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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<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 />Eactory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />,lr
<br />,7*Yt//z/l11 vta-" t"
<br />Rough I
<br />Service lr,,leter
<br />AtFINAL//)6/rl
<br />Notes, Remarks, Etc.7 /a/
<br />OWNER DUILOER DEI' R TION
<br />I hd.lry anm u.&r Frhy ol Fjur.v rhi I h Bdri nDa llE codr*r6 l.to* lr* lo. rn tollosre .a$n (sd 701 Lt
<br />a6i.6s 6nd ProtBioo Cod.) A.y Ciry or ( oudy *hah r.qui6 ! Fni lo cors{d. dd. imFovq ddmlbh or (Fn oy
<br />id.le Fior ro il! isuM... atr. rcqoir6 rh. ppli.&i to. !u.h F6l io fih. 3i8.a, nra16 fir lt o. ilE ir lka!.d [!,sd
<br />lo rh. Fov6b orrh.Co racloi! l,'cd!.d t,p (Ctlpra I, Comm.ncins u'th Sdtior 7000 ol Divnhn I of th. &!ind rnd
<br />PblB.G Cod.) or llln h. d .lE i .rdifl lndcrhft od rh. ba! nr lh. alLgcd croprio. An, vn'hrira olselbn 701 I 5 ry .nt
<br />.p?lkd for ! Ilmn $bjd! 'lE .rtli.Dl
<br />'o
<br />. cir ii Fnllrt of ftn mr. tha livr huftlr.d doller (l5alo).
<br />l. a oNEoflh.FoFny, or my mphlc *nh $186 6 rh.i $L on!6dion. {iI& lh.* irxjftnulEi mr
<br />inErLd or oltd.rt for sl. (sd 704-{, BuilB &d &!r6i,6 Cod.: Tt!. c;tuddt I ide la &E mr +?t! ro u l, ro or
<br />rh.p.orED,rhrhril{lor!qr"crtdtr,nd*ho{h6shw hiro.lf or hdrlf.r rhmugh ht o. ha orr.ipbrq
<br />Fo\ iLd tha sh inFwB e mt i dr&t ofiard tu sL. lf, howe6. rlE hlildill3 or inFwmr b FE wnnh (h. )s
<br />otonDkliic l|r O.E tn rt *iI Lt ttE hlddr ofFlri'E lfit lt .r dE dij ml hjld or inpmvc lh. proldy fin llE FrpoE ol
<br />sk) !l
<br />l. c Nc of6. ln,Fiy, m .r.rusN.ly .onr&1ins lilh li.os.d.oikeb6 to.otrdtu1 rlE tNlrr (S< 7044. &allB
<br />ad hokinC.&r Tt Co.lrrlor'r Licdr. l,q do6 m! lp?ly ro o ownd o f Fopcrly sho buil<t! o tprov6 lhsdn.
<br />rnd $ho 6 din s.h FsFr wnh i Codr-lorl3) laqB a FlBurn r. rh. Comdor3 t.i.dr. bw).
<br />I m .r.mpr u.do serion
<br />Itaaf,ESs:(autIltaua!
<br />DECIJAAIIO!
<br />I hn by lnirf, u.dd pdEhy ol pqury orc ofrhc aollowi4 d.chr.to6:
<br />I h.r &{ n 'll Minie . ('dr,la!r. otconsr r.r S.lf'lBla lq r 0,16' @npcd!tio.. a Fnvid.d aor b, Sdtnrn 1700 d f (h.
<br />llkt Cad., tq lh. FfollMC ot lh. sort fm rnth $. Fnn i isu.d
<br />I h.r. lnd will ftrinr.ir world .omp.@r b. iBue.. a r.qutnl 6y sftrir. 1700 of rh. l,&lr co&. tu rlE prf.ffi. of
<br />rh. ent for $nth
<br />'ht
<br />pcnt i! isEl. My wn.td' .6mp6Mbn iNxm.. rMi6 .rn rblicy nmb6 m:
<br />,*.[&4 J-LL€J )o/ I e*s qet,
<br />,"r,,", *f Ll oo E t 5 z -a o /(o i,,,-, pg.s l- zoLJ
<br />l.6l'i 'h! 'n
<br />ih. F6.rM.ot'lE $o ld $h(h rhr Fni i3 ssrcd, l ih6!l nor mnlor sn, p.6on in rny m3nn6
<br />5 a to b.cotu sbjd lo
<br />'lE
<br />*qr6 $trllEsaion Ls. ot( riifoh( ad rsd rhd ,f l Jhuld hao6 sb<' ro rlE
<br />worLd conp.ld ion Forit'N nis€lion I7m ot rhc rr!.r ( o&. I !h.ll, tntwnh 6npb wih tl$- FDrBhB..
<br />\+ARNINC ljailurc lo suc sorl6' comFsrhn rn6.a. ir unL$tu1. &d ltall {brel u drh}q lo aintul po$ib,nd
<br />cnil fin6 u, to on hund,.d lhousd dolks (i100.00{)). in iddilion to rh. cort of conp.erioi. d&46 E t .rdd f rh.
<br />scrnrn 30?6rtrh.l,h, Qxia mr6d..q- I
<br />I hq.tr).mr unds ralhr ofrciu.y r undd Fovsion oI(-h.r,r6') l(onnnctr.in! r(h Sal{n 7(xr)).rl)nisk,n r
<br />.a fi. Bdit6..d pior66E cod.. od my tt.e b ii tutr tuggl9Ed
<br />,.,.-r.a,"* d / O,,..,..4;:;;
<br />q30e3
<br />'{3o/r1 an Q.tztt244c 5ysz-tf,
<br />COIIIAIIJIANITIDIIIj.ACEICI
<br />I hcby .frm u*ld Fdy or Ftu, rhr lhc. ir . odMion ldditrg .stry for lh. tsfotrlmc of lh. urrr lor shi(h lhie poflir a
<br />isucd (!i6. 1097. Cir C )
<br />AITUCANIIECI.dEAITA!
<br />I hod, .!En utxtd Fnltt ol pdJory om ol
<br />'h.
<br />folL$ r! d*la.tiof,s:
<br />D.mhiod PomnytutEr6 uolifi.dhn r.dd! R+ulariom (Tr1.40. Pd6)
<br />R.quiEd ldls ol Nrrifi carion
<br />I .dirr rhd fi. fdi6r! E8lLtioN rqadiri ab6ro! Enovrl a. mr .pplicftL to rhir Fotrl
<br />I cdiry lhi I 6L. '€d rhi.
<br />'ppli.rio,
<br />r'd 3urc rhn rh. .hoE
<br />'nfonndion
<br />a cocr I isrE ro ooply *nh .ll ( ir! &d counr!
<br />ord'nam* tudSrtrr.lr*rELnr.g t, hoikti.!Lo(rrud6r arj hd.l| Nrl$r'.of rhsCi!) &d (\ur, b 6rd uF n rh.
<br />nhr\c trrnr'otrcd lr(I{nv nn
<br />tpplic.nl or \s.nl sknrlurt
<br />(-lf?.zAF-T !0:1't"
<br />DATE I tD/StG. l
<br />I
<br />I
<br />I
<br />II
<br />I I
<br />II
<br />ISigns (monument)
<br />I I
<br />I
<br />II
<br />I
<br />I
<br />Roof Top Equipment
<br />l
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />I
<br />/-,.,'
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