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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OltNF-N BUILDER DETTTATATIOIT
<br />I h6.by .rm undq Frly ot Fju.y lllr I m dmF tun lh. Codr-lor' Lic@ ll* hr lh. lollowing lwn (Sd 70!1.5
<br />BNird .nd Prot*ion Co<r.): Any Ci, or Cou.ry *hich Eq!i6 . p6mit lo cotratucl. dla, inprove {tEnolish or r4.ir dy
<br />slru.rEc Fd ro ts i!.le.. .to Eqlic rlE +9li(ot for kh pdmn lo 61. ri$.d {rffit ltun lE or.lr . lc..!.d Fl!!d
<br />ro rE FoviloB ot rtE Coird- i Li.oGl t^ lch.Fd 9. ( omin, $it S.<lh. 70Oo of Diunbr I of th. Bu'nd rnd
<br />tEldbM Cod.) or rhd h. d iE i! ddrpi llE GoE !d llE h6ir 6r llt .lL*.d d@'gtbn Ant rhhd,t o, Sdion 70:l l.S t') d)
<br />.pplitrt 6r i Fnit rubjdu rh. rpglicer to ! civil po!, ot mt mr. thr fiv. nurdd <tollm (1500).
<br />I. s o$nq ofllE FDFny, or Ey arphlc wnh w.s6 s th.n $L mf,Flrio.- wiu di E *o dtd tu rFllE. i! ml
<br />dorLd 6oEEd for El. {Sa 7044. &aiB &rd P,oldn6 C6rk T1E (btu-ld rLt.Et e&,6ml Tliyloao\Gol
<br />rh.FnFry f,h. tri*r n nF!r- dEm d { no d6 rh *qi hirrlr tr hdrllor rh.uah ha or lE oqn aptr)G.
<br />Folnlcd th, Mb inForqffi E d dqld.d trokrl6r xl If. hor6c. dE h,ildirB or 6qqEE a $lj sihin w )d
<br />o[cotrskiE dE ().*E BuiBa * tu* rlt hmrn ofF.riry rlir lE or rh. drd d hiild or trrprD\r rh. Ftrpsq for llE purFe of
<br />I ! NG of dr Fopdrt. d d.l6'El, .o .xrq snt [G!.d .offioE
<br />'o
<br />olErud llE Fsja'l (Ss 7o{t, &!!6
<br />ad Protir. Cod.: Tt. CodrEtorr Lt.u lrs' dG st sply lo u o$G of FoFrt *ho h{ildr or imForB lhsan.
<br />ud $h. Ndr-r. f6r trh Fqclr sih . Coddo(r, lis!.d Flllld ro rh. Co.rr*!*! lj.d& tsl
<br />I m.rmfl undd SElion ll & l,( lirrhr r.a$
<br />EAB[EErLCOufnilArA!
<br />DTSJAAIIAT
<br />I h6.hy rmrm und6 Fnrnyofrcjuryon. nrlhc nnloqmB d(le io$
<br />I ts. !d will nirr.h r CdiifEnc olcodar lo S€lf-lnle lor Dlrld soFBiio[ ! Folit d for by Sdi.. ]7410 olllt
<br />t b6 Codc td 0E Ffolrrc of dE hrt hr attb E Fhn ir i!u.d.
<br />Il h.v. Dd $ill mdnli, *orrd (nF!.lio. ietuq 6 r.quNd b, Sdhn !?m ollh.ltbd Co&. lot lL
<br />'h.
<br />wrt lor vhrh lU Ff,rt B is.d M, worta @mF!.rro6 rBuffi. (6ir id poli(y numbc rc,.* tfrL,-
<br />*,-, "** -1r1.q76 1 ,,,* e 'L- t6 '
<br />I cdlil, thfl in rh. p€tolMncc oflh€ Bork for stkfi this Fnril is isucd. l shrll nol dplo, tny pssn in.ny mund
<br />s s lo bcom subjd ro rh. *0,16' cooFtlcio. lr*! ol ( illomia md .sR thd if I slblld tEcotu suudr lD rlE
<br />*!lt6.otrEdlnFnr'!riti,6ofS..ri,n17moa0Elr.r(-dL.IfilLfMh$iltonq'l!qhnlhoFF.riir6
<br />\rARNlfi(;: fillurc ro su. 'srt6 mnFtnr. cor(.s. B unh*rul. ,t! Jull s6l.tr 6 nplolq n, ffiruIFrh6 d
<br />.nil fin6 !p lo on. h!n&.! thouind doll6 {t100.0fir), 'n .Gt of conp.Erio., dlhr8d a, pmid.n f rh.
<br />I ,'t
<br />nJ.. inrcr5r rn,l .rno\ r(s
<br />rlg
<br />II(IISAIIQ!
<br />I h@by !m,n undq rEn.h, ol pdjury lnx I m li€E d und6 F.vbion of ( h+ls 9 (c{nrl6ci.s *nh Sdrion Totx)) ot Dn rion 1
<br />ol rh. ttuilB !d Pref*i.6 Co&, r,rl my li.@ n in tull lor.. el.,Tcr
<br />/- t'>L'<@( lB , \- (/
<br />D.,. tftht,I ooYc6 7
<br />calllal]llla!.laDaliacrd(l
<br />I bolb, drm o,rld FlXt of Fjury lllr thd ir r oldru.lirn bniis sdy for di Ffolrlrd! of lh. *rEt 6r snin fi6 Fha i
<br />a$.d {sd 109?, civ. c.).
<br />L6ds'r Nu.
<br /> PPLICAXT DDCI-AX TION
<br />I hadt.nid u.do porlty oa pdjury on. o I rh. following d(lallioNl
<br />D.mlnbn Pmiretut6t6 Noii6c.!io. F.d.r.l R.suldionr lTirl. 40. Pd6)
<br />R.qu,!n klls of N<'r'6.nin
<br />I csliay lhn lh. ,oldal rcsuhl{ro Esdlns atElo3 dxrvil N hl tt}rli..tk ro rht ptojd
<br />I cd ify rhr I lwc c.d lhu lgpliarrn !d ,.r.lhd rhc .lnv. 'nton h.ir(Mdl IryG
<br />n dEN6 !d Srr. ts! drrB h brLhs.otrlMEtr nd hs.b, dhoru. EF*drn6 o
<br />!tov. ffiFi.d FF$ tu lqxrp. E Dld/Ll/L''--;::::;::'* 'fr*t- *
<br />rommdy *irh.ll Cny rnd Counr!'
<br />I rhE Ciy !d ( ounl, 16 .116 uF . rtr
<br />rh,. (/t/,t
<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 />Undel Slab / Floor I
<br />.FondirD lrGr6unon-'O I Uren t+
<br />Fransf6rmEr+---l
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Uryt 1
<br />Walls (Conduit) SsLh4-)i ri
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release a trl
<br />Rough l+
<br />Service lvleter nr l+
<br />FINAL ni o
<br />Notes, Remarks, Etc
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<br />htlltr
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