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ELECTBICAL.INSPECTOR RECORD
<br />DATE ID/SIG.OWNER B(III,DEN DELCAiAIION
<br />I tRb, .rtun unLr FEly ol p(]!rt rh, I 6 crcnnr rn'd (h. Conhr6' l-..M l.* in ilr tnb*h! E rm (Sd.?{lll5
<br />Bunn.s .,n Poksrrn CcLJ: Any C y or (-,{,ry !h:h Equrt i Fm,t ro conrruc!. did. rproE. tl.m,l6t r EFn ry
<br />(ructE. r'ru n' ! Btn4r. .le! Eq!6 ih. {'!lr.nr lir ieh tEmii io lile r rlsrd trr.nrnl lhd tE or nE ir li.rnr.il fu$rr
<br />r(! rh. Frvtnr. .l tll Co.lr&lf r l-E.nkl U* (Ch:fld 9. Colllmtum8 rirh Scri.n 7U[ of D,vislon ] ol llx Blnks .d
<br />Pn f.rrl'n! Cfil)orrni tt oi ih. r.rcmpr lh.rcfr.s ! rh.lEri! litr rh. .lkr.J .r.ntfuJ. Anyvi dionofSdrk.T0ll.Sby.ny
<br />.tTl.rnr [iE rFmn shFiirlE .p i.!nrr,.trv,lJi..rlryofnor mtr.!h.n 6vc huBlrcJ d('ll8 (!59)]
<br />-1.!ro*ErotrrFth'Fdt.(,mr.nd'Fr*[n*+.rtrl{tsk$.{f,ner!r.wrlldor,rurtd'trrBlGB,dcn}ll tr oftcEtl lnr sk (S< nx4. Blr6r oJ PrDlGrb.r (oJ. Tlf Co rtnf,'s lr.n( tlq d(.r n l qT'1,6 rn o*d, nr
<br />.ht F'Fny wh' h!i!\ d !qr)B 1116(.,n wn,.lF u't *lt hihlclr or h.rtu or rhtuu8h tu or h.r.*n cdttklrer
<br />rsrrtl.d rhrt rulh mnn'Etr.rr c r* dolql tr olicl fo. {k ll. h,,rt, rl* tlrlllu ot ltIhMrnl r slj wrhs.k ,t,
<br />of (ampLu'E rh. (nxmr BliLtc. w I h.w tlE he].n ol ImvuB rhc lx ti dr Jrl l. l d urF'k dE Imtdy nn itr PIqrs ol
<br />-1.
<br />!s owN ol rlE rn'p.n!, th. (lunv.l, u$rrd tr8 r rh lEcnErl co h-hn I' Llnntur (h. Frj.rr (Sd 7l)at. Bnrim*
<br />rd thltsin cdLr Th. conrerorr Li.cn* U* nmr nor q,nly h ano*hd of F4Eny who blrlls or inlroEr ltrrc.tr
<br />.nd wl$.t,rrrk-.rrri{iNhF,Fk*rhrcit.h$,(tr!f,.n$dNru.drorh.Conr,aloi!l,xo{l,wr
<br />-l.nr.rcmpr
<br />unl.r Seri'n-. a &PC i,trrhNrc.3'n
<br />}}II.Bf,EEILCqUSENIAIIQN
<br />D&(lJ8IUo!
<br />I h.r.hy.lfrmundq ncnllryol FrIr, ok ofrh. (nbr63 d.rhr{krr
<br />-l
<br />hrv. iul will Ninru r C.n,rx'r. ot Co.mr tr, S.lt.lnroE ld **tdr' u,n{En{ri$n. 8 In)!iJ.J h, by S.dDn l?0O ol thc
<br />L.btr (a1.. lG rtE Frlollrr,ry oa rlE *,l* ntr whth th. Fm[ 6 !$tEJ
<br />_l fi,w :nl w l tu'.rrrn *ork.rs rorycntar nn Druru(.. r r.qtrkJ hy S&r i,n l IIt ol rlE lrtrtr CLic, tur rh. Frtnru. dl
<br />rlr urltr whrh ihir Fmd n nnEl My vo cr' .oEp.ni:r!'n r\urm. rrn .tri F ry rumt'( el
<br />^"* L rtl4/t€a-
<br />, "r,, ",,,,*, %ILL(EZ? V -z-?, (zo
<br />-l
<br />(nrtirhr! mrhc Fr(rmfu! of !h. k,.l itr rh.h rhf Fmi n ir\u.J- I rh,u nn.irllL'y4yFron in any Mk.
<br />q, 8 nr h.tt'm subFrr !r rh. w'*6 q,nFnr no hk or Crl,loho. rrrl +R th.l t, l 3hrlt h.tom luhFd fu rh.
<br />qfts' .r'nrlEner Dn Fovrsronr of Sdrsn :l7O(, ot rh. tjh)t C,rk. I ltull (nh]nh .r,a{'|, *irh rho. Frvsbr!
<br />WARNIN(;r l.rfurc n] -.'uc k,t.F
<br />lNrl hn(s !p b oE huntlrcJ rlr)uraftl
<br />S..r(,n.1076o1ih. Lhn Cdc, mrn.n
<br />,rr,.LO -7< 2
<br />i!!' *:'2ry!:'1$*nx*'
<br />il'
<br />IICEISfILIIINIXA{:E8!ECI.AMI&!
<br />I lE ttry .lrrm un,lr tEMlly of lqrury rh,r I 6 lu.*1t !ntt& Fovnin ol Ci.J't.r 9 llIlm h! *(tl 5d m 7rS) of Divni'n .l
<br />ol rh. A!.rE$ .hd Pmt .rbnr Cn .. rn E, lic.ne t in luu fod lrl .lrcr
<br />C-q?7 r
<br />ot'Q-t ?
<br />AlE lcalfltfcllSarlo!
<br />I hdd' .Ifm ullr Fn.[ y of Frrury oF ol rhc n]U'*irf tleclrlri,n\:
<br />l)cnn i'n PermnrAilr(o\ Nohlioron ld.rlltqlLlims (T(lc tlo. Pd6)
<br />_Rcqurcl lrrr.r ol ll<r'rrxrr
<br />Ien yrharrhc lc'llril rltlar tr,ns r3.rJ,ns !!h.{o\r.dtvrlrr. ftn rptlrlhk !, rhs tjnr.rr
<br />_l rd
<br />'rhr
<br />l Mw rcrd rhs rpplrj nn trl (I. rh'r rh. rh)Fe ro.rntly *irh r[ cnyrnd Counry
<br />o^lmtu- ral Srrrc1i*!ELrnf rotr lmgc rv.\of rhrC y.rnCounlyn).nrcrtrFnrtr
<br />ati,v. rnri,rJ lJfl,lEnyld r.Flr)n I'uF
<br />,\ppli.inl or,tEql Sirrrud
<br />3cd?-r 4zt,-.
<br />,.,./o ^2 -r)
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / 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 />Ceilinqs (Hard & Solfil Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter qa(
<br />FINAL lUatuU6 ut/
<br />Notes, Remarks, Etc.
<br />APPROVALS COMMENTS
<br />Pole Bases
<br />lqlEIAgJ&lJ.llDllC.AGEdq
<br />I rEEb, drm und.r Fmlly ol pdio.y lh.l llE s r anEleri{ kdnS r!@y for rlE IE flfu. or itE srt lor qh*h lhlr iffi, !
<br />i!{tn (Sa. .1097. C'1. C )
<br />L.nL'\ N.tr
<br />ldne's AJ.!!ri:
<br />-
<br />I
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