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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNER IUTLDER DELCARATX)N
<br />I lEd), frn und.r F.rry .f F iury rh.t I m .Ent, lmm llE Conlrs]ron l.irn( b* ror rlE (nhliE r$n lS.< 70.11 J
<br />aunBr rd Profcd.n Cd.) Any Cir, m Cou y *tih r.I!i- r Fmir ro 6Nru.i. itd, intmv.. &tuliri or EFir dy
<br />(ru.n!.. rior ro itr irruaft., rl* ..!uiEs rh. .pnlkr rd such rcrmir r' fiL a risEd (8rft.r rhd lt or 3rE ii lic.ned poltsr
<br />lo rk Fmvhions ofltE ConrEclort Lienscd Llw (Chapr.r 9. CoflErcin8 wilh scclbn ?our or Diilbn I or rlE Burims .tu!
<br />llnntsrn'nr Cod.) o, ih,r h. oBhc ir er.n9r rh.rcfmn.ii rh. bast for th. dlkrrn crc,rflbn Any vhhrhn or Sdbn T0l l l htrny
<br />rn,lald ror . p.mn {hj(k r,r q'tliqnl ro r .ivil FMhy of ml me rh$ fik hrndEi dollrr l l5m)
<br />-1.
<br />rr ow6 ori,E r.frFnr. (, ny.trpkiFi *nh rra.. t llrt $L mqEnldion- wiu d' 0E wt d tlE.lrElE i. d{
<br />id.nrd ir oficiJd ffl rl rsd r0,l.{ ABiEs.rd Prnf61i)6 C.d. TIE G,n.dd.r LalE l,w dEi I .oply ro o o*E o,
<br />rtr F,rEr, *ho trillr d ,Fm rtr,n[ .,n wb .Is rh mit hiner or lt*lf or rtmush hir d tr oBn.nPhrcr.
<br />pmvd.d rh.r rkh mtmEE r c n ir.iiLd ( or.r.J for eL lf. l$kE, llE hiuina d i.InEmd i sB *ath oE Jt!
<br />6r$nnLrhn. rhc OryEr au,Lld pilllEw tlE tui!.n or Flving fid lEr dt.lil mr hri! ur iqmw rh. tmFnr lor tlE Frrleof
<br />,. $ opm of rh. Fjrsy. hcr.luriwly co .alhs ailh lirns.rl olJrxron
<br />'o
<br />ot{M rlE tmtd (S€ to,tl- BEimn
<br />rd Pr*sin Cod. Tnc Conr-ld . l-i..ni liw ilB Dr rtply ro a o*E ol FoFny $ho hliLh or inProt rh.6n.
<br />rnd *lb 6ffir rd tkh F,F3 wnh r Codd(llr) larrn rrlwrr r. rL Cofi-rd . rj n. t,w)
<br />I ir.rcnrpr u*lcr Sdxrn
<br />lrrl. ()*mr
<br />rcf,tr[f,l_caufl:BsAlla!
<br />DIIIJIAIIOd
<br />I hrrh) zlllrd undrr trtulD ol t(iory oft olrlr nnk$mt dNLrarhn\
<br />-l
<br />h.E rn *ill ni.r& r Cdif.{. dcms k, s.lr-lmE fd wt6 N'qEndir a p.tvi.n for br Sdbn lrm olln
<br />l,txr Cod., fu ltE Ffl]ffi orll! *rri rd r,lrin rlE Fnn a issd.
<br />Ihr\.0 willnu imrork$.onrF(nirtrnln\trrrm..a\rcqundhyS..rtrn!17(X)olrlkl.rhnr(i,Jc.rdlh.r.oimn.or
<br />rhc wu ntr $hih rhillcan
<br />.-- \'A'r,l.t,
<br />I r\ i\!uc{ Myror[c6 .on',x'*rrtrin i'^ur N rarr(drt F'lty trunrhcr {(
<br />4 tCa
<br />".", n,"*. €NJ.rJ zzo rJ-t rrpi*, l '\.\.6'=
<br />-l
<br />(.niry rhll i. rlE rEf.rtuEorrh. worl rr !h.h rhr Frnn i. i(Ed,I rh.ll mr.i'lbyrn,F*m in.nymnE
<br />r, .rtu tk oft $nid r. rlE sMk6{ snF.rllhn L*r of Cllitomi4 rnd,8E. rhlr,rl rtsuld taor obj.ll lo rlt
<br />eorlcs Glmp.neiio. nnrvnirni of Setion 170(, ol lhc lnor Adq I ilull, aonh*irh om y wirn lhrr pmvnionr
<br />WARNINC FrituE lo suE qrrtsi oribsri,n c,w6g. ir unhsf!|. .,n thnl rublcl u .trll'bJar t diniml F0IE nld
<br />cml fiNr un ro oE h0drd rldsd dolLB (llfir,llt)r, in rddiirn tn rlE frlrl .aorFNriq. d.d!.r r! F.vi.,ld for rh.
<br />;ilAY',UI'ZoT8":;::: -
<br />oEttdSEIlllN
<br />I h.Ehy rfirn undcr pcnallrorFrjury lhd I am liccn{d undcr rrevnio. or( hr,rr 9 (commminS wilh S.clbi 7fln) orDiviri'n.l
<br />nf rtr BtrliE* .nd Pmr.l\knr ('o&. !n my li...s t in rull loc un .,f6r
<br />LEM(hq: E r.RMNu'rq \o?11W1
<br />*,.u.Ar_lll 20'q ..,,."* v+w
<br />gllllir&llrllN"LENlllxlil|iIx.(r
<br />I ltrch! {tn undd FMlryol Frrory rha rErc Fr dr{Mtbr lcdinr !srr, r,tr rrh lxrromEr..rllE Mrk lor whih rhn Fftn c
<br />nrud tsc -1097. cir c Ilrfrkr'rNrm
<br />-
<br />AfIIIIAILDICLAT{III!
<br />I hdr6, irm udc, p.n.lr, o, Frjury om or lh. f.udsing d..Lrd ions
<br />D.nrni!i,n P.rnnrAslrrlor fi.liaErlhn Rd..rl R.3!hrirnr (Tnk.l{]. Pe6)
<br />-R.!u,n
<br />L.rls of Mrifrrri,n
<br />ic8lLrrniES.rdhS,ar{{ iE'r,ulFftiq,plrlhkn,rh6fmFi
<br />)nlrtuftc\0*lSrircli*\thrntrr,ttr!ildinB.oiinr.ti,)n.x'rlrrrbyru(lir'/.rct'rc\ctrr nrs()flhis( nyrnd (irunryr. cnr.r tFrrtr
<br />alrM r.nri,Ed ptr,Fdt nn n\F.rxrnNqnr(.,;
<br />.tpplio.l.r AE nlSilurur 4 +,;
<br />,rllR
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Siqns (monument)
<br />Lite Sarety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq i Groundino / 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 & Sollit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Belease
<br />Rouoh f/t l* 9.)n l^'i)+89
<br />Service Meter
<br />FINAL A tl b/s Vt strr,u MI
<br />Notes, Remarks, Etc.
<br />OATE
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