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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNEN AUILDER DATANANON
<br />I hclt'y.ltm ldd F.r.Iy of ,qju., thd I @ a@F tlm th. Coflrrcid' L,.oc hw for
<br />'h.
<br />tolh*iig ffii (Sd.70l!.,
<br />It6ina dd Prof6hn C6d.): A.y Cny or Coun, whth r.qun6 t Fr! 16 o^rru(r. .hd. i"lFote ddmli]h or !q.n dy
<br />nnrlEeFuroG Mc..to aquGrlt +plael for sh Fhn ro 6L.3r8..d dEn $r h. or rlE B liiE .d F,idt
<br />ro th. F.viiioN of tlE ( onlr.crd ! Lic.ned t,w {Ch+tc 9. Comimins rith Slc|ion 7000 of Divnion I or th. BuinB ed
<br />ftolg{E Cod.) d th! lEm iE i q64r lhatfw &d llE bGs tor th..lk!.d ddrdbn Ant tirldi'n ofsatit. T0ll J brD,
<br />.fi,licr aor . pdDi luqdt! rh. rpplicd ro . .ivil pdty of nor mE rho fiv. fiund,.d dolld (1500)
<br />l. r o*E oath. FtrFrt, or dy cnploy6 wnh *is6 s dtn nE odrcGtio., sill &r rlE sdi !d llE fiEic i! L{
<br />i.rdrlqj or ofis.it tor sk (Sd 7044, BoriB ud Pn a<ios ( od. I h.(nntoclol: Lkru Llw &6 @r .prly b o oMd of
<br />rh. FsFry $lI hoil& o. !tp.o\E tlEEr tn $ h dG srt *dI hrelf or lEs.l r or ftlusfi fi! d hd os a+hyc.
<br />provid.d rhd 3u.h inFoaMt e d,rod.d qotu to, !k. l[ lrEq,0E t!il'1,!8 or imFuaEn i! -ld wrhi! 6.. )a
<br />ol con4klbE rlr o\rE Suilb uin h.E tlE hr&n ofFtrmB thr lE or {E did ml hlild or iDF!E $c gDFly 6r llE F,F, of
<br />l. 6 orft of rlE F.Fry. @ acl6'Ely.o rerins s,nh [c6s€d co,feroR ro (nfud tE F)j.tl (Sa.704.1. ttlitB
<br />.rd hDfs-a Co&: T1r. co.rr.roir Lic.* t.* d.€ mr rlply !o x o*ns of FoFrr. tr ho b{'kt! or inpro€ 'hdo..ud wh. contr..c tu ch projetr wilh ! C.nlI clo(t lic6a.d p@@r iorh.(nnt[rloi! Lic@L!w)
<br />I m.rdd u(16 SEtrd . B. & P C for lh! ,q$n
<br />l).r. oir6
<br />MBtiEEti:(9rlI]:N lla!
<br />lr}:(.LAAAIlllN
<br />I h6ct'\ rmiin xndd Fuh! oIp6Ju^.n. ofrh. folLtrDg d(lJarkrN
<br />-l
<br />hlv. lxl willlfu.b ! Cdiftrc olcodar ro Scll-l!!@ fd wla @mF .ln^s Flvilcd fo, b, Sdi,. ,0ooftlr
<br />trbor C6d., fq t FtulM oldE $qI lo *ti.h lh. FEn ie asu.d.
<br />-lh.!..,'d$illmi.h*0116rco6e@.rio.iersqcr.quiFdb)sdiotrl7(nofth.L.l'orCo&.fordEFfolrfficorn Bur c..mid d,n rFltry numtF r.:
<br />I .d 'fy lh.l in lh. Faon@.. of rh.lor *hi.h ihis p6mir is isuai. I shsll nol drploy &y pd$. in &, h nB
<br />$ c b tEom $bd ro rh. rstd hs! of (ilifonL !i .sE fii if I sthuld h.(m $b61 ro tlE
<br />mrt6 comFMrion poviioB ols(1Dn l?(lJ otth. Llbor C6<L, I lntll, fMn*trn Nmply q'nh lh& FovaioN
<br />\\ \r{\l\(; 1 n L'r rn $,r. \n,li,otElsc n unL*ft|. lrt sh.ll lohld u ph)€ lo dinrul Frlb Md
<br />(nil fin6 uF ki on. nu.dr.d lhoMd d.lh6ll tun, dMrr.6 6 prolid.d aor rnc
<br />sdhn r()76 ofrh. titx)r (i{.,6rdd dla)tt,7-u!.t.:-su!-rc &(raBDrclrl&ulaf
<br />I hd!t! .,Im u.r& Fdy of Fjury lh.. I s lko!.d u.dd Fo\ ition of Ch.Fq I (Nffiins * th S.db. ?0m) of Divnion I
<br />of rh. Rusi.d ed Ptnrdiod Co&, d ny licd* b i tu ll tor dd cII<r
<br />co!sla!(f.!r!1Eun!cJc[dt1
<br />I hrby lmm u 6 Fulty o t Fjury rhd rhd. i! , oBtudion kndi.g laacy lor lh. psfostucc ol rh. w.rl 6r whkh thi! Fnir i!
<br />isEd(Sc.]urr, Civ ( ).
<br />APP| rCA'Yf nrcr r{,r1oN
<br />I ha*y lfm u.<la p6!X, of Fjory on. ol rh. rolbwiq deh.liont
<br />D.mhFn PoTne^lt 3or I'lorifi.rion F.d..l R.s!hb.r (Ihk,r0. Pd6,
<br />-R.aun.d
<br />kur ot Notifi cam.
<br />I cdify rh.l lh. a.ddrl rcgularioN r.8r'jins sb6ro3 rdBx d o. nor .t)plc.blc t, rha lmjd
<br />I .d'rt $, I hft. Ei!
<br />'his
<br />rn id. lhr lh..6\. infomd6n a otrEr l4xc r.6ntly*nh.I Cny rnd Codly
<br />I rhi! ( iry md Colnry ro orq urDn tt
<br />;;5/4L/2
<br />ordr@c6 sd Shl. L.s'i chlin* ro codrudio.. rnil hd.br.ulhortu r.prfflalivF o
<br />.tsl. ndhn d FoFny for
<br /> pIli(rnr or Ap6r sig {ru -T c<-l
<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 />Bonding / Grounding / 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 />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough *lza re v4 t6>
<br />Service Meter
<br />FINAL tlzqlrq I X9rrf {o'i
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />kda'r Nm.
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<br />lddn'r AddE
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<br />Site-Work
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