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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OIIiiET AUII}ET DEL(AI TION
<br />I lreh, amrm ud.r F.n lly of pcrpry lhlr I m.r.,r{ iom rlE Co.nrElin l-i-n* l,* in rlE ,ollosh8 E$. lsE 70.11 5
<br />Burinctr inl For.r*,n Cdlc) Any Cn, or (dnry *nth Eqde. r Fmir b s.rM, rlr.r, ihlrmv., d.mlirh.r EEn &y
<br />slrdu,t. Fir b ns i$udc. .lrc Eqlns rlE +plid rd .kh Fmi n, 6l . r'8Ed (.rcm Er lE or {! i! liq<n Ilon&r
<br />k' rlE pm$iofl! oI rh. ConrEkr\ LiccnEd l,B (Ch{ cr 9. Conwmins snh S.(ri,n 7cn Drvno..l of fic Burimss.nd
<br />Prrc$bn\ C,dc) o, rh.r h. or.lr ir.r.m rh.rton rd rtE h.tit for rlE rkld.rn!ri,n Ary rirLrhnof Sdion T0.ll5byrn,
<br />rf0li. r ror ! Fnn st'i.$r rh. ltlplrmr n' . .ivil p. hy o, mr fr,. rh$ I'v. hund,.d d.llar (tir))
<br />_1, .r o*8. of rlt rmrEnt. ,r oy cdplotE3 *nh w.r6 .i rlrn sk o,rrEnr.r b'l. $i] &, llr kli .d ll! rtue k r{
<br />inL..H d oll.r.r, fr rh lsd.70a4. au.iF..ri Prsftlri.rB Co&] Tlr C.ddmt lictrr trw rtE ml q,ply lo 6 o*'F ol
<br />rlEIn'F y *,n bildt.r iq,nB $.E otn qb dcr uhsrt timrclf or h.Rlf or rhmo$ hii dlEt oq.rpt'y.cr.
<br />Fovil.n $r ch nnFDvlfr! e d rx.re r o&rd f' sL li hr$tE dE lailrlt d iqhr|d i. iU raii. m Fr
<br />ol ort tlnr rlr o',mr Build.. *iU lrr ir hd.n of FnvDt rhd lE q rlE dn a{ tliu or inp.oE dE lttEry r, rlE F,Fr or
<br />L sorrrorrrE In,tEry, rm.rcturiBlyddrdin8 *irh lk.n*d (onrdmbsni l rtE I,.F1 (56. 7044. BsrK.
<br />id ltrL\nn Codc TIE Conlrtol t Lic.nE I rw dB{ mr .r'ply rn owrcr or pro,Eny *18 hlilds or irymB. rh.rd,n.
<br />dd rlb o'rarr ld ikn tftills *nh r (-odr.ro(n li..nrn Frsur ro r,ECo.tr-rdt l-Fns I:*)
<br />lr ,.\.n,1! utrl|., s.(rirr lr ll'('r,nrhtr' !tr'
<br />DHir ()*n.r
<br />]}l]8fE8liiarlfElllalro!
<br />llfg.aaArlrai
<br />I h.rclry rfl?n undn ,xnnlry of tdJury om ofth. ltnh*n8 dNhrition\
<br />_l hr\r cd rill ninr.h r (-.nitrirc orco.cnr ro S(lt ltr@ fd *urt6 6iqEdnn. ai F,viLd lor by S<1n 17u, oa rlE
<br />L3htr (lrdc. lot rtE !.rfommc of rhc *olt ro. *hi.h lh. psm n irs.d
<br />I hlt..d *ill mnrri. edl6- conFNtir iniunN. .r ,quir.d b, Scl$n lmr of llE t.nor Co&- fd rE Frl)m ol
<br />rhr rork,,tr whrhrhF fimrir ir 6M Mysorkcis .,i,n in{mNcc.trf,r rl p'lrcynuu rrr.
<br />l.rnify rhnr r rhc FrioiruNcol rhc r.rt li I rhi\ |tnnil i{ i\\u.J.l \hull n,n .mpl,'y u.y F V,n i6rtrynunncr
<br />$ N ro tB'B $br.r ro rlr q,rt6 orqEN.ri'n l,*r .a C.lifodi( !n +iR rhd ir I {buld hdom .ubFd l. llr
<br />hrtsi or{Ensliin FmtrioN of S^lhn l7{I) of rL lr}nr (ii.. I rhll, lMhwhh s,r?ly wnh lhr: Foribn..
<br />W^lNlllc hillE t, €@ lfrk6' $qENr.n drfr8. ir unb*ful. !d {rll 3utF.l u cqrt F io omiel FEtir rd
<br />.ivil nn.s un ro om hlndr.n lhou!&.I do::ryru;:":
<br />DLUJAj.lru}
<br />I herhy lriirn lndcr Fnally or Nrjury rhlt I lnr lE.an u .r nrovtioi olchat'cl9 wirh Srdtr Toin)oll)rrrnon I
<br />of tlE au\i6r.nl Ptuf.r*ri Cod...rd my lr.ft ir in nill loE ai.if(r
<br />d(,.,/(-) /z//7/24t
<br />(a)st3ru0)_LrtulN.;-lqlr(r
<br />I lrrhy llirm urtr Fnly ol Frrury ll'd lnsc n . mnrndiu LndDs +cny rd rlr Frr(,llrnt of rlE Fd tu rtih rhr Fnr ir
<br />ATIIICANLDECIJAAIITIU
<br />I lrrdry dim uidcr Fn.lry n, ,'.rjury orc of rlE aolh*in3 &(lerr bn!:
<br />D.mrlfhn P.rmhrArh.(or tldirrda. tudl R.gu&.ns rtnb{0. Pd6)
<br />-Rcqrcd
<br />l4rrd ol Ndirr.rio.
<br />-.1ccnilyrhrr
<br />rhc li(lcrul r.8ul{lios rc8utl,.8 Bstxno\rcm'vrlrn fti nIp!.rhk brhn lnrjc.r
<br />-l
<br />ftnrry rh.r I ltw E.d rhn lppli.lri,n !n 1lr|. rM tlx dtnr inaoribt,. i!.olN I llE ro or{'1, r h rll Cilr.d Cou y
<br />orJimu( ond Srurc l,ut rclari.s ro h{'Llitrr conrrEcri'n. ond h.,.hy uurh ft.[.\.nrdnr\ oirhtr ('iy 0trd (i)unry ro cnrer uF,nrhc
<br />rtFvc rr'.r$L\, foFny fr
<br />AU'lnnnl or \!rnl Sixntrt s/'y't
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Sollit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rough 4- l -re J/t(:/2 nQ -* 1Ll ,h
<br />Service Meter F,^-,* /
<br />FINAL )-/z -/a .U*G+&)
<br />Notes, Remarks, Etc.
<br />u cdlSR.. l(D7. Civ ('.)
<br />l.hdri \ Ndk
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