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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\*NER AUILDET DErI'ARATION
<br />I ffiy.rtrm !nd6 Futy of tdjury rhn I m.r@F 6of, th. C.nffl6 l.t.@ ls 6r dE 6llo$i4 lrn (sd 70.115
<br />trusin6r !d Pnfsiotr C!d.): Any an, or (-.u ! $hich r.qun6 , Fdil lo .o.druci, rh6. imProE datulilh n r.,6tr mL
<br />trrucru.a rmr ro 'r3 BuaE, .ho r.+c fi. q,t klli f.. su.h Fnrl lo ltL ! tirxd ndffi fir lE ai it a liGcrl F,*d
<br />ro rh. Fovnionr ofrh. (.nlEclo ! Ltded lr* (Ch!fld 9. (.ommftma tr h Sdlion 7000 oaDnilnrn 1 oflh. BunB od
<br />InfshB Co&l o, rhlt ri d sh. ir .rdB tlEdroh nj fi. b.sii lor lh. ollard .rdrr io. A.y lk,Lr hn or sdirn 70!l 1!t!.)
<br />.ml@ln ror . ti'nn .uhjd3 rh. rrplicul to . civ rl p.Mh y of ml rorc rh& li\ . h!.{t.d dollt ( $m)
<br />l. s o$ffi orihc lroFnr. or d) dpl!6 r nh f,tsd & rhd sk o'nrEdk'.. tril.h dr "{rt rd llE.r,urE ir r{
<br />inrd'&d ff ofrrcJ ror nk (Sd 7{}14, lturiB -d ProfRrhB ( (d. Trt (.o.idor! Lk# uw dE mr t!?l} t' u orE of
<br />rh. rorErv s h. hlil& or insitr 6lhoat &t $ h. dtE sch trtrl hiftclf or h6*ltor lh(ush hb o. td om mplotB
<br />Fn\ ddl rhd kh mFo\ffi E mr idar*n r ofr.rGl am st lt ho$F6, tlE t!fi,t n i"!.o.tndr a 5B rihi,! oE !6
<br />ofconpklxrn.lh. (rtrG lhildd $r[ h.\r rh. hnlar of Foins $i hc or ii. dxl mr hild c insmlt fi. plqEry n rE F,F& of
<br />L s osna ofrh. pft,pdy. m .rclusircly conlricl ins $ilh li.drd .onk&1o6 lo connrud lhc tn)c( (sd ?014, lr6in6
<br />.nd PFEr.ir Co& Thr ( onteror r l-i(ns. 1..* &,6 m! .Drly lo d lsnn .f FF! y r lb buildt or inro\ d rhdon.
<br />rnd u,h. c.drxis fn sh FJ..13 *nh . codrxronr, li.du.d puBud io rh. ( oddM ! Lk.e llwl.
<br />I c\on 0nd6 ia(llFn , ll & P (- foi rhs r.e.
<br />D.r. (hn.r
<br />\t oRl(l Ri' ( t)ntPFiri s,tl loN
<br />|)}:cuaAll0n
<br />I he,.br rllt'n 0ndc |Erhy olp6irtrrotr. oalhc I',lkN i+ ,leli' rr i{,ns
<br />I har. Ed N'll dainr.m . cdrak.l. ol ('oMr lo S.ltlBur. lor \ trt6 .onFnerirn. s Fovi{t d aor ty sN'i.n 17u) o t lh.
<br />Iih.r ( 8L. lor rh. I,6tolru( o I rhc ssrl fq $nkh rh. tEnil i! isu.d
<br />I hav. ind s ill niimain $ orlf,' .omp.nsl io. inruftn.c. s ,(trtd h, sa! ion ]?m of lh. l,itr,r c.d., lor th. p<follucc oa
<br />rh. so ro. tr hkn rhis rEnni! ir a*d My $!*G Nnn sr'oi B*m. .si6 lrd Flicy nuotE ft:
<br />t
<br />I.diry rhd i.rh.p-Llrlru.of tlEtrorr 6rst(hrhnFni i is.d.l tull mt nnpror tnt F$n in trr mu6
<br />3, 6lo tr.oN lbjcd nr rh. sdt6 .omFdio.l r ol Cdiromo. el +E thd if I 3hould b.toN tubrc.i b rlE
<br />wo.td coiFlerio. pmltioN of S.<i ion l?m oflh.lrtn. (in .I dtrll, fonh{ilfi s'nply rnh rr.c FmliioN
<br />f-arlurc kr su. $ork6 .onllorsrkin c{\mx. i unlr\k,y( ro 6ih,nrl tEahis and
<br />d{tru86 B For il.d f.,lh.ro.ft hun&.d rhousd &lla {1100.{xn[ in rrl sn
<br />::PTWru
<br />I hcE6! !r,n ud< Frn) oa Fju,:- th. I n ncas.d und.r For uirt .i (-h.plt o tsnmtrins trnh s..iion 7m0l or Diritnn I
<br />of rh.ItEi,B ed PmfdioN (ir<k, etl Ey lic@ i i. tull ro!c. md .ttd
<br />Cro
<br />er l(r/(1
<br />14
<br />CA!iIAQLIIO!.I.Ed!UMiAIi!!IL
<br />I hmty im,n und6 pcnllry ofpdjury rhn lh6. ii !.onnrucrnri hding !86cy for lnc pdfomoc. ofrh. worh for lhichlhii p6nil i!
<br />n$d (S{ 1097. Cn C I
<br />ATTLICANID}:SJAAUOIi
<br />I Fur* .rm unds F.rtiy of Fruq o.. .l rh. nnh$ in8 dqla' tr ion3
<br />l).!mlirion Prmilr.AstE k's Norificlrion rdldll R.!ul.rhns ( till.10. P!n6)
<br />Ratr'n.n Ldl6 orMnificnx,.
<br />I cEr'[ rtln rh. r.dd.lr.BuLti'N r.ssdi.* BIEIN rm\tld. n{ qdk.nb lo lh! FFr
<br />t.dii rhd I h.r. rcr rhis !I,fltrl[n &d s.rrrhd I it(on.d I 6!ra r. .oma,! \ nt dl ( art tnd ('.ontl
<br />or'ham6 Md Srr!.liu! EldnrF r.
<br />alr'v. 16r n ..d r.Fny n i6p.d
<br />n6of thi!C ) &d Counrl to drc UFr r
<br />,rppficrnr or \sH rie.rrftc
<br />\4
<br />e1 r@ /11
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / 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 (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL I ta '1^2 Wtflv'r +9
<br />Notes, Remarks, Etc.tt
<br />/r\\-r'A_^4
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