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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS OWNER Bt]ILDER DDI,(AR TION
<br />I ha.4 amr$ tr..Id Fnrky of p.oury thil I o .r.'nfl 6oh th. (\nt&lon- l-ic.M l.!\ for ln€ Iolhwins r.&. (S( 70ll 5
<br />Buns rn Prof*Fr ( od.) Anv ( irt or Coudr \hth r.q&6 . Fnil lo conerud. .1r., ml,nre &tmlLh ,.Fn D)
<br />rtu<rrc. tntr !o nr isutrq .ho E+n6|h.4'''lEMt Lr $.h Fni ro 6k r r{..d ir.tMl lhi lE oi dE a li.6n d O,gd
<br />ro rh. pro\ irioG of lh. (i, r*roai l-(dt d t $ ((-h.Bd 9. (inrn.rirs * h s..r ion Ttxr of Dn nion :r of lhc tu3iB ..d
<br />Pm tsiN Codr) or rhdl lE or 3h. is.r.mpl ! ha.fto$ sd lh. b.!n nrrh. !ll.s.J.rmqbn Any violalionofs..rion 7011 5 bv dny
<br />rr,rli.d for. p.mn ruhjcrtllE $r ici r.a$,l,. xrofer mr.rho fi\. h!.dt.d&llIiI$m)
<br />l. s ou6 orih. FnFnr, orny ar{'loyG q ilh tr.16s lh.n r\k smtHsion. trill $ llE rdt &rl rh. rtu1E ii n{
<br />inrad.d or olI6.d aor sE ( Se.7044. Burin6 trd ProreioB cNl.: I1E (nntncu \ l-i.tu. l r* rhd not @dy lo u o]'no of
<br />rh.FnFn] *lF tril& o. n{rr6 rhqqr.. &d srn (jlE*h *!!t hm*lf or lE*lf or rhroll8h hrt or h? oqn nplot6.
<br />tr.\iLd thr.u.h mFroM$ e mr ddd.d so0d.{ ft'r el. lr,h.sad,fi.hlittlsclr{lorErErnnld$ihh.E!6
<br />o,c.rpldFc rlE ()[E ltildd rill lrrt rrF hrrln of FnrnE th, lE or dE dn d lxild or rlto1t E FFI) hr ltE F F-ot
<br />l. ao*Fotlhc pmFr). M cr(!u
<br />dn ftrlmn C.d.: Tll. (i.trdo.t
<br />.nd [ho o rrr! for t*h Fidi
<br />^,'"liifii|v
<br />.iv.ly.odrdins rnh kard.odnctoE ro tudtud rlr Fj.( {Sc 70rl'1, ErEirE
<br />l.'c.e Lll {t B Fr rr0lt ro u o$.d ofFop.n! rn{ l!'l(lor mFor6 inson.
<br />{ nh . Gdff.(r) lkdraj Nsui lo rh. (iinrrloir l.ke t s)
<br />d l?".,eaa ktnq
<br />$rrRhl.Rs ( r)t\['t.\\r I lol
<br />TTCIdTAIIO!
<br />I hc.t!.mm und.r Ful'yofFjuyo..ofth. aollosh3 dEhrulioB:
<br />I t'v. -d *ill di, rin. CdifEr. of (-oBd l. S.lf-tBr. for $!rla'Nn9.ndi4 ! FnriLd fot b' SerF. l7m olrlE
<br />lr, Code fD. lh. Ffd,l@. of th. sort for sti.n lh. Fhir ir is!.d
<br />I h.r. md sill mai.riin wort6 conlicdion idlrrftc s aquir.d bt Sdt hn 1700 of ln t!bo.Cod.. forth.Fftu.ot
<br />trr m.t ld f,hrh lhir Fmn ir isrcd My *!tt6' sopdri!. iEU'R t6it !n polt) nunbd c
<br />I .dt'to rhd in rh.Fn{rumc ofrh. qork for \h(h rnK pnmtr s Bu.,l. I $!llnor mpl(,r !n}. F$h,...J nsnK
<br />*r sro h...nr subjd to thc $ od(d' cooFntdi('n li(r of(,lin,min.ond a*ta lhir irl ih.nld tr.oft $rhjdl ro th.
<br />tr0*6.otrtp.Mrionpm\diodrdfs(rionllT0oofrh.trbor(-(f,lc.lslnll.todhsrlhcomtlywirhth.erro\nnr6
<br />N?tRNllc l'dlxE ro suc Nrt6 !'mFsiron co\d+. * uhl.(fol.. l ih.tl sbr(r M dnploln ro ainiMl FuhE Dd 5
<br />.nil fins trp k' on. hun'jEd lfioLMd doll6 {$loo.uxD, in t&liion b rfi. (or otcomFtu.lion, rlmi36 a pror .d ror lh.
<br />\dri,n l07h .Irh. lih (i,Je mr6.r m.l dblB ! ld
<br />,;"" ;; i;-;l;; ^* ^, {. lt*.*,, tro-,/u(};ASELltNlSAO.Aat'
<br />UE(IJI4IIO!
<br />Ihd.5!amrf,trnlop..alrtofFju rh.lImlic6!.rluod6F{ ni.. of cnqrd e (comM(in! N,lh sdi.n 7u)0) ol l}tr tioo l
<br />ol rh. au'lB &dPi.f rBC.i..:i mylicw s m tull fitr( 'i.lTd
<br />cQliralcE)IttEuDlNc c[l(I
<br />I hdrt -r'lrh u.d6 Fdtt ol Fjrt rhd rhac i! ! tudruclFn laiins lsft) f.. rh. Faollrl4. of th. *uI 6r *ni.h lhi Fnil i!
<br />is{.n (sfr 10q7. cn. ( )
<br />APPI'CANT DF('I.ARAIION
<br />I hd6.flim und.r pqrhy ollErjury on. of rh. follouins dcclulionr
<br />O.mlnion P6nil'-A!b6ror Ndific n. [.d.r.l R.suldioN (TnF 40. Pan6)
<br />Rcqur.d lnrdorNdrldm
<br />l.rr'li rlr rhe tu(|.'il'.!trLark,n\'.!ud'n! At6t,s rc 6r . or af t,l'..'l). n, (hN |\,rar
<br />I cori! rhi I h,r! ql rh6 rrplkdnn rd shl. lh, tlE rhor c 'nftniiii. . .md. I lsra l{ sqr! shh .ll Ci! rn (-ounlv
<br />ordillrl6 xd Sr.rc l^s Elrin* ro hiklinS co'Etucli.n. .rn hdd'r .ulhrn! ..F*ddir6 of rhit Cnt rnd Gdt' ro 0!6 uPon ln
<br />Site-Work
<br />Underground
<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 Slab / Floor
<br />Bondrng / Grounding / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter l]
<br />FINAL l/t/r4 ,J&01,t4-^,
<br />Notes, Remarks, Etc tv/
<br />l,icsr N!dbd
<br />il:" - :ffi :J'^ y'-)a-,,-.,,
<br />Pddll( ..6e (prln0:W* ,,. ot/ot/t1
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