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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/slG.COMMENTS O\*NEN Bt]II -DEN DT:I-('ARATI(}N
<br />I hoctty .nlm u.ds ,.tilly of Fjury lhd I m .rmpl fiom lnc ( onlriclou l*d.li* to. th.follo{ins tNn {S(.701Lt
<br />tlGinds Md P.of3ion cod.): A.! ( ir) or Counry shi(h r.qund i Fdi kr olrrucr, rhd, mprovc, &'mlnh or lair E'
<br />3lruclu.. Ftu ro ir! Buft.. .ko k+r6
<br />'h. +pltMl f.r s.h pdin 16 fiL r rlsEd rn.:6t lhn lE o. rlE it l'.dE d pldEr
<br />ro rlr Flr irioB ol tti (inr*roa! l,rd..d t \ ((1uri6 0- Com ins Mfi Sdirtr 7000 orl}l\Bnn I ofrh.lto.in6 ud
<br />PrefsNnr Co&) or rld h. or slE a RmF rlE fr.m r.d rh. t rir lor rh..ll.e.n .iapti'n Any\6hionofsdhn 70ll t L,e)
<br />+pli.. r .Fmilsubjdr'h. lrDli.a kr ! c!!'l p.o.hy ol mr
<br />'nor.
<br />rh6 fivc hundr.d dolles (tJN)
<br />l. d o*E of th. Fop.ny, or m' mphtG wnh e.B6 6 ih.n hk.omp.M6.. $illrl. ih. *(t !d rE tu@ ir d
<br />darLd d ord.d io. ot. (Sa 7044, Br.llB.d Prof6ilc C.d.: In Coftrrn r IioE L.w &,6 mr {plv ro e o$E of
<br />rll FlrEr, *tD h!i& or i,r{rcs rlE@ rd s,no AB tucn mn hmrlf or hdrlaor rlml8h hi. or ha ow mrlo)G,
<br />provitr !h.r iuch iryn'v.mE e mt iddrLd orofirrd forsL.ll lh{6r, rhc brlding or iryr.ler€,n n$ldsihinoEra
<br />ofcompLtbn, rh. Osc Euildd will hrw ,E hdtn of I'ovils lh, lE or fi. dlt mt hill o. ihF!\r $. ,mFiy lDr rlE FrpoE of
<br />l, 6 o$E of dE FnFry, rn.rchn.D odrdn8 u nh I'G!.d.otuelmro coftntu.1 rlr FlF (s< 70{a, BddB
<br />anl PriJiBm Codr: 1'!,. ( o.r@toar I ic6sc L!* t 06 not l,ply ro s o$ ns of proFnv wno b! ild! or ihpro\6 rhq@n,
<br />and *ho conl6d3 tu u.h Fojds *ilh . cotucx'(r) li.oa.d pu6rer 16 lh. (irnt..lors l-ic.G trs).
<br />I 6 .tmpl ufrLr s<rion
<br />D.t.: orrd:
<br />wolll(l'as, contrsNsaT()N
<br />IECIAAAI]AN
<br />I hsqr! rmm u.d.r Frlrt o, psjuD- .E of rh. follo! ltB J..le.tirc
<br />I hI\. !n r ill ruinhrn t Cqlrfrcd..t('olmr h Sdf-lcG for $ortai onFMk'n, 6 F!\ildl tu q( s<r$.l7m olrh.
<br />ljbor ('odc, aor lhc Ff.mMc. o f lhc worl for *,hich !n. Fnn ir i(u.n
<br />I h!\ . ni *ill main'.r *olld' cooposirn rNur!m.. B r.q!n.d ht S.n ion l70O of tlE L.hr ( od.. aor rfi. rEfolw of
<br />'lr $ l for { hrh !h6 Fine . 6l.d Jr) *,116' (.nFun. 'lMH..,E rn polE} numlE r.
<br />cmir . fallslal<-
<br />",n.-*..,-,r FLAO\9778-09 ,..- -2-- yP
<br />l .slia,t rnd in rlE Ffomm. ol rh. r ort td $ hrh rh! Fn R irs.d" I rh.ll mr ophy ey F$n i. m) nmE
<br />$ a t' t i!@ rubj..l ro rh. "0116 mnpqBdt n L$ ! otcdifomi., ad .*r thd if I dFrld b.oft $Uar ro !h.
<br />wolt6.ohrEerionFrovisioGofS.dion3700olrhcl,hrCodeIdtrll.fo.rhrilhm'rply*irhlhorpmvisiod
<br />\r'ARNING liilu. ftr su. $rrtd conFann $r(+. n unh*ful. &d shrll {hFt D onplo}s to mml Fnlis rrd
<br />cnil nn6 uF '. oE hon&.d rh.osd doll6 (tlm,mo), ,i rldnFn h rh..oq or
<br />s6lnn !076 ofthc L.toi ('od.. inrad Md dloiE is lGi-1
<br />DECIASAIIO! :
<br />I hd.lry.lfm u.<ri Fnrh, of Fju!r- lhli I e licasj uftls F!vi!6. of Chprs 9 (comffiint * h Sclion ?m0) olDivisio. !
<br />of rhc llurins od ParrBlioB Cod.. md'ny licd. it in tuU forc.. cfidr
<br />.n,*rr*t C>Q
<br />^,": lz-31-e
<br />bc>'l zt o
<br />Y...)t''T.an^-1".-,-
<br />carsla.t(llollIxrllc_acftcr
<br />I h.r!t') !m,r uM!6 Fuht of Frj!ry rhd rha.n ! $drudnn LndmS.td! fo th. Ffommc of tlE trorl aor rh*h rhB psmi !
<br />su.d (Sr 1097,Civ ( )
<br />AIII.IIA LDESJAATOd
<br />I hdd, lllm undcr p6.lry ol pdjury on. of th. folloNinB dcla!' n]nr:
<br />l).mhion PEm etuh6' MrifE.ihn l-.d.r,l R{uldiofu (TnE.r0, P!n6)
<br />R.qur.d Ldrd of fidifdion
<br />I I cdri lharrh. fddd r.8uldi..s r.gddr.s Etrlha ,do! !l o. mr {phc.bl. lo lhB F ot f,.
<br />p4.d,rr
<br />'hd
<br />I h..c,a.j 'h! qrl(dnn !d nrc rhr th..hE rr.tunn . cnd r 'srro otrpry * h.ucny.!dcomi,
<br />6 orrni cnr rd Colnv k' 6ra uDon rlE,tr'1tuft'F mJ srtrclast rld,ns rar{rE'nr crNtudx,n. arl hn.t!. n{u.r.F.rddtr
<br />ah\c m6'tr.ncJ Flpalt fi{ rBr(1 n njr9rs.S / /
<br />rpp snr or
<br />^sd,
<br />shm,ur. X (f.^.-^^ L4j *(^:
<br />*-u--..,,n,,,fr 6>-.. --- L^,-.-r,{ .
<br />tt-21-(1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />f ire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />[alls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />I
<br />FINAL 4'a/.*'zO ,*V,,,?t)
<br />Notes, Remarks, Etc 'L/
<br />1
<br />Sub-Panels
<br />Service Meter
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