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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />*a^40il<LyBonding / Grounding / UFEB lo YlflT^
<br />Transformers t \\
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />,Yr,*arlj'/aMeter Release grn l.)/
<br />t o\
<br />Rouqh d?, '.Service Meter I \a?,?r}+-e(
<br />FINAL ^'loJ tl Td.*J^1 ,,Ve,>)
<br />Notes, Remarks, Etc rFl--1.-, u
<br />OlryNET BUILDEN DELC T IION
<br />I hcrchy rmrm und.r Fnilty or Fiury lh.l I m crcmrl [i'm rlE G]nr&1oE' LftnE l,* fo, rh. ro,lowi.3 Ero. (sd 70ll 5
<br />Bu\i6r r,n Pnrr.shn Cod.r Any cny.r ClMy rhth EquiE. . Fmn io dm{Mr, .lrd. if,Pt w. d.t,lLh.r rcr.n .nv
<br />iruoE. Iri, ro ilr nrulc, rh. rquift llE !r,pli(. for .Nh Fmn b nb. <isEn i.l.nHr rhll lE or .lt i. li6tn p@.rr
<br />ro rlt l,nvtioB ol dE Conk .lM i Liensd l r* (ch4r.r 9 c.mtrr in8 enh s<ridn 7tx[ ol oivkion ] or rht Btrlin's md
<br />Prof.*..t CdL) or rh.r hdnr i.r.npr Ocrtuord r tr.a rd llr iLt d.kdpri Aryri.rhnoasdi,nToll Jbv.ny
<br />itpli.a.r lor r Fmir suhjNrs rhc +plic.n[o r dv il n mlt y ol nol m,rc rhln liv. hundrcn dolhn ltJ00)
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<br />!s o*rr ol l,lc In'Fny. or my Gmpk'Fr *irh wrs6 d rh.n $b Lntrr.n{li)n. will J.
<br />'lx
<br />sot an dE tlnri@ . n
<br />iddrLd or.d.rcd ftrsL(Sd 7ix.l, Buriftsr..d Prnt.rhBCrn nr A,nrdo. r l-t.ns Lr* &E\ , +plyro.n0*6or
<br />r& F,Fiy *lr' lliHs d inproB EEn ri *lD dB th kxr nintlf or h.rtlf or ll' ai har t ts ow .qlhyet
<br />nrovdcd rhlr such inpn'Ernk m ft idoi.d or off.E{ nn rb. ll ho*6, rh. h!ildi.8 d nrfmEm n s! *rhi. oft lts
<br />orr\mgkiia rh. orB SuiHd will lrE rlE h! dorFling r rEd{Edn d biu d in!.ow E FDFny ftt rtr ItrF{.r
<br />l..rorEolrlE lrqEny. dcr.bnklytud.din! *nh lenErl drr,nd k, lr,tu tlE Fr<1lS< TOL!'I. BFiE(
<br />ltuliiion Co&: Ti. Conlturor'r l-ic.ns. lj* dmr fr, lmly ro 'n ownn.otprDFny who blild..r impm!.: thc..on.
<br />sh' curEr. fn .u.n F,isr *dh . co'lrat(n liued po'rbr h rh. (trd.r]roar Lirhs tr* )
<br />I rm((nr|n uLlcr s..rn
<br />D.t. ()xRr
<br />wo*xiis;i:ontrF,tsrrlotr
<br />DESIdSAIII.N
<br />! h.Eby rrrirm un,.lq ric.alry6tFryrryoft oflhc tolkrwinr dehrrlion*
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<br />hlE orn *ill Einr.in ! C.nir.d. or Con€nr h Sclf- lnrui. fm \,ldr' (,r{En{hn. .r FoliLd ror by sdrnn
<br />Lrrtr c.xl., lir lh. Frfomrrc ofllE so& r.t *hkh rlE pdn r n n{ucd.
<br />-l hrE lnl r ill m! inr in *nrks .onf.nsrln,n inlur!flcc. a\ r.nrnd by sel ion :l7lxr ot rhc Irtxr Codc. nn rhc Fri,rtun. ol
<br />tlr $rI (r $nth lnir Frnut i\ rsEd ltly udl6 mn{Ensri'n inrrrrr. .,nia ottl Inlty nn'.hd e
<br />I rdrry rhrr in llE |ErformLr of ilE *ork rd vh.h thir |Ernir i. ilqin. I ibll mt.t{,br..t pG!. tn !.y ronE
<br />vr s ro hcq,ft {!tlrc! ni rh. wo dc conrtEnqlion h,torcnlirornh, ond !8K lhar if I rh,lld tE{om shFl to rlE
<br />rs.t,i d'ItrENr bn finviri'nr or Sdbn lrlD or rlE L.hr C.(b. I rrr[. (dh* $rrl, wnhrht lmrnion!
<br />l-ircn!. ( L(
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<br />rh,. \O'>'19 K ;'o')'?n
<br />SIIEIAITGII,]d,}INDAIiICEN.CI
<br />I lEdtly lmrn u.tl.r Fnany ol p.rrury rh,r rtEr. h. onnMhn lndins !s.ty ror rlE Frf.rmrc ofrh. * x lu whkh rnil Fnii h
<br />kiEn (S( ]097. Cit C i
<br />L.nd.r . I.nr
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<br />ATIIICANIIEgIAAAIIIN
<br />I hdtrry.lfm uft.lr Forhyofpcltry otu or'h rohwinS dc.lflli'nl
<br />D.r)lirin P.rmir.Astr(G Nnifrarir tu rlR.SuLrhnt (Iirh 4J. Pdtr
<br />_R.qutcd trlr.r ol Noiifrdioi
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<br />c.nify rh.r rlE t d.r.l r.&Lrk B Essdinr .st$lor Emhl e mr {Dla.bL lo rhi! PmFr
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<br />Gtaly rh.t I lrw E.d lhi rfrli.rhn ,n nd. lhd lrr rtoE inrnriion n ffi I .!rE to .orr?ly rnh t Ci', .'n ('d ,
<br />6rdiMB 6nd Srrrc ltwr Ehls ro t{ildan8 .o.!rnElio( rn lEEby &llnii4 EF.EnldiEt of lhir Ciry lrd Cor v lo .nld ulnn llr
<br />rh,k m nmd filFdt tu h\tY
<br />Applnr or B6lSleMluE qq:J??,
<br />to-t-lL
<br />cBt
<br />Cuh
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<br />Poh.yNumhcr:-
<br />WARNING FribE ro ru wt E' drlt.n..rhn ov.n$ n unLwiil rd shrll hFr M .rr{,hF lo dimirl Fllai Id
<br />.Ml ,iftr ut' io oE huidBd llnuqd dolls (tlm,(m). rn .ddilh. ro rrt co.r .l.oqEn *rr d.d!- I pr.ri.d ror rrr
<br />sa{ 6n x,76 0l !h. l rk' cnd. 'nrer.r rrld dkrmv r rer.
<br />D.,.: lo'Z'13 - ^--.,,X /,^\pIIIIBSEAI9NIBAI;IIT 'DEq'dAI&!
<br />I hcEhy ullum und.r Foxy of lEiury lhol I !h lien*d !nd.r liovition of CtrPrcr I (ooEmin! silh Stdhn TlxlD nr l)iviihn I
<br />oi rh EuriHr !n Pmf6ri,N C.ili, an nt lt.rc n h tull roN !d.fid
<br />t rl.l'r A&i6
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