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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNEi BUII,DER OELCARATION
<br />I hcrchy drnn udq Fn.lrr,,f p.rJury rh.r I d .x.mtr rrnfr th. a:ontLtrn Lie.tr* Iiw ntr r& tullr*o8 Ra$n (S4.ruit.5
<br />Bu\m.$ .d Pnn.rsDn (\tl.)r Any C(y or c'Nnty wh(h rcquFs r F.nrn nr coo{orr. dlro. in{row. d.ftnnh Dr rcnl! .ny
<br />srrucfur. Frtr r' xs Kuer. .le' Etuu.r rlE lPplr r ntr ru.h lrmr h liL r ssmrl r'i.nr.t lhll lr or nr ! liod t@!
<br />b rlx F)enirr of rtr Conhkr'r L.cn<rl tr* rch.{i.r 9. (inmrinS *nh Sdt$n ?(XD of D,vir[n I of rlr AuliElr ..<l
<br />Pnlf.s.nr ClrLJ r thd lr r rlr s .r..r+ rn idmh nl rh. t$N ld rlr .lk8cd .rcq{en Any viLrr'. ol Sdrnn 701 I 5 hy m,
<br />rllll'(rni fttralkrn lubFGrlF.I,tlf,.nt!'.L,vnFMhyDlnolnFrcrhril'v.hullrtJJolhr(S5m).
<br />-1.
<br />8 owrr of llF pnlFny, (tr my cm0bF. * t e!B.s s rtrt $L cuqEnsdDn. uill d, 'tr
<br />uak.,n rlr rlrtlm n nn
<br />daldl ir olLrc! ftr sL ( Sq 7oarl. Bucs .nd Prrr.lrrrnr c,rb TrE (ndftrini Lr.trc b, rtE! r* ry y h a owEr d
<br />rlE Frdy vrb billr !f, lqnrB rGn .nl wl$ dF qh qrt hituli or lErEll o. rtmr8h hr d lE oh .tmhy6-
<br />pn,vrldt rh.r rkh 'rr{niEmd! G n{ d.rlal tr oitGl lir ql lt hrEa- rlr h tuB d dthE*d !r a|tJ *.ho (E lEr
<br />ol @iryl.rr4 th. O*rcr Butrlld w hrE rh. t{..,.n or pnrvn{ ihd rE tr llE drl nlr tuili or uqet 0E Fordy hr rrE IirIrE ol
<br />_1. 8 dw rfrh. F dy. m.x.tunEly (rddh! *rh L..n!.{ Larllrl,n h oN irlEFlFrlse t0l4. Bulll6
<br />.,n M\srCnl.: Tli Ci,nrkrDr.r Lf,.nr l,r ddr mr {irly ro owE otFtrFd, wb hsrur or "r{rftlwi 'hct$n.&l ehl.odBlitdlBhFtFrs*{hrCo dkln!,18.{{ ,tl^utn k' rrrCodc_kx'. tr.M L!v).
<br />I anr.rcmFr undcr S(rdn .F & l' (' l;' rhn r!"'n
<br />.EOASIiSLAUPj!!AI{I!
<br />IIECIISAITA
<br />I h.Ehy llltrn un&r p.uliy.l pcriury o'E o, rh. n,lb*m8 'hhrrrk,nr
<br />_I hrv..rn *nl mrrM r Ccnfr.rc or Ci,nEnr lo Sdrhurc fu tud(n'{,,{x.{irn..r Fsvrial nn hy Sslln l7(ll ol rlt
<br />Lrh, Grt , ft, rtE Frfmr or dE UEI ntr wh.h rlE Fml s !.u.i
<br />_l h.w.nl wrllmnt.h r.ltc6 .oryEn{r$n insu6k-'c, N rcqold 6ySc-rIn i7ftl ol rlE lrh.rCuL. htrrlE litao'rje. ol
<br />th. *trk turrhf,hrhs Jrm rt rsEl. My sort6 .omn nr.l rm in\urrN. lrtrd aJrl Fnry runrb.r rc:
<br />_l..d,ly rhlr in rhc !.rhrmhc or rhc ro* lrtr whEh rhr Frmil n n{,cJ, I rhall tur .mtl,,y rny n n.n
<br />'n
<br />rry murcr
<br />er st'tE$m $bFrhrrrm ss comp.nqrx,n Lwr ol Cd'l,,mD, .rl $m rhrt if I firll hcs,m $hj(r (, trr
<br />s,*oi ('rqEnerM pn,vnrnr of S(i r,. :11x) of !h. lih* C'rL, ! rlu]l nn hr h ortlly w h rh,E !$el!$r
<br />WAININ(; F rrc k' <m $f,k6' !\n!Enan.n !r,s.8. ! u .rf!t. rnl \brl rxhFr n .qrbF tt dtrurl Fflts rn
<br />cN lrn.r up k, om huntlrcd rhous,! d,lld ($100,lxrl). n dtl'i bo h rh. .od or co"{En(rion, d.mlct .! p.trvi.l.J (tr rh.
<br />Sftxo. 1076 or rh. ljttr (,rlc, i,rcBr u! ,nrmy\ rer.
<br />D.L:- Drllol:
<br />-
<br />LICENffi
<br />PECI.6EAIIITB
<br />I rEEhy dlnm undcr p.nrlrr nl p.rjury lhrr I .b li{nioi utul.r t* rirn or chal,r.r 9 (onmRns w h Ssrnn 7s$) or Div'1mn .1
<br />ol rh. aurtrrs &l PRrLm'nr CLxl€, rn my li(.ns n h rull n'u .d.trRi
<br />(.ONSrTUL-TION LF\DI]TG AGFIIC1
<br />I hr.by rrlirn !ni.r FElry ol FFry thd ltft ! . dd8lon Lnllra rs.d, rd ri. F(,rM! ,tr
<br />'lE
<br />srr rq rn$ rh! Fnd ii
<br />n\o.J(sd .r0s7, Civ C )
<br />LcftLrr NrnEl
<br />Lcalcr3 A,lt]r.(
<br />-
<br />ATTUCANLIIEII,ASAIIA!
<br />llsr{'y !llimunJcr pcnaliy,n If,rjury otu ol rhc lnl['*m! 'l..hark'ns:
<br />Dcmrr Dn Pcnn( $A\hcn.\ Nor ifi.ai rD l.&rrl Rcguhr k'n\ I I nlc .(, l'dt6l
<br />R.qurd t (6o{ t&,!Urir
<br />le(rrlyrlEr rhe l.'lcrrltrIUlnrx,ns (!a!l'nt xs$.rn^ r.ni'vtrlm ndr {'r {.hL ro rhr pn'Fr
<br />-l
<br />edlry rhi I h.vc rcd lhr qd..lr'n !n rlllc rh.l rlE .tbE mlorur ih F (,B*r. I r8rc !o con{ y *nh .ll Cir, rd Colnry
<br />d tutu.r.nl str. b*s Ehrlv ro tlorllD!.o.(urDtr rn h.nl,y rurlx@ Er.( trE! ol rhrs cily.!n oud, ro ord ulr4 tll
<br />rtr,h mhrrEJ F,p.dy i orFlFn F,F'6
<br />aDDlimnt n. a'6r St'mrtrE: Llrl.
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rough)I
<br />Meter Release -&.1)
<br />Rough
<br />Service Meter I
<br />FINAL t//nb /t 4 ",M bul
<br />Notes, Remarks, Etc..7 -'ra
<br />ID/SIG.
<br />Transformers
<br />Lile CLru-L..n€ NutrtEr:
<br />-
<br />Drl€:-
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