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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN AUII,DER DP-L(AXATION
<br />I lf,,cb, rrm udcr Fflh, i,t Flu, rhd I d.r.q, tun rh. Coffio6 Lt.n* lrw nn rh. follo*i4 Br,n {i< m]l t
<br />Dunft.s .rn Prof6\bn CdL) Any C t d Cddy *hrh E{uiB . Fni lo odntl, rld, irfmE. rhmlirh or EF, ..,
<br />nMrm, Fin'o irs ilsoN..t$ rcauiBllE E plilll ror ro.h Fm k nbr.,eEdid.cd rll.l lE or tE ir larnsn IrB.rl
<br />t, !h. Fovirrns ot dE C.nhchtr. Lk..sn L.* (Cnrplcr 9. ComEtins wilh Sdrirn nxn or DivBitn I ofrhc BurEs Dd
<br />Pmlcsiotrs Cod.) or rhar L or {r ii.rcdpt rhdrnoo.nd rh.lLrir fo.
<br />'hc
<br />alh8 n.x.nFion Any!iohii.,.ofsccrbnT0ll.Jbylny
<br />!0tlic{nr ror r p.mit suhjeri rh. op!'licr ro . civil FMlly of nol m)E rhan fiE hhdr.d dolldB (t500).
<br />-1,
<br />tr! owftr ol rh. pmFny, or my cr{,loFs wilh w.8!r rr lhcn s,b otr{Eosar ioo. $rll &
<br />'lE
<br />rEt .,n Estlfuimr
<br />hr.i.ldl or ofrscd for BL (Sc ?04,r, ButiBs ud PmfcarhN Cod. Th Codrd r Li(t* tlw tb.r ml lpply lo !n o*ffi ol
<br />rlr FDFdy elb hiLk d iitmB rh.En. ,n pb dc. uh Nrl hinrf or lE..lf or rlEuln hir or hd om.nploFr,
<br />pmvrLd rh.! sh fr{m\EriErr! E Nr rl.re d off*d r rE. ll lrw, rh b'B!t r ntrcErd n FB *a!i, od )u.
<br />ot frrpld-ttr llE o*ffi auiE r *ill IEE tlE hldor ol Fovir th. lE 6 llt dn
<br />'br
<br />tlild d irtmE dE Fqdy rd ,E F,FE d
<br />_1, r\ owns olrh. F,Fny. rncrctusiwlycornrdins *irh liccnBl.oturk,E ro.onrtur rlE ,lnrr1l lsa. 7{x,1, Burtrr\
<br />r h isr{Codc: Th. Co r&rol. r Lrcns. Lw dd{ not lprly b tr osmr of pmltny wh() 6uild! or inlptuks rh.hon.
<br />dnd who.onrEctsLr\u.nlolc.trwrrhrConirlct,lr)lic..qlpuNU!' ro rh. Ctntrkktr s Li.tr€ LIw)
<br />I rncicmpr u cr Se.1iD-
<br />D.t. OtE-
<br />]CI}8f,IIESAIEESAIIO!
<br />D&glatAD!trI
<br />I lEEby.rrmu .r Fn IyolFr,uryorof rlE,oll,win8&rLnrbnrl
<br />I hlr ad sill minr.h . C.nif.lrc of Coneni ro s.ll lnslE rr krl6c orIEMhn. .i Ftridcd lu by S6ri,n ]7@ of r&
<br />lltx r Cd., for lh. FdIo|flBt or$. ftrt for ttich rhc Fhn n ,{rnd.
<br />Ll h.,. rnd *,ll nrmrdn *"rlcK .omFnsorion rrur!rcc. B Equicd by seri,n :l7m .t rh. lrbr Qld , ror lh. F€rf{trftna orrrh. srk InwhrhrhnFrmir ir Fqd My*orkm $mp.tr{r tr 'nrurrc..m .nd Fnt y nunltr ec:
<br />Ir
<br />I r.niry rh!! in rh. FrrordN. olrlE rort fs *hth rh!. Frdn ir r d. I drll mr .npb, rry F$n in uy n Er
<br />v, .t ro h.sm sl*rr ro r,r *{t6 6nD.ndbn Lwr ol Crlifoni !i .8r lhd if I slnuld taor $bFl ro r,r
<br />hrt6 laipcner ion pevnirnr or sark'n 1700 or rh. Lrtv cod., I {dL tonh*nh ortly *nh 0h* F.vtird..
<br />WAIrNING Flilurc h s.ur. rorkci{ roDrrEnsolion Nrcrurc
<br />rtril
<br />'inc\
<br />un h nk huntlrcJ rh"ue l 'lollur rllrn.(xxt,. in
<br />Sc(rnnr :!016.fth. Lnhtr (irlc. mlcrc\r !ftIlrbmy s fc.l
<br />llrl. niJ \hrll nn)Br nf r[d'iy.r r. rmihl |{ulrtr\ rtr(l
<br />i. rh. c$r or.onFnsaln,n. 'llm8cs as Dmv cd nr lh.
<br />vau
<br />I h.rcby .frm und.r F..n t nl ,Etlry rhlt I .n la uftld F,vnio. o,OEpro 9(onn.ftrn8 $dh Sdbn rm)) oaDnnio.l
<br />ua rlr Busirss i.tt PrDrBrkmr Cdr., lld ny li(.nc i. in rull fttrN $n coi{l
<br />d?f6
<br />I9z
<br />qolErall:Illxtl.llDlNli-dcExqr
<br />I lEEby rrrrn unllcr FEly of Frrr.y lnd dE! t ! .urdli,n Lrdin3 r!.t, fd rtE Frflmr ol llr wl for *tit lhir IEni it
<br />trxrj (se 3007, civ c )
<br />Gndcl( AddE$
<br />APPI IC NT II'(II AXATION
<br />I hdd,y lfm und.r p.n.ll, of Fruy orc of rlE followin8.k Lhin,nt
<br />D.mnibfl Pc.miri Ait$kl Nd,r(4io. tuml R.!uLri,.i (Tdt,l0, Pan6r
<br />_R.qu,Ed t trcr of t{difdnn
<br />-l
<br />.cnify rhd rlE f.n d E*ubr b.r rS.rdine 8t {or En,rrl ,c d qrltabL r. 'lir pn'rer
<br />I..'r'lj- rhrr lhr\. '.rJ rhA rtrtlrrrnrr,
<br />,{,lm'f,u\ rtrd Srrrc I r*\ rulini{ n) lr
<br />'l,lnN
<br />rrE!h,vc rnrrtrrori'n i\comr.l 'srsb(rnrflrlirhrl Cnt rnd County
<br />flrr h.rcby rurhtrirc rcprc\cntlrirur ol ihtr Cir, snd Counryr. cnrd xF)n rtE
<br />rh,vc nEnl!,md pr.pc.ly t(tr ir\n cri,,n
<br />Appll.rnt o. Aacnl SiamluF
<br />,.-,u* -..,,n",, tt6((i t xw Nt6oh\.-,1gu
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<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 Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soff it Bouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Belease
<br />Rough
<br />Service Meter
<br />FINAL 2///y'"e2/Attht )
<br />Notes, Remarks, Etc.z,NL-
<br />II
<br />I
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<br />Rnv 08 07-2015
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