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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILI}ER DELCARATION
<br />I tbEby .lIur und.r F..li, ol Frrury rh{ I m .r.trpr fn,m llE Co rux'^ Licn* lae 16r lhc inlbwhS F!a'n (56.?0.11 5
<br />AbsiB\ ',n Prcfl{i,n c..L) A., Cny or (i{dy shth Bqume ! Frmr l. on{nl1. rn6. irFow, &mrih or EFn rry
<br />nM@, F, ro i'r itturE, .t$ Rr|tn6 rlr ra{'lid for iEh rEfln k' 6L s iisEJ 3l.td rhd rraE dE 6 licn<d Flltle
<br />x' rlE l,trrirbos o, rlt n,nr,rctn r Li.cn*d lrw ((lBfld e, (-olmmint *irh Sccli,n 7mO or Diirkn 1 ol rh. ausinc(..d
<br />Profc$r,n1(lic).r rhlr h.nrshc t ctcn{ rhcrclronlDd rlEtu\t ri, lhc rlLS.d .xcmJ'! irr Anyvn'hrn,nofS6ri,nr0ll Jbyrn,
<br />l,pli.rnr t r Ixfrir ruhiik tlE rntla.d to . .ivil IEEIy oa mr mF rh.n ir. hudrd &,lhrt lsy[)
<br />-1.
<br />.r owEr of llE Fd'IEny. m crclsirlycodrari.s ,nh liinr.d 6 *1d6 ro mNrucl llE Fnrcr lsc 1x4, Burm
<br />rd htsinCo& Tlr. Co.rdo.'r LGnE lrw d.Er mr r0tlr ro 6 o*Er of FoFnr rho h{ilds itrpDE!llE.m
<br />..d *b mdmk fttr rEh FoF. wirh. Gdr-ronn ldEd lButr k,OEC.tua1{r's Latns L.*)
<br />-l
<br />!d .i.mg u'r&r s6'irn .D ltl'('lL{rh\r.r\r'
<br />IIQTtrEl5:la}IIIlIA.I]Uli
<br />I}E!I.A8AIII}N
<br />I h.rcn, rfin und$ r Mrry of,rrjury orE of rtr lnllir* in8 &\!,a, irni
<br />I hrE un will mintM r C.difr.r. of ConEd r. &lil.ruE lm wls .r,rp.rsrb.. a\ Folilal lor by SdlrE :l7m ol llx
<br />lfbq CftL. for rh. p.rlo@c ol rh. R)* rM whih th. Fmn k Nsu.d
<br />l4a.*.rrrf, *.". -,*(F'nnryrryqlmunEc. rt ftrtlicd ht sclnn lTln orrlr t hor (it.- ru rlI FrdllEhc or
<br />,l) [ I Zuq"' ""zry* -*"* -,," -"*' ;n,*,n".*/'lkc-lt4--9tt-Y '.*. +413--
<br />.-lrcnrtyrhnrrnrh.prrlormmcotrh(,orkll,{hxhrhnrr rir tr A\ur(|. I \lull fr, .npl{,y any p.rw)n nr !n, rcr
<br />v, n\ h h..otrr subj..r t) rhc $rrko( on{Enuri(,n l.ss ol ( lihntriu. md 4Nrhar it I\h)ulil h.(,nE {rh]cd lolhc
<br />q o*c^ .o rFnsrin' pnr nrn\ r Slrrirn :lrlx r "l rh. tihtr (iilc. l rhlll. ri)nh$ irh i)nlrlt r nh rh{ fnvilirnr
<br />lYlRNlN(; l,arlurc k) surc qorl.^ d'mn n!'rk). o\cn8c r\ unhtrlul. nrkl \hrll subf.r ao cmpk),r, lo mnn'ul ltMhi\,trd
<br />.ivil ir.s up tr o c hunded rhou\rRl dollar\ (!l(xr.(Do). ir rlrlnion h th. con ofconltnsalion, nrnu3c\ {s Imvid.d nn rk
<br />\rirh,n nrrhd !t trhr i-ic orcrc{ ddJ .r(v'.fcc\
<br />,,.,.: {(zslr$ n*,-.,, <-' ul8llllJrlE ru8DEglSluaN
<br />I h.rc'ny .fltm undc. Fn lly of p.rri.y rhd I r lrin.d lnLr Frvi.ir. of (t!rs 9lol]ftrcins *nh S<rrn TUI|) olDirni!.:l
<br />nt rh a!n6! .d Plofdrirm C(n . !n ny liccnE ir h tu nre &n .fi<r
<br />r'-z O
<br />," {p=,1rP
<br />'43Lo! -
<br />colt\Tlt,cTr{ rll I F\Dlll(: ,r(:FNCY
<br />I rEr.6,.lltn und.r rE lyof F,,rylhn rlErc ir. nr<rxrbn !.din! ra.ty lor rlr F.ftm or E knl fo, *hih rhn Fmi b
<br />isrrd r Sd. Ir97. Civ C )
<br />kntl.ri NuE
<br />-
<br />AIILII]ANLIECIdSAIIA!
<br />I H'y lllm udd Fnrlry of Frjli, oft ot'rE r,'llo$ine &.brihns
<br />t>mlni{ Prmilr.ArlE(ol faoiifr.rbn tur.l RquErimr (Tnk 10, P 6)
<br />-Rcqut
<br />d L.llq or NrifE&li,n
<br />1..'ryrhf,r rlf, l.J.rrltsu hrionr Eer4lira dtBros rcrrtrd arc M al,nlial'ls lo rhir l^,Fr
<br />\lJ1r r\ rri. r rar\, ,r.irrr \i' !d drtc rhd rh. !hr. mfi,tur'n tr.tu lrSn
<br />rtxtr. nrtrr(rrJ F,p(ny r,n *per(,n
<br />tl y'^-yIz=ftp
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundino i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Rouqh
<br />Service Meter
<br />FINAL q\r \ ttr (,(,ltl{t l)
<br />Notes, Remarks, Etc
<br />Meter Release
<br />l.,i .rE ol rh. F)Fny. or my .rfhyEr *ilh r:s.1sr rtrn $h nn{rndidf,. alllrh dE rrd !n r,E rtllfu it hr
<br />i, cftB .r oflcrcn to, sL ( Se.7()4.r. B!\idr! lnd rt,resiiJni (1rj : Th. Con'nctoa r l-itns LaB tl,.! nor lj,ply b 3n o*Mr or
<br />rh. I'DFny *tnt ikl! d trrFtrB rrEmr ul wh, *E uh wrt himcll or h.rclf u rthu8h hk .r h.t os. crg'k,ys.
<br />fiorid.d rhd sEh i'lIr\mtr! E r, irrgddi r oltu ftr qh tl tlrEw. rlE h]iEfu r ntm]sr.d il $U *hhm m F,
<br />otdrrirLla rtt OwF axiu.r *',1hIEllr hrili orF$erB tlE! lt or tr dd n,r hrild or ot oF
<br />'lE F rdy for E F IE- or
<br />l'cmilN Nnr llrinlr:
<br />I
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