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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\\ NER EUILDf,R DEI-('ANAIrcN
<br />I hscb rmm undd tadhr .f pcltrrv Ih6l I m .tmrr fmm
<br />'n.
<br />(,,nhcroE ticoE liw for rlE f.lkr*in3 r(&n (sd 70:rl 5
<br />B!r'n6r .nd Prof6ion C(j.t An\ C r_ or Cou'i) trhrh raNr6. Fm'r 'o.oinnd, rn6, imFova &rmlirh or rg.r Fy
<br />stu.lur4 Ffi to irs sum., iho r.qd6 rh. q'pli.d for .u.h Fn ro fi|. , sitn.d staimnl lhd h. or rh. i licds.n pmu
<br />f ro rlE rmvi.i{rN otrlE ('omr.rd! l.t6<d lrs (Clqi6 9. ( onl,dinx trdh S<rF. TulO of Dirilhn ll of rlE &aiftn Md
<br />P^'l*'onr ('o ., or rhd h. or rh. n .\mDl r hd.frum ud rh. tBr aor rh. .ll+.d .rmd ion Any riohlio. ot Sdior 70.l l .5 hr .try
<br />0 q,r'lrur f", a Fnr r,r'JcF rh. q,rhca;' k r oUI pdht of B{ mn. rhu 6r( hundd lhllG (t\oo)
<br />l. B otr 16 otlh. p.op..ly- or my dpLlc \ ilt "!s6 6 lh.n 5k cotr'rEqlhn, *ill rb rlt sdA td ih. rnf,t@ i mr
<br />idd!.,.d d oltdrd ftr -k ( s< 7o,u. aci,B od Prnaak'c ( od. Th. Cd.doar I i<.r l.$ &E nd +rl) 16 e.f,fr ol
<br />rh. FlFry wh. t!il& ofunrroG rh66n. r.d who .to6 tu.h $nd himr.la or h.elf or lhmuh hi! or tr6 oM e.rloyH.
<br />For iLd rh.r tu.h ioFoEEn! @ fl ndi.d oroEqld trx eL l[ r.sar. rlE hildirB d itr+. qld ir $ld vihh E !t
<br />ofcon/dion. tn O$ffi thiE6 qill h,E tlE hddr olFllnB lhr h. m CE dil ml hiH or inFrorE lhc Fllaly tur tlE F,FE of
<br />l. &r o$ n6 o I rh. Fon<tr. m .tckn clr" (ontr&1ins $ ith lic.nt d c.nrraci(,E ro coNrrud rE [tl).d (sd 7o4t, BBfiN
<br />id h.rnim(i\l. l lr. Cohrdori t.i.nk L{ d.d ,r.r'rl} ro di($nd of FoFlv{ho tul(!!or inrrcrd'hs6,..
<br />.nd $fio onrrrcR nn such rroJ6rr wirh ! (.o lcrons) licd3.d ptrBtrdr rortcCod,&roir l-6d.. h\)
<br />I @ $opl!ad. Sdin
<br />Ir.r. (r.nd
<br />$rru<1 fs;cott|Pff N.sAIt(iN
<br />DECIJAAIq
<br />I h6-r{.mm und6 r6rhr.rFjuD on.orrh. rolh\rin! {kl,n'ioB
<br />I hA. !n $ ill Mi .in . (-difEd. of (-oMr h S.lf-lcur. fo. $.116 mmp.tEii'n. s Fnldcd ffr br S<rbn 1700 ot rh.
<br />Iihor Q'de lor r h. p6foll1@. of th. {orl for whrh rh. tEnn ir isu.{t
<br />lhlrcrndrrllhainra'n \.,16'.on,pcnrll'on 'n$raR.. &r r.qoir.J h) Sdrn)n rTrxrofrh.lihtr C.d.,lorrh.f.n,man...l
<br />rh. sorl lnr trhichrhir nmi rc ie8l Mr s.rkEr'smt$ar'.n i6u"n....n'6 exiFI'c! nudlEr .
<br />l.dify rh.' in rh. Ffotmrc. orrh.$o.l f.r $hkt thir Fnn i nucd- I null i6' dphy i") rE*n,n.nr ouE
<br />$ B
<br />'o
<br />tr.oe tubjer to th. mltd .omrEMion L\r. of c.linni.. .nd +r rhd if I slFuld tE(oft sbrcl lo ll'.
<br />f,.rt6 NmtEnonr ForsaB ofsdir. :t 7m ofrlE lrhor cdL. I tEll. fMhtr nh Nnpl! r nh lh* F.\iti.6
<br />W RNING: Frlc b k@ rorl6 mmFdm..o\ma. s unh$tu|. rld nutl sbJcl 6 dphF lo (mol Ff,rE t d .
<br />siril fin6 up m oE hundr.n rno!$d dollc (ll0o.0o0). in .ddnion io lhc.osl olco,np.nslion, ddrs6 B tevid.n for rh.
<br />Sdhn 1076.f rlE t lnr C6d.. idrd dd il(!lc's f6
<br />Applionl:
<br />UTEIiiEDIAIiIMgqf,a!(li8Alllr!
<br />I lElt .v .rrn uBlr Fn!h' .f Fjur) rha I d licrlcd unds Ftr\ isnn of Ch,F6 9 (6hffii.e {nh sdb. ?000) of l)Nitnn I
<br />of rh. Blind ed l$fBlioN Cod., dd nry licaE i5 in tull forc lrn.fitl
<br />(ONSTRU('TION I FNNIN(; A(;ENCY
<br />I Ht .flim uftlq F !n) of Fjur! lhr lh6. ii ! sdrudnn h<bls.*dv fo rhc FfolM..lih. $ort tu sti.h llln FBn !
<br />i3!u.d (S(. ltrer. Civ (-.)
<br />AITUIANLITCIJAAIIO!
<br />I hnt r,rmundd p.fuhy otFrury orc of!h. folLwing deh 6N
<br />l).mlini. PmnlArh.lro! Nor!6c kn F.<b.l R.ruhr,oB (l nL 40, Pd6)
<br />R.qun.d l-crrd of Ndi6$t6n
<br />I c6i't rhar rhc rc(bal'ctllalrnN r.SEdrnt a3hcst\'.morrlIc tror lpphrahl.n, rhB lln\rd
<br />I.diftrhd I he,. ral rhb.pplidi,. &*l id. rhd lh rtr\r '.aom!'r. i!.old I reE ro omply $ nfi rll Cny.nd ( ounr)
<br />ordiflrc ..d Sr!r. Ltr. Eht !t ro tnildi.s .ddtudioL i{t hE.ty .urhorn. rqrgdd n 6 of lhL ( ny sd Cou y ro nnd qinrlE
<br />.boY. I6ron d I'oFry ft' EFrirn FrFB
<br />.\ppli..nr or ttdi Sitnrrr..
<br />Site-Work I
<br />Underground u ,u PftMt/u
<br />Pole Bases I I s \tLC€
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safe ty /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Grounding / UFER thrna:
<br />Transformers I l1
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />IWalls (Conduit)
<br />Walls (Rouqh)7)vt+(Ld ,-Vfq
<br />Ceilings (Hard & Soffit Rough >Hhar .wn
<br />Ceilings (T-Bar Rough)I I'
<br />Meter Release 5 fr.1'tot-.tr*7
<br />t I
<br />Rough
<br />Service Meter uvv.-A wlrlr -/
<br />FINAL t l1:4l )xwd"7
<br />Notes, Remarks, Etc I
<br />a Yft Yt'tt- kntvn
<br />Under Slab / Floor f71
<br />5l',
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