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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS (,WNEX 8Utt,DF.R DELCARATION
<br />I lErcb, otnn u.dd F.0hy of p.rjury
<br />'h!'
<br />I m.r.nur fton rh. Cont&k'F Li.nE lrw for tlE folhuins ie$r lS(.70.11.5
<br />AuliN( .'n Profc($n On ) Ary Cil, m C@.ly rhrh EtuiEt . Fnd to on{B'|. rlld. inlroE. &tulirh q E.n u,
<br />{rucrua. rior ri' irr irsu!tuc- !l$ Eq!n- rhc lprlicuir tor ruch Fmi o lit d stncn rtd.ftn' tnd ,t or iE n licc.lcd turser
<br />lo rlr Foyisio$ of !L Co rrn r l-irn{d l,! (Cn rlrd e. (tnmBra *nh S<tion ,uD or Oivirb. I oa 0E AuliE$ rd
<br />l'r'l.si)n\ Cinlc) or rhll ltirshE r.rcmrr ltErclromlnd ttE br\i for rlE aUcs.d.icn{'!bn Anytohrh.ofst.lbn70.ll5hymy
<br />{plkrh! for ! Fnn iuUrrr rlr rppltd' t,r.i!ilp.uhyofmr mrc rn:r flvi hldEd d.'lbri($5m).
<br />_1.01o*rc.nfrheI'nFny.orftycmphFcsuirhwor.iasrh.n$bNnIrn$rion-willdrriE*n*arith.crrttris,r
<br />dc[l.rl tr .fi.rd n, rl lss 70,lrl, BtrriBs el PtnrcsioB (idc 'nE Codrdd\ Lirns llw .t8 ni !0dy ro m o*E or
<br />rhcIn lrriy wM buil* or in{mEi llEmn. rd wh d* rkh kl* hinrclf orh.rclf .r rhn,ulhhiror hd rwn crrtrlo}rcs,
<br />D.i'!d.n rh.r rkh i'qRrmd! e d ir.nLd 6 ofidEl rix qL l( tD*a<. rE hitloa q i'qnrrEnr i sll $alin nm Froronlftrir. rlE O*w Burli.r *ill hlE rh. h!d.n o, Fri.8 rlu lr or rlE dn r, lnild o. rrmE r|. IFr.sry f !|f, prqrE ol
<br />-1.
<br />or owncr oI rtE,rn,pcny- omcrchsivclyconrr0rlinr with li.cn{.d $.rGxtrr lo con(ru( lhc pn'Jccl (Scc 7(y'r, Busnc$
<br />{rl Prft\snr (ixL Thc(]!ntr(kr'\ Li.cn{ t$ d<B nn 'l,01\ ro cn o$ftr of In,Fd, rh! b!,ld\or inpmrrr rh.rd,n.
<br />lnd qho mdmk n lshFoFlswnh.Co o.kdn lr.ncd r!6unr rorh. (onr&roir LicnB lrw)
<br />_l ffi.rcmd utd.r S.{lir-, g & PC. for lhF Mqr
<br />l).1. OrR:
<br />rvoRl(FRs corupE{sAf l(N
<br />DECI.IIXAIIIIN
<br />I ltrchy rlirn undd Fn l!, of FIiry oft of th. ll,llorDg drrllhr i,trt
<br />I h!!( id r ill tuinrai. . (td iltir of CoNnr ro 5.lr lnsu( ,or r ksr.oqrnui,n,r\ lnlrkn f(,hySdrr,nl7(n frlr
<br />iic. ntr rh. r.rf{,Nrk. o{rhc *o* ,,r *h(h rt[ Fymr $ rskd
<br />. rd lnl trrnr.i. *ortdi $nFNri,n m$6h!, .r Rquir.d by S^rsn J7(D of rh. L.tmr Cd., for rlE Ffrtrlffi oi
<br />i{ isra{ My workcF coflFnqri(r inslhn.c c,ni.! el Fliy nun$.r e
<br />IAA -r4zo tfy^rca t84 ^l+
<br />I.cdiftrh,rnr&FrrorBftolrtx*orlforlhihritIxf,nnnro.d,Irhiln .n{'Lr,..tFMninrylME.
<br />v, s l! tE$nr iutFr io rlE ml(dr shrEnqri,n Lrr nrcrlrrinia .d lsN rhlr if I should ltq'r subFl ro rltq'rlsr on{Etr{r bn pmvni,.s ol S<rion 3?u, ol
<br />'tE
<br />ljho (ixL. I {Ell. f$rhBith oq,ly wnt rhoc pDvili'r\
<br />WARNINC f.itur. h su. kxlcE' srr{Enrdi,n s,vcEs. n unbrtul. ul ih,ll {uhF_r u cr,$l6Fr t, dimnd Fohix $d
<br />.ivil fiBr up ro oE hurnrd rlFusnd dolLs illtD.uxr. in ..ldhion r. rL msr o, corFn!.rion, &ms.r r! Forir.n ror rlr
<br />selnD.I)?6ollhc Lh, Oric. inr.,.{ rtrd orlonr
<br />,,",2Pa1\8
<br />Drcr rtlno{
<br />Ih.rchy 'fln ondcr pcndry.fFrjury lhDr I cm liccnql r'der nrolko. ufChrfrd 9l.onnEkin8 wirh Scclirn'7UX,) ol l)ivkir I
<br />ot tlr Auri'x$, &DLsi)n\ C.n . lrrj n'y l.cne i\
<br />'n
<br />tull fttre !t!.lYE..r
<br />,r,,. )\
<br />w b g?U)a-
<br />CollUf,llclMlJ,[llllllirlliEliljt
<br />IhcmhyuftirnudcrltnahyotJErrurythotrhcrci\!.onrtrudi r Ltrdin8 o8.my lor lhc tdnnexc ol ltc uorl fitr ]hkh rhi rcflnir ir
<br />6{.d (Sc. l(t)7, Cn C I
<br />AIILIIANLIICIdSAIIiIN
<br />I dry JIrm unl$ pctr,lry of Frrury oft of rhc folh,{in! ddLrdion\:
<br />l).mlin,, P.rmil3 ltEsror NotifE.iion lnkaal RcBuUr hN (l'nt i{,. l!n6 r
<br />_R.ltun.rl llrrs ol l*riarrrim
<br />I .dify rhd rhc tctlctul Eguhrirnr ESrd,ng r{Erk\ rcm'v.t r. n, "pri*.l'h l0 thir t^,Fl
<br />-Mi i 'hd
<br />I har. r.rd r hir Nl,pli<rr ion lnl (!rc rh,r th. 0horc anformrinn n coBr I u8r Io Nn{ y wnh ull Ciry a.d Counr,
<br />!d Srn. l,r'r EtuE ro hoildiry .ontu1iir drl h.r.by.uhtrs. Erre ri6 .l rhir Cny,rl Counr, h .nrd ry,n tlE
<br />tr
<br />Appll.trr or A*.nr Sitmloft
<br />*.*r*--.,rrr,,Pff XX
<br />-,?12+Ug
<br />Sile-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Frre Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinos (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />rl
<br />FINAL 4ILVIfi ll tlrr)h J I
<br />Notes, Remarks, Etc
<br />U
<br />Service Meter
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