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ELECTRICAL.INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS OWNER DUILI'ET DF,LCARATION
<br />I tErhy rrlh undcr F..i, nf Fi!, rhrl I d.rtr{'r fmn rn Coflturm l-iur Lre ror 'h.
<br />folbwine Er$n (Se.?0-11.t
<br />Busincss d Proftsiion (-ul.) Any Cny .r (ounry whth ftqun r Fmi r) otrnrucl. rlld. inp.olc d.mlnh or Frrn .ny
<br />nruduE, Iritr ro irr i{rufri. tt€ EquiE! rlE lr'tlier tu (h tEmir ro fiL. itEn sl.l.ftnr rh.r ,! or {E is li(.tr(n pI.lar
<br />16 rlr [fi,vnaoni of rlt Conrdl( i LirnEd lia lcrq,rd 9. (irmrinS wnh Serhn ?Cfl) ot Divrbn -l oa rlE lluriE$ rnd
<br />Pmr.r*rnr Cclr or rh, rr d .ll k .r.npr rhd.non .,n llE lrrr lor rrE .ll8.d .r.,+b.. Any vi.rLli{ of S.r1hn 7ol I 5 b, lny
<br />.t lttnl r(tr r IEmj' sbFFrlr tp0lt.d l0 r civil F hyof ,r mcrh8.6v. tudrit &,lls\ lllr,)
<br />I. s. owmr oi rh. pmFnt. or my .mplorr.{ eirh wr8 . n. rh.n sh conqxns{ion. will do rlE wrt sn dE nn i@ ir frx
<br />iftd.n orofi.rcd for nL (S<.?(44. AuriEn md Pmtcrshft Cnlc TIE ColiB-r .r l-i!tr* ti* dEr or .p, yio .sNror
<br />rlE IlDFr, *hl lniLL d uFo6 rEEa d *lb &.s uh kil himrro hr.lfor tlmu8h hr o. h.r oen Gnploy!.r.
<br />pm!-LJ
<br />'hd
<br />*h iqmwnrE d irdLdqoltu ft,.l ll to.tc- rh. h!'ldn r inFe'Ed k5aritom F.fsxqrErr^ dE O*E Build wix hE rtE hinrm of F,in! 0n lt d {E dii B, txi! n rpmE dr ImIEry fa llE F,FE ot
<br />-l.
<br />Nowrof rlE ,,lFny, ucx.lusirclydr tu-tin8wirh lirn{d c.nt&ioE ro snntud rl! ln)Fr lsa.7c44. auriE$
<br />in h!)tari,. Cri. Th. (iidr'or'r Lk.n( lrw dd. mr +oly b .. owEr or rrcFny who hoi&l! or inpmtr lh.rsn,
<br />.nd uhl onlrrrr f6 uh ImFcrr *nt . (i'rrxlonrr lirnri ,xrunr ro rL Co Brd\ t-ifr ti*r
<br />I enercmd udn SNr[n .B &PC tor'ttrrc.q'n
<br />D.r.. lhn.r.
<br />wof,l(Erls c(lilPmls^TloN
<br />TE(IIIAII)!
<br />I h.!tt'y rrrm u.d.r ,rMhy ol FrIy or ol llr ftnhwin8 da Lrri.B:
<br />IhnKi'xl$'l1 b'nr r( cn,fir,rc ol Con{nr t) S.lf ln\urr l(tr *ofk(r.o rftnsi!.n.a( m^nn\ln, hyS.\ti,n'.rl(xrofrhc
<br />l-rlr{tr (iilL.. htrrh. n rro rtr,.. olrh. eork fttr *hi(hrhc,rnnir '\ N{rrd
<br />-l
<br />h:!. lnd $ill minr.,n rod.r' con{En\.lr)n nsurrft.. ri rcquiEd b Sar.n r7tt, of rtt lilbr cdL. for rh. FrkmNc .t
<br />Fmn r kr.d ,tly $*s oiFn{'rn i.slm ffir rd Flty nomtv &
<br />la .(,,,1 lr, r1,.... ' lrns .
<br />*,'.,",.*. t\ 5 L)F-A r{,9-l-t ( ,,.,,r*, 3 I (2
<br />_l .cniry rhll in rlE F ornar or rlE *ort r *hah rhal Fn ,r isiu.4 I ilBll mr ciploy..y Fmn in.n, @Er
<br />$ ( ro tE(oc $ti{ lo rrr q,t6 otr!.Nbn l,r. of Crlilomil ltn .6c llul it I rlhlkl lEmft *lreI ro ItE
<br />wort6 dllllr.qrhn ,n,riri,ni ol S..li.. l?{r) ol rlE tlhr ( od., l rlEll. fonhwilh o,ply snh llrr F visi'!r.
<br />I
<br />WARNTNO hilur. ro su. srlfl omFNnhlkowds. ir unln*tu|. . {hrll rubFr rn lritltloFr lo dimjfll Imli* rd
<br />ciril nBr up ro om hundEd ttnrqrl &lh3 ltlu)-(XDr. i. rddiiir to th. r( or s m8.1 .. nrorid.n lor
<br />'lESaliD 1076 oatlt L,lm (in :fl,6Eu
<br />I tBb, nrui !i.,.r Fn liy or F,lry th! I .n l,cnrd u'n r FDtilirn or CrrBd 9 ((llmrin3 rilh S.rlbn 7(xm) or Dnili,n l
<br />of rh. AuiE$.fl1 Pmtcarionr C.&. ,n hy ltctre i i, tull ['N rd.tlel
<br />l oD4q qq
<br />u-> '(2-*FEtl r i i018
<br />gIEIAUqTOIIJADIIG.AIiIBJJ
<br />t heEb, rfirn !n&, rE h, of Fri,, rhi rhq! i r onrf,rl hn tnding +cky for !h. Frlormrc of rtr *rt tor rnrh ihi F.nil n
<br />hsu.n(s( 1097,civ c )
<br />t *lci\ Arl&6i:
<br />-AIILICANUIiCIJBA.ITI'B
<br />, hd*,!lfmundcr F hy.lrErjuryorc ollh. ft'llowins dccla6rn'n\:
<br />D.m)lni,n P.mm..Arh.*x fiorifEsrnn tu tu1R.xuhrionr (lrk.O. Prn6r
<br />R.quirrl L.nd of t*rf..rn
<br />- I (cnrly rhilth. Lncrrlrlul'ri'tr\ (3ul'n8 arhc{.. rmtr'ld. nor4nliEbk h' rhi\ tmFr
<br />lZif"r,ry,r'a r r','" *.4 rr'ir lnnlt'.r{n d {,. rhd rh..hrtr inntrmrDn n c.n(r.l lsE rosdrly *nh r[ ( Iy.flt (ounry
<br />ord'Mr.r rnd Sr'rc t*\ nlrr4 ro ttrillmg )dCounrtk,.nrd uF)n rlr
<br />llErr mnr$Bn lrFny n mrF.rion FtrFEt
<br />ADnlirstrr nr,tuor siqn trn e-^:$ E
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lale Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rough j/r 4< 5.\'nt ,Fan-r<!
<br />Service Meter
<br />FINAL 4 y'ts 5-Da tEa+ql
<br />Notes, Remarks, Etc
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