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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OIINER BTIILDPI DEIT'ARATION
<br />I hcrby rltun usLr |!Dhy ol FrEr, rh, I u crcnB lirm rh. (irrrf,rr' l-rti t2, i(n rlr n,lll'rn! r.or rS& ?lr:ll i
<br />Bo'n.!\ ml Pr,l.ikm Crti.l: An, Crt or (bu ! rhrh rRrolr1 . Fd n' ..nnel. .ltd, 'rtr \r. i.dnEh or E1Irunt
<br />nru.tur., Frn (' i nsu.ftc. .kl quE lE rl'clror ntr iu.h Fmi r' iik t !!ftj dllcmnr rhi rr or rh. . ltr.trrJ l'{rud
<br />k' rhc pmvni)nr ol rti Conb{r*'l l-iin<t l,w rcluo.r 9. (,mmLrn, * h S(ri)n ?UlO of l)rv$r I ol rlx Bunmn Ixl
<br />Pn'Lfltrrnr c,xL ) d rtur h. or shc F ct.mpr llrrcloo !nt! rh. t'.n! tn rlr rlLscd . \.n{r nn, Anr vxnd!'n ol sNrnn T0l l l hy r.y
<br />!ppl(.nrntr rrrmrr \uhjc.h rhc aprli.lnr t, ! .rvrl p.nrliy ol nor mrc run t'v. hu.dr.d dollnFr$Jo{r).
<br />l. !r d*trr nr rh. Flrny. or my .mFk'tr.r unh wr8.r .r ,h.r g,lc u 'mF.e, r,n. wil *) rli krl arl tlt nulr s n
<br />id.d6l ,tr oll.rd ttr el. ( S( ?0a4, 8urtrs rftl Pn)|.!ri,N C,iL 'I hc (idr if,tlrKll*dBnrfllyri'anort'or
<br />th. F{rnt rh, h hrr !qn)B rlBn rBl *h) ds rEh Hxt hm(lr nr ll.tull or rhNulh htr lr, .rn .iPl,!T.t.
<br />F vrkrl th.r lkh r(rtrmd. a n, d.nkli <i orlcatl li* qt lr. h'EE. rlr lldllr!,' iqokftd ! !!ll *.h5 !E lEt
<br />ol dhr'lrir dr ( )*rr Bolll.r hU hrk tlr hnkn ol Frvn'! lhr h d rh Llrl B'l ho l if, lqhN lrE F'IE!y In rlI Frii:ol
<br />_1,3\owNrDlrh.|}ultny. nr.lrlullrly(n !.(rur8 wlh lr(n{al(otrr'rd,trrn' nnrud rlI lln,,r'.r ls.( 7l}r.r,Irulncs
<br />anl lh .(hn (irlc: l h. Conra.ttr'r l -(.n\. l .rw J(x\ nor app lJ_ k, m nwtro ol l]!)p.ny sh. hu rld\ or u,fnvcs rhcrcrtr.
<br />rtrd qhd (otrtr&\ntrnrhpn,l.rkwrhr(hnt on{)lunrcil pu!s',ni n,rh. Li)nrrntr'\ l-k.ni.l..*)
<br />I anr\.mfl unlr S.(ri
<br />Lirrtrr rlrtrm trn(1., |i.,lr!,'l p.rtrn !'tu ol rh.l0ll,,{
<br />I hN l *1ll nrtrnro r C.nLllrtr ol(i,N.nr n) S.lrlnsur. hn wo' k.n' 1o'n8 tr\$ ('n. 15 tlnndLd ntr [yS&rx'n.r7(x, olih
<br />Lrhr(1{1. l(rlhc Frlnnn.Nc ltln *nl hn wh(h rhc pfrrr n A{'.n
<br />_ I hiv. anJ ,'ll hrdrn wdrk.^' ennFns{ r 'n NUrrL., r! (qtrr.l hy Sd !,n ]TUO oi rh. I rlxtr (irk. ni rh. Frfomft. oi
<br />rh. *fft,,x *hrhrh! Fml r.6rk! My *.rk.r' ('ntEndDn mturn.utrE, rnl lr,liynunfi{r$.
<br />Il.nrlyrlr rrlrl|rhiirrRcolrhcslrkr({ql,khrh\Irrnrr N rlkal.I $rlln(.n,tl('y rny tirnn !r! ynBn.rr
<br />{'r\i,h.(oar\uhF.rt'rh.rork.h(ntrIrtr\,r)nlxq\!'l(rl',!r'n.r,rlrrR'rlidnInnn,l,ltdi'nrs'h,rLrI'rlf,
<br />*ork.riutrn|{tr\rrkn'In'vF(,ni,nS.(rrr,l7rxr,,l!Nljiitr(irlc.ldu'll.htrlhrrh.mplvwhi,r,vt',i)vFtnr
<br />WARNIN(; I'r u.. n, qm wkc^' ..mF.qr0n.oEn!. tr un,lwhrl. .nl lhrll nrhFr d .ir'|l!'Fr l,' (ffro1 Imlrt tnl
<br />cErl rrkr rn t' om hurrrn thrur.,rl &,llr! rlltX
<br />S..k,' {116 ol rlr l,lri Cnj.. tr.Er nl jlmr'r D i' rlk ro{ ol !nqx.qtn'n. Jrro3.\ r! Fn\ricJ lnr rh.
<br />Drt :- Arrliol
<br />I h.rchy rrl n D trto,cr I'(Mlry or lrcrjuyrhll I lr.nBl Fovi\!,nol(hrd.r9Gonrmtun!wdhSr(rr'?lxxroll)rviri,n I
<br />ol rh. lr, {tr.$,trk1 l,'rl($(,N ( !rle. l n,y h!(n\. \ rr llrll I'n1. rrl (rhar
<br />clllualjgltod J.!B!rl{ia{il!ra
<br />I rx6hy.inm unld Fnrllyor Fiury lh.l lh.E n t Lu(ru.lnn lcnihs rsrh, tur rh. Frro,'l***. dl rhc ufi t,. *hah rht F ni ir
<br />trucJ rse.1097. c,! c.).
<br />AITLIIIXLI2ESJAAII9!
<br />I hdt{y ,Ans unkl Ii n.lit ol Frrury or ol I h. knL'r mr r,c( l$rr rrr
<br />D.nnn[n P..nnGA(h.!rN f*rrln.rF'n litlcr.l R.gulrr,nr r'l l.lfl. I'd6)
<br />llc,tutr.', lrn.r.l N,i'ri.ixn,
<br />l(.dilvrhrrih.l.J.','lrclrl,n\'.rrhntrrt\l\1nNrinr,,lr.turxtd(ih(rtrhrn(,r.(r
<br />_lrdrlvihd I hrv. (rd rhrqllll.drnrni.r th.rhrE,nr!'mu[,n tr.,m.r I {ret'o),rf y snhrll(ry.rlC.u !
<br />,.F.(o6htr\ ofihr cry rnd (i'u yh., f trF'rrrr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding i Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouah
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meler
<br />FINAL l,lzn /r t A4'rr'll lo,
<br />Notes, Remarks, Etc
<br />APPROVALS
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