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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWNER BUII,Df-i DEL('ARATION
<br />I h6.!r lmr und.r Fnrlry ol !.jury lhd I m .imt t fmm lhc Contelots Lkru l,w fo. rh. folhuins i.en, (S( r0r l a
<br />Bcind d Prorc$.n ( od.) Any ( iy or Cou t [hth r.qur6 ! Fmil !o odnrl. dld. inFori ddmlitn m ,4.tr mt-
<br />rtu16q Fix to irr islle...bo EquaG llE 49lkd fot !(h Fmn h 6k. tqn dnd.lld ir lEord! a l'.qed F]',d'
<br />ro rh. F.!nh6.arh. Conr(l( r t,kflsd Lrs (('h!fla 9. ( nmmtriig snh Salid 7000 oaDirtion I ollh. BBi6 sd
<br />IrolNioN aodc) or thlr tE 61 3h. b .rmd rh6.fFn &d llE lsi! Ior lh. .ll.s.n .rmFion Any violdi,n of Seihn ?01l.t br !n,
<br />!fii'(d| aor . Fmn sbjdr. th. rlDlk6l lo , cn il d.hJ ol mr rmr. th& fi\ . hu.<l'.d dolL.. ( tt00l
<br />l. 6 o*nd.rrh. lroFiy, or mt mrlorG *irh *.s6 B lhtr sL onFMion. \$ill & thc u(t dd lrE tu@ ir ml
<br />inrdrLd or oll6.n for nl. tS6.?044, UuinB d frofdFnr ( od.: l1lc (i.rr&loir l-ic@ b$ do6 ml tpply ro D o*E ol
<br />rlE rFFry *ln tuikt M d+.r6 $.ar !d sno &E sn ssi hitslf or h6*lfor rhmush hn or hd o*n .mph,6
<br />For i<Ld rhd sh inFo€El! E mr ddd.n d olH tu sl. tf. ho\6s.llE tlin,t d 6+offi a sld *'ih; (m )'
<br />of.onpkih. tlEo"F BriEs sill h.r!tlr. hnrl olFoli,B fir lE o. tt. dn d bild or nr{r.i. d. FlFty ftt lri F,D* or
<br />l. s o$c otrh. ForEt). m ddsn.lt.odrarin! snh licdE d co'mrrm i. odM llE Frj.{l (Sc ?o{'t B..i6
<br />,d Folso ( o{t Ih.Co dorrt.i.6*lru &6ml il?b r.eo$ncorFoF yrhoboildrormprcr6lh.@..
<br />rnd Eho $dnds fG ruch Fojii! wirh a co rdodr li.d.d FlBud lo lh. Cofrdo LicG 1,*).
<br />I m .roF un& sc.uin
<br />D.r. ()rtrE
<br />naaff$laull!,tAllQr
<br />DECIAEAIIOX
<br />I hact) alfim un{rd Frir of Frl'rr- oE ofllE f.ll.sins &.l[rri,a
<br />t h0vc dd will @i.rrin. ( .nifi..l..f ('onHt lo S.lt'ldtrr. nn *o di.onFrsdnrf,. s Fnvd.d tor trySdion 1700orrh.
<br />llh). Co&, fo. thc Ffdm4. oarlE $ ott for wnth 0L [Enir ! isu.{
<br />Ih,r.rfr!$'llm.i .in * o*d' $mFu.tio. iNuriN.. s Equncd r'' s.n p. rTtx) of tlE t bor ( od.. 6r rhc Faoffi. o,
<br />rh. $nrk nr *hrhrhirp6ntr B(ucd M'*nrl4'.omp.nsnnrBu'm.cd6,iFlK\ numbo dc'
<br />,* €v<r4( i! pl'1o aa,l
<br />ra"yr,.r-1fuXl5f !tL{ 14! **- ? /'}z-o
<br />l.difrrtd in rhc rErfolr]e. of ih. *!rt fr shi(hlhi5 Fmn is diudl- l slull mr dPhy sy Fen in tnynm6
<br />ir s ro b.$G $t'r.cr ro rh. $.116 .\,mFcrior Lst ot( rln da .In +re rht ir l rrFlu b-.c.ulid i.
<br />'lEw.il6' ooFrerion trDr ii,B of Sdlmn 1700 otrh.Iltry ( q!. l slEll, f.dls hh sndr u nh rbr Fs\ilioN
<br />WARNINC l{iloE ro ffi. ro,ld emFlds. srd+. ir lnhtrtul, bd ,hsll rubjal M dPhF lo oinhd Ftrlis dd
<br />.n n.6 up r. oR huidrcd lhoNnd &,116 (!lixJ.(lm). i..dddi'n ro rh( toi of .oDFMioi, d! ed B Ford.d for 'lEsernJn 1016 olrh. t:hn (i,i.- rnr6d &d dr.mo i fB
<br />,,.,,.'7-ZS-t1 nru-,. ALrt-2r'uL!l6r!L!rl&l(rc4
<br />DESASAItr)!
<br />I hdby lmft utta F hy of p6jury rnd I n li6t d ur&r F)\ irion of (ll.pld 9 (NB.@i!8 w(h S6lbn ro'Jol .r Diliii]n 1
<br />ot rhc &!rqr ..d PRrfdioB Cod.. !n my ltd* n in tull fot. ad .fl.d
<br />,,..,,.",,,,,, B, C-'f-
<br />o.,, -/'Ls -t 't
<br />c65qaud
<br />T<-ch Qr* h+r-rp
<br />"Jt
<br />t rt,/rtL-
<br />CONSTRUC]ION LFI!DIN(; A(If, NCl
<br />I h6.by arlirnr undd rEMlry ol pdjury lh.l lh6c ir ! corsltu lir.lndinS '3dy lor th. F f(Mc. otrfic qork aor shkh rhi! Fmil ir
<br />isual (sa 1097. cir. ( )
<br />AIILICANLI)ISJSAUSI
<br />lhd*r &nimufrld pd.hy ortsj,r, on. oflh. follu$in-{ d(ld rn!:
<br />I)drolihn Pdmirs-AstEnoi Norilic.rk,n I'aL6l R63ul6tionr( lill.40. Pfi6l
<br />R.qun.J Ldr( of N.l'lf, air
<br />l.difu rld rh. f.daslrcruhrnrnr Exsdin! Bt-t,s ianor !l .r c not iptlkahk n, rhn pmjd
<br />I cdirylhi I hr. 'dd rhb.pplEdbr od s!r. rhi rn .brt inftrdion ir.6(tl I ls,c ro omplr r nh .[ ( n! .nd Counr!
<br />ordh.Rd !d Sr.rc L!q! ddilt lo b{ildi.g.oldrudhr rd hdsr{.dthrt.EF.sfiir6of lh! (-nyxd Cou }lo.ind+on E
<br />n&n. hmriotr.d l]ft,p.ny nn i's!..r
<br />lppllcrnr or r*dr Skn.hrr.WY
<br />{1 t1 nt 3+la<tv'
<br />1-)S- t1
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sians (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / 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 />Ceilings (Hard & Soffit Rouoh ,.tl )
<br />Ceilings (T-Bar Rouqh)d?rk4 n Yt\^4c4r
<br />Meter Release U,I
<br />Rough
<br />Service lvleter
<br />FINAL |t-tt - t g ,b*/.t
<br />Notes, Remarks, Etc
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