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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS O$IIET AUILDSI DELCAT TI()N
<br />I lrEby rrrd o'id.r p.Blry ol F jury rhd I !, .r.nvr liin ltl ConlEclou' ti.nE tiq for rh. follo*ht ten (56.7011 I
<br />aGi6i rit ftolisb. C.d.)r An, Cny or Coutry rhich EquiE . Fri ro @trrna1 .!c. i,q.oE. &mlth d EFi uy
<br />(tu. ritr ro irr nsure, al$ EqlnB dE .Irlicor lo. lkn Fmi o fik r rigmd rdcEnl thar ll or rh i hcctrEd pmrn
<br />ro rrE Folaa'N of Dr C.nurrol! Lic.nt d L.w (Oq'rq 9, CollEeing wnn S€ti,. 7m of DivirioD I of th. BuiEs .in
<br />Pmtcsion! Co&) d rh.r lE d dE i\.&q rlEEft.m.nl rh. b.rt for lh &8.rt.rc,ii,n. A.y vbLrbn ofs..ritn 70ll.J b, nY
<br />rppltdr rfirF nI sublell rlE rrplicur rorrivilp.uhrofmr mr rhrn fivc hudrd dolllr (t500)
<br />-1.
<br />n owm. .f th. proFny. o ny .,r{,loFs wnh wrtcr os thcr slc cotrllfG.rion. Pill do rrE wk r,!d d. ttulw i d
<br />inl.r'itn tr o,trrcd for *L (Sd 70a4. auri6! .rd P,nr.sbB Cdt : Tt C.nlrld r Lite l,* dEr tui.Doly ro x oter ol
<br />rrr Frqty ylD h,il& or 8V.DB $sEr rn wlF dE qdr *rt hilkr, or h4lr d rhouS! h! d lEr om..r?hyer.
<br />pn,vid.n $rt.uch inpr.sm,R N mi in'.ri.d orof,ftd lusl.l( IFEE,
<br />'lE
<br />tlildin3 r ri'.Emrt i! $ld within * )d
<br />oforpLrirrlro',EAlilrdwil]hE0tllrdarotlrowBdrrEornEdndhildmlqnEd.F)pdi]tu|l!rrtpo.of
<br />_,.6o$dof rlE Frthy. m.KturElyco Eling Edh li..nGl onlr-r6 ro @nllllcr rlt,mjd (se.7o+r. aBlls
<br />.rd h!ftsin Cd. Th. Conrnctoar La..* h* der ft rprly ro o owE or pFFny *ho build. o nprDtr rh.rco..
<br />rnd rh, o ds for och nmr.rs*ilhr codBdonr litnEd pu.ud b lrE c. rdorr LatnE L.w)
<br /><a TYdNv-PlA..J.o.-L<
<br />DEclrtalll)!
<br />I trrcby alfirm nftkr Ftuhy of Frrury or D( rh. ft,llo*in8 &.LrarioN]
<br />-l
<br />h.r an *iI tuid.in, Cdif.{. of CoM.r ro s.lr-ln.m rd @ 6 o,F E lbc d Fori.Ln ,o, by s.di,.l7m or r
<br />LltDr Cdc, tor rt IEfomN of rlE krk for whkh rlE txmir i! i$sd
<br />_l t E rd *ill uinbu *ork6 o,IEMrbn iME.. 6 EquiEd 6y S.dio..l7m of dE !.0o. C.{b, lor rE pdfffi of
<br />rh. e* n, whi.n rhi! pc.mn ii n$rd M, workd omFnsdion insuEm. ffi.r ud policy numbd @l
<br />I ccnif, thtr inrlE FrroflEN.of ttE uork nr uhthrhi!Frhii is irsu.i.l $rll nr.mrLyrnypcMn in uynum
<br />v, .! ro l8nft tubFr bltE v t6 tunp.Mi,n LBof Crlilomir !n .3R $a if I rIDUU hd.c {bFr b llE
<br />eo*6' ..mp.n$rio6 pnrvkbN or Sdn,n 3?GJ of ttE htDr Cd.. I 'Jlrll, fonh*irn .otr4ly *i'h rtb$ Pmvishnr..
<br />WAnNINC Iailur. k, <yurc "ltrkcli .o rn n\rr0n ..v.raB. r\ uildwful. and \hrll suhj..l en cmpk,Fr lo .rimitul liDlrs &d
<br />(ivil nm\ up ro om hund(i rlx,usrd dolld\ (lloo,tll,r, r drldirion r' rlE ..{ ol.omlEn{rion, d,trBAcr x proviJcd f{, rh.
<br />\t,ItrL,in T (\c Ta fnflut rg
<br />tlrl.ltBrlMt
<br />I h.a6y .rrn unr'.r FEhy ol F rury lh.r I D lirdscd ulrdd Fovtb. or Ch.Fd 9 lo.mEing snh S6ri{ 70@) of Divnion l
<br />o( itE BuliFs .nd Prct siou tu . !n my [..n8 ir in tull fre en ctuL
<br />g}lual]l;ul]!.LEillatit{itll:r
<br />I h.rchy n,lirm u.d.r ptnrlryofFrjuryrh! rh.E ij r.onrru.rl,n ldrdinS uScncy l'or th. Il.rfonruncc.l rhc hrk lnr whih rhn Fhnir n
<br />ir3uJ isd 1097. c c r
<br />ATII.ICAILIIIGIJAAIIIIi
<br />t lrn*,y dnm unds IlcnnX y of Frjury om of rh. tolk,wrn8 dalanr ionr
<br />t).rnni'. P.rmrt ArlEiktr Ndifr.lioi tldsrl Rca Lrxrns (Tirk10. Pd6)
<br />Rr(ttr'.,1 l.rr.r ol N,i'li.rrrnl
<br />-l
<br />.dily fial rlE Ldfll EguLiJN ESrdirg Etcror ltmql E
<br />'br
<br />qDlt$b ro rhi! FoF
<br />-I
<br />csrify rh.r I h.E &d lhn.ppltrrion d dx. rlE lrE.rnE irldbn n cdEcl I rtr lo otr91, ii!.I Cny.ld Coorr,
<br />ordi.uM. od Sbrc Uw. aldiiS ro btrildinB coddiol\ .id h6r.ny aull[.i4 EF!*nl.lil$ ol rhir Cty dd Cou.ly ro .nrr utb. tlE
<br />.toE rnrbn d lrortny rd hso(lnn purFE! ^il"I'-ilil'-W 2,;flzozr
<br />P.m,r..-*(pr,,: fu.] 42JL Mor\ 't)cI
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Boof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />;-2'k?-1,J)-S+z =G7)
<br />Notes, Remarks, Etc
<br />APPROVALS
<br />I !m.r.mnr ur&r Sdxon .B &PC forthrEen.
<br />Under Slab / Floor
<br />FINAL
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