l,'r.n{ ljw )
<br />I rnckd ud.r Sdhn _.8 !t-
<br />DECI,ATAIIA!
<br />, h.r.l'y.lltm un,L, FEly or Fr!r, om ofrlr liilhEna &.LnrDN'
<br />I hrr {n wrll morlu r C.n 'lui. nr con(nr b sclf-|.ntr. h tr *'rter' lrmli n\rx,n, r\ I,olr].d ntr hy Ser!'n l70o o I rh.
<br />trhtr (irlc. ktrlft pcdnlmnlr olih. wo,t tbr *nxh rh. I'.m tr6nrd
<br />-l
<br />tulc rn pru mr rr *orln. .or{'.nqrrt d.thE-t. r. r.qurtJ h! SetM l7m ol rlE lrh, c{ll.. l<{ rh. Ird,M._..'. ol
<br />rh. so* frf, phrh ihn Frrr s lrFt M, wt6 q,t{.ndrr n rat l.mr ul Plty nur6d {.:
<br />-yLi"n,ry rru ,n r* rrr"r*r. dl thc uoit ro. vhrhrhFr.rm( tr (ru.r.I rMll ,.nut'y.nyncR,r
<br />'n
<br />rn) n,rr
<br />i) Nn'trum sul,Jcllo lhc,o*q(c.nt h\1rii,n h*rofctl'n,m,r, aBl.3N rlurrl I sh)ol(t hc(,m nrhr(l rorh.
<br />qor k8' !oqrn.r! r'n pmvnrn\ ol S.Lr r)n l7(Xl .l rh. tlhtr C(iL. I rtull ,nd h$d h drnrl]lv errh rh,c llntvn!'nr..
<br />WARNING: F.!br ro em k"k n LnnFn..lDn.nw!. ! unL ul, lrl ih:[ ruhFr .n olllhF lu (rful lxnt-.,n
<br />.Nn lift\ up b or hurrlr.d rhnleil Jollrt (slm.O0o). h ldJtlrr to rlE oq or.omFh.rro., !!ru!.r r\ |,uvrLd nr rh
<br />S.lrnr l(,76o,r1r l.rlttrCdl.. d.ii{dtrdlto',f,y \1..\
<br />.*fi-t-.-
<br />u(asr;uglrra,l1laBuir,,A&l]!!!f
<br />I lErrhy rlltrmrnd.r Sniltyof Irrlury rhll I m nc.n$d ufrl.r ln'vtron ofChrflcr 9loflnENrn8 *!h Scrlr'n TIXD) of Drvr\ nl
<br />dl rh. BurEs., Prn {ix,n C'rk,.rn.ry l..nc r DtulltN.ll.llcd
<br />D.r.
<br />-
<br />c"rtffro.-
<br />CONSTRICTION T '\DIIiC ACF!{CT
<br />I h.rchy.1116uBLr Fn.hrol p.rjrrr rhrr rh.E ( i $nntuuln L.dms rr.Ry |,tr rhc FrlortuR. rl rh. M{l l,tr *tf,n rhl Frnnr N
<br />ATETCANLIIESJSAIIA!
<br />I hdltry rnm unLr lEmly of txrrury oE ol rlE ,oltr*,n! Lkllrd nm:
<br />Dcrn.,n P..dl^rtrro! Mr'i..'s. Faicr.l R.rukDnr I rrk,O. Pf6r
<br />_t{.qtrft J trncr ol Mrrlt.tr'tr
<br />tf(fi 'ly
<br />rh.r rlr l.J.d ftllldbtrt r8&lu! aah.ror m)rd c n qdrrbk t, thn FrFl
<br />-fi.d,l! ih. l lIE E.d rh6 lpr rl|nn ri nrk rhd rrr.tnE nri,rmrrr ! lrlmi l .sr t' $nl y B.h.ll C'ly.'n Coo,'r,
<br />onlmtu.! .nl Sld.l,x ELrin! x, bo lo8.nnnrudi,tr rd h.rhr.ulh.te EFctnirhEr ol rhrCny td (ilunly ro.nl.r uF'n r,E
<br />.tr,k mirhmdpmFn,tn inrIE r.n puDosl
<br />Applt.. or ll.ntSltEluF ,rr, .1->/-l /
<br />Sate-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER l-utq Lczl
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rouqh
<br />Service Meter ,-2D- t ct /Zc z7
<br />FINAL TD|A n v t\a'?,u/?b.)
<br />Notes, Remarks, Etc t ut
<br />-+
<br />APPROVALS
<br />,-,,. . ? -z(-t?
<br />L(.n€ cLsr-LE.na Nuhnc,:
<br />-
<br />ilruil (S.c 1097, Civ. C.)
<br />L.trht N.R
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