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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNET BUILDET DSLCAR rION
<br />I lEEl',.rm uuj.r Fdly of Frrr., rhr I 6.i.rq Ab6 ilr Co'r*r6 Lrar t v ,or rL foltor6! E nr lsetulr 5
<br />A6di! ul Prufdls CoL): tu, Cry or C''{ , wh.h rqu6 . Fnr ro @!ldei- .lo, !l?mw, &mlnt or EIr .4
<br />{'rrfu. F ro 13 arue!, b rqu6 llE rl'drel rd sBh Fmr ro fiL r.CdJ <ffii lhr ,E.r rlt ! l.d<J l[,ud
<br />rr rlE Foilrn ol rlE Conrtur('r LE.<J l, (Cl4rn 9. ComB6a win &.rbn 7m o{ D'vltbn I oa llE AurR.! ..d
<br />PNr.$nn! Cqic) q rhr L d !h !r .(n!l t,s{reh .rn dE br! ror rlr .!Lr.d .r.iFrn Any vnhtM oa Snl,n ,o l I I n, .ny
<br />rprltrd rd r FnI! !uhj.!B rlr .fl snt lo r crvil FMll, of mr mE rhrn l,v. ltlnlFrt .k'U.B (t500).
<br />-l,Io*ft'olrlf,pn,Fny,(trhycnllll,'yrcrunhu8.rrsrhcr{)L.onqinurk'n.rlJorh.wd.nJrlE(n
<br />knft
<br />,nrdrhd ! oflir.'l tx qL (Sc 71,4.r, BulEs mJ ltdt$nrns Cd.:'I'h. (inr.(ttr r l-..n€ Llu JNr nor rrply h M.wn.r.l
<br />rh. FUFd, wk) b ildl L, in{f'B rh.Nr..il wh, df,i shh ufi hrmr.ll.r ls(llor rhtroth his o. h.r owncmploy..r,
<br />l,uvdd, rh.r ru.h mpmv.nrnh N rn ln.nlcl q ou.rJ ntr \rk ll. h,kKr. rh. h( ,ht .r qmErd t a'U *iho nn. Fr
<br />or on{lkrrrn. llr OeEr Bu L. w l h.\r ltF h{nkr ol F)vmf rh, hc ,r rh. Jrl nn lI'U or mtn* rtr FDFry ntr rh I{,F,1 trl
<br />l, .! o*F of rlE rrr'r.nr. 6.rrl!nrl, (d,ar!u *ih [.!M{ .!drar!E lo otrrei rli FDj.d (sd. ,oaa, E6r(
<br />,rl Pn'6sm CdL: Th. CodBl.i r L..nc lrv &B ml .ppl, b u 0,6 o, FDF|, rho btil'& q Epo!.r rtrcrn.
<br />!n vh .rnBr! tu qn Foj(rr wni r Co'iBro(r,li.$irl purd lo rlr (odBl{* r tEnr t w)
<br />l.nc(nF u.n rSdrm
<br />WORXFRS' C(IMPEI{SATION
<br />DECLARATION
<br />I hrchy dll trn unrt r p.ulry o, pcr)d y om ol rh. l('lk,wi4 dtcLrarrnr
<br />I hr\c.nl *rll md$ r C.n 'lrir. ol (i,nrnr t, Scll Insur. nv h'*.n'umrntdr,.. rs Ir,viidl n, hysdrrJn l7l,lr.l lh.
<br />l:htr (iiL,l,rrlr rrnm..l llE *o* lm whrh ilE lEmir i Frotl
<br />-l h.k .d snl tudm wo*.r' .onFnr.rrln orlaBc, .. r.aluultl l,y iALroi l'7lll oi rtE trlDr (-o!. nr rlx ltd,xllln. oi
<br />dr qrt rd wBuh lhn Fm. F L$Fl My uxt6t Lentrns.lFn llrun..dfi d !nr, runb.r e
<br />_ I ..n
<br />'l
<br />y rhrr h rhc !.rli'rmtuc ul rlf, sork ntr !h(h (htr pcrn r ^{tJ,I \hrll nn cmpl'ylnyterq,n 'n
<br />1ny nrnkt
<br />v, s t, txn)nr slhrur k, tlL. qodori $tut h{rr(,n hwr DtCal'li'rnr, .trJ r8n. rhn
<br />'r
<br />I \h,dll h.coft ohj.er l" rtr
<br />wollcB.onD.nrarionpmriix,ntolS.dn'nl70l)n,rh.llhtrCqi..Inull.l,ihwrrh(omtlyw'rhrh,ePn'vrst)n\
<br />WARNIN(; Frnurc b *uE *{t s' .onr..sli,tr . Enac ir onlrvful. lrt thru luhF..l u st{'l,y.r ro ll1ljml FMlr d*l
<br />(fr'l rtrr u[ to om nudr.J rhouqd ilolhl! (llUr.Ur). h
<br />s^:irin 1{)16 0r rh. li c( . de< ill drft!\ t-r
<br />Ninr- J'NFS rr lrovrLd htr rhc
<br />ltue!
<br />llllll! r rr\
<br />I h.ESy rJltn unLr p.mlyol tErrury rh, l.m lNnGl unLt lrDvnrn ol(ll.Fd 9 i.omrBha *ilh S(iIn TtXt)) ol D'vFIn !
<br />or ilI BrtEs ud Pml.s$n\C,xL. lil ny lr.nr n ofu intu. ul.lj..i
<br />l,rcn\. (-hs:-
<br />...,-.,.,. (
<br />gqlElBl1laq!.If.liDNc-f,Glll}
<br />I h.r.ty .lr{n uDlr Fury of Fr!r, rh, I tft is r u{{Blr- Enlnt .r.By ttr rh. F.f.lfui or dE m* ttr *t.h rhN Fn. !
<br />lxBl.r'\ ALl.lr.\\
<br />AflTLICANT DFCT {X T(TN
<br />I h.r.tly.nim und.r !.nalty ol J'.riury .r I rh. iinl'*inf d&lxrr!onr
<br />Dcm,ln()n P.rnnh-Ashc(or N rrli(rr!'n l{icrrl R.3nl,ii)ns (Tirlc 40,I'd6)
<br />R.quk-'l t ncrol flr l.rr$n
<br />I ..nrry rhd rh.IaLr.l Elu!.rrrl mgrn h! sLno( rcr)vrl d d !0l'lrrhk n' rhuFtr I
<br />I ...rtry lh, I h.E Ed ihlr l|l|'lrnrr atl i.r. rhrr tlI .hrr mfttu D. r !!r I rlN r0Lnnply rrh.ll CnyrBl (tu v
<br />onluB.t.,n 9d. t sE!rr!bt. l6t
<br />.h,E Ednrd PlDr.ll, h ulrxd F,F
<br />tr.lh.r.lry.dhtreG ( olrhr C.y.rn Coudy n,..ra uFrrlr
<br />,\ppli.rrl o. Ar.nl SiEn{lur 7
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salely /Low Voltage
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />FINAL +\rr\'.9 /a(,t_,
<br />Notes, Remarks, Etc
<br />L -
<br />IID/SIG.
<br />I
<br />I
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<br />I
<br />I
<br />I
<br />I
<br />Service lvleter
<br />D.L:-
<br />t$E l (Se. I,97. C'r. C.).
<br />Irnlq . Ne:
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