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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/stG.COMMENTS OWNER BUILDER DEI,('AXATION
<br />I h6.h 6nid un<16 Fuhy ol fdjurj-fi rhrr I m .\.h,r from rh. ( of,rBdor' I k@ l,\r rtu rh. lollo*ins ra)n (Sd 70ll 5
<br />ItBin* .td Prof6hn Co&, Any (nr .r Coudt $hi.h r.qun6 . tmir kt codrud, .1.. imForq (brFl6h or Elir &\
<br />iruclu. rmr ro ft Euftc. rl(l EqlG tfic 4Flidn fo' such Fnn ro frlc. n8drl st.rffir thd rr or !i. n l'..ed FNrd
<br />lo th. Ilnrvilioff oi lh. Conlr.ctr's Licdkd l,* ( hllrd 9, ( orrmocif,B (ith Salion ?ulo ol Dntnh .1 of th. BuliB sd
<br />Prol*nrN Cod€) or thd lE or rh. n .r.npt lha.fron ud lh. ba3i! tu rlE alk3c! .(mFion Any vn'hhnots<(n 70lll 5 h) iny
<br />tpllic.nlforaFnnlubrrrIh.lp''nculk,ici\ilFoh!ofmrBEthr.lir.hun&.d&lla(l50ol
<br />l. nr our ollhc rmp61y, or my.nplo)€6 e ilh $536 trc lh.n $k comrtnrihon. \illdr rh. {,o* dd lh.ntud@ n mr
<br />inErki or.lTa.n fir sl.(S( 7o{. Bqi.s Md Prol*i.a (ixl. IlE contdoas Li(tu t!* &6 nor eply lo m osE of
<br />rh. t,nFn) rllo t!'Lllor rlm\6rlE6{ d \rtF &6*h$. fiim*lror hcrlf or llhuEh hk d hd o*, mphlG.
<br />p..\d.drh.tsuchinrFotuFnremlnoxbdorofir.nhrsLl(tnu6E.rLlxildr{ord{tu!6ra$Hlih,tr!6
<br />ol.omtldio..tlE()$n6 B{ih6 sill16. rh. tu&n oltft\iB rht h.or !h. did n hrild or imFoE th. IrrFty for llE purr$e or
<br />l. ao$cofrh.FFiy, M "\clu.n cl)- ..dr.d'n! trlrh laa6<l conrdoB h.rdtud rlE Fnj.( (sd 7ot{.11036
<br />iDd hoki{ Co{.: Tn.Conlrnlois l-icorc l-rw do6 n rpDltlo eo*nd.rrrorEny\ho build!or iFpmv6thsFn.
<br />and slh rfnr'iLh l(rsuch tror(c \ih r (nnhcr(n I eNd I rstrsn k, rlr(i,ntacid r l nds.lilr)
<br />I u .r6p{ ud.r s.alion r/rt/,<
<br />I fid.b amm und6 Fnrl'J of Flu.t on.ofrh.
<br />I h.r. .,vl (ill @,m,in r Cdin.ar. ol ( oBn! b s.ll.,Nur. lor (1,1d' .ohp.M hn. a Fovik f.r b, 56l ioo r 7(() o f rh.
<br />bb.r ( ild.. for llt Ffrtu. of rrE srf,I tu *nth $. Fmn i k{.d
<br />lhi!..ftlsillnrirnriin\orlsr'comFnrlrioninrur.n(.,rsr.qutr.nh)Sstir!?0Oolth.l,hor(i'd.,lorrh.Fn'roc.ol
<br />rhc worl for {hich rhi pcmil n i{iuql My workE cornFEalion 'nsu'lncr csn'E dnd Fli.y nunbd r.:
<br />l. rn<l ih,ll $b<l { oiph}< r. simi l FEhi6 ,rl
<br />.r'l fin6 trp n, oN fitrn.lr.d rhfuq dolldri (tl(x).rxr)).
<br />'n
<br />ion. dam86 a ,rorddl for
<br />'h.Sdion 1076 olrh.lrh6rC6d.. inrded
<br />Drl.: 6/r d/ t",
<br />I hr.hr.mrm un'ls rqahy ot rEjr, lhal I rn I trn'jsro\isionofChanlo'r(.o nnd.inr{irhsdrk)n70(x))oll)nilirn 1
<br />f rh. lnsm6s.ni! ftof*hnr (i'J.. rn m li..B ( 6 tulltu( d!.l.ffdr
<br />SIIiIAICIIOII.ENI,INC.AIiI!(I
<br />I h.El'! .rrn mdd FEn! oI Fju.! lh! tlE. t ! codMbn Lndins rstrr f.. rh. Ffffi. ot ltt sdl &'r { hiLh rhil Fna i!
<br />isu.d(sa 10e7.(''r (-)
<br />ATTI&AXLDICTASAIIO!
<br />I h.tr .trm undd Fnah, of Fjuq oE of r h. aolh$ ing &.lxrl iinr
<br />D.ml{hn Pmnr^3tdo. udrfi.dirn Fdln.l R+uhr$ns { Iirk .l(1, Pd6,
<br />R(|urcd l-(o of Norifi ca'i)n
<br />I (sli[ lld ln f.nd.l rqukr FB E8rdlnr lst6lu rmral,. (n qDlftbk t' rhi pmFr
<br />I..rrl\ ihrr IhA.' J rhtr xtr (nrr.ni l (rlr rll\o n,nrn rrr tr.,!'.\r l r!'(T r, (Drl\ \il, ill (,rr rn(l {inn \
<br />ordinrft6indsr.t.l.s3rcbtntshhuihinr nn h.r.b) .urh.rt. r.FMtarn 6 otr his Cn v ed ( ouly ro 6rd uF,. rlr
<br />.bo\. 6!i,rd F,Fn\ for
<br />\Itliutrro, \R$r siRtrlr
<br />' I'cm ilN n.nr ( prinl ):(-
<br />,-,. o/rg/ra/Ar'r ( /
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / 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 />Ceilin gs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />[/eter Release
<br />Rough
<br />Service Meter / //1F|NAL 1/1O 111 7'6LJL /t )q
<br />Notes, Rema/ks, Et6.
<br />Pole Bases
<br />I cqllfr llnr i. rh. Ft ruE. olrlE \orl ttr nh-h rhii Fnd t su.d- I th.llen snphr rny F$. i. r! nmE
<br />$ 6 ro tr<om lot d io
<br />'h.
<br />r.ri6 comFM r. l.*. .f clliaomo. md +,a 'hd
<br />if I 3lslld tEmm $bcl lo llE
<br />uortd' com!.nd n'n Dmvirbnr ol Sdi.n 1 7($ of rh. I rt$ cod.. I nrll. fonhwilh smrly \vilh thoE rn'vilioB
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