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ELECTRICAL.INSPECTOB RECORD
<br />COMMENTSDATEtD/stG.APPROVALS
<br />Site-Work
<br />Under round
<br />Pole Bases
<br />Li ht Standards
<br />S FounlainsPool
<br />Si ns monument
<br />Lite /Low Volta e
<br />Fire Alarm / Dam rS
<br />Communications Cable
<br />Buildin
<br />Under Slab / Floor
<br />/ UFERBondin/ Groundi
<br />To uern
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To E UI ment
<br />Facto Wired Unil
<br />Walls Conduit
<br />hWallsRo
<br />Ceilin hSHard & Soflit Rou
<br />T-Bar RouCeilin hs
<br />1,Rou h
<br />Service Meter
<br />Notes, Remarks Etc.
<br />(r\vNt:R lrl ll,Dt:t Dl.!.('aL/ll l(rN
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<br />Burn-! Irl Ptoi.rsnr Cdt ): Any C y o, Cddy wh(h EquFi . ttd n' ltnitul. rX6. inlreE. &mlirn or r'Ft "v
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<br />.l)!l!cllll ntr!IEm 3uhl..t1 rh. .l,rhnr I', , .rv rl pcnalr y ot n.r mE rh.n fiv. huntlt! dollar lltlxr)
<br />t. a\ owr .r !h. pn,Fny, ( ny .,rFloyar enh *,!.t .r ltEn s'k coqEnqrFn w l .h llE ssl ,rl rh irLlr ' m{
<br />gr.r*l ,roOcrl r,r ir lie.?Oar. BiiF.. Pn.$bNCtL:TIE(.olIn-rd'rlruslrwddrml'l''lvror'vmror
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<br />.s owF or rtr rh)Fny, .6.irlu{Elt conlral hs hth l.cnql sdr&r6 t' o.rur rh FtFr (sa nx4. a*m(
<br />rnt prdeu c,r.rc: itrc C"nrrrror. Lrccnrc tjw J*r nor lPnlv li, u oet.r olrnn'n, wh' huil'lt or inpilv'! rh'r'on'
<br />.Jrl vb odat ltt sh lloFs *{h. ci'd,rftrlll L:n<rl Prter roilr codr}rn\ l-Ent lir)
<br />I am .rc0fl ud.r Sehn
<br />!08f,ler-g,DltEUsalla!
<br />DECIdEAIIA!
<br />I h(r.$y rllrm utr&r FMhy.l Frruy om l rh. l.lk,*oe Jehr.rFn\:
<br />I h.v. r,n eill dnrrin . Ccn i&rr. of Cdrsnr h S.ll'l'nurc lnr wort6' .1)t{Enur{'n. ri FDvrlcd for bv S'clrrn ]7n oI th'
<br />lih, Gr].. fm rlr Friolljsc of rh. qvt r,t rhrh lhc lxm ! $EJ
<br />I hrc rLl *rl! Msl.u *ortt6- cdq,.n!!r.n nutfr.. rs rqu[.J bv Sdrhn ]7(D ol llE f.lxn Cui'. tu rlr Frrlxrllln' oI
<br />r& rst li, wh.h rh! p.m r 6qFl My ktt6' q,f,IEnr.rrn or!,t. ud dn F,rv.uni"r e:
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<br />c.n{y rh.r h ih. F{ormB! otrh. wolt tht *hi.h rhn rrmn i\ itr,ol I th.u n ct{'k', rtv FBo' it 'nv
<br />hs*r
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<br />wolt6 omFnrnon ln,vnrrn ol SNrioi l70o ol ttE Lrhtr C,il.. t rhru. fonh*lth .onll'lv wrrh rn" pmvnis"
<br />WARNTNC: F$lure k, cuF srkc(' Nn{tnrari,rn cov.h8. r unhwtul .nl rh.ll {bj'cr r cnJ'h'}t' io mi F iE 'tncfll rtrr ut t, or hotj,ol rtnuirn dourF itl(Il,(rl)r' n alJ u t' rl* .1I'l or $qEnslion, d'tre8" !! proT
<br />'nl
<br />ror tlE
<br />s{tnn t(l?6 or rh. Litlr cd.. iordtr .,rlllk]ft, I 16
<br />r-,cursffi
<br />IIECIAEAIXItr
<br />I krby rfitrm unicr Fnllr! ol tErjrt, rru r rn lrnsn mr.r d*ii$n I't Ch4{6 9 (onfttn8 s h S<r'h 7ffi)} or t''vtrD' ]l
<br />ol rlr B!.ft( .ri Prn.snn! Cfttc, {rr ny L.nt s h tull t'^. .,n.0.!r
<br />Drl.:-- Cdtmlor
<br />!;qN!:I&lCUANTElIACa(iElla
<br />I h.rchy .ltirm u cr Fn:lry or lcrilrt rh.r rrEr. n . .rnnMrn lftlus ls.t, (tr llr Ffo'rret of llE *'t for *'lEh rhr' Fmr 6
<br />n\!.JrS( 109?. Ctv. C )
<br />l.rls'\ Nrft:
<br />-API'LICANT DDCLAIATI(IN
<br />I lrnhy imr unJc, Fnilry.l FrJUry nc I rhc t,'ll'*,n8 Jdhfur!,n\:
<br />I).m)lix)n P.mnreArh.nor Nolii.rr$n Fd.ol Rquhri,n\ (1 k Lq,, t'.n61
<br />Rcqutr.d lrrt!,1 N.rrli.rrsn
<br />I..nify rh.l lhc lidc lcSolati('nr Essdr8.rh.snx Efr,vd a. n q'PU Lk,rhs!n'F1
<br />-l
<br />ccnrly lh.l t hrt BrJ rhN .I'!lrrr kr .d {ardttr rlr !h'E hromrrrn !r (r,cl l .Et ti oq v 'nn r C v 'd Coutrv
<br />"r,l**-i,,: S,.," r,*. *t r,u ;o h,ltlh! conn r iili\ r,ri h.tEl'y turhtr@ ElnE r.r iv" or lhi< Cnv 8r Cou'lv lo
<br />'nrcr
<br />upon llE
<br />.Ir,r lmrDmd t,$Fnt tu mrp.dx'n ling(i
<br />AppLol d arar slrrur D.t.
<br />|-mni rn.rrrtnl,:--
<br />Transformers
<br />Meter Release
<br />FINAL
<br />lrcE ( h$r'---LEM N{mrtr
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