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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUltrEf, DEITCAn TloN
<br />I hd*, .llm lndd pairt of FrJU.y th, I m crmF nom lh. Conr.clon l.i.@ lr$ for rh. 6llo*tg lKt (ac 70] I 5
<br />Busin6r drl ftofcFd Co&): Alry Cny oi Cod, qhah rEquc . Fmi ro 6dM. .na. n4.oE dttulil or r.,.n ey
<br />rtudw. FDr ro irs isll4q .lo r.qriG iE 4rlk , lor s(h Fnk to fik. rign.d rldo6l lh.l lE or O. b li.d.d ,tmd
<br />lo rh. Foeilio oa rh. ( onrEroit Lk.n&d Llw (Ch.pl. 9. CotMtrirs silh S.clio. 7000 of Dirbion I of th. Adi6 !d
<br />Pmliariod (-o&) c rhd lt G rhc a ddF rhsdroi -d lti b-! tu rla dhSld d@girL An, vbLrbn of Sclio.70l I t by Dy
<br />rr'plk.nr for ! Fhir sbj.tl! rl! !pp!.ar lo i citil Funt o f @l mr. lno fiv. hlndr.d dolles (1500)
<br />I. s o$c ofrfi. FDFn,, d D, mpblE qilh $.*6 B rlEir sL @n dtriri. *11 do ttE ssr i'd tlE rtrift i m!
<br />ilrdr.ldl or ofr6.d tor st (Sd 7044, Bqhs od PmlBioB Con.: Tt. Gr r..l ! Lkru Le &d tul IFdy lo D otra of
<br />rh. F.Fq whot ld or npm\€dE6tr rn $h do6strol titulf orlE$llor ll@ugr! ta nlE6n.nlPbyt*
<br />Fori<kd lhd *h noF!\ffi E tEt hsld.d G o,H tu rl. lf. ho*6q. tlr buiui.S or nvnvsE n sB whhi. oN rd
<br />ol.of,pki.n. th. o\hd Bdti- will hw llE h!&r of Pr.lilB lhi lE or C'. dd ol hllu or itrFror lhc FtFry k{ dr F,FE of
<br />l.soNffiof E lroFly. 6 cKtarEly coln,Etins $ ith licdB.d.odd.R ro o'l,N rlE Fi..1lsd 70{4. B'.'B
<br />dn Ar'tsd Co<t ThGCo.hdo.r Li.a! tr* &d nor.pplylo Mown6 ofp.opclywho build!or impmrBrh(df,,
<br />lnd who codEdrforuchFojc$$nh.Co ndo(r) la6.n po,i4r b rrE (i)ftdd-r Li.# lsl
<br />l n.r.mpr und6 S. io.
<br />D.l. ()rn.r
<br />$otu<rl.s ( oil?ar\.s,rrloN
<br />lllCl]I8AlIA!
<br />I hs.l'! amnn !ndcr n<n611! otpst,r.y.E 6rrh. i,ll{,r 'nr d6laralnr6
<br />I hn c $d tr ill ruinrin . ( d ifKal. otcoMr lo S.lr'tnruc lor sorL6' .onFMmn. s Forid.{ ao. try S.(ion 1700 o f lh.
<br />lrbor Cod!. aor rh. Ffo,lle. .f rlE $ort tor rnkh
<br />'h. Fnn i! isu.d
<br />I hr\. lnd lill miinl.in *ork6 comrE ion iBu,!N., 4 r.qur.d b, Sd ion !70o of rh. ttbot ( od.. for lh. Ft'ril@. ol
<br />tlE *ort fm shkt ihi Fqnn b isld My vcl6 mtrpdtlsn ilMe. .si.{ tn lblky .unlbd cl
<br />PolicyNumb6
<br />-
<br />-
<br />-
<br />e,pofl
<br />I c6r ify rhrl in llE Ffotucc of rh. *ort for vhich rhl ldmn i! !!!cd. l .llmi@rlo,eyFsnitrer!ll!E
<br />& D ro b@ft sbrd lo th. $st6 @mpcarion h$! olcn'6mi^ !d xr lL if I tlDlld bc.@ elircl
<br />'o
<br />dE
<br />s.rt6' orq6.rio. FoviliiE ot Scriotr lT00 ofl,E lrt { Code l idl. fonhsnh cohply wirh lhoe Ftviio6..
<br />WARNINC frlurc lo w. *!.td ooF6in. ororr. s unhwtul. .nd lh.ll st+{ s dnplols lo sihin l Fuls rd
<br />flvil fi6 uP lo oE hu"<icd Ohuu'd tblh6 (ll in dddirnin lo rh. coi otconp.Nrion, d6is6 6 pn,vidal aot ih.
<br />s(xon 1076 oirhcl-ab.rCd., inrnd Md dbnq
<br />lhftby imrm undd pdah!of Frury rhd I m DECIISAIIO!
<br />!,x!6 Fovilio!! ef CbFs 9 (Nffiillg *nh S.(ion 70Oo) of Dirlbn 1
<br />ol rh. &Bind dd Prniash6 ( od.. rn m) l.m a in frll
<br />l'..,,{tl,\\..2 o/L//7//e,
<br />COIIIAIJ(fIOI.LEIIIIGIGE!(I
<br />I h6.by .lTm uid.r Frlry oa p.rlry lh, tl'd! i! . @didbi ladiDg **y tor lh. Fltu ot0r 6* tot ltih fiL FDil it
<br />isu.d (Sc. 1097. Civ a )
<br />tAd.r ! !am..
<br />AIII,I(AtrLDICIJAAIAN
<br />I hddy lrm u.ds pdru) orFjury o.. oa dE foll.s ins dthrar id
<br />Dcmkbr Psnit'.Albcl Norilicrron t <li!l R.Buhrhn!ITnha0, Pdt6,
<br />Rcqun.d L.1r6 ot Notifi.dion
<br />I cdif\ rh, rh. f.do.l rc8uLri.6 r.gdin! aetdor m.r.l d. no! strlicablc ro lhn proj.d
<br />l.d'av rhn I h,r. r.il rhk -d r.lc thd lh. .b . irf.m.iio. i cm.tt Lsra n' omrlt tr nh !!l Cilt Md ( olnly
<br />,iJ , (e!.$l\!.1( lr\. r(.i auLboEzrc!(,llniarr d o f rhr ( ny Md ( otrnrt b mra uPn th.
<br />lborc nEn'ord p,.liny for
<br />,n,/z/ze\pplil! l or.\rcnl silnNltr <r29 y'/s<
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<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 & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough 1"2k1\hlLJlr)
<br />Service Meter /\x
<br />FINAL ?'7a-r1 Y-vltlk)
<br />Notes, Remarks, Etc.
<br />-":E/412a
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