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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEX BUII-I'ET DELCARATION
<br />I lrr.by dlrd und.r p.ulry of pcrjlr.v rh.r I m.tcmor fmn rh. Cor r.cr6 l-t..€ b* for rlr follo*i.s E.rn (sr tu.l15
<br />alrihs ,rn Prot (nr CGLr: Any Cary or C.{dv *hat rqui6 r Fdn x, mn<tur. d. nr{tur. dtfrrirh or EFi rny
<br />llruclur. nr lo ill nru!m.. .lq, E+iEs llE lppli<lnr r(, rNh F mi h lik . .i8md {d.Ent rhd lr .r rh i. li.cnEd puRd
<br />nr rlE Foviri!.r 6f E ct'ntd.r\ Li(n.d t * ((lrpid 9, CohctuanB $ h S<r.n 7(xl) or Dirtr,. I ol !h. Blrimr\ .id
<br />Pn,f.rsiro! Codc) or rhll lt n sh. n cx.q'l thcr.ftom Md llE basis nn lh. rlbs.d.xcnllllbn Any vio&lion of Sdion 7O.l I 5 hy.ny
<br />!fltlkr tu r Fmil $bFlr rtE .I?lkur lo . dvil F llr oa ml mE rhe ft. hundEd doll,r (lmr.
<br />l.8.EEr of rrE r6Fny, M my.nploFrr *nh stl6.. i&n $k ('n{Ennr!n, * ldo rrE * i !,n rturG n d
<br />inrcn&rl or ofi.Ed itr sk (Se.7tx,a. Blsimsr r.d PDfc$n,nt C-rd.: Thc Contu (tr s La.nc lrwdo.s,or !ppl, t, an oeEr ol
<br />rh. Frd, rhit iltrriqmBrtna4anlbd.nrhk I hin{lf or lERlro tmqh hit ( lr o*n.rlpt,yNr.
<br />I'rolitdi 'h,r
<br />.ki in{mm \ ft mr i. dnci qolH nr sk lt rF{tr rlt hildi4 r intil)1lf.t it iB *irhin m F
<br />ofconllLlion,l,r Orrr Build.r will IEE llr hrLn orl'Dvill rhd rrsiE dil d hild o. irF.h dE FrFny fn rlE purF,c nf
<br />_1. rto*Fof rlE Fo!.ny. .n crctuiiEly.oddin! rnh lcnEn co rdoEhmn{MrlErmF(Sc 70{.r, ElsEn
<br />rnd Pn,ft$k,n Codc: Th.c{'nrBcl( r l,i..nsc l,w diEr mr tPply b Mo*ncr nrp,op. yeh, huildr or ifrtmvcr rh.r.on.
<br />.nl sho drrd. ror sNh F,F<r uirh. ('tdatitr) li6r.rl pu6d lo rrr Coddci liff Lrv,
<br />-l
<br />m.tmnr un&i Ssrhn_
<br />!!0.Bli[8s:g) tfJ)ltrtoli
<br />DErtrt&urr.!
<br />I luch) Jllirtr,trn'l.r tEnrk\ nr t^-rltrr\ ' (.irlr.nnkirtr,Bdr(hDri($
<br />-l
<br />h.v. rdrill ntinldnr C.nifrd. nfconcnr los.lalNlEr wt6 orIEnr.li'n. N Fovild fo. hy Selhn 17fi) ol ll!
<br />t trr C.n . rd rlr F lmR orlll *dl ld *ni.h rtt Fnir h a.ran
<br />_l h.!c !d sill D'.l.in qnl.u orF.ns.lri. iftunr.. .r 'quird hr Seran :17{Il of lh. bhn Cod., n rlE Fn,M. ol
<br />rh. erk tu*tichlhn Fmir is isqEn Myqortdi Gnrp.n!'ion inruhR..crni.r r tnicynumbcrrE:
<br />SlcrI e Fuvr d
<br />ll55g t7a,ty tlunta -3 _..0*. __125_G_9IZ!L9
<br />Id,lirhrrinrtrrErforturtolrlxsortf(r*hah'hnFnir6islxJ.I\h,llr.rq,h,t.)Fmni6rntnmF
<br />s) 0r io h.Nm srbFr ro rhr woft6{ c)f,lxnr&.n llws of (tlifomi.. ,nd rgr. rhd ,r I srbuld bc.onE suhl.d lo lhc
<br />uortdi, ('n{En{rir. Fovnii.( of Sdrr lTUl of rh. t lr' (in . I rlull. ftfh*nh of,ply * [h rlbr pn,r6-,ni
<br />WARNING lj.iturc lo suc Hrls'dl'lllEnuion o!$ra. ir unr.uful. fln $.ll {hF .n drrloF ro simio! Frri6 ud
<br />cilil fincr up ro orc hundrcd rhru\and dolllG ($100.1100). itr rddirbtr ro llE .od orcomrEnt(nn. ddmB.s ti Fovid.d ror rhc
<br />Sftrirn 1076of rlE lrlrr Gn - inr.Er rn dtnEr'r las
<br />q1g9/15 Ar'J*t)J*]'^*n*rL#.-*i^. r"
<br />DFCI {R TION
<br />I lErhy.0nm uBlo FMXyof Frrury rhd I d lrn<n und.r F,vnrmnl(18fld 9(nnmring r[h Sdi,n 7(llr) of Oiyirion:l
<br />.r rh. Br\it*lnd l'fl,fcsi,,n\C(d.. dfli mylacns i\ in lnll lor( u .rricr
<br />B LiceNu.rE. lot l q3 G
<br />Ll (?o/ l3 34@-1
<br />gtrga!(ul)Nl.Eurac-acEdcr
<br />, hcEhy rflirm !n&r FMh y or Frury rhd rlEt ir . atndtu i,n LinhB .!try ri, rlE Ff{mK or rh. ffil lor *tih rhir Fni i!
<br />ktu.d (S( :lll97.Civ C )
<br />AIILI!]AII.IEqJAIIO!
<br />I hmtry !trm und.r F.!xy .l Frury om of rh. rdu.ein8 dc.l,,dhns
<br />lr.mliri'. Pcrhiri-A.lErlor Nolifr.lhfl tucr.t RquLrin (Tnk ill. Pd6l
<br />-R.1!ircd
<br />l.rrs or Miiauri{
<br />-l
<br />(dity rh, rtE lnichl EluLt i8 El{di., rrEtro\ EB*d s. mr rl|I,lt.lrb ro rhir Enirl
<br />ZA ccnily rhrr I lEw E.d rhtr al,I|lidrbn ad.rrr. rhrr E .h,v. inromrbn k cold I r8e ro odply wilh lll cir y rd counry
<br />odi..Gr .tn Sl.lc L!,r EtrilE lo hoildin! conrMri,c !d hm6t .nlsrtr rcFc ri6 ol rhis Cnt .d Cou y ro dc r{Fn E
<br />!h,E mnliomd Fmp.ny for hpdhn purtE{s.
<br />Au i(nnr trr Axo( SknlruR 1tu@ Ll tSbllb
<br />{,!41:.A(r,l\U
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Bonding / Groundino / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rou gh 5/A 'a 5*)l72vr-g 4
<br />Service Ir/eler
<br />FINAL 2/lz zhc, 1Dt Vr-ntGl (
<br />Notes, Remarks Etc
<br />Under Slab / Floor
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