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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS O* n6- ttuild.. lL lrr.rion
<br />I hd.6r.firm lndd Frh, of Frury th.t I rn adF 10.6 dE cdnc@ Lec lj* fd rh. totlo*'Is l.5n (G Torl t.B€ioe
<br />md ProB3on Cod.) Ai, Cny or Counry *htn aquiB . Fhn lo 66tru.t. rh6. ihrrcv., dlmolith or Ep.i. 6, tu.lu., Frr ro ittisu4c..b. Equna lh..pplaln lor kh r.mil to 61.. rir,ld n.l@!r ln l h. or.hc b lt@d FlEud lo tlt pmvnbr of rh.
<br />Cotuds r l,EB.d L.* tclrFd e. cohn1*rr wnh S.ab. ,clD of DNlbr ! of rlE BB'.a r,n Pol6rn6 Cod.) o. tllt t* d
<br />shc n ddpr rhtunom &d th. nsit lor rn .ll.i.d .r.oplion .Any viohio. oas.dion 701 L5 by my 4rlicr for . p.mr rubj<r, ltE
<br />.r?li.d ro ! .i1 il D.MI, or Dr mr. lh& 6v. hulnEn & LE {i5m)
<br />l. B o*nd of ln pmp.ny. or my cmploy6 s iit pr3a a rh.r .ol. comp.ut ior. s ill &' th. *orl i.d rh. 3tru.lu. i! mr intcndcd
<br />orofr(.d f.r sLl Se ?Ixa. B6rE .ri Prof bN Cod. Ti.Co rddiLmbsaddtPplyroEolBoa r F,rd,rh. hlildr or inprn\ 6 rtEr6n, .d *lh d6 tEh $ort himlf or rEellor lhDqh h! or hd M .rpto)6, ,ro\ a.d th.l rkh
<br />inpov.n.nlt r. m inl.nd.d or olt r.d fornL. ll how.vd. tn. bnildiry o. inprov.ddl n DU wilhin oN ytuoI.otrpl.tio.. rh.
<br />O*E B{ild.r *ill t !. th. bld.i ofF.v!ry tt lE 6r .lE ml tgiLl or in ro\.lorrlEpuF*oarl.)
<br />l,aowMoflh.prcFny,u.rclu,ivclt.o.t..!i6r*nhk.6.dcodreroBlocoBtru.ttrEFojd(S...7044,Aui..d
<br />Phfdbn Cod. Tlt Codndor'r L..M l,* dG d .rDrv ro u orE oaFoFry *ho bon.l! ( 'mploE ss , ..d wh6
<br />.onk.c for ruct p,orcB *trl'. conrncro(O l'.dt.d pEru,t to tt'. Conr.doir l,e.* L.w )
<br />I u.rmF !.d6 Sdbr
<br />WORI(EI'S COMPTNSA]]ON T'ECL XATION
<br />I h.r.by rllm u.dd p.rhyorFrur' oEof tlE folbrins d6LrrioB:
<br />I h.er.!d *ill midi! . C.nifid. of CoBd r. S.rndur. for Nrld .onpEdEn. u prov'd.d aor 6, Sd6n 3700 olrh.
<br />L&t Co&, 6r llr FfnmE ol'lE sort 6r *hah tlE F6i ir i&.d
<br />llrrv..ndHllr'^rr'nqort*'@,EtrErEnmur.m.r..q!,.nbys.dDn]Tmofrh.Lborco<L.aorrlrFfomtr.ofth.
<br />| $orr 6r rh.h lh! Fnd q su.i Mr Frl6' 6nrp.Er.n 6ulft of,. lrd polE runbq .E
<br />PolicyNmbd:_ Erpi.!:
<br />(Tlir rdrir. E d 6r h. @rqbcd ilft FDr i. tur On h&dtd doulr itlmldL*)
<br />-l
<br />.dir, th.l in llE F6lIE.c olllE yorl for shth ttn pdEh it isu.d, Llll nor anClo, o, d$n i! 6y ,'.rF & s roh*.ft.ub*r ro rh.6rt- @nc.ur$ Ls ol Crlifo.n.. .,n.ara lh.t 'f
<br />I.lblld b@G 3ub6t to t,r wtsr
<br />@nFurio. pm\ib o(Sdion rrmorih. Lrbor Corl..l.hrll, fullndfi co@tr rilt rlb* odirDu. -ri.,c *,* X V1lA Vbq'
<br />WAINIIG t ,luc ro *u.. wrl6 @trrp.Nrb. covda. ! udrwtul. rn rh.ll ubir o oplorr ro oiniEl p.altr .d cilil6c up ro 06 horld rhoqld doll6 (ll Oo.O@).ir .ddnbn ro dE Gd olcoq...!ir.. d. 16 6 trc\iLd for dk Sarir! t076 ol
<br />rh.lrtor co&. i *n &d rnom.y t f6
<br />ucrlstD.coMaacro&t oEcr.aaAr&8
<br />I hGb, .flim undd p.ohy of p.dury lh, I E lic.Dt d uldB povi.io! otch.d6 9 (om.nci!8 * ith S.<rion 7@0) of Divitio. I of
<br />tll Bqia. !d PNft.rbo Co<!. .rd 6y k.* n h tuU lor Dd .ffd.;;friq 5
<br />coNsTtucron La|DlN6 aGf, ,\cy
<br />I td.b, rlIm urdd pc6iy of Fjury rh.r thd. ir . @B!ruGiiotr LDdiir r.By tu rh. Ffo@B. of lnc wo.t lor qni.h fin p.nn t
<br />igucd (S&. tog?. Civ. C.).
<br />AITIISANf!1.IICI.AiAIION
<br />D.mhi,n PmiBtub.lrd Ndift{io. F.dd.l R.suLrbo tlal. ,O, P[r 6)_ i.quicd tara.l Nor'rE.rbn
<br />_l cdri8 rlr.r rlt Liknl Errlllrr Eg4lna sb<rlo ,fu{l e bt .rplrc.bL to lt6 Foi.ri
<br />I cdriry rh.r I h.rc rod rha.r?licrion !i 3nl. ihr tla.bott iofo@lb. i!.d..t. I .ac ro olply vnh .ll Cny lrn Couly
<br />dd'MG6.,n $ir t&r cLr!Erob{ild hElb, lurnorc Eplt5r.lnd orrti Cn, itn Co'lny ro 6rs upotr r
<br />rbv. n.nln'n.d prcn.ny
<br />Pmdrc ..c{Fid}
<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 / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter I
<br />FINAL otlMl/<f,+5'0/?..b/
<br />Notes, Remarks, Etc \J \I
<br />1\P6mil-1.!p.clio. Fo.n \El6cr.ic.l hsp.ctm R..o.d.do. 03 31 06
<br />APPROVALS
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