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ELECTRICAL-INSPECTOR RECORD <br />OWNER BUILDER DELC R TION ( <br />I h.(hy llrtm uni., FEtry .r Frjury rh.r I m .rcr$ ln)m rh. (imrrxlm l.r.6{ lre ror rlr ,ourMe Ra$l <br />Bunn.$ r, In!r.$i(,n Cql.) Any C , or C{td! *hf,h tnutd . Fni r' (Nt!d. .lld. ,tupoE. d.mlel <br />dru(rrc. rrtrr' !( nn'.B..31i, rcqums rh..nnlkrhr,,rin(h F.n nr lik r \l3kd (rr.nfnr rhailt.rJrshcn{d <br />(' trr Fnsxfl. .r rlt Conkal,r'r Lr.nen lj* (Ch. cr 9. C nrmNins , n S(r$. 7ur, .r Drvii,n lr of il! AuriMsr <br />Pmf.$r,n! CdL)or rh.t lr r rh. n . \.riFr rh..ri'6 ril rlr h:!ir lnr rh. dkgtd .r.n{i i,n. Ary vx,Lr'on of Sd, M 70.r I t b, .., <br />rml('d n,.Fro snL.crh..|trlk.nrro..rvrlF.mtrrot&,rmrcrhsl]v.huolFjdourllt{D) <br />L .vmrolth.FoFny.Gmv.ftdoFrshw.s.ralrkr$Lm,qt.dDn.uiltblrrq,trn[E!$\r@irni <br />urcrLl or oltiEJ n{ sE ( Sc IX.{, Bur6r ad Pr$Lrnonr Ci}kr l lE Conrkrn t La.n€ ht dti mr efl y r. M owEr of <br />th. FtFny *lr, t{'Lls or nqm\s rlr6h. tnl eh, UE str s!* n'nkr or lEBli or rhDulh hn tfr oq cn!'loye!, <br />Frovr!61rhrlruh o{h'Emnk e d h.niol r.tuBj tu qL ll, h,Evs. rtr tllxos d rlinEEd rq,!qnhi.rx J.r <br />ofsnpLur, rh. Ow r Bud&. <br />"all <br />Uk rtr hr&n oa pn,vlB rhd lt d {r JrI nn t dtdoFrE ttr F,F, l( rlE tnlrEnl <br />_1,IowErol rh. lhiFny. lm.r.lunvrty conlrr.r nS wnh lR.n6l c drk!'Ft'rrxrur rh. It,lJc.r (Sc(. t4{- turE( <br />. hrlkssr C,lj.r th.C..lftrorr l-r.ni. L* do.! r +0lyro rno*nd orroFny wlr, h!'ldrd mln ws rtrror <br />&J who $,rEfi fo. rx(h lf)jeh wtrh r Codturo(n l..n<rl pmu! t, rh. Ci'dratn t lrcnE L,w). <br />.l rnrc\chtr onJ.r S(rK'n_,I &P( ntrrh6r.in,n <br />ITA8f,Ef,S:.COIITE&TAIIIINpEgJSA.Ul,l! <br />I h!nhy,ltuh u.&, FBI!!.1tBiury otu oI rh. nrk'*mr J(lraii,nr <br />_l hrv. {n wrl nurru r C.n ^}rk otct,nrnr ro S.ll-lnruk litr u{k.r' coryEnr.! on, .s tn)rrl6l fU b, Strirn:17u) Dl rlr <br />ljtitr (itt. nn rlE ncnornN. ot rlE *tl tur *hi.n rh. Fhi' r irs6l <br />I hrr. .ft] *iU mor!6 qr*c^ EquEd hy Set r,. 1Ir I ol rh. Ulrr ChrL. ait rk Fn(M. ol <br />rl* turtk{$hrhthtrFm 'r nibl M} rd.^ u 'tr{rnt.rr,n rnrure. .4H ,ii Fnr y numln xc'Acv }lPtac.\ I^S. C-o. , <br />,,,r-r *" <br />l .cn y lh{ rn rh. FrtormLr ol r,E *od tu ,hi.h rht p.rm F K!t.J, I rhru an .,r9rry .ny Fn.n h t.y lmmr <br />g' drtu b.()m llhjdr b trE *{tdL.aqrnr.ri)n L*r orc.llfumD, .nl arr rh.r rtl !n)u! lrrom obi&i hrlE <br />n)lr6 .orlrhrrrk'n nft,vnh.s o, S.d k'n l?ur ol lrE llhtr C:!rL, , .h!ll, tnth* h ('r,{'ly wlh rh,* tln)v(bn! <br />WARNIN(; IlrluE lo wR lorlcn !r'n E.qrirn .r,ecr,Ec B unLvtul. uj {tnl 6,crr d dnptt'F l(' dMn Im[E n <br />(rvil 6n$ up h om hu,nEd lhrr.,J &,lls ($ll xr. m rJ! r,n t' rn ${ ol coqrnet'on, JrffB.s 8 provrr.ll for rh. <br />sccrur !076 1rh. Llhtr(qle, trr.r.d ud rnomy <br />l,.t <br />DTCLARATI('N <br />I hcrby rllim uni.r lxmllt ol ircrrury lhrl I m lBnsd und.r F)vLr$. ol (]uprcr 9 (rnfttuog wnh Sern. 7U)Ol ol DPtrr I <br />ol rhc Burftr\ .d PNl6s{'ns C,x!. ,Jrt ny llcn( r o tull (tr( . l .ltel <br />t0 qq31oc <br />I lrr.by rll rm ud.r F.rlty of Frrury rh, llEr ! . .r'nsrNllnn Lnlins rScE-y lor rh. Firu ol lh. uod tu *hih rh6 F Ir ! <br />tr\u.ti rl,uL :l)97, Crv C ) <br />aftLl{iAll.rElld8auqN <br />I hadry .liim ud.r F.rX, of Frrory om of tlE ftrhrr3 deLr.l $ni <br />D.fr)ld[n Pcrn r A!h..roi tltirrur$n l;ctLrrl R.8ul,r-rs (T[L4{, Pd6) <br />_R.q!r.d trkrol Mn(urn. <br />I lcnrlyrnr, rh.laLnl rcsuLlDnr Essdrns.drnor rn[val e ftn qduhk k' rh]r nnrFr <br />_l.cndtrh.r I h.r ol rhtr.pd.Iirn drl i.r.rh, rh.rh,v. 'niolmi,. r\ crEdl I r8r b.rnt''ly,iih tll Cryid Cou.ry <br />onlofrci ad Sr .lrw! FLrn8 k\ hufit,n8 onrurr,h, lrl krcby.u(htrrc E|'ced.hv.r oliht Cir, r,rl Counry nr c dlFrllE <br />rh)vc nEnrtr|N'l I'r,p.rry 1,tr m\pcrr <br />Appli.{nl o. Aaetrl SirMruE <br />APPROVALS ID/SIG. <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monumenl) <br />Lite Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFER lb.z>19 fulrot <br />Translormers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Sollit Rouoh <br />Ceilinqs (T-Bar Rouoh) <br />lvleter Release e€-+e> <br />Rouqh <br />Service Meter <br />/.-27--1, <br />Notes, Remarks, Etc <br />DATE COMMENTS <br />FINAL <br />I <br />*,. to/e/1.