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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNT'R BUILT'El. DALCAI'A'T ()N
<br />I h.rby afinn !.d.r tEMh, or pdjur, (h.r I m .r.mfl fmm rh. c.nrdDr' L&nE l,* ttr ,E follo*in8 r.Mi {S€ 701 L5
<br />6u!ii.s .rd Pn,Lsirn cur.) Any Ci(y o. CMy whrh EquiB r Fnr 6 $nrk. rrd, inpbw. d.tulnh or r.IEi -y{Mr, rntrn'.t s9ft..!br.{oErlErpplardfEuhFmrrofl.rtEd{ifr thr h...ir i b.ar.d Fr.M
<br />b rh. Frqi8 ., dr Co E ,r'! t Enrn Uu lcrrtr6 9- Co'lwErS y Sdirn ?IxI) ot Dilisna ] of rh. Burftu Md
<br />Pmr.$ioni Cd.) d Uur lE or ft n.r.rrti rlEEliom {tl dr tEan lor rh rlLs.d.r.qrhi Ai}vbhtbnolSdrrT0ll5bri.y
<br />$plicd for r ,'.rmir {bj.rt tlE ippli.rd rD i .ivil n ehy of tur mf. th8 6v. huft.lE{ lnillsr ($m)
<br />-1,
<br />.s d*e! dl tlE FlFny. or ny.mpbF.r *-h w{.! L rh.r i,L o,ryinqbn. riu d, tlE wrrt !n t lldead
<br />ddi.d r ofl.r.il fin eL (Sd.?oL. BliiB .rd PtDf6ri,n! Cdr. Th. Cirddoi r LEB lrr do.r xlrlytosorEroa
<br />th. FsFny shr txil& s -rtmEttlEE d vln dE qt wlt illEll Dr lE&lf or tl! ti htr d lE om..iplry6,
<br />pmviLd rlq qh lqmEtdre d n d.d rdrtGl i{.} l( lDr@, ! nriu!tror dFEmn n sU vlh6m Fi
<br />oalrn rbrr'(llr O*ftr Builda sill hrE llt t!r&. ol Frtins tlB,r G lll dn d hIE d n!x,E uE F)Fny n, E FrDoeoI
<br />_l-.rowx. f rlEFoFry. m.rchriEl,m Ei4 ridt lienedLodr4rrmbs.rur ill,ntd lsr. nx4, BuiEs
<br />rnl htr6s CdL: TtE Coddoat Li.n* br d.B n rpplrro &orE olFoFly wllr lnil.sor itrprsv.r tlEEoL
<br />r.d wno iddrfor siFrFlt ritrCo 6.rtr liGnrd lll\d rorlrcotud !La..db*)
<br />-l
<br />d.r.nDr !nd.r Sar
<br />Drr. Ormr
<br />woll(f{r.coMPr\a^TroNltl]llral[t!
<br />I h..6y .rfrn u*Lr Fn lry ol F.]tlry dE ot th fol!'vtr! &.hdnnl
<br />-l
<br />h.E dn will dini.in . C.nilt.. ot Conrnr ro S.lf-l.r@ ,or *)da. omFtrdi'n, ri Fbvid.d for by S.di.n 37m o, dE
<br />bh.' Cod., ntr rh. Odfolr@! of rh. krk ior whi.h rtE Fnnir i! issu.d.
<br />t Etuw {ri uill ruirkiD *,,1.n' or4 nqio. i.tuE.. r EquiEi try S(rbi l?lr, orth. btE cod., tur rlE Flh.ttw ol
<br />r .ql My w(t6 drillmqn. N!u. ruia .rn F ry NniE a
<br />I-r @r
<br />L totzl
<br />t{9-,*,rr,- ,,,. o.r"* d(rlr hrt rd *hrh thi! p.'mi n 6qx{ I 'lEll d.,pby ry Frsr i. u, nr.lE
<br />r' .r to b.<or sbF ro dr qrrsr'drrp.d irn Lr. ofc.ldomj( .!n .!r ttr d I {uB b..-E rlbj.d ro rrE
<br />ert6' otrv.nsrbi FDrili,n. ol sdir 37m of rh. l,hr cod., I firl, inhrih otrpl, eih dDr FtrnDrt
<br />,.", t .
<br />liluft h scur. strk.r $nn isrion $v.raa. K lnkwful rnd shall \uhl.!r !n .mploy.r ro qimind pdEli.r md
<br />(, oE hnndr.n dlue,xl dollar rllu,.lxxn. in addlioi t' il! cos of.oIllEnsion. Jrm3.. 8 I'mvil.d l (rE
<br />,l (h. Ltri CcJ., nr.F{ ..d iotryzz L\
<br />^eDro't:
<br />Cto cn 3rs(,
<br />,,",.,9 ?8 L
<br />lallrEllcrou.rtollc-Acli[qr
<br />I ha!b, .ltrm u.&r FMt, of F.r,y d. {E! i . odMiE L.d.u.acy rd di F lrm of E wt tur $i:t dlir Ftrn ir
<br />nlrd lS€ I)lI,, Civ C.)
<br />AIIIICAILDICITSAIIO
<br />I ffi,lfmu i.r F..ny or Frlury oE of rh. loll,!r3 d..Ldi,.!
<br />D.mliion P.rmc Arb.ros Ndincarim raLral R.ruldi,ns (Tirl.10, Pd6)
<br />R.quifttl k(.r.f Ndir.dirn
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<br />rd!ry tni r lid.El EBlhrDB Elrdinr ltdor r.myn & d lpplirbL to tnn DrDFr
<br />IB.-,O ,n" ,
<br />"*
<br />., ,". {Dlt.rion rn eir. rn llI lrnw inturd,n u corrt I rarn ,o conpry wih cry .iI, cN y
<br />odmrk.r an,l Sid. ltrws Ehrin8 r, hu_h,'/. ,.pr.s.nrrrv.\ rthtr Cnyand (-,rnry n'.nr.r uF,nIh.
<br />ah,v. ftntir.d fn,fny for insp.1
<br />\Z A
<br />Sile-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondang i Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soff it Rough
<br />Ceilinos (T-Bar Rouqh)
<br />l\/eter Release
<br />Rough
<br />Service Meter
<br />FINAL bLyh J*tz'
<br />Notes Remarks Etc
<br />I
<br />Rev.0B-07-2015
<br />COMMENTS
<br />I tFEby.ltrf, urrl.r Fuliy.l p..jury Ax l m lierEj uil.r previ!$n ol (hlpt6 9lqrh'EBin3 virh S.crirn 7{XXJ) otDivki,n l '
<br />dl rh. Bu*irs lrl krfttsirtrr C(d.. !n my h.n* B i. tull torc. !d .ltct
<br />Applkrnr or ar.nr stEruF
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