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ELECTRICAL-INSPECTOR RECOBD
<br />DATE ID/SIG.COMMENTS OWNf,A BUlll,DT DB,C N ION
<br />I h..!y rrmr urtr Futy of r.rjury U.r I d Grn$ nDm th cr,nlfu tilc !r* to. ttl lbuoull cM lse.70rl.5
<br />Aui'B .!n h.raion Con ): any Cirt n Ctuny ,hth r.q!B . Fri to s,E *( .lE, itproF. 4trlid d .l,.i o,
<br />turw. Fir h .. Meq rk' Eqlir. (h. q?lid frr *h tmr ro 6t . rirrn n&dd rhr h o. IE i ll. trrd FElr
<br />l. rL F.virioB or rh. codsrn . t,k nsd lrv (ctpr.. ,. co,frri.8 whh sdbn 7ur d Divnn. t ol tll BuiEs rnd
<br />Pr.f.lrirN Cod.) or th.t lE d {r ! .kn!i thE rum ud llE 6!ir for rrt rls.d .ktrprin Ary vDLtion of S<rD! 7031 t b, d,
<br />rpplicdnr roroFm .uhjchrl'.pplao.ttorcivilpctuiyormtmr.rh:nriv.hundEddollet(a5ll,).
<br />-1.
<br />s o*Er .l rlr |'.rFny, m my .neh}t6 llh *{.s .. fici. mk mn{Enr.lhn. will dn rt wt .tn E xMc n mr
<br />idallai o ofidql fd {t rse 1x{, a$iE! ut PrDfdbM ( dLr Tll Codtud.li* t r dq d !r?lr ro 6 ord of
<br />rh. FtrF!, *l$ ioilh { !qh6 rrrlq !n yho dG sb sxt lilef d lttdr o. tlmuah h! s h.r ou.iPloye:,
<br />Fnid.d rh, kh lFwnr n d id.ri.d r.rlod fr rl. Ir. blrs. rt hiBna n EgnEld ir b! varn m F-
<br />oI.dDHir\ LtEOlE B{t!d *iI h.E t E boJd olFoytt,. h.d.Ldn d hrilt nqmE lh. FlPait fr.tt Frpo5.of
<br />-I.
<br />s @B of rh. F?.dy, d.r.lu$.I,.olfuug *-h lr.crl (tu b lfur rlr FDFi (S<. ?044.8B
<br />!d Piokrnr Cu& TIE Collkt{'t Lr.N t * d1E ri rtPlr ro d o*E orFoFny slE trildt q lrpruEt rtE@
<br />dd wlh .otu&r ln s.h Ftr .rr *nh. Codrtn, lii.*d 9{6d ro rtE coffic! l-ItE tr*)
<br />_l m,.r.m !' ?r S.cn !-. B & PC ntr rh. r.1on
<br />IAAf,IIN:.IAMIDNIAIIaN
<br />DECIdSAIPU
<br />I teby rrfudu ldFn nrof Fnryor of ilE lou.Iin3 d(!'rrtN
<br />_I h.E rn unl rid.b. (difN. otc{)rd to Sdl-|ffi td krlr'omFdra s FDv!.d to. t, Sd.d l7@ of th.
<br />t bor Codq rd lll Friffir.f tlt rur fd whi.h rlE Fni! . &rn
<br />_lh.Errnrr n$nrrn urtd' conFMr.n suE r! r nqrEl bt S<ind l7@ orrh trbor C-al..lo. rlt Ffqm. oa
<br />!6d n srnl My *dl6! &rl.ueo Nur. @ rd plry.urrS( ..
<br />4f,atr C_o,93n53{ion
<br />d,|o't/z"zl
<br />_l dify rh{ n rh. |ir ftrnrk. of rh. *ort fr rh{h iir pcrmir i! isu.d, I d' d.nphyuyF&,n trEylmEr
<br />5 srob..nrubj.{! t.th. q 6 6ip.Mnn L*!of Crnfohr, lti {G rrllCruldteorobrdt.d.
<br />$o o onp.Mir. Dilrtr.b ot S<!n 37(Dor tlE lrE! Cin .l 'lrll fdnlnh Nrtply v{h rhr. poYllB..
<br />WALNING Fllu,. t 6u. rdl* otrp.nsnn m s oLlful, ,n ilfI rubF.r s
<br />n, or l n-lrrd iE,ur{d & LB (llm.llr
<br />S<htr 1076 or rh. tihtr (iiL. sr.rc{ .rd\zl o
<br />lr*icll8Auots
<br />I h.Eb, frnr unLlcr Fulry o, Frjur, rh, I m lt.dsl unLr pNvsi,n oI Clt{pts 9 (conwBiry rnh SdDt 7000) oi D,visiin 3
<br />of th. Aus*s arl I'dL$'n$(nl..6lrl my li..re B
<br />'n
<br />lullLr.i J.rl(r
<br />c-lo c+1 c
<br />I o +le c
<br />CAIEIBI&IIIA,.LBDACIGE.g
<br />I hdrb, .Irrm und- FMlr, .I n ,iury rha tlEr n . sNBtir. L,nin, .Fry fo. tlE Frfffic ol llr *dl kr cni.h thb Fmr ir
<br />iisFJ isa. 1rr7 ciY c.r.
<br />ATEICANI.DESAAAII9N
<br />I holby .lfrm udLt FBly of tErjury or of rtr folb*ot d.rlsn,s
<br />D.Dlir.n P6 'Atdo, ltdfkrM tuflI RcruhrD Onk.o, Pd6)
<br />_R.quu!,, tnE or N.rfxdin
<br />-I
<br />cdiryJ{r rlr r.da.l EsuLtiB Esrdins ab6nr tumr rl e d +Plr.bk h $n prnF
<br />!*l cdlfy tl{ I ruE rc!.Iilur rpll.arDn Ed,ar.rlEr rh. rhir nf{trnurDi BCo'Ecr I a3r( b $n{'ly * (h rll city Dd couniy
<br />ordim.c.s dd Sr{.l*i Fh(n! t,) hoikli4 c.nnfldn[ !rr].Irha (irv u'l tttrnry h .nrs uF nrlr
<br />itlv. 'E nnrn pmFnv nn i'rp..l
<br />ApDlimnr or AxHr Sir:'slm Lr
<br />t'?./t5 /t o
<br />Site,Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab i Floor
<br />Bondino / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br /><Meter Releaseaqr t-tL.N LWthfll /,{
<br />Rouoh
<br />Service Meter -cJ t L- t ..-4)flvldl &ru{affi 'tw
<br />Notes, Remarks, Etc.
<br />Rev. 08 07 2015
<br />APPBOVALS
<br />FINAL
<br />D.t :-
<br />111o54
<br />tfid.:'r l.R
<br />-
<br />t r&rt Ad&.s'
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