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ELECTRICAL-INSPECTOH RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS OWNFI
<br />'tIILT'ET
<br />T'fl,C4 TATX'N
<br />I ho.tt .Inrm u[l.r Fulry or Frnlry rh, I m.r.'q, trem rh. Codrd,6' l-imr t E i, rh. foll$in3 Es ls< 70ll t
<br />Bunmrs ml PnrLsio. Cd.) Any (-[y or Counry whi.h r.qut.r . F.mil ro mnnrucl, !hs. in!Jnv., d.mlnh n. EFn r.,
<br />{rrucrurc. pri, ro irq trua.cc- trko Fqutc! rl^4 lprrli.nnr rnr rdch Fdir h,lik ( 1i8n.d turoEd rhar lEor slE n licctrql Pud|ni
<br />h lhc lxsvnhtr(.l !h. Conlr&toir l.i.cn€d Law lclunlcr e. aomnErir8 {iih Ssri,n Tu or Divnirn I ofrh. tturirc* ond
<br />Pmr.scbn( ( odd ff rh.r lr or rtE n .r..fr rlrrfnnn ml rlF tE\i! ro, rhr rlk8cn .r.n{ri.'n Any rn,bri'n ofs..li.7o.tl.5 btrn,
<br />rmrkr nnrllnir{bjt{<rh..,nlk,nrroacirilFMhyorft mR rhs r'rc ludrd.bll,.{ (!5{[r
<br />-1.u\of,rcr.lrrEnolEny.,rmt.qik,tr\eirhsrg.\n\Iltnek.of,Fnsrin.eill.]ll!h.f,dlsdllE{Breirn,inr.id.d or ofl.Rrl ritr €k ( S( r(l+,r. Bu{iks! ond t\ r.(k,nr Cod.: Th. (irrrr,ri l.ame l x* {kE nr rr/y b !n .*ffi ol
<br />rhc pmp.n, who llill\ or i'{,n,k\ iltB'n, xnd wful d(r{ tu-h *ort hinNlf o. h.(clfo! thmu8h hi{ or hs osn.6pk'yc.s.
<br />,rcviied rh$ rld inFoEEtu e rn id.nd.n q olrcEd tur {lc lt hosrs. rlI hilding or irtm^rftnr h $ld wihin !m )td
<br />orqrpldim. rlr()$Er Builds *ill i.\r rrr hrdc. o, Fo\ iry rhd rE.. {E dit mr hi!.r intmE lt FFry lq rtt r,,F,! or
<br />_1. '\ os E. of rh. pnlEny. r,n .loilclv.odtur ir8 s h lNr.s.d.o rrttoEr, $n(rM !h. FFr 156.7(*t. Bu1tu\
<br />0ft1 Prtdn ( d.: Thc Conkdo.r l,tcn( li* J,Er nn rnnlyro r..un.r olpRrtf,dy eho hoildl or inpr.rts lhcr6n.
<br />nnd *h..oftu(rrd\u.h,x'j(r(sirhrconra.t,rlrrlit.n{dpusudnrl|rhc(hnrrscxnrl.ic.nrcll*)
<br />I 0n.r.m0r rrtd Sdiln
<br />Tl)Ali}:ts5:l.l)Ilff::S,IIUIDl:uJ&tllQ!
<br />I hrrrht xll ,tr, if,lu t).tr,'lr! fllnlttrfone !n rh. n'l'^\ tru Ll.1li'rridr!
<br />Ihr!.d will nuinr'in , (.d irf,.r. !r C.,n{nr ki Sclf l6{uk fd rorld( n,mjtneri,n. !\ Ir,viLrl fo, hy S(rirn t7{f,) Ith.
<br />.1'.r C'd.. tu rlE Frf{mre or rlr $r* fr shih rhc Frm n isFi
<br />_l hr\t id witl 6id.ii *ort6 .orr.nqrio. iffur.r., I rqriFd hy Sdh. 37OO of rh. IitM Co<l- fot rlE Fr(lrltrm ol
<br />llE wr rd *hkh rnir Fmn it iqrn. My *ortdc mnpc.{rhn i^rum crir !n Inky numfd e
<br />,*.,.9'7-4rc- Fuup
<br />r,rt\Nutu dlZ ly'f )+47 t'.tnt:<: Q1 a 2 ()
<br />lccnny rttrr rn rk lirfo.mNc,,ltrE *'ork fq rh*h,hN tf,rn r ir N!al. I rhlllftn orTL'I int Fra{ i.3.y m.Rr
<br />{' a\ b hrronE !'hF'.r t'rhc f,, c^ innFndi,n h* \
<br />"r
<br />( rlintmir. rtul r8ft !h.t itIsh,uld lE{nm sufijd brlr
<br />*orl.r\ co lF.nui,,n pn,!isioN ol S(ri()n :17(D o1th. l.uh, (-,rlc. l stkll. fi'nh*nh.nmply s ir h ih,e pmtiri,ns
<br />$ARNIN(: I lu( l,' surc ro'krA comF-nshrt c,\.,r8.,\ unh{lt,l. n'il nrll\uhr.r rr.nll'k,lq i' trnn !'ltrmhnJ'rl
<br />civil 6R. up t! oE hudrcd ihoui
<br />Ssr ir .l{)?6 0f rhc I rhr Grk. atrd
<br />o.r.. Qf - Iql- za
<br />rlrr. in rddirin rn rh. .r{ of.onirndn'n. d.N3.\ ,s t o\rl.J fttr rh.
<br />/r-e
<br />t:lrtjl-Brulat
<br />lDl.O.:-(" 1
<br />ratuauiruruEDtaiilr !.lI
<br />I ltrir_ rmrm unlc. FNhrorFrrrry ih.r !lrr. i! r.onidi,n t'din!.8.r) fo. rlr FrfolllEn! ol lh. *vl [or rhah rhr Fm- ir
<br />ntu.drsr 1rr97 ( 'r c r
<br />Lnna.. Notr
<br />AP?T-ICAn"T DtsCT-ARATIO\
<br />Ikttrdi uftlcr Faaht.tFrruy o'r rh. folhr lne &r hrrr.ns
<br />lXnnliri'n Pcr.ik ArhnosNorilic{i)n fiddnl R.8rhri,n\arirkJO. Prn6r
<br />R.qtrtrcd l.rnr !f Norlfi.rrtrnr
<br />I cdrry rh!' rlr ri!,.ral rSuh'irF E3! tin8 !.l'c{n\ Emr !l urc fl{ {'di!l c
<br />'n
<br />rhn F,,.rr
<br />I cdrllrtd I l$c rcid rhirinplrdir mlnrr.rll rh.ihn.' trg(r)$n!ntn[hrllCirJ_r (i'unr)
<br />.onnru.rxtr'..trrl,r1t}\rurlrtr,r.r.F.{ rdn.\ or rh^ (''rt rkl (tunrv x,.trk] trFin thr
<br />4r*/*o ,"',b';:41-ta
<br />:ltillT;; Il":' il l.x;,:'lflifi
<br />,oru".^ - n*"* ,rr**V
<br />P.milft um 'Drlnlr:
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondrnq / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />ltileter Release
<br />Rouqh tlrolq Tr,anu*d,-?", )
<br />Service Meter I ()lL
<br />FINAL //z t /,n -rMn
<br />Notes, Remarks, Etc r! lv
<br />I htrhy.tllrrftt .,rn.hy.fFrruy rhlr I.m lienrn und$ F$rihnnf('lu ( C ldrdmNin3 f, irh Sdbn 7U,l) I oa Di{ishn :l
<br />of rh. Aurm( lhd Pmf.iqrns (txl.. !n ny lr..( ir nt inll fttr( ul .rtsl
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