ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS ()lrF.Blild.r D..Lr.iio6
<br />I h6.6r.mrs o.dd p.rh, olrdlury tllr I !n a.mpr aorh th. Coflr.ror' LE.e lrs for rh. aollo*h$ rdo. (rE 70r I 5 Builr
<br />od P,of6tion Cod.): A!, Cir, or Coudyuhicn 6qut6 r p.mit lo a81ru.1..!(. inprov., d.mlith or r.p.n sy trMlw, Filr b nr
<br />i!.u!.c. rbo ilqun6 ln..rrli.! lor ,uch prmir ro 61. . risn d rllrftrr rhrr h. or rlk i! lic.Ed purut ro rh. povilhE ot rh.
<br />Conl,rdor't Lrm.d t * (Ch.rtd e. ( omm.Eina w l' sd6n 70oo of Drrbn ! of rh. B6rns. .rd trof6t6d Cod.) or rh.l h. n
<br />.hc i! ddF thd.6oo .rn rtE hon for rlE .lk3cd Gr6pr ion .A!y rbLnion or SerFn ?01 LJ 6y ey .D?li..d 6r r Fdn ubj.tit rlE
<br />.rDlil
<br />'o
<br />!.iil D.Ety old mErn frntutHdollDlt5o0)
<br />_l, ! 0*6of ilE F.r.nr, ny mpk r€ *nh $.t6 ! rlE- ok conrpcur irtr * ill do rlr *6rt .nd rll ntucr@ a Fr lrdrLd
<br />or olts.d lor sh ( S* 7oaa, 86,6r .rd P,ol6!b.. Cod. TIE CoiEdo. r L6e lrw &6 d .pply ro .n off oa rh. pmp.n,
<br />pho boI& or inpmv6 rn con. md eh..rod r4h worl hi@ltor h.4lf .r thi.u8h hr nltr en.nployd, provid.d lhrr ru.i
<br />inpree.nor tr. mr h.Dd.d or olld.d lor $lc. lf. ho*.!a,llE boildi.! 6r in!tuv.n.or i! $ld $irhin o.. r.r ofconplaion, rh.(rd-Auildd uill hrvc llt budh of proviry firl lE or rlE mr build .r inprolr for tll ,urDoE of.L).
<br />_1, - orE ol E FoFir, G mhlir.ly entdra sith ltcE d 6dr*rN b otuur dE Frd ( Se ?0a4. S.!iE. .rd
<br />lroirb. CorL: TIE Co'n-ddi Lte L.* dd d .prly b 6 ow ol FoFry ,!o b{rrdt d mFo6 rrEon . .t'd *ho
<br />@'6.n lq .Et For.q. {rl t Codnddto kd.d Fmd ro rh Cod'lfu. r Lffi t q ,
<br />lm.r.mpl u (S<10.
<br />EASSEBT.Iq!'ENAIAE.OESJAAIPN
<br />I lE.6v .mm und( p. !y olFrrr o* olrrE 6lhe fu ddlDrb6
<br />I lurc .!ld *ill dir,ri. . C.n'li..rc of Co*fl to S.lf-|ru. for E ldr' @np.Br ba s prorad rd tr Sdsn r7m ol0r
<br />t b9r Cod.. for ttE Ff.tmK olrlE "ork foryhich r,E p.mh ir isu.d
<br />^-I lr.v. tnd *'ll m'nr.'n *o,l.n @mD.ur En ,Nur.M, r rcqun.d by Sftlb. ,70o oa rh. l,b6r (od., aor rh. Fformnc. of lL
<br />i! ino.d My work.r'emD.mr6n 'Nuscc c. 'd .nd pol'.y
<br />^unbd .r.
<br />c..- Z<.tr tJ-.
<br />,/P.r()\umb., .dCf{-z/Z/ Z oO I rrpnd
<br />( lh! snn c.d m! b. compl.rcd rl rh. p.rf,i tr ror tlE hundr.d.,olLa llloul o, k$r
<br />/s
<br />l..nify lhal inth. DsformR. oa rh. work lorshkh rhir !.mil ir i!su.d,I rh,ll n.r
<br />tE.B. tobrd loih. m*. 6mp.nnri6n L*rof (.1'lom!..ndrs,a rhr rll:\WU:ffiJ*"
<br />,o ro aimml D. h'6 rnd.!vrl
<br />fEtpioorchErlldrDo6.!rldollet(ll@,oo).i..ddnbrlo6.corofcoqq{ft,n.hda6-provlr.dbrtlrSGiir30?6or
<br />dE t bor Co&. i.rd6r .r!d inotuy t a6
<br />UCEIIEDIAIIIf,6CIABi.AICJ.AAA.IIAd
<br />I rE b,.lrd undd pculry oa p.O(y th.r I e li.dr.d u,'d6 Flvnan of(]upra 9 (@mtri!3 *'rh S.ciion 7000) otD'ruon ! of
<br />OE tl$iffi .ri PrDftlrbd (_od.. !d m, lk.@ ii in tull 6E..rd.rld
<br />,/?,/%qf
<br />( r)\\ rrr ( llo\ r l\rr\(, \r.r \r !
<br />I hcby.ff@ ud.r Fqry of Fj!,, tt lln6. i! . .oBrrali(E l@di.t ACt b. rh.
<br />i!u.d {Sr. 109 7. Civ. C.}.
<br />La&.t N.m
<br />otrlE *o,L tor *hi.h lhi. p66d n
<br />AtSucall:ji_Df$Ataua!
<br />Dcmoliion Pmir.A.b.!ro! Norifr.dbn f.rhril Rcsul.riotu (Tirk 40, Pln 6)
<br />R.qun.d Lal6 of Nolincllrn
<br />..-2^*t61^'r'
<br />rh.r UE a.dol r.ruLrrd asrdit| sb.(o mld e ml.pgli.bk ro rhn FoJCn
<br />rhI l h^. rad rhB.rplith..ri iir. rhrt i!6@rb6 6.otr6r. l.src !o 66ply *'th.ll Cny.in Coury
<br />o.d'Bx6.tn 9ll. l,vt rcldf,3 ro hildir3 lErcbyun rn. r.pltst iv6 ol
<br />'hit
<br />(-itt rnd Cout, ro drd lFn trE
<br />!bo!. n.n'ion.d prop.ny ,or irop..lion
<br />apptlcnrr ot *or sie.: >(
<br />rmnrc-crg,i.rt )|a,-^r, ,/r{r"
<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 />Communicalions 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
<br />FINAL otltqlt{-AFtt-On^/4d)
<br />Notes, Remarks, Etc
<br />J'
<br />M:WP5j\P6mI l.spet@ FdrE\El.cricalkBD.cton Rlco.d do. 03 31 06
<br />ID/SIG.
<br />/1."",."",,.<
<br />Llidd! Ad<tr< _
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