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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />lJnderground
<br />Pole Bases
<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 SIab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />ugh)Walls Ro
<br />Ceilin gs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meler Release
<br />Rough 3.n-tl -A,{4o(g
<br />Service Meter
<br />FINAL q h^l;1 us.f /o77/
<br />OWNEI BUII-I'ER DET,'AR NON
<br />I hdrby !,Im !'r& Frlty olFjlrt tlr I o qo!. 6Dr th. Cdrd@ lidE t w lor lh. folb*ils ,6,n (Sa tll.5
<br />Braio< lid trofdion Co&) A,y Cny or Cdrty whkh r.q E ! Fnn to .odrud. .XE. irFo\., rldEli[ or lF.ir &y
<br />3tructuc, Fior rc h! i.sornc., .&o r.qui6 [E +pltdr for r.t Fmil lo fi|.. !iS..d ndm6r thd lE or dE i licdE d pEe
<br />lo llE FDririoE of dE Contr*to.i Li*ird L.w ((tuFd 9, Co|l!!|ri.s yil S<tbo 7000 of Divib. ] of rlE ABitE od
<br />Prof6io6 Co&)or rhd lrtr3lE 6 ddF th.6,or {d rn bct for rlE.lkB.d ddrFid ,{., vi,ldi,n ofsdioo 7011., b, ey
<br />rppli.ar for . pdni subjds rh. .pplic&t ro . .ivil Fllty of not f,orc tho fiv. hundr.d {t ll8 (1500).
<br />-l,
<br />a o*E ot'h. FDFly. m m!.rpbr6 wnh w.*6 6 rh.r $L 6mFuihn. $i 6$.rqlrd Etui@i!d
<br />in'6.lql o. ofi6.d for eL (56 704{, BGing ed PrcrdioB Cod.: TIE ( o'nr.cld ! ljc@ L.{ dG mr .oply ro d 0*6 or
<br />'-lt FrFty wb hilll or irlFoE tn.str !d wlb dEo<n FrI hiNlf or hd*lf or rhmld ha! ha om.o!phyG.
<br />ForiLd rhd uh irymldlEt Gd nd!.ld dolEld 6r -L lf,I'oEq. tlE tlildir q !+u€Er i rld *itl{w ]d
<br />ofcm+kira E o*G Alddd will h.E UE hrrior ol p.!!q d'r lE or tE {tld mt hru G ltFoE dE FDFry 6r ttr F Frol
<br />-1.
<br />6 M olrlE FEFI. m schli!.ly codratns r nh [.q*d olrBim ro @irnMr llE trjd {sd 7{x4.I].aiB
<br />arl Alfsbn ( odc: Th. ( onkdor'! Licdi. Lrw do6 nor lpply ro m of,n6 otFoFy *ho buildror impro!6 rh6on.ud who oitBi! fo. ucn F.j.s! $in. Cod.ro(r) IiElaj FlBurr ro th. Codr.cid r ljcog tls)
<br />I o .rdP unld s6rhn_, a & P C for thi! .@tr
<br />D.r. Orc:woR|(rxs.(tritPfts"rflox
<br />DECI4AAIIq!
<br />I h6.by .mrh lndd p6dr, ofFllr, om ofth. lollos ms d<lrll io6:
<br />Ihtwdl$rll@i s. Cdific.r.of CoMl lo s.ll-lEu. ntr 6t(r comr.n-tion, s Eor ii.d fn br S<rnn:u00ofrlE
<br />hbor Cod.. foi rhc pqfonMcc of rhc wort for which rh. psmn i i$!.d.
<br />_l h.\. dd $ill min'.in wrt n conp.Mion ieft., a cquiEd by s<rn.l7m oalh. l.bor ( od.. 6. tlE Ffm. of
<br />[4*:
<br />k lor which tht p6nil i3 is!.d My wortd' comD.rdio. 'Norn. cni6 Erl
<br />Y a3- cJo'2v-
<br />)2,,,"*-*Btluh'ce'ttt\??L{,.,,...
<br />I.6liftthr m rh. Faolrlec of Esrt tor wt.h lhir pqnir t isr.d.I irllDr drploy uy pd$r h&,lffi
<br />e at' tEoE sbjd lo lh. wrl6'cotuFEnio. L*{ of Crliaomir. ,n .sc lhd if I nDo0 tE om. obi6l ro rlEqo 6 @mrE!.lior Fovisirc of Scrior lT00 of (lE Ub6 Cod.. l df,ll. adhwnh cotrrply wirh rhos pmvirioE
<br />W RNING: Irr,lur. ro Bu. *0116 conFEdnrn co\msc n u.h$ful. Md st ll rubi.rr u ophys lo eooal pqElB !d
<br />ciril ii.6 up t. o.. hu<tr.d rhou5d dolln (lloo.mo). in idlirior to rh. con ol codp.rB rion. daosB a lrovrdcd lor rh.
<br />sd.n 1076 of rtE LlE Cod. Drqd ad .\
<br />f""v
<br />u(};lll:llgr:rall-l.!a
<br />DI:(LT&\II():
<br />I hftby ittm u'd( IErally o t FJury lhlr I m licsEl uRld F.lirion of (1EF6 9 (.o@.in! *nn sdion Tlxx)) of Dirlion 1
<br />of tlE Bcird Md Pmadioa aodc, nn nr lk6e ar m tull ldd ri.lI<l
<br />!t B tot87334Aj;K-"s-b-11 .A.," Cerc)e
<br />cqdlla|{rolJllDllrilcl!(I
<br />I hattt .rm urx|.r Frhy of FJUry tin dEr ! r odNioi Ldirts .sft, for rlE Ffffi. of rlE hrt 6r trtit lhi Fni ir
<br />isu.d lsd.1097, Civ. C.)
<br />L. ln ! Addr6 _
<br />AIIIJCAIILIIISJAAIOB
<br />I hrr.by atrrn unds F!.lly of Fjuy on. oa llE followinS d<l&d i6m:
<br />Dcmolilion PmrneA*dor Notifi.{ion F.d6.l i.suhtirtu l'I'nt !0. Pdt6)
<br />-R.quilrd
<br />ldrq of t{iiarcnih
<br />I .dif)- rhr llr f.dsd r.suhlnB nsrdiry 6ldos rm\ rl r. ft'l {plk$L b rhn Fojd
<br />-l
<br />.o1i8lill I hlvc rad lhisaDplic.tio
<br />ordiqrB drd Srdc tjrr ELrra to b{ild
<br />rhd rh. rhvc h(,mdon ir .onRl l alrd (r .odply * h .ll ( (r lnd Counry
<br />iotr arl h.r.t y 6urlb.t. r.F6adn d o f rhi! Cny !i Coolt b ara upon dr
<br />!ho\. mtion { Ftsy ftf, NFd
<br />fprkm,mA 1-oV (aYY,un
<br />,,*"3- G- q
<br />Notes, Remarks, Etc.
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