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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNTN BUILDER I'EII'ARATION I lEctr, lrm un&r pqEXy ot pajur! rhd I e adDr too rlE CollraloB Li.e t* for llE follo*in, .d)n (S< 7011 5 Bur.d !.d Ptotdirn (o&)r Any Ciry or (oll, *hah Eq!!6 r Fmi lo otrrrud. .nq. imFovq &rclih d Ep.n,mr srtuclurc. Fior lo ik soucc. alr. r.qliE lh. l9pli.et for socn Fmh lo frlc ! rrtsi.d nilndl lh4l h. ot ii. b licd.d pumd lo llE FovilioN of tlE Co r*ld r l,r!6.d lr* (Clqxa 9. CoMCinS wnh S<ri.n 7000 oa l)irishn I ot rh BGind drd Pref.sirE Cod.) or rh.r ltd.l!uaa4r rlE tom rd rh. b.rb for tlE dL&d ddrdbn Aly rioldion of Sdrbn 70! I 5 br.n, !p!!i.!nl aor r Fmh .ubjl. 6 ow of th. FFrt. d 6v aqlo)E *nh $ +6 s lh.n ek onFErDn. r (h ltE *d .n lh iMG ! n{ i qrbt orolfqld a sl. (SE.ro4r. tluilrd md Pr.fcbB CGL lt. co'ir*rd!lilEk*dBdt0t'lyloe.IEor th. rorEly wlr' trildr or imF.!6 rhdd d wh. dc Mh hd( him&ll.r h6df or rnreuSh hir or hd oM .nployG. prori!.d rld rsh imp.lrqEr! G d -rod.d or otu d rr" et l[ btrm. tlE hrild!$ n. inquqEi n iB *'ihi. oE @ ofsnpkria rlE (xE Bdtld wil! 161 ln. t{rlo ofF.1!t dt lE n JE dri fl{ hnB or in{tort [E FrrfE!] Iot dE F,FE of L a ou E ol E FoFy. m.r.lan cly.odtusg s dh li..Bal coddoB to mldrud ll! FoFo (s< 7(x,r. &!rnd dJ 'lDke (-on lhr ( oilr*lo.r l-rd* llv.IB d lpsl) lo e osd olFDFry sho burlds.r impmy6lhshn. and uho Nrtrids for N.h Fojd! snh r ( onf.cro(r) liccal l)ullari b ih. Co! r.clois l-iccN t!{ ) I m .rmF und6 ^*lx,n Drlt O*nd. $ oRra! tLs' (tlitpl NlAt t0n- D[CIJ&UII)] I hochr afli, trndg lFilr! olFrtr6 on.olrh.l.lldlnt rkLldarxrns I hlvc rd siu minr.i. ! Cdiftd. of CoB6r ro 5.1116@ f{r *r,t6 onlPadhn, 6 Fmuid.d lor hy Salhn uu) of rh( tllrr Coda ld rh. Ffffi. of rh. uort lor * hi.h lh. Fmh . alsi I hd. ed $iU mainr.in $o*d .onv.@ri{n i6uruc.. 6 r.quir.d 6y sdt io. 1700 oI lh. bbor Co&. for lnc FbnnMcc ol rlE w* for u,hrch rhi Fnn n isEd My *6id onFBd6n iMrM..aE rn Flky.unbs rc: l.anirythd inrn rr forman.. ol th. wort fn whrchrhirpmi! is issucd,I rhall,ot dploy dt pd$h i6!.ynMnn saroh.o.$bj.rrhtlr*olt6anFudirh*!otcrliflm(r.d{rldrhdrll,ruldbdnm h..t t' llt uo*6 mnr.Etion Inn BxB of sâ‚¬1rn l7m of rh. l!!, Co&. I itdl. fdhsnh mmnly whfi 'lE Frrti'B \,vALNlNG: I.rlur. ro sr. worl6'comrEn$rion.ov@Ac ie unL*ful- cnil fi.6 up t, oE huolr.d rhorud &llB (lltlr.(l(x)). in lddnn. to I rubFr m onployE r, sihhal FrhE lnd nrn. d.,r.B6 6 Fo\n<n ror lh! Sarion ]016 of'h.t t aole inr6.n dd dlorEv sfc I hftby .mm !6do poEhy oaFjury rhd I m lic.rql u.d6 of th. B$ilB rd Pmrdio6 Cri.. id d' la.8 i! '. full ofchq'ra ') (lunnE i.s$nhsdi T{Do)o{l)niion 1 '"'-"" X LYn a** cqatrBu(.fj0!..lJBDuc-asElo I hnEby rm undd Frnt oa Frury lhi llEc L ! edrudion hdis lsfty fot rh. Faoll1l3E olrlE $i* nn uts,I lh6 F,rn it bu.n (sd, 1097, ci! c ) AEft I(^NLD[(]JSAUA! I ha*'y amm uid6 F .lr, of Fjurt orc oalhc aolloNir! d6lud ioN D.nolirb. Prmn!-Arb.ro. Nori6.dion Fo:kr.l R.auldi. (Tnk40, Prno) i.qui,rd 1116 of lr( ifi.dnn I .di8 thd rh. fd.rdl r.SuhlhB ESetlin{ st6r r.m\ rl d. ml appliclhL to lh! I'ljai I cdrly rnd I ha\! rdd rhls aprl{lr on ad rh..bvc infoiniir. 6 con .l I.88 r. R mrly s'nh.ll Cnyud (irunlr o'dintrn..s ind Srar. t,\s'.larin! n) l{rldint $i( .hor. lElion d Inopql!. to' ituo<rir epprronr orarar srenrrun -I\Pdlrâ‚¬ rm. (p.loo:14 L- 'ilff\;;\"'. Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communicalions Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rough) [\,4eter Release Rough Service Meter FINAL /w79' Notes, Remarks, Etc. I l,l t ttYll+: (MAs 9t cfil t L Cfr)v U I II I I I I W/a,/n A 1_ l-i..u NuntE -