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ELECTRICAL-INSPECTOF RECORD
<br />APPROVALS DATE tD/slG.COMMENTS OWNER AtiILDF.n TIEI,CARAT()N
<br />I h.rchy illirm undcr F.nrlly or pcrjury rhrr I d .iftlnl rmm rh. c"nto.hF' LRnc lie lor rlE_(nhwins rc!$n ls.c 7r.rl 5
<br />Bu{iBr &n lnll(\bn Cnl.) Any cnt or Cdny rh.n EauiB . Fm, ro on<tu. rh6, inpmt, &ml'.h or EFn ,}
<br />{turJUr!. Pritrr, i8 isrurrc.. ako rqunes rh. lpFlic! lnrr!.hEm tr, ,ll. & rirn.n {.'.m lhil,Eor rh.J.lian{d lumd
<br />lo rhc F rFrnr or rrr (-onrrro'r l.an(d Lr* (ch!fl.r e. (';mmEitrs *ilh's^rnn 7cD or lrllf i t :r tb. Sulix( rn
<br />Pmfc\si'N Cod. ) or rh(r h.orrrE ir.r.EFr rh.rcfr.m !d rh. h6cn fo.lh. llLB.d cr.nprio. Any violalhn ot S.<lhri0.l L br.n,
<br />.npli.a.r for . Irrmir suhj.lr rlE lnl tonr kr . civ il l{olly of n tunr rha. fir. hundEd dolLr( Il:100,
<br />l. !r o*mr or rh. ln,,En y. o! my crFlorEr earh *!s.r $ oEn g,k d,mFnqr io.. q d'lh.wrtenrh. ErEirn
<br />id.ri.d or ofcr.n lfl qlc ( Sc 7(xil. ,uriEtr .ft1 Prof.iirn Ccl( Trr Co.rsri Li6< tr* dEr d, .p?ly to x o*B of
<br />rh.lmlEny rl$ tnildr .r inrmq rErn. ond *ho &Et rth ,o'k hih!.lr or h.r{lf or
<br />'hrcuBh
<br />hn o! lE own.nq'kry..r,
<br />FoliLd rhrr u-fi if,lnrrr:d\ c d, ircrLd d or[oEl fitr {h Ir. hew. rrr triBnla q irlrNBrr ir $B rtli, m Fs
<br />of $q,lxrm. rh owE. Blild.r *ill lu* rrE t rd.n .r pr,vin3 lhn rE d rtE drl m' toild m iqmE llE I,oFn, n, tlE Fqr* or
<br />l.r\o{ncrrlrhcIn'Fny. rcrclulvcly.onr..rin3*irhlicctrsdconrr!.tnrt,.o\rru.rrltPn)lr.r(Sc.7(}+l.lru{ks
<br />a ltrtlc.\r. (irlc 'l h. Contrro.. l.iccn.. l-tr$ rl.f,s 'xn rppl! k) rn or er of |,(tra j_ {'h) huilil! or nnror c h.rco..
<br />an,l *ho ro ktr r\ntrlkh tr(,j.\r 1 rnh r Conr(!'( r) lf,cn{1lN^ullll n'rh.Conkmtni l-ic.n\c tj*).
<br />I rn,crcmpr rnd.r S.rri(,h
<br />trrr. ()rn.r
<br />lY(lRxr. ILs c()nilf\s^ I l(JN
<br />IIEIIJTAIII.I!
<br />I h(rch) rlrtr utrJrrr rhJoltrljurlotrolrhctnk,troSde.-hrttr,nr
<br />-l
<br />hIE si * l mid.in r (.difr!r. or(rnq! k, sclf.rBur. nr rqkm .oqEt lio.. r Foukr, for b, Sdlan.UlD o, rlE
<br />LIhn ( d.. lor llE Fri)lmmc or rh. wolr lnr whi.i rh. pdmir ir i$u.d
<br />-Khx!. rhd *ill 'tui.rlin *.Acm lomlEnr.rirn rn{!rrN.. !r rcquir.al hy s(r nn lTlrl ol rh. tlhr Cd.. lor rh. Frl mtt ol
<br />*orl turshththt lEmit ir icqEi My*orkftr on{rndk,n inixrtN dri.. {ttl lDlicy numrEr m
<br />,",,,",_oL P'ru-P; ELi _
<br />P,,t.tN""i., L f C tu A ofu / LfoA ..,,--zbaL"
<br />l..nrry rh.t rn rlE rErlormrc olllr eod for shit rnt lxrmi ir nr!.d. I Oallnn cnq|by.ny I{Rm i. rny nrnF
<br />s, !s ro ll.('r luhrcr kr rh. rod.F .\r|tnsrnrn hqr .t Cslilhmia. uftl aarc( rhar il I \lhukl tnl,m suhFl h llr
<br />k"ts\, lr,rFnurion liorilrnr ot Sd io. ]7m of !h. t h* (tn.. I (i.lll. ldhwnh .nnply whh rhr- Flrirhnr
<br />IIARNIN(; Ilrlur. t' rur! rn.Lla mn{f,nsrx,n.o\.rag. 'r unlitrful. r rhnll\utFr u dl{'totrr t, $nuNl,tD[n xr,
<br />.ivrl linc! up n, om hundrcd rhi,t\rtr,Idoll,^ (Slu).u(xrr. in rd(lirio. n, rh..osl ol.omFnrrrnnr. dtnh*.s !r nrovidcd ftn rhc
<br />sdrtrn lrrTr or rlI lih, ciJ. hrcrr{.ni ,mr'! fN\
<br />D.,.: 8/r5/rq ^,,,*,, fz.---..--/ t t LrcE\\Ea (',r!\rRr(IrrR \
<br />I&CIJAAIIT]!
<br />I rEEh, tfrrm unLr IEBlry ol Fri,ry lh.l I .m lnur.d un&r FDtiri'n of CrEfld 9 rd,,lEEins eirh S.(ion 7utrr or Di*io. l
<br />of rhe Blsiftrt lnd PNfcriiri C.rlc, ,d ny li.n* t in tull rorE ud cfral
<br />,'**" r'r* C Z-o
<br />^, * /sy'?
<br />g}lErSqquoM.ENl}llli.Alill.gl
<br />I tmhy rlTrn u'i.r rrfihy ol Ftrr lhd llEr ir . otr{ruii,n Ernins ts.E r.r rtE FrfnltrE of llE qft fr, rhth$k lmi ii
<br />n$cd lsa.l)9r. Civ. C.)
<br />AIII.IIANLI,}EIIJBA.II!]!
<br />I hrcty alin un,s Fnlhy.r Fiurynm or !h. folt,sr.r &rhrrrion!
<br />l).mliri'n Fcrnrir!A\lEslos Noriliurioh Fdcrtl lc*ulari,nrllnh 4r. l'.n6,
<br />-R.qutcd
<br />trrtcr ol Ndift{i,n
<br />I..nnr rhrr rh. tdkElE8ularinN Egdilii! i\L(or,.m*dnr nn lPtlilhk b rht pn'F\1
<br />I .cn ify rnd I h6rc rc.d rhk rppli.r b. .d {.r. th{ trE 'hrr. r.romitn n $cr l.8R io m'inly Dnh.ll Cnrrid (nudy
<br />ordiMNc\rnd Starc La*rrchrihBto huildinS.on\tru.ri,n. url h.rchytrDlhtrizc (prcrnrrlivci ofrhisCiry
<br />ah,$ mnrirEJ I'htmy rrr in\Frlir rurF{l
<br />,tpDll.rDl or ,\,rnl SiEmlUr
<br />/2r*'/ 7/r?rTrore s v;/;.-
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Bouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough to -lo-t q (tr ,€ lol
<br />Service Meter
<br />FINAL to-lo-l9 lrk\rl lot
<br />Notes, Remarks, Etc.
<br />Sub-Panels
<br />tr!'\N'i'I''' 1c ///13
<br />(,D,run,r €\-
<br />tdcir An&s(
<br />I
<br />=
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