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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O\vTF,R BUILDEN DEl'Al^TION
<br />I hdrby .lTm ui(b pa.t, of Filry tht I a 6anF ton rlE CoffioR li@ Ls 6r llE rouo*'urs la'( (sa ml I t
<br />Aqi,B dn PrcfiBb. (-o&): Ary Cny or C@ny Bttt r.q!i6 t FDi lo otdrud. .ns, itn rolc daDlidlnr t p.r or
<br />sNdue Fs ro iri lsleq .tr. r.quic rh. +plicd for 3uch ldtin lo fik r .istrd ndG6r rha lE or rlE ! Iicau.d pui$dL
<br />ro th. Frviri.6 of$. Confidoi3 l-ic.N.d Llw (Ch+rs 9. Com@in* wirt Sc(ion 7000 of Diltion I oath. B6ind md
<br />Prcr6ioB Cod.) or rhd lr or .hc i! qmB rlE ton ind llE h6n tu rhc dLg.d .r@plion. Ary vhl,lion olsdlio. 701 I t t, my
<br />rrDlicer ror!Fe objat.rh..!pli..dlo.cilildutyofNrmErh6nv.tun&cd&lLB(tJoO)
<br />l. 6 orE of E FDrqry, or my ddo)6 [{h rls6 B rlEr $b onlp@i.n. $iU & !E sdt rn dr rffiE i d
<br />trndbl mollEql ls !.l.(S<.7Or.l. B!.i6.i Probis Co&: Ih. Cdm . LiEE L.* dr6 'rl lglrrlo 6o$cof
<br />rlE FFty *lb tuil& 6. i!g!€ E@ id *lb dE kh ssi hiNlf o. h6*lf or lhrcudr hn d lE osn orpbr6.
<br />FoviLd rh.t $cb 6Fv.rEi. ftd idgld.d o&d in.L.lf,lh$6s. E&ildirf, d ltsrxsEr i.5U *rhh@ td
<br />oa$npLtiin. $. Own6 Buildd wiu h.( dr hod6 ol Fori.s rha lE or ih. dll d trild or inFow 6. FlFly t r dE F,F* or
<br />. L d NE of rL rtuFry. d Gt.lBivcly .olrrtlr$ *nh lcd.d collrria ro 6d.kl rlE Fq6l (Sc 704.1, BdrB
<br />rn Arksocod.: Tn Co.rmoi. tic.E l,r dE mt .p?ly ro s o*n6 of FoFiy sho hrildt.r imptuv6 rhdmn.
<br />6d *h ofirr ld *h Foj.ri! wnh. co|!r.ro(r, l.d!.d,o,!Id b rh. Conm rLtoel,*)
<br />I m ermF ufrLr S<non
<br />D.t. Orn.r
<br />WOIIKFILSTOMPENSA IONi
<br />DECI aArrQr
<br />I hsqr! lmm unds p@ny .f F)uy oE of rhc totlo* ,{. &chn rrB
<br />I htw rd rill dd.in . Cdiii.r. of Coe{ lo Sdf.l&ft ,or 6ta @mF!ri,E s FlriLd lot b} Selie r7m otlrE
<br />L.tor Code rd rlE Fftf,rft. of rlE wi 6r rnin dE Fnn ir isad
<br />I hr\ c ,nd will h.inrr'n r\ orLG- .omFMrion ituuranc., a Bton.n bJ S(rion :1700 ollh. l,hI
<br />: _: ",. "'Aiyidff M, * ra('$rFr$rh n NJrec' cdr d m'r po ic) numhn
<br />;::..* - NIi74 b71Lo ,..,- .11
<br />(ii.. for rh. FfomE. of
<br />rI tr
<br />I rdiry rh.t i. rh. pdfolrlN of th. {ort fn whkh lhL Fmt n im.d, I rhlll Nl drploy oy Fsn in e) moF
<br />$ a ro tE$m !t*tr ro rh. trrl6' @opiaiion L*t .rcdiao@ lrl +E int
<br />'a
<br />l rlEuld b.cotr ebjcl lo lh.
<br />$116 compqtsario. prcvi.ioc of Sction 3?0{r ofrhc lrbo, Cod.. I rldl. fodtsith.onply *ilh llre prcvilaoB..
<br />lryARNlNc: r{ilur. ro su. nort6' mmpddn}n .an6r*. b ud,qtuL !.d thrll $bra1 opL}6 ro aiminll Frlir bd
<br />::*dj'it'ir**
<br />con of conp.E rhtr d,'rgB E F.oriH tu lh.
<br />!l|]!r rR \r r0\
<br />I h@t y !flifln und6 po.hy o t pgjury thd I o licdr.d undd Fovilion 6t(luptd 9 {comm*ing sirh Sdhn 7000) oaDiviri('n r
<br />oa !t B6in6 ed Prct*ioN Cod.. td ry ,.N i in nrl foe dd.[dr
<br />b 1
<br />?t1 G{tP \lEJ
<br />! hdlty .ffm urdd F.n, of Fjury lh. rh@ i . otuN.rb. bdiDS .gay tu tlE Ffotu! of lh. m& for *t!ih rhi! Fnil ir
<br />L.!.d (Sc. 309?, Civ C.)
<br />tlid r Nm
<br />ATTLI(AILDICI.A8AIIA!
<br />I lody firm udq rdrlly ol Ddjury on of rlE f.llowini d..lan bc
<br />D.moli6. Potn!-ai6dor rdrrilic.rion F.d.r.l t.aubrii.t (TnL.rc, Pin6)
<br />R.quir.d tdrs of tdiindM
<br />I ..drry rhd th. Ld.rn r.XuldioN r.8rdin3 alBrG rmr.l sc frx {Olf,.b!. to lhit Foitl
<br />l.61rlythli I h.rc rcod rhlrappli.dnrn&drht.rh,t th<a nr. i. comr I .grc l. .omply wilh .U C y ud (\'uiD
<br />ordmec6 lnd Slal.l,*rEhinsIo hlilding co
<br />**ffi'ril
<br />rcprMr.livB of t
<br />'.:"-';if,ri7*-
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / 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 Rouah
<br />Ceilings (T-Bar Rough)';)
<br />Itleler Release /01.((9ll1 ,.<*K-({/rt
<br />Rough
<br />Service Meter u tw4c V\
<br />FINAL rz)n zC/^azr/,4/
<br />Notes, Remarks, Etc
<br />1 L,I ALz,TYIU
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