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ELEC'I'RICAI--INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER AUIDER DELCARATION
<br />I h.Eby .tm uBLr p.Mlty ({ tEriur} lh, I s (r.r$ hrn rlr OnrrrrB Lrd€ bs rd tlE nnllJeinS Ero. lS.. r0l l t
<br />Burtrs lrl Prn6rq Cd.): Ary C y or CNn, rhih Enur r tird ro .nnrtur. .lrd, 'n!.!w, d.mlirh or EFr u,
<br />srturur, Fuio r rsufr...Ld r.quR. rlF.Irlf,r.r f l4..h IEmr n' l-rk a r,3k! sl16mr rh.r lE or rr. i h.^t n Plmd
<br />ro rhc novnionr .l rlE Conrrern l l-i..€d ljw (Chagq 0. Co.mro8 wirh ,.Lt{n Turo of Divirion J ol ttF Buii*a! sd
<br />PNac{rn.Cdk)o t tlrri\rxir.krt, rlrRtr( Dl rlr h.$ tur th nk8.d.(qri.n AnyviolrEnolSdrr?0rI5br.ny
<br />.pphrnr for . Fmr rubrd rlE .r't lE.nr ro . dv'l FrIy ol r mE rh.. fiv. htftlftr dolrr. r trn,
<br />_1.e!owrrorr&,rorny.,*mt.r'Cli,ye.wnhw.8darrh.trsk.onFneri'n.wldorllwrt,rlrlEruuknn{
<br />ddrlal or ollcEtl tu slc r Sa 7O4,r. ButBt uJ Pnt6\hnr (irL: TIE (i'dtunr,r lr'm( lls dH nr qrly ro x.*B ol
<br />rtr Fltdy *h, b{rlr or m{n'6 rtfr)4 rrn BE' ltE rh sxr hh{ll or lirrll or rluu8h hr d lEr ow. .t{'hFr.
<br />pm! .airt'rrufi 6pbw sen hr.nldt do,lcEl fttr r.L llhr$Er.fi.ll ry or url|i,k'd n 3tll*rhmrft y.at
<br />olorrltstr trE owEr Bu rdwillhrEltrhnknolF)vuBrh.llEm{r.lndh,tl,,rth,E x loFny for th. t!.Frcot
<br />l. .s .*kr oI rhc lmFn y, $ .x.luiivcl, conrr.(ros * h l!.trrJ .onrrkbh h $nnru.r rlr F'F.t (Se ?04rr. Buru.s
<br />:il hftrM C,rL Tfi. ContrrLror r L!(.nsc l:v d*r Di .Irly ro u u*n.r ol r,)Fn y *k, hu,Ll! or mlNEs rh.E.n.
<br />:nr *r[ uDrrEk tu tNn F!'j.\Jr, h r G'ni,rlqin lirnEJ po,IM n, rh. aidrrldi ll4. L.w)
<br />]!!f,KE&tg,uff!.tar0!pEo.aEdura
<br />I llrcby 1r,trnukl.r rxDlrynl Frjury oN ol rh. rdh)ery &clr.{i,n.:
<br />I h!v. d wrlllMnr2u t Cdfrrr. olCdnrnrnr S.llln r. ftr ur*6' contrnerbn, .r ln'vrrdi nn hy SarDn .l7Ul ol rh.
<br />tfhn O,j.. tir tlE r.rtbrron(c ol lhc uo.t tu *hr(h rhc Fmrr i! n$cJ
<br />I h.v. !d rrll trrnlln $i(r' (.qrn\:r[n mlurrsc. !r 6qor.J hy Sdrrn r7(rl.t th. I jrn Grl.. nn rh. Fn,tM-. ol
<br />lhc k)rt ror*hrhrhlt Fmr '1trsxrl My*0116'$n xnurim oslr:rc(e*r {n Fn.y numlEr e
<br />_l r.d',t rh, m rh. Fr,orn,tuc ol rh. rnr* t rh.h lhs Frnx 6 r{r'l, l ch.U ftn .q't', lnt tEson m rny mnE.
<br />$ .r b &a.r .uhr.t lo rh. kntqr' .ontrtrerxr l,*r ol C:l omE 'Lt +r rh.r rl I lhrll lr.<m rutj-r h rtr
<br />,ol(or oryrnqrrun I'fl,rtrrrnr uf Sdr N,. 17fl, of rh. bhtr (ii.L, I !h.u. trrhr h d,mply *!rh rh,- porrntu
<br />WAININC: F.nuE ro :_ wc kEt ' c trqEns$n $EBr( ! urL*rul ul \hrll rlhFii a .tr+bFl h ffiMl FfltF .tl
<br />cN rGr up li, oN hu,nEJ rlE!.,xj&lls (ll{I).(In), h,llnen b rh. (N or.otrF.{r!)( dafl8.. .r FoBkj for rlr
<br />Scurk'n 1076 ol rh.liDrCiilc, nrrcmr nri omr'trs
<br />COIVITRI'L-TTON LEIIDI{(i ACEN('Y
<br />I lxr.ty ffmu cr Fn.ly or Fjlt 'id rhdr ! r radtui!'n hntl\! r8my fo. rli Fnolmr orUF q'.t tq rvtrh rh6 Frhr !
<br />,ssucJ (S.r.lm?, Crv. C.)
<br />Lrndcrt ,l!r.r1
<br />-
<br />AIELISAIIIJT&CIJAAIIO!
<br />I hqd', rllm !d.r Fnary or FJjury or ol th. loll)po8 Jrl,I.nll
<br />D.fr'l $n P.rmnlAstErlor Nol iuxon F.'jcrrlRcsuhrnn{ (T k40, P.n6)
<br />R.qulsl Ldr.r ol tlddi..rm
<br />_l r.d'lyrhnrrhc l.dchlrcBULt$nrE8ad,nt.!hc$ds,!nr,v,lar. nor lppli..t'lcn, rhtrpnI..r
<br />-1.tnn,ih,Ih.EGrjrhErfi'll"r&nrn{n.rh.rtlErhrkofdmr,n!.lllBiI.sabL-qilyqctdCry.nlCd!yu{uM. .,n Sr.rc L.* ELrD! n, b! los !-nrtuk4.,n |rr.-l'y.dhrd. cFrrnrrMr olrh( Cdy.,n Counly lo ol( l{n,llE
<br />.bv. mnrbn.d pnrtEny for rtEdion truF)€s.
<br />ADpli.rnl o. AE nl Sirmlum
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountarns
<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 />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Rough t
<br />Service Meter lz/qla .d44i
<br />FINAL
<br />N tes Remark
<br />I C
<br />O/c
<br />Meter Release
<br />,,.L;
<br />EIC.
<br />lr
<br />_l rrcr.mpr onJcr SNr(rn_ -, B. & I'C. fd rhF rcrNn
<br />LICENSI-I) C'ON A('NIR
<br />DECI.A8AII(A
<br />I rENhy rllirm u,xlcr ncMlly.tFrjury lhd l u li.cnsi unJcr tn,v!i,n orCh.Pr.r 9lommhrS *ith Sccir,n 1t)0) ol l)ivrFn.l
<br />of rtr Busmr..tn Pnf.(r'nr C.&. .rl n! l.cnr n h tull toN ul.rl(l
<br />f ------T------
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