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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNER AUILDB DEI-CARATION
<br />I h.Ehy .frtrn und.. FD[y or F JUry lh.r I d crornt fton ih. Coflralt6 Li..nr tr* lot
<br />'rE
<br />r.lh*in8 Ef,5n ts" m]I5
<br />Burinca! anj Pda*t,n Cod.): Any Cily or Coudy *hkh Equncr a lxmn lo mn\rn,.l. ,x6 itq"ov.. &mlish o. EP{t tn,
<br />{f,Erurc. rior ro aG i\{mc. !l$ rcqufts rh. irplkd for uh ldd, xi lik r si8rcd rlll.m thr lE or rhc ir licnsn PUN!
<br />lo llE l,ovkirni ol rlE conrr-rirr Le.En L.* (chqrq 9. (1'mftEin8 *irh sdh' ,uI) ol Ditni'n I oflh' Elrikri r'd
<br />Prof.$nnr Ci,L) or rhd lE or rlE t cr.q* itrGfn,m jll tlE t-(^ nr rt. ikg.d.*q,lhn Any rsldi)nof kirn7('tl t bv 'nv
<br />{'pli.!n! roru Fmn rubj.rhrlt .Pllkrni ro.tivilFultyof , nrn.ths ri* hodEddnbt! (Stx)r
<br />-1,
<br />rs o*mr ol rrk pn,p.ny- or my.mpli,rt.r wirh *og.! !s lh€ir $k comFnsul ion. *ill do rlE *o rrlrlt ffdE n nn
<br />inrc c.l d ofi.r.d nr eb I Sa 7lxt, BuiiEs Dd tt!,i$si)nr Cd,. Thc Conr,ldofr l-i.nc L.* dB trylvlooo*rcror
<br />ltE F{Eny }hl txit& d inproB thna an *b &K uh rGt hinkl, or rxMlr.. rlmush hn .r tE oun.nPlov"i
<br />prrit ii rh.r rsh mpmrlmdr c nn ir.id.d d.nNl tY eh l( t $q. r llihhA.f, irltflsrrd ir sB rahin iE rs
<br />;fcrml{ir.. rlE OBmr BuiBcr *il h.E th. hrd.n.fFwinA 0u h.ttr rrE dn d tlill d rFtE EFId,f r FIFEoI
<br />t, .s owmr ol rhc F(ln.ny. m cr.lustrly coflrrt in3 wnh lk.nsd $drrdoF !o .nnnru.l lrr [,[rd ( s< ?o1'1. BuriN*
<br />hD,crsid Cd. TrE Conrrrnr'\ I-t rc t E dt. mr .Iply ro !n o*ftr of I'mFdy wlb boildr or iqtmr$ rhctd'n.
<br />who codN3 fd \Nh F.F1. vitt . Colid{n n li.ded Plrun ro ih. (.onraloit Lic.< lrs,
<br />I nh cxcmlrr uftlcr s..nDn
<br />I rE..by .rrn un&r FoLy ol Fiury oE of dE aolb*ba d..Lt.lhF
<br />-l
<br />hlv. .,n will minrrh a C.nifr.tr of ConEnl ro Sclt lorurc for *orkcG onltnqrion. I l,Dvilcd for bv Seclion ],o0 or rrE
<br />L.tn Cod.. fd rlE lBf()ffi ol0r m* fd wfii.h lh. Fnn ir Lr.u.n
<br />-lh.E.inwillml ril ntr*6 dtnFNlitn ituttd. s 'qoiEd b, Sdrb. i7o olllE L.hd Cd..lm llE Flffid
<br />r,E n,* fd ehkh llir Ftu i is!4 My wt6 .nild.tr irulN ffir .d Pla, unlbd G:
<br />l.cnit_ rhlr
<br />'n
<br />rh. FrfurnuN. olrll. *ort tur *h(h rht pcrmi tr a(nrl.I shll nn c'nlhrt.nv Frw'n rnymnNt
<br />!' n\ r, tf,.orE \uhF(r n, rh. *orlc^ $trlpcn$t 0n h*\ ot Calitumh. t 33E.rld ril \rDuld E|* rtsohFll'rlr
<br />strA.r( conrD(nqliu Fn,vnnrnr dfS(ri()n:l7lx)nlrh.l.trlsr (lic.liull. tr)nh$irh.onlrlv wirh ilir* pn)vilions
<br />. n unL*tuL .rd rh.ll suhr.d .n crrpk,tt. k ainirl Ffllis.nd
<br />h oE hundFJ rh.uqnd doll.r\ (Sl(rr.(IxD, in rldnir t, t a.tlntEnqrio.. drm8.r i. p.orn.d fttr rh.
<br />Sc.ri,n l016.lrh. tjh., Gilc. inr.r.\l irn.nomt \ rd\
<br />I rEby !,frn !nd.. FMxy of lErrlty lh.l I m liB.d unLr lretii.n or CrEt,d 9 (q'itri.8 rith S.dbn Im) 'r l)ivrin li
<br />of rlr BlriEs !'n Pmf.\sbnr CnL. i,n ny liB< n h tull rore dn dTar
<br />IUlNrlllqDllli.Llullllli.aclNq
<br />I h.r.t'y lfrrn !ndc. Fn ly of Fqury rh.r rlE ir . o.rirlion h.dinl !8crv for rh Frrtffi. ot r wdk f.r $htfi rhn Fnn h
<br />ilo.rl (ss l(}r?. Crv C )
<br />lrdd'( N.m
<br />AITUIAITLIIEIIJSAIIQN
<br />I hdt{t rfmu ].r Fn.lly ol Frrur, om ofrlE folt,ur3 d.chntr,.r
<br />lXft,lnr. PsnirrAstE{or t{.rifrdr[n lti.rrl Rqthrirni ( f irL 4r. lhn6r
<br />Rcquirc(l lrlkrol Noririr i,ir
<br />I csrify rhur rtr fcd.El E8thnnr Esxdi.S .lb6t,r Emtrl rE nn qDlt.l,k ro rhk pltj.t-i
<br />-
<br />I r.n
<br />'fy
<br />rh.t I hdv. r.ad rhi\ nml$rir. ui sl.r. rlllr rlt 3
<br />odin!ft.s adl sr!r. I i*\ Ehr h8 b hrildins cotrdBrir'tr d
<br />mrnn is colN I .!E lo o'r?ly snh .ll Car, xnd (.! y
<br />rllnrirc 6pr.sd.lir.t orrft cirr.,ld Counry ro cnrd uFn rlE
<br />,,rr,r. rr ni,trr.1l l)'ot{rrv l{tr tr\|x.itrtr, l)nr[xc\
<br />applic.nl or Aarnl shMloE (7-o:\v
<br />Underqround
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monumenl)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Bouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouoh F-"ur*/D---
<br />Service Meter L
<br />I
<br />FINAL b\a u 0**v,
<br />INotes, Remarks, Etc
<br />COMMENTS
<br />Site-Work
<br />Pole Bases
<br />Under Slab / Floor
<br />Sub-Panels
<br />/ n/.D 1,t1-
<br />Policy Numhci
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