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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEA BUILDEN DETiAXATION
<br />I h6.ty !,Im undd p6uli' of Fj!.y thd I D .r.f,rr EDn lh. Cotu!.ro6 l,idg lrs 6r th. fouo*ila tG)r (5<.701 I 5
<br />Bdil:d !n Prcldt'n Cod.). ADy Cny or Couny *'hth r.qun6 t pdinn ro .orEidcl, .116, inp.ov., &rclilh or t!p.!;y
<br />rlru.ru.. Fi.r x' t! islec..r!o r.q!i6 rh. lc?lid for uh Fnn lo nE. ti9.d nranq tlu lE or iE t lic6!.d Frs.r
<br />b rh. FrviioB.frtr (o rdor'! l.td!.d Lr* (Clupla 9, Comtri.8 wnh Scli4.7000 of ltviion I oallE Bui,Is &d
<br />PNldiod Co<|.) or rhd h. d rhc ir ddrqr rlE.ton 6d rh. bcn 6r fic !lks.{ aanFion any vhlniof, of Sdrio. 70.t I 5 b, dy
<br />q'plic!.r aor a FDir rubjclr rh. .pplicd lo . .ivil p.u!t ol Dr mE lhr 6r. hurtu &,llr! (1J00)
<br />l- 6 0*6of $<F.ifiy. ht 6npby6 qih srs6 - lll.n $F oiFBann, $ill& tlE eo* sd 0E nr*iE i! n
<br />irad.d or otrftd for d. {Sd.7044. UBin4 id PtDt6atc Cod.: TlE codrdoar lid* La dG 6t tptlr b m osE ol
<br />rlE EDFry $r h,itd c i6rrn\B ih.Er! i'd f,lb dc sfi mlt himclf or h*lf or rhrcu8h nir or hE ow 6nlo)6,
<br />p.ovid.d ih.l Mh inFbrqtEg E d iroxLd d oflscd ,s rt rr. lsG. tlE hlld!{ n ltsuqEr it 5ld *nh6 @ !d
<br />of $npldia ttE ()En6 Auil& Yill hlr UE h[rl1 of Frvtu tl{ lE or JE dil ml hiU ofuqot! 0r FoFi]' 6r tlE F,IE ot
<br />l, 6 .*G ol rrE FitEry, m d.tuln .ly conrdin8 wnh licr*n cool,ldon lo coBltud tlE Fliet (Sc. 70{4, BGn6
<br />.,n Ertsin Cod.: 118 ( onrrxloir l-i.@ t^' &€ mr .rpl, to a o$rs of proFly *ho huild! nt inpov6 'h66..and who .oflBl3 for luch FojqB *nh . ConrEto(r) licc.!.d p6uln ro llE Coddoa. Li(w l,E)
<br />I a r\. ,1tr d.' S(rn'n
<br />D.r.: O.nd
<br />woraxiRs-a oMPiNsa ItoN
<br />DISAIAIIA!
<br />I hdct,,ftir. und6 psulryorFtuwon olrh. aollo$in! &.b i.ns
<br />I hlvc !n s ill Binrlh i Cfiifdr. of Co.hr ro s.lf-lNE lff rsr6 mmpqliioa ! F.liLd fr'r bt Sclio
<br />t h.r codc for rlE pafom c. oflh. Blit lor snich lh. Fm[ i! isu.d
<br />I fiav. $d will mintlin *ortd coop@li.o i.ll]lM.- s Equir.d tt SdhI l'7m ol0r lrf.r ( o&, for
<br />'h. Ffol]re. of
<br />;:*fi;,fr;ffi;iffi ff r:,::'-'i[ jrur_,
<br />I cdiry $!t r th. r6folr1ry. of rh. sort f *hkh this Fnn a e.d I !h,ll Nr oplo! ut Frn n dy
<br />o a to tEom. rubr..r ro lh. voltd ompdsdion l.$r ofcdifomi& 6d .AB lh, il I should tEoft tut lxr ro I
<br />$.116.omF6rionFltiriouofS.dn.lT00ollh.llborCo&.lrltrll.fonnwhhmnPlysnhlhospsurio
<br />#
<br />WARNINC: rlihrc ro cd. $olk(J (omFB.ln'n cn\d*. n uhstuL ud {Bll ubi.t M mPhl( h aimml FrIi. !d
<br />cnil find up ro oN hundrnt if.u$d &lls (!r0o.oo0). in .ddnion lo lhc cor ofcomFnrtrion, d4.sB s p.orid.d for rhc
<br />I
<br />- OECIJaAIIA!
<br />I h@by rllm utul6 Full] ot Fjury lhd I 6 liEB.d un<b Foririo. of (t!5Pd 9 (olffiins * nh Sc.tni 7mo) .f Dn iti,n !
<br />ot rh. ltusin* ed PrnadioB CorL, ad my lic.e ir h tull forc. ed .ficl.
<br />. CtD-rzlrzIrl '"'"".X
<br />d,.o, * 9,tb
<br />R.,rU- tfu.-ha-- ra-r,
<br />raNirf,ul1lall.lxltlclqll.(}
<br />I hmby dlm und6 FEhy o I Fjury lha lhd. it . otlntucrb. lditrr8 .8*y for llE pdfruc of $. {ql tu {tkn ths pann i!
<br />Bu.d (s6 1097,( i! c )
<br />aff!(atrr-DrgSSduaN
<br />Lre* !fihn udd Fn.l', of pcrjury oG or th. rolhtrT8 d.(l& nB
<br />Ustulnnn Pmi&Arb.nor N6{i,icdhn Fci6.l RqlldhE (l irl. a0, tar6)
<br />R.quGt l.ttn oa t{.rifdhn
<br />I (drfyfid rh. a.ddllrcsuhtuN EEUdiry 6h6lo! rooral o. n dpplicabL to lt!
<br />'.I
<br />jcr
<br />f I cd,t rhd I hlrc,ad rha 'pil(ar.n nrl trat rhd fi..tr.. hrntuFn s rcn.d I
<br />sd aou.tyn' orE uIi,i rliordinlN6 sd Sr.r.l,*!Eln'n* ro hildrnE .onsnd n,h. dn hd.by.dhornr
<br />.n E n6lio'Ed ropdv for inrl{cr
<br />ta,t+zz coer*to 0,4
<br />--, tz/el r*
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under SIab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Fact Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service lrileter
<br />FINAL S:2('76 v.tl.rA
<br />Notes, Remarks, Etc..t)
<br />l
<br />,\pplioir or As6r shmtur.
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