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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS arwNEx tiiln,DER DELcARATtoN
<br />I ltFtry rilm xfrkr F..lry of FrJUry rn I m.i.n{ rl,,t r. ii.r*""i r..". r,w for rl* lolli'*ins Rlin (Si. njll:s
<br />Bu.ms< .nl Prol-lrr CftL): Any Ciiy or cou.ty *h.n Equn( . Fra ro (qrtu1. .xd, man,E. &d tlh d ttF! ry
<br />.rur@. rrr kr I Nrlls.. .la' FquE! rlr q!'lrsr ltr suh Frmr ro lik r rBrrt slrcmnl rtr L or rrr 3 l.6kn l,!t{r
<br />r. rlE nn'vsnrns ol rh. conrrrrri L!.n*d uw (c]uFr.. 9. cdnmcNins wirh set$n 7fix, ol Divnion .l ot rlE Bunn"* ed
<br />Pn.$,' Cclc ) d rhl| h. d rrE ! .r.h['l llRiirh.rJ rh. b.r! ftt rlE ,lk8Ql .r.qxin Ary vx'Lrion Da S(t!n ?ol1.5 bv .nv
<br />.fi 6r nr r Fmn rub)eB ilr qtlf,ur kr r c'ril l.dlrt dl ft nn rh{ riv( huniir.tl .I tur (lrm)
<br />-1.
<br />r o*ncrorrh. lnrFny, (, mr.n{'ldyc.! s(h wrt.l rs lh.n w,b coi'r{ncr0"n. will.j. trE *{tl. lrhsmtK(n
<br />d.nldl d oltaEJ r(tr qk (Sd 701,{. Butr\ nl PtDf.snd Cd. I tE c(,nu.((n.s lx.re l:* .tf,t n* {'t y hr u o* ' ot
<br />rlE Imlrny *i. tl dr or nFlB rh.o^ an vb dB uh ur hms.ll r h.rtl, o. rtmr8h htr ( lEr ou .irt'F.!,
<br />nn,vrlcd rh.r rEh mpn'wntEr nr.ni-loroltiGl f.tr eL.lr, h'Ev6. rh. hr 153 or rtffitunr ( q'!*.htrnE F{
<br />olr.qtr[n, th.Oqrr liu r!€r * l h.E rlE hr{cn ol nn,vmS rhi lt o. {f, drt nn huil] or o{row df, ImFiy li,ltE ,lrFx ol
<br />L ar owkr of rh( nn,Fny. .n.\.lu$klr.onrEcrs8 w hlNnr.Jro r+rB l,' onntu.l rlE lioFr (se. ?o44, BusE$
<br />rBl Prt,6$n Coi.:'l'h. Conr.cl,'r LiL.n..lxw d{rr nn rp,'lyro uo*drol !i.P.n, wlx) hurl,l. ot imPnrv.\ rh.rco..
<br />tnJ rhr odE- B fir rEh Ftri<k t I r Conrftrdlr lrq<rl lrrd ro rlr Cidrk(tr't l-Mnc lr*l
<br />lh.r.mnr m.id Sdrnn .B &P.C ftrrhuRran
<br />laEaqls:lquSDNs r0!
<br />DECIdA{IIQ!
<br />t h.rchy rllrn uDJc. proalry utFqtrryonc.l rhc lil['*nl3 d.(l&rtr'n\:
<br />-l
<br />hrE !n *rll drru r Cd'fr.r. of c..(nr b s.ll-ItrluE if, srts or{Eade I l,trvilal for by SeiM ]nD .l rlE
<br />uhor Cd., nf, rlE Frfotlllet ol rh. h* ,ur wfiah th. Fmi a nru.rl.
<br />_l trE tn ! will ddrru *orrd' ddIEN.l$n in$nBc. ar Blulri hy S&rnn l7u).r trE bbor Ccl., fd rlt Ff(rlr:W ol
<br />rlE krl lq *hth rtu Frd n snhl. My wrt6 onFn as 6rulu. dr an pohy mot r e:
<br />-I
<br />u.drlyrh i. rh. tErn),mNc ol lhc work nr *ni]fi rhn Frnl tr nru.d, I rh.ll Bn cnfk]y any pcB,n in uy mnkt
<br />e, s b lErm subFr r, rlr hd6 $nFnqrr,. hvr of cd tm!,.ni r3r rh:r ,l rbnld h.om $hidt lo rlt
<br />sfi6r' co,rFNr&. porrpnr ol SF--rin rTmor E t:hr Cr&. I ndl nrh*nn.arpl, *'rh rh,t F,visirr
<br />AD!lldl:-
<br />IICIIIED.IIIAITACBII
<br />DECIITATloN
<br />I krcbr.ltumunlc. Itdrrorp.rjury rh.lI rm n.lnrJ u cr F$vni,n of Ch,pr.r 9 (conmt
<br />'n! *nh S&ton 1[D) of D,v'$n .l
<br />ol th. Au(Esl .trt Pnr,irlur CqL, arl ny li..{ N a tuU foN lrl etlNr
<br />CONSTRU(TION I FNI'INC A(:ENCY
<br />I h.E$y lllnr u Lr Fulry o, Frrry (hr! rh.r. tr. onqturrn hnlo8.8dy it{ rlE Fnlm! (,1 itr *dt frtr *hEh lhlr Fmi i\
<br />rsu.J rSd :r{r7, Crv C.)
<br />APPLICANT I'ECI ANATION
<br />I lEdrydlimuBLr Fn.li, of Frjory oE or r ro[o*'n8 'lftLnrk'nrtxmliin P.rmtl^rlEst6 M{furnn r!t...l R.8uLr lnt rT'!t aO, Pd6)
<br />_R.qurNl L.ll.ror Mn iorir
<br />l.ddyihrr rlB ,.J.ral rgoLri,ns rcBrJo8 dlEtn rcmrr.l{. nr a$l..hL b rtr In'A-r
<br />_l ..d y rh{ I h.vc r&! llrr cmllirion ad (ll. rhlt rh. &,rc int,turi,n ( c.m.r I !3ra I0 cohnly wilh rll ciry lrr c unry
<br />L{rlm?r.d Sd. lrw. ELrlu n' l! lhs ronnEdin ui leby ruk,M rF.qr.lkr ol rhis Cr,.,n Cou"r, k,.dd !F. trE
<br />rlr,r mhrnhl |rbFt rd rrFllrr F,F&r
<br />PditrE rrriit,:
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Buildinq
<br />.22
<br />Bondinq / Groundinq / UFER I.ztvlu 0b4rlu uLt4
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmen{ 5&. t/(.??rsb Oty"4la/6t Y6
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />FINAL tCV'aU.a f&X//1/.t irr
<br />Notes, Remarks, Etc.
<br />Site-Work
<br />Communications Cable
<br />Under Slab / Floor
<br />Service Meter
<br />WARNIN(i: [_. m l,) s!rc *rk s'om{rnstbn cotcrs. ir unb*tul .,rl rh.]l suhi{r u drt,L'y.r lo tuin ] tt..lrar.,rl
<br />.Nn fiE. uP lo .E hu.rlEJ rh.lur do[^ (tlo)dUr. u rlt x ro tlE t* of.on{.trqr8tr. Jrnr!6 r Frv .d nx tlE
<br />Sernn :r{)'76 ot rlE l,h{ Grj.. sr.d a dkmy'r rNr
<br />lr.l..-
<br />t.rcnE Numh(r.
<br />-
<br />Appll(snl r \rcnrSIatuluF
<br />-
<br />I
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