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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNIiT BT,'II,l,r-x DE-C TATK}N
<br />I hEb,y .Ilm u.tls FMny d F.,,r, $.r I m.&qr 6Dh rlE cdht6' LitM tjw fo. LIE follo*iry E.$ (Sc.7011.5
<br />Burircs .nd Prorsion Cdd.)r Any Chy .r O)uny *hkh rcquiB r !6ni to onctr( .116, inl?mc d.mlith .. EFn x,
<br />{irrE. Fii b ii iod.. lko ftpE tlE 4ilsd fm uh IE d b 6L r triyEd dr*d $. lE a tt i. lReJ pr$.d
<br />r. rh. I,IEiB ol tlE c..u-rni l,a.n4d lrr (ChrF.r 9, ColmEi., *nh sct-h ?(ID of llirEhn I of U. aoiB .nd
<br />PrDf.$Es Co&) rr rhlt lr or rrE i! cr.qr thaltoh rd tI! h.!ir for JE ,lq.d .rn4rd tu, v&Lrion.f Sdirn Toll.5 b, D,
<br />.prli.dnr aor 0 Fm ubj.rl' lr. .pplic! ro . civil p.Mhr or mr mE lhu nE h!'dEd &ller (l5m).
<br />_1. & olB .l r ImFnr_. r my .mohFc vnh *.t- & rh.t -L .rF]d-n. srl dr rh. *rl tn th. tldm ! nr
<br />inGial or ofr.EJ ,or sL (56 70+4. BusiEs! Dd Pruf.sioN cui.: Tt Qrddol! L$n& L.* aE.ol +ply ro u om oI
<br />E IDI,.ry et hildr q lilh,E rlrtull !d *lr, d(6 $rn *ut hiN.ll o! lIElf or tllow! bir d lE own..{roy*r.
<br />DroriLd thl sh itrsowtun rx d.d.d(ol&r.d t{r.t lt Lrffi, th. hlriry ( i,!.frttrtd i' rid *thb* Fr
<br />.Icdlpki\ E ()*G Bu'll.r *i[ UE llE h&b o, Fvil! ll! lE d,rE dn d h , * ltFoE dE Fwr, fq 0E F FE 6{
<br />_t. E o*Er oI rh. FtrFrt, m.rcunGll coldrr! tan lr.Ml coturB ro @''!|e rlE FoFl lS<. 7ol,l, BM.
<br />.rn h*sno CdL Tll. CodEror'! L..M bq &B d .rrly to u orE of FoFn, *to hildt b+ott thdan.
<br />ed vho .odrdr rd !.ch Frdr rirh r codEk(r licr.! Fr^ulr |o tu codrd s Li..M tlw)
<br />I m.r.trpi u.&, Ssrr'tr-, a. A P C k G! ErDn
<br />lrlI8f,IBs.TAMll !A:I]l,!
<br />DEIIjIAIITN
<br />I lEtch, rlfirn unld FMrv ol tEjo.! oft or rtF r(,h*i4 *.L.rp6l
<br />I h!v. lvl *rll nlilt.b r t .nilErt. oa (tMd n, s.lt-lNuE Ior w.rtdr' $np.Nr Dc !s FtrdLd for by seriri l7m of oE
<br />lirn Cd.. Ir tlE lErfd|rEr. or rh. rrrt kx vhrh rlt Fmr ! !'*J
<br />I luv. lrd wrll nBmam rolk.( (nl{.'B,rR,n mruE'r.. rr rcqlind hy Sdlfn l?00 ofrll lrh, Cod., tu rh. ,Efdrr* ol
<br />d* qDrl rd *h.lrrh! Frn!( ! r$eJ My *ort(r' .xtr+.trldi'D iakec cai6 dnF'laynurlx.E
<br />q
<br />-t.drrathd
<br />urlE Frt n.Nofrh.*orttq*n hthr Fmn ii iiqd.l ttEI d.npby m,FE.oe,'llla
<br />n o h lEc6r iutjccr to rlr xrlc 6mp.Mhn Lv!.f Crlrlmi., . {r lrd iII.tnuld bcc.ft bjer rorlE
<br />wrt(r.!tr{ro{tbtrprcvrioNofS.(i,nl7(]Ooft}Ehhrciul.,lslEll.ronhuithuplrentrhd*rbvni,E..
<br />WAI.NING: f.ilur. ro Bu,. *0*.6 otrrFMnn oycnr. a u .nptF h snEl FrlB nil
<br />truri,'n. durB.r a lbvdd f,, rh..iv iiEr up o uE hun'lrcd rln'u$ &'llus ltl00,m0), 'S(t$n:1076 ofih. t b.r Cuk, inr*! ri crrmy! liEi
<br />D.t :- AeCIol
<br />I lElbt.trm ult ,arryurlEiry tlu I m li.riEl urld Foviion of Cli.Fs e l(I,|l]l]furl Mb stu ?m) ol D itDr l
<br />ol rlE BsiBr md PDldn{ Cod.- ti sy lt6- L nl tull for.rn.r[d.
<br />laNIlU!:II]lJADldIi.ATiEdSI
<br />I lrEby .m.m !ndc, Fuh y of p.rjury thr rh6. n . @dndbi l.idi.8 {.ry ,or tlE F lo,]ffi. .l rE *trl lhl r+th ihn pdmi ir
<br />trtr.J (sa. 1o.r7. civ. c.)
<br />AISJCAILDECTABAI&E
<br />I h.r.t'y |trm ulLr FM,ry of Fjuy oN of tlE tou,urg &(Ldim
<br />O.tu hio. PdnnllAlbd(r Noofic.rDn ll.d.ol RcruUti.or (titL 41l, Pd6)
<br />_RquiEd t4dof M.'frdr.
<br />_l .cnfy lhrr rh. Ld.rrl cguhrioE r8{diry rst.sm Ern il (c d {pl{rbh o lhn ,nu..r
<br />_l EtIy rh, I lIE r.d rhr {'r Edk[ ri rl{ rll drnr odDn A ffi I {r ro e'nlll} *rh .ll C., td (iay
<br />ordEneg..d srrr. L*r rldq t. t{ild
<br />rh'r trrnuon.'l F,lEny itr
<br />h.Ebt ruthord r.F.rdrcs of
<br />:.7ilH*."
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Wails (Rough)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meler Release
<br />Rough
<br />Service Meter
<br />FINAL ) /'.,-r/,-42e 4d {--r/ /
<br />Notes Remarks Etc.
<br />Rev.08-07'2015
<br />Cuir
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