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ELECTRICAL-INSPECTOR RECORD
<br />APPHOVALS ID/SIG.COMMENTS OWNER BUILDSX DELCARATION
<br />I rFr.by.flirn ud.. F ny r)fFr,lry rh, I mcr.ry{ lNm rrE (i'dr-im' LiiF tr* ro. tl. rolkEint E$r (S..rolt 5
<br />Bu.in.( rdr Prcr6rb. C,n r Any Ciy or Couniy {hrh r.qun$ . Fni ro onntud, tns. i'qmE. d.mlkh or EFn lry
<br />ntuduE, prbrr. ir\ ts!!rc, !l$ rcqliEs rh.0nrlhanr tur tlch Fn,il h tiL! ri8n.n {orcrE.r rhNr h.., dr ii ticctrEd po6u0nr
<br />ro rrF Frvti,B of rlE Conr.rr.ir Li.n<n l,* (Ch.rr.r e, commmi.! *irh s<rbn 'r(X)o ot Divtion I of rlt BuriEs a.d
<br />tt fc(i'.rCo&)drhlrt (3lt n.rcn$ rh.r.rtun rrt rtr hd(n to, rtE rtt r.d.rcnva. Any vi'hrk n or sd.. 7().I Jbyrny
<br />lIdi.trnl n, a ricmn iub.j(lt r h. .pphcinr r, r civ il p.nrlry of rcr nrr rhM fiv. hu.d,.d dolh^ ( 3lm)
<br />lJl'nr"" m "r r* p"6ar. d my cq)t,F.! r rh r re.\ 8 rttn mk Nq.nr.lr4 -rll tto rtE frrr .d E r.dc ! rid.ni.n r oficr.rl ln rl. (Sd ]or4, Burikr mrj Ptof.r$r\ Cod. ]1h Codsrtr \ l-iln€ L.* dB mt .ndy ro o o*mr or
<br />ih€ poltny rt hxilds oi itr$hves rhrEr rri wh' dGs och *d( hnnrclf or fi.r$lf.r ttn,ugh his n hd own 6qrto}t.r
<br />I.orildl rhc! rkh ri{'owdr E mr d.ir.d d oficrd nr eL lt tFrrw. rlr tliEirB .r i'rtftGd Lr a *rhh G Fr.f.Gr?kir. tlE ()$rcr Buiri.r *ill h.E rlE hrd...,Imrinl lld tE or tlE dit n taiB i, lrFE rlE IFtEty tor rlE FrIs. of
<br />l. ^ r*rB ofrh Fl|riy, nncr.lx\ir.ly codr{xry }[h lr.h<J co rx(,^ r, mn{k1 rh. FIjN rSc 7(xa, Buqrs
<br />lnl Pr,k1\r{C(k t h. (irnnEroii I -i.cnr l-r* dr\ mtr rnnly ro .n nr m of fmFnt rtrt bu itdr or inpoycr tncrsn.trnd $ho ..nrN\ ror surh tnrjcch wirhaCo mdons) trciscd ptrnos n'ih.(]'ntrlcntr s Lr.n* rir)
<br />;""":";v/:;\rt.*
<br />lll.!I,l&u[!:
<br />I h.ichy a0tm!n&r FMlry ol Isjtiry om orrlE f.ll.win8 ddlDri,n!
<br />E*L.,,a *,tr *n".. C'-irrn. of Conmr io S.ll. h{E rr Btrrh- lrhtEnsnFn... Flrird ror by scrir. t7(xJ orrlr
<br />bhq On , tm rrE Frolljec orrfr. lort lm *hid rrr Fmir t isEd
<br />-l hrvc rnd *ill mintain *oil.F' comFner;ri in\rr5B.. .r E1!nd by s(r ir .t7m ur rlr Lrrxtr Ol,:. loi rlr Frformr. .i
<br />rlE hrr f f,hthrhtFnn ir k$cd Mf e.rls otrrlEndhn inqrE ffE.rd Frlty tutr*E r
<br />p-ftrdir, ihlr in rlE rErfMmE. or rh. rorl ri, lhich thn rErmir r !{u.d. I tnrtt mr .trpkry &y F,sn i. !.y lMwj 8h n m ruhFi ro rlE wis'orr{H{rr,n t $rof (.tlifmn. rd.Sr rh.t ilI firH b.eft uhfr! ro rtE*oic{ $n{rnsrii,n pn,vi.ion\ oa Sccr ion lToo ol rrF trhr On . I rlEtl_ fon,wirh mq y f,irh rrF( ,m rhrr
<br />WARNIN(; Fiilurc ro suE wkdL drFn<.lio. mrntc h u.b*rul jrl rhtll \nhF1 u .r4hF t. aimin l FdtB !n
<br />.trrl ,nr.\ trp n, o'r hunlrrd rh)u! trd dollrr\ (1ltxr.(xrr. [ ldddrij r,"'ry:"T--:::yiAz;f^^,r,,*r,l-6'I h.Ety .ltum und.i Ftulry ol F iry thd I !m lk$rrl oirLr Folirbn ol Chlr'td I lonmftinE sirh sdb. 7fiL
<br />ol rh. BuiB(ud PFlc$i,n3 Cod.. !d my licdr is in tullroNlrl.fiNr
<br />_l.ir.nr Nurtrr _
<br />coNsTnt[:Tr0N I Frt{lrtNr: a(:rNc'y
<br />I h.Eh, amrmudd FMxyotFiury rlDr rhcrc is 0 mmrrudi,n knins.8.ry Inr rlr FrformN oftlE mrk rrn qhthlhn Fod i.
<br />irsEd (sr 1097. ('iv c I
<br /> PPI |(rANt-tlFcr ltA',n(|N
<br />I trr(, llllm u tol.r ltnrltynl psrurv r ol rh. lnll,f, ina dd tmrirnr
<br />lx'hlirknr Pcrmn! A\hdo\ Nollrrai0n f.dcnl R.3!bri(,n5 r'lirk,1r,. ltsn6r
<br />-Rcquncd
<br />ktr.r ol N,n'icrri,.
<br />I cd'arrh! rh.lirlcirl rttrldi(r5 r.Euding r.ttno ni^rtir. Dr arTlir tr,rhtrr'fl)Icr
<br />!-f,*r,t, , ,'* ., *,r.s'ri.rh rd srit.hd
<br />ddilru-.tn sr.'. tr*! rblnB ro hiutls mftMi,rhc rh,k inf.nnuiln itcoBl I4r!'omflyenh.llC tand(\rdy
<br />'lirc trr6rntrE,l nii,lilrytu trtrIf,cli, r
<br />,lpotionr or,lrar Stnrun*
<br />f'-.ir- -,,"rp,r,,(46/
<br />!n lr,.iy rdr@ EFR.'ltiF .a rhn c y .,n cou t ro drd lFi rlr
<br />L/,*- -,,- B-/=.'/c.1f' LHo <^- /
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monu;nent)
<br />TPP z-l)(1 /\/r,1(1
<br />Lile Satety /Low Volta ge
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundin g / UFER ?lu n /^a4@ krrP
<br />Transformers
<br />T orquerng
<br />Sub-Panels
<br />Rool Top ui pment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rou qh
<br />Ceilings (T-Bar Rou sh)
<br />s a.o t1 t,(t/4lC)r?{)
<br />Rough
<br />?-b (q '/--<a4t 9
<br />-+
<br />DATE
<br />l.rxkcr Add63 _
<br />Air Conditioners
<br />Meter Release
<br />Service lvleter
<br />FINAL ,b
<br />Notes, Remarks, Etc.
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