ELECTRICAL-INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET iUTLDET DCLCARATION
<br />I tEEby .lfm utul.r p.n.[y .l Frriry rh.r I o.r.hpt iinB rh. Cor{BroF tlor lr* ror rk lolbrrr E.lr (S...m]l t
<br />Burlr. .,n Pior.s-n CqL,: Ar, Crt or C.M, st.[ rtriB r Fd h d'n(ul. .lrs, ur9mt. &tukli d rF, sJ
<br />no{m, rnr ro irr iIU4c, rls rcquRt rh. .0t'll6r for su(h Fmr n' nb r ns81 <!!.dnr rh.r ,r or .lE ! lE.sn Frsnl .b rtr F'y8!nr ol ilr Co tuld'r l&.rn ll* lctrtrd 9. CoIftEb! wlh S.--.rIn ,Utl o, I)rlirEn t $l rlE Burtrs .tl
<br />Itnl.lai,nr CnL) d lhrr h. r rlE tr .t qi rh4lrom .,n lh. hrlis tur rh. n!a.d .r.hpri'n. Any v$htfn ot Serhn ,01LJ t y ray '
<br />rrf,hcanl r r n m suhj.rlr lh. {'t Err ro . c't'l FMhy ol B,l n)E rhrn livc huelt J &,llur (lJu)).
<br />_l, I o*ftr ot ih. JiDIrn!, (tr my .q,hr!.r w h wat.t rs rh.r arh coqtnqri<'n, rill Llo rlr hxt rrn lh. slarE . ri
<br />d.nlal nr oftEn nx gl ( Sd 70,&l. AurE$ 8l Prft(oN (irL: Tht G'ekid r h.nt L* &f,s fli t|llly ri) .n o*Er ol
<br />ih. lI)Irn, *tE t{llrll or uqh'kr th.6r. Ert *h) d,.r rkh kl* hrnsclt.r lE.EIl or llBr3h hF or lEr oq.npltyt.i,
<br />n ovrtui rhr sn lrFrsmdr e ur d.rr., d.lf.sl tx .L. ll. lDEq. rlE turllEt dttrk'd s $U wihh rm F{
<br />d uditLtDn, llE oe*r ltuit,.. will tuE rlI tuh or F)vog rh.r h. or sh. nn G, h'tl o' !qn'E t F!,Fny lr rtr |[qr&.i
<br />l. rs.*Erollh. In Fny. :m.i(tusklt.o,rBi ES wrh lr."eJ rodrdo^ t! (onrntrr rh. F',c.r r.NL. 701,1. BltBs
<br />,rl hnsqn CuL: Th. Conkrttr r Lf,.ns. uu Jd. nor Trrly n' rndsN, ol nnn n, *k, $u'lJr.r tnpn,ks lhcrtun.
<br />.El *ho d'nrtulr ntr orh rnFr! *'rh r ConrEnm,lr.nrJ ltord ri''rEcrdrat{ r |-..nc f:*)
<br />_t lh.ichpr udlcrS(rDn_, B &PC turh!rc&,n
<br />lrsr( _ ()$nrr
<br />woxr(Ens' conlPFrrsarloN
<br />DECI.AAAIIIId
<br />I hrcht illtrm utoLr FEhy o, F.Jrry oF ol lh. tull'*ht &rlll.i[is]
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<br />hrE rn*,U mdr6 ! C.nrr.{. or C.s{d t' S.lllnruE litr srtdr' crtrp.nd k,n. 8 |,.lrLi ntr by Selrr l?(Il ol rh.
<br />t htr Culc, lbr rh. p.rfo@. of !h. wo* for *h.h rh. Fmn k n(c,1.
<br />I h.r rn! *rll nrinl.h *orkcrr .onqEnrar!r msumBc, at tq rcJ hy Sccrrn lTur or lht I jlxtr c(h. nn r,E p.,flru. or
<br />i& H nE *t.h rtu! Ilmlr ! uqEr. My kit6' oqrnqt$n ,r dt (!mr !n Fn., nuntti e:
<br />A'L?l, 1,,L G1-t t rz 15 _Erpcr (q
<br />_lc.d'Iyrhr! 6rh. lrrfo.me. rrh. worl fm rh.h rhr tErnd r n{Lrl.I rhrllnn cqrt,yrnrFnlm rn, lMF
<br />q' rt r,' tx$m tul*rl k' rlE ktrt6 NnrE.qlr,. L*! ofc.lifomE. J'3Nrhrr I ih'un h.{.m ruhl.Ll bllr
<br />*olt.n' omFnslfn pmvrrrn! ol Scrrun .t?00 o( llE lihnr Cflk. I nBlr (flh*rfi L{m0ly u h rhti [mvBnN
<br />NARNIN(: l.rnrrc r, {.ur. *orl(!r ('nlli.ns.r(,n.o!.8!.,\ trnlr$rul. rnrl \hill \ut'F_r {r ctrIk)y.r nr mm'nrl tstuh.\ rntl
<br />16 o* hrhlR! th{\rnl dirll&l (llm,UXr, r ,nn r' rh. co{ ol roqxn.:rx)n. Jtnet.r a! piov{al ntr rh.
<br />CdL. d.E( lrl dkrry'rl..r
<br />I hcrcby.,lnm undct ll.olttyof p.rrury lh.r l.n lMnkn url.r FUvlx,nnl Ch{icr 9 r.nnmtur! *[h Sar.. ?dDl ol Drsnn ]
<br />or tlE Bu.mr!.[l h{.s ,nr C,iL,.rn ny 1..n. ! tr rx[ n e lii.r--!
<br />q,(5t,{
<br />-t!.n$
<br />CqIEIA!]ITOMjIIIIGIGIBCI
<br />I h.Eby tlfrh udcr FElly of Frjur, thlt rh.t it . d,nnodi,n ko.h! .8.fry tu E tlrl()iNtu! dl rtt frrl tor rArh rhu Fml !
<br />NrNJ (Sd. t097, Civ. C ).
<br />Al9.&aNr.DIlu8An0!
<br />I ndtbt dlim unkr Fn.lry dl F ilry.E o,lh. tnbwmr &clsrr$n!:
<br />l).Bnrrnn tcrmrlAtltdor Nd ( on Rd.r.l R.Buhr bnr (Idh ,10, Pd6)
<br />-Rcqurcd
<br />krr.rol t*r'ft rtr
<br />l.cnrlyrharih.lcUcBlrquhr!,n\ r8ailn! r\h.nor (nx,v!l rr. i iPt'lrrhk r, rhr pn)pr
<br />-
<br />l c.niiy lhr l hrv. Ed lhI .pllrrt kr rn rt(. lh.l thc .n,vc bk,m0irn F .,frr I lgre kr .om! y wtlh .ll Cry .d (tut ,
<br />oh!m1f,.!..J Sr{. tr*r Rh!ts k rllula con.lel r[ lrl ts.6y.trrlnd. r.Fc6t 1$nlrhrCilyttl
<br />trlxr. nftrrk,rJ |[rF.nv r(tr trr
<br />,\pdi({nr or As.nl SIsNlun \---A\c
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / 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 />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Rough lbAtoto b-nrLrt<K
<br />Service Meter
<br />FINAL W5liWr,alwp .ei66
<br />N ES Remarks, Etc
<br />li
<br />U
<br />-.-
<br />Meter Release
<br />1
<br />l-4ucLu ,j1{J0ro !)u-.- t
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