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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OTf,NEI EUILDEN DELCARATION
<br />I h.Eby rrrm ufl,.r F.,Iy ol F,rury rhn I u crq{ ft'n rlE Gr{ndm Line b* ftn 0E nnbwi.s E&,o (S..7011 1
<br />Blrinc$ d Prct (ion CRk): An, Ciry or Colnry whi.h Errlircs . Fmr (fl oi{fl.r, r[d, nn0iow, &frrirh or EFn a,
<br />rlnrlr. p.ior k, irr iiou.. olg' Eart6 i!. lppliur tor rBh Fd n liL r riSEd (d.rnr rh.r rr or dE i. lirrsn pu,lIr
<br />io rrE l,!!rioN ol r,E Conr&tor'i Lier*J ljs ((]rt{d 0, aonmrin! airh S.dDi 7IIn 6r Dirir-i I6rrh. aurims rnd
<br />Pnf.sioN CGL) or rhar lE m rhc n dcmrr rh.rcfmm!d rlt tuis ld r,r llLs.n.rc,ipri,n. Any vioLti'nofSNri)n ?011.5 h, &y
<br />umltlnr !n. Fmirslhj.rtrlE rnpltlnt rorcivitF lrtor x tur rh{ nrc hI.dEd dolLrr (trs))
<br />_1. rs o*Er of rlr FDrrny, o, my nrllr,tsr airh *186 .. rr.t r . omlEndhn. sill & IIE vdt 3,rd ltl firlc h ml
<br />i .ri.d d.rdtn ror sL (Se.?(xa. BusiBt rd Pltirsb.t Gd.: TIE Conra-rq\ lift lr* d66 d .ppl, b i orE. ol
<br />ihc t ol*d, *h t iH' or in{rorr rtffitr ml who d(B sh B * himrlf or hcrclf o. rlNu8h hn or hd o*. .orhFcr.
<br />DNvlLd rh.r .Ei itrF.trftd! E mr irrchd.d or olY.rdl rtr * Il }r,*cE. l,E boiBint M in!(Emr ir sld aihh oE Fr
<br />ofdrt?t 4 t E o*F Builj.r pit! lrE th hrn6 ol FrlilB 'lr lE or tn. dn rll hiU or rFe tu F tEry ror Ur F,P. or
<br />-1.
<br />ri tuB o, rlr F{Eny, m c(luriwly snr{li.S wnh lir<n ird6 ro odM oE FrF (Sa ?o14. BGuB
<br />,rd PD6.rir Cod. ThcContelor'i Lic..i.lnw dtEr ml rrply lo .n owncr ol !rcFd, who buildso, iDpmtr rh.mn,
<br />otn ,ln mllrrit fq rsh Fiirt wirh. coftr.rin, lirn dput1Mkr E c.rrrdorr Li..E l,w)
<br />I lmcrcnol undc, S(lio. .B &PC forlhxtraro.
<br />Drr.: O'ft
<br />worxnls' aoMPlrr{sarr(rN
<br />DESIJAAII(Id
<br />I llEby .firh unid FEty of Fjury oE .l rlE folh*b! &d.rdiB
<br />_l Mw dnl *ill ri.hin . ('.niff,nr. of Co.cnr h S.lf.lNuE rd mrt6 oqErrllior .s pn,viGj for by S<rio. l70O ol th.
<br />Lixr C.d.. ad rlt Ffl,fure of rlE fr,t f6 .tih rl! F h i.rEn
<br />_lhrwr',*illfli .i. *.rk.B .onp.rerbn i.sr.m, I EauiEn ty Se'hn 3tm olllE L.bdrCod..lor llt Fforlrs.orttt *qt ft, whth rhn Fmn ir isEt My h.rd onp.6ri!. i,lffi ffi !n lDlty mmtEr elTcoh -rws (o
<br />]-'JU.5!?<4161Pol'.y Ntrnrhcr I Llt4L%
<br />-l
<br />cnili rh.r r 'h.IErfofltuN ol rhc *orl tr *hah ltir p.rmn n trr8d. I {Ell B,.r$ky r.y FRrn m.ny mnmr
<br />s *ro hcq'm slbFrrortc *ort6 q,nfEnsdn,i bwrorCllirdnii. dnJ.gn. rh{ iflrh,uld tE om sul'j.rr IorlE
<br />wolks\. lr'mlEner i,n pmlni,n ol S.<r hn .l7tn of rtF Ldbr Gn . I slDll rMhenh .nq)ly wirh llDr povtbnr
<br />WARNIN(; hilurc ro surc *o.kc.{ cotr{rn{ri,n !1'v.Bsc i\ unhetu). snd rh,rl \ubtcr r .mpbF lo ainnMl Fuhi\ und
<br />.irrl riR3 u,l to or hudEn lhu{d dollur (,lm.(Iu. in.drnhn ro rtE coi of .rnlENrin .Lm!t!.. Piovik fin tlE
<br />SNri,r 1016 olrhc l,l,rCrnc. inlcrcn and anomyi ldr
<br />"HAR n7 2g1g
<br />M!rtKrll!]}
<br />I hctrly lllrn oidd FDh, dt Fi)ry rh{ I m li!.cn ud.i Fovtion of Ch.lltd 9 (mlltlltiry sith S..i ioi ?(It)) or Dirsi,n .]
<br />ol lh. Buxirs ud Pmfcsbn. Co&. rn ny [coE n i. tull foc ad cff(l
<br />+1 I lt14ffiE-,.,|,1'AR 07 2018
<br />s)lt$Iauglllu.LEllrali.AtiElr:x
<br />I h.Et y fiirn und., FElry or Firy rh! lrE n r $dfriif, hnin8 l8.r, lnr llE FrfnlrrErr ot rh. rst ftr *hih rhi! Fnnir ir
<br />hrlcd (56 :1097. Civ C.)
<br />trni.ri N.m.
<br />-
<br />AfIIICANTITEq.AAAII]!
<br />I hdtl, rffmu lu FneX, ol Frliy om or rh. folh* rn8 d.(brd i,.r
<br />D.n&lirion ltrnirl A\lEsr.r NorifE5rioi tu.rrl R.sularionr (l'dl.rr,, Prd6)
<br />Rcqutr.J lrrr.r "f t*{ilidr).
<br />I Miry tur rh. rcdcr.l r.guhln,nr Ee.nnng eitE\lor Bmvlltr fr,|rtpltlnblo rhn pmjccl
<br />5 (drr, rhd I hj( rcld lhr rpnlK.r i'n lrd { dc rhd rh. r}nE inlomuri'i n cffi I +m ro 6ml'ly wirh ill ci! ! .nd counly
<br />ordinrN.s dnd St!r.lrws Elrins ro n!illinB con\rftri,n, {d hcrctyauhriu rF.{diiiw! ollhit Cily d County io cnls uF,n rlr
<br />,tsr mntrftd ptuFny lor n9d1b.
<br />M (r7
<br />Appll.ml or Ag.nl Si,(mlurc X
<br />P.mirF mnk (pndr: (.g--t'L'( A-r
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monumenl)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communrcations Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service lvleler
<br />FINAL E)(!In--
<br />Notes, Bemarks Etc.
<br />!56.
<br />-+
<br />Air Conditioners
<br />- ,rn0
<br />t,n.^" ar* ' B
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