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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />h,r*{3Roof Top Equipment tdw lgfi ,)
<br />Factory Wired Unit U )
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Bouoh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meler ,6t ?)\r$^JrFFINALd2,<t11il /
<br />Notes Remarks
<br />OWNA 8UILDFI DEI.C
<br />'TATIONI lfrb, dfrrh und.. Fnrh, ({ t8j!ry rhd I m .r.qrr fton rh. c.nox'm LirnE t!* an lh. rolh*ht t!r,n (sd 70.}l 5
<br />A$ircs\ ltn Pmfs\hn Cqlc): A.y cny or Coudy whi:h rcrluimr d Frmir ro so.rnrl. dl6. i,qrot- d.Dlkh ,tr EFn ry
<br />shJur.. |rrn ro hi isurm. .h Eauta rlE q't'lad rd skh Fmn ro fit . riSEd (.rcrnr rh{ h. or ,E a lir.ri fu!{a
<br />io ttr nrovti'ns of rlE Cofidd r Lkcned L* (Ch'pr.r 9. ctrnmrin8 *ilh Sc(lion 7mr of Dilnion 1 oa rl..Bx.im* ed
<br />I,t$r.iionr (bd.) 6r rh{ h.d sh. ir.r.q'r rh.Efmn.!rl lh. h.r^ for rll. &lkstn cr.q{hn An, virLrir.otsdnnT0ll5bysy
<br />.Dpliun! tor r p.mit lubj.rlr lhe lppliciil ro 0 civ il p.tuhy of nor mt rhln flv. hundEi dolh ils$,
<br />I mckmDr uRltr SNtnn .B &l( n{ rhr,.ia.n
<br />D.r. ()rrr
<br />llllAf,l:ls-gllilfldlAll0NlrEclJaArllr!
<br />I h.r.-t y am!.!n&r penahy of FJl]ry oft otrh. i,lbwnr* d..hrri,os
<br />-l
<br />h.rc !n rill minbn. C'difra. olcotrsr to Sclf lNE f,, $116 6n9.din, ai FrviLi ln by S.di,n 17(, ot rL
<br />l:hr Co&.lor E ltrlormrc oflh. wrt fc *hah lhc ,Enn ir ittu d
<br />-\
<br />I h.tr a'id *ill tuiil.ii *ort6'6.Fnqrb. a.srR. r. icalir.d by S.dh.l?{{lorrlE Lktr CqL. tor trE Frr.xffi oa
<br />rh. *orl fitr shich rhi rmi i! i$.t. My mrkaa comFnsri.n i.summ. cuir ud polic, nlmber &:
<br />,,"* 9TA\e trUND
<br />1llr1o7'aolT *n*. ll '21'i,
<br />lrd,ryrh.r in rtE Itrf(rEN. {'f llE worl tu rhah rhirn mir ir nrud- I \hill nn .nPh, rny lE.v,n in.nynsnE
<br />$ ti r, Buom {bFr ro rhc qrrtsr'd,qmrhn b*( o, calin)mia, anl !8r rhd rl I {ruld rEtom sbj.{r t, rrr
<br />worlcr.ompenqrionprcvisi,)n\o,Serl,n.lTl orrh.ljhr (ix,c,I rlull. fonhrih.nnDly $ilh lh'{ nmri\i'ntr.
<br />wIHNIN(: I nlLtr( r, \(Lr'r \r'nr\ (Li,L|.tr\r ,.rv.,rE. tr trnlr{rul. rn(l \hJll {r$n:.r rn cnDloycr r, $nrinrlr--ulrf,\ rtrJ
<br />ciyn firc3 uP r. oE hudrcd rlr'uqnd drnhE l5 fiI,r. i, xldiikn ro rhc .o{ ol mnF.n{hn. dld3.! r F.rllcd ri, rh.
<br />S..rk{.1076ol rh.l ilrtr (inr. .rrn J
<br />to,2'1,)€LtelSntwo
<br />CV a<,flty j ca_DLlIutl-Lu]
<br />cte V, / ,,r(n\.Nu,nh, _ SSq!* _'t9 \("*. Bc5r ,r{f,
<br />/ .,,,*ir.rn',,,rn , ,n,n,, n,,rn.,
<br />lo.]
<br />I rftr,y lftrn ud., FEly of Frirr rhd rtEE ir. €ddirn Lrdil .t.r, for rlt Ffffi of rlE wl fM Btj.h lhi Fni ir
<br />irnEd (56 Ir7. Civ C )
<br />ar&rqutfllallJSArlo!
<br />I iodrylrm!nd.. l!. hy ot p.rrury oE or th. rolhrinS dR hrrirn!:
<br />D.mnnion Pdnn!AttElru Norifrlrhn lddlR.a!l!ri,N (T k 4l). Pd6,
<br />-Rr{uiRd
<br />L.rrs ol Ndfr.tbn
<br />-,
<br />.4r, ,,//* ,"*., -r,hrr r8rdrn8 rrrE<., rcm,d r d{ rfirrrlhh ro rhn pmFr
<br />\,.*'rM t'.., *,t spnlt
<br />'rion
<br />arn {sr. rhd rhcrrhh mro,.Eitr'n Ec ad rlsR r,,.'
<br />.rdi rc. rlSi\.E t *s Ellir ro l{'ld'n, codkrh( dl lFFhy rdhnu EFEddrG ol lhr
<br />.trE nfiry'Ed pmFny fm 'nirdhn DuFF
<br />'mply wirh ll( iry (l Cuutrty
<br />\ CirJ_rrrlcounit k, cir6 urrrhc
<br />; ,,1(P7tppli.r,l or r*ol si#!uF
<br />n -** *r**xl 5 1-g -) tuJ o a,
<br />to')-.18
<br />I
<br />Site-Work
<br />Meter Release
<br />Etc.
<br />-1.
<br />ri o*Br ofulE l,oFny, or mr .q,l'Fs snh s.g6 r. llEn ob $trFtrlrion. wiu rto rh. *rt 8i E nME i( ml
<br />inrdidt or .fi.Ed nn sh ( Ss 7l)44. Buiir$ Dd P.ofctri{,ns Crd. Tlr ('onr.roar l-i(..* L.* &.. mr !I'I'l} lo !n o*Er .f
<br />rlx F{Eiry *tn hiild3 q iqhB rh.rq[ rn *b drB rh fr,t himclr or tsrlf nr rlfoulh ht r lE oft .r+hF6.
<br />nr.viJ.n rhdt tu.h in r.wrntr m mr -rdd.i.r.ftEn nr s! lt h,w. rh. hriuina or irynrEft.n a. q,ld *irhin.ft )droffln lrin rtlorffi Auitlr willllE rlt tud.n of,n,vi.3 rhr h.mtlf,dil ni hiU inrnr th. Ftdy litrrrE FlFocor
<br />-1.
<br />.r o*Er of rh. FDF ry. m q.turnrly <drr'rila *nh lirnrd .odtuon rn Nrlru<l llr FrFr (Sd 70l,l, Bhi6i
<br />dn h'acsrn Cod. Th. Ciihrtrlor'. Li...€ t *d6fr apply ro .. owE ol prctErl y Bln t'uildi or i.9hFr rh.r$n.
<br />.nd sk' onrtu1r itr trh FoFCls *lrh r C.nrctontr li.n*l ruiornr ro rrEConn&rd { I-i.M lrw)
<br />I lErby lrrm undc. Fn lr, of Frury lnd I m litutd unLr Flbbn ol oEFd 9 (olllllErin8 *ari S..rbn 7fi]t), or Dir!q'. ]
<br />of lh. surim$ !n! PmfdsioN Cod.. r,n my lt.ne n in tull n'r. rd .nsr
<br />llndcr'! Addrcss
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