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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Sarety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />lvleter Release
<br />Bough 1-27-t{
<br />Service Meter \A
<br />FINAL t -3-11 Y.lL-ltt)
<br />Notes. Remarks, Etc
<br />OWNEf, BUILDER DELCAXAAloN
<br />I tE cty tfrrm u,xt rFuhyof FFry rhr I m.r.nq 6on rlr C. d16 Liuc U* .u|lE rolb*i.8 dsn (S.(7011.5
<br />aunNr . Prof.rshn Gn , Any Cil, or Cdrly *h-h EquiEr . Fii lo dr.{M. .X6. itProw. &tulnn .. EF! uy
<br />nddurc, orr,' irs iroutrc. d$ Eq!@s r h. rDpli.,n! 16r {uch rtmir k' fik . stmd (dcnfil lhll l! or tht i! liccn$d puruld,
<br />to rh. FornaB or rE ConrRroir Lilnsd h$ (CbF.r 9. (hnmtiia snh seri,. 7{Ir) of Dirnmn I ol llE Borinor ..d-
<br />PDr.snnr c.il.).r rnd i.rdr ncr.npr rlrrn$or l rh. h.!ar ror 'h .lE!.n .rmt l b.. Any rioLli'n6tkni 701I thy rny
<br />lpplirlrr tor 0 p.mii suhjkt rtE rptlic.trr to r civil ncnlh y o l not nmE ihln livc hondhd dollfi 1l5GJ).
<br />-1.
<br />!r oEF nl rlE Fortny. m.r.hriv.l, od.rrrs * t lian<i !$ rdn rodrNel rtr F,F (S( ?Or,r. BhI6
<br />!tri h)tliin (td.: Thc Cont,ck,\ Li..ns. llw drB no' apply k, m .wftt of proFny who I'uild\ o. improwr rh.mn,
<br />ed who .unrmB nr \uh Fri\lr rith r (iDrEr.(r) lien<n puru rorh.C. rkroarLkcKt *)
<br />I n.kmfr uftid Sdrk6 ,;;a^,-) - 2d
<br />IIES,TIAIIAB
<br />I hcrhy lmnn und.r f.tulryofFluryom ofllE follo,irrt ds[rdli]nr
<br />I hft rd $ 'll m' in . C.dnarr. .t (1'n<nt k' S.l, ln\ur. ntr sork(\' omp.n{rii,n. :r lxr!i&{ ft, by Scdrn :r'r(f,r I tlE
<br />litx, (odc.lir lhc nslonEme ulrh. *.rk n, *hkh rhc Fmn r i\rucd
<br />I h:rt . l r rll fli fl. ktrkdi $.rtE8.ra. in$rrNc. !i r.lturql t y S.d i,. .l7lll ut rh. Iiktr a.xt. fot llr F.L'lrrrr. of
<br />rh. srrk ld *hrh rhis lE.mil is irnxn Mywnkss onrFnsalhn inunx! cMir.rn l[li.ynumh.r6.
<br />-l.cniry
<br />rh.r m !h. Frntrmre ol rlE sod r[ *nth rhi Fnrut t i\!u.d. I ihrll nn srvLt lny FRi. '. r., lUF
<br />e !r ro txs,m tul,Fr ro rlr eod6{ 6nqx.tdi). hrl orc,Lr(,m( rrld +N 'hd
<br />il I rhould tEom shFr ro irt
<br />w.rtcri oqnsrion 0nvirirn\ ut sft.irn .r'700 ol rh. I -hr c{iL.I clull.()nhsirh ('nl|)ry *nh lbe nn'vniorr
<br />IV,\RN|NC IJlurcn,r..nrc$ork.^..nrxn\rrtrnr.o\crr!c'\0htltr.r' ni.,llnih,.ct .nlP
<br />cilil linc\ ut k, om hundr.rl rhouund dolhi\ (31
<br />s!!rr,n l(,76 ur rh. blli (-nt . '.rr'.{ lrl ru ftr1
<br />nr., (-.2 - )4/{ noouo",
<br />dorpl 8 l'rNiJ.d r., rh.
<br />Ih.rhyrlfinnu cr Iitrrlryol F,JUy ihrr I rr lnTilal ur Fovni. .f(lEpis9(mmmmingwilhSsrDn7fin,of Druk,n.l
<br />of rh. Bu{irk* utrd t}"lc(k,n\ (idc. (rl Dy la.ns r in lull l,mca,rl.lli.r
<br />corslrl rcTloN I l\nlN(: aa:E-l{cY
<br />I lrEr,, rltEn u.&r F ny ol F.rury ll.r rlE h r o.{r*lbn EidinS i8dry for
<br />'rE Frfoffi of llE qrl ,Dr whih rhn F.nl a
<br />krucd ise..lt]97.cir. c ).
<br />AISLI!2INLIESI.ASAITQ
<br />I Hry .,fm uid.r Fnrlr, of Fl,lry om or
<br />'lE
<br />lollowing d.cLnl bnr
<br />Dcmlirion P(nrils Aib.rroi Norirkrrhn Fdls! R.gulrsns (Tirl.:lo. P.n6)
<br />-R.auicd
<br />L.lls ol f*rifE ri,n
<br />-l
<br />.dify rhd rrE lcncd EsuLliiB EBrdi.! rslt\lor rcB)v.le rt rmlk.hk k, 'hi pmj.\1
<br />l..nil.vihrr lhar rc l rhh rpplf,nri,ndrl nir! rhrr '!rr {, otrply s irh rll cn, lnd Counry
<br />its ofrhr Ciry i.d Coutrryro cntcr uBnr rh.ordrtuNr tun Srrrc b*i ELrif,8 lo
<br />llsE .Enri,En FtrFny r[ hrFll _.-.-- zlht -/Appllr{n( or Aa.ni SiamlIF
<br />5za,Jt.'-,12p /u,-^ a , .z- 9
<br />-> -2ag
<br />DEfiil
<br />Pole Bases
<br />-l-
<br />8 om oa rlE ForE ry. d n, cnploFr *nh B.8cr rs rlE, {lc oqm..lnn. rill do llE wri ,n tti rdEe i d
<br />i.r.nLrl or olId.d t r ih (5*.70,14. BNiH! ud Pmf.si,B CdL TlE ('orr.rff r Lcne !l* &rr d q,lt h tn owrc..f
<br />lh. p.lFny *E!t{ildsoriqmBir6tr!n*bd-tkhh nin*ll.r h.Mlfor rlr.uSh hi. or lFr oq.'rgtt Fc..
<br />FovrLd rh.r .Bh ingowd! a d iroi.d n ofi.r.d ftr ql lf. lDM, tlE bildtrrr s lrF'kftd i $n rahi. tr ).,
<br />ot dn$Lri4 rlr ()gE auik will lrE tlE hd.n ol FrmB lls lE or th dn [, biu q inFrE ItE F{Hy rd rrE lrrlm. or
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