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ELECTRICAL-INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS OWNER AUN,DEf, DELCAXATION
<br />I r*rcby {mrfl u.dd Fn{lly of F!!ry lhrr I m .rcmt fiDm lh. Co.rrr.ro6 li..€ lrw r E rollosinl rcr$. (Sd.7oll.i
<br />Bunrcss un PIoenion Cd.rr Ary Cny or Ca'ry whah EquaFs r FnjI b 6nslul. rh6. i,p,oE. {bmnirh or EFr u,
<br />sME, nm to n! issuRr. rte r.qlncr rlE 4oladr fo! uh Fmi b 6L ! riSmn rrdcrnt lh.l h. or C* it liccnrn ,rtu
<br />ro rh. IrDvili,nr of rh. Conrsct.cr Lkcn$d t e (Choprcr 9. ConmturB *irh sNrion 70fir or Divtion I oa rh. Bu{m$ Md
<br />Prnc.rbn\ (ixl| r ih, lt d dr n cr.il,t rlEtfrom rrl rlE hrt lo tE lllqld.rclltllion Anyvi dbn ots.dirn 7O.!15 brry
<br />rrpli.rnr rd! pdnn subj.{k rh. spnlicor ro !civilFtrlhtofnor mrdrfisi fiv. hundrcn dollr! (3500).
<br />-1.
<br />!! ow*r otrh. Irollny. d $y.rploFs e h vrsc..r rhctr sl. enFdnn, slldo 0! krt !n rlE rrlw E n,
<br />,nlckLd or o,Icrcd li,r $L (S< ?044. Bushc* d Pruf.$ii,m cu.L: Th. (1nlrrkkrl Lt.nE Lr* des nor +ply ro d owmr oa
<br />rtE ln,pcriy etn hoitlror nImBtl.@c.rn *lI, d.B *hh hirelr.r tftlf or rlmugt hd ( lE o*n.6I}lFr.
<br />[ovi].d rhlr $ch inVftl4mdr a mr i{.ni.d n ofi.tEd lor s!.. lr. lrMa. rE hildrE d iqmwmd 8 $U P.hr or Fr
<br />or$npLlbn,ltr owEr Buills BilllEw rlE hrdcn of provi"S rhd h. ot {r dd n tuild or iqmw lh. nr{Ely for llE I'urAN ot
<br />l. ss owmr of rlE rrlpcry. M crcluriEly .odrf,t hB snh k.n.d .odrdm lo .nn rur1 llE FDF.1 tS.( 7O!r, Buriftq
<br />rn PlDfsri! Co&r TIF c.nrrroar La..! b* dc ml rrplr lo e o*E or proFn, *t h$ld! or irq,mwi rh.Btn.
<br />ond Nho onrrurs ror iuch Imrc.ls wirh ! C.nrmio(n lk.nd IURunr ro rh. Co reloas Lian€ L{w)
<br />I m.r.nDl un&r Sdr,tr ,A &PC lorrhEllen
<br />Dir.: Off
<br />tta8f,Elrl:sgMEltArlr!
<br />DECIASAIITA
<br />I lERby .inrm un&r FEty or Fru.y oE or r,E nnkrhs d..lzdr8:
<br />I hlv. r,n will minrrin r CeniE r. of CotrEnr ro s4ll lnse ror mrl$ $mttnslion. Es pfl,virkd nr by larbn l7m of rlr
<br />tr}u C.d., fti rlI Frflffic of tl* m fu *ni.h 0E Fnr ir iinkd
<br />'\*.. .Bl *ilt nwnrain so cK c.rp.nsrion rBr.Nc. f,\ rcq!'at h, sdr bn l70o dl ttE trlrr clr] - for llE Frfm. of
<br />tlE *rrt rr *htn $is Fmn i! nqEl. My *o 6 otllxndi,i m{ln! catr {d Frr.y nun E e
<br />Sto.t{.,'N l:-^\
<br />'i-Z o lq ll z-r 2-
<br />I .cdily rhar in rhc p.,f.rtukc otrh. work for ehrh rh,i p.rnril ^ nrucd. I slull nor.rpk, rny Fno. i. n, 'Mkrv, a! ro bcr.r ruhj.lt ro rrr worr6( mmtEnr.li). L,s o, C.linnirl rn! .e@ rhd d I srsul! tEtom subFl rn llr
<br />w,*cF n'tr{qsrrnpmrnioN of Sd-,fl l7mor E l-l GxL,I slEu, rodh*nhonrdy vhh rlnr |n,vrhnr
<br />WARNING FrnE ro .s ,trt.R onFEnnn @68. n unh*tul .!d rhrll subFl a cnThF ro sininrl Fnlis ud
<br />civil fin.s ur lo orc lud,.d rhols'd dollB l5tm.00o). in.ddir6. ro rh. o3r ot.on{Ens0lion, drm8cr a,}ovncd for llE
<br />Sdrhn 1076 of rli L,bor Cod.. hrftr .td .rtfty 1 rerrr(--
<br />o"'.. I lfqlz\ eppuonr, X >-',""-r- :>------------:- |
<br />LIGdIE.CTNIAAIIA8
<br />DECIISAI]QB
<br />I tEEby rftrm uBL. tEndly of pcrlury lhrl I m liedsn und.r F ririon of ClDprc. 9 (otrEmin8 eilh S..rion ,0001 ol Divishn l
<br />ot ttE B!i,B! {d PhfBr.B CnrL. rrn my li6i n h tull foE irn cfld
<br />C-ro GqG1\]>
<br />I laE',,,.,.,.,,'.)</-_
<br />conisrRfi(-n(N r r-'lDtN(: acEN('Y
<br />I h.aby IurnuBkrFMlryorpfi,tlryrhdihdrBronsutnnLdin8r3.EyntrllEpc.lt)fu.o(rlxsttft shthrhs Jtrnr 6
<br />isucd (Sa .1097, Civ. C.)
<br />AIILICANLDCCIJEAIIA!
<br />I hol.try atrm M<L. Fn.lr, ot F,lr, ot of rlE roll,*i.8 &.l&'nnr:
<br />Dcn$lnion P.rmd$Asb.rlor Norincrrion I;c&El Rc8uhrioN lTnk.r0, Pun6)
<br />RcquiEn kllcr of Norifrdion
<br />-l
<br />cdify rhd E L&fl| EslhroN E ldil! ao.{ot ttuEl m d +pli.!bL b thi! !mj.t
<br />Fjdrf) rhd I hrh Eid rhB rppl.!r6. .il nx. ihd dE rhovc inrorrEli,n is corr.tl I .sB ro 3,.91y *irh .ll C y ind Couni,
<br />odmerr lir 5!d. lls ErtrB r. h'ld'ng onfudbc .d lm6, tdlnri! EF*l {iEr of rh'i Cty !d Coudy ro .nrd Won ',Erhnr nrnrtrn'ci pnlrn, l,n Ln\p.crrn,y)-
<br />--.---_:-- Drre, ,
<br />S..irr".Applicul o. Aadl Sl|lBluR
<br />P.mlleEm(prt ):f
<br />x
<br />9*.r.,-t lr#,
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Founlains
<br />Siqns (monument)
<br />T}P 2-3-))t-:.tl
<br />Life Salety /Low Voltaqe \t/
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER ,-- 8->l I UrtY
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release 7-{-r)Wvi)
<br />Rouqh 2-g-Z)
<br />Service ft/eter 2-&.fJ il/.fl\
<br />FINAL 2-r->J ,t[}l.tl
<br />Notes, Remarks, Etc.
<br />_.\
<br />Rnv 08 07 2015
<br />A.
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<br />tridc.! A&!Es
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