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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG,OWNEN'UILDT'I Df,TTIATION
<br />I llt!ry rfnr !nL. Fuly of Frrry tL l m .Erpl tun rlr colh16 ll.r L* for dE rollowha Een lse.70ll.5
<br />Au:iE$ .rn Pmrsb. C.d.): Any Cry Cdny rhi.h EquiE . Frt lo orrrr! rlt4. impma &mltrh or EFr My
<br />shtu,Fiihi'r @e!, rtto Eq!ftr tL +r{icd tue[F !d (o 6Lr tl3*d nr4 tr uor !6. ir lianr.d puD.n
<br />16 tli Fovipd n, dr Codria.l l,ir.r.d lrl (OrF.r 9. C.lmEint qnh Sdtion 7U[ ot Divhirr ] ol th. B6iEa .nd
<br />Ptlt ,tbN C.d.r d rh.l lt r {r ir .E,qr lhdltu,r .d th bon ,or tE dl!.d .r.{rirn. Ary vbhrbn ol Satbn T0] l.r by ry
<br />.pplE. fd d Fmi pbFr rlr .pplt.d ro ..iril !.Mlt oI d mE rhrn l]v. hu.dEd dolldi (ts(I)).
<br />l, a tuE dln. tmp.nv. r nr.4'h!€ yirf r.a.! r ltEt hk onF.sr.. *ii 6 0E H rnrErlfuid
<br />irdrlr r ofraal fr r]. (Sd 7O{4. BEirB rnJ PbfdrioB CdL: TIE Co'4rdt licc l.f, d6 Dr tdr to 6 oE ot
<br />0t F+.iy *lb t!Ut! or LrFuEr rlEG,a ri wlll dlE cn *it htmtr or tHrllr r,,dah f,ir r hr orn.rgl.yc,
<br />F.rd.d 0d rkh irpr.Emdi m r{ daicn o&d tu rl l( lF.s, dr htiEit 6 irsqEd ir sB ethid G Frof(orplrniEo*E Blrtls ut! h.E tb h,rkn olFynB r Ed # dn d LiiB d o!.or rtE FrF, for l!. pJ.poE ol
<br />-1,
<br />o olE otuE !n ary, d.rl'isn.ly odxrlU *iLh li.nsl.oDlr{rsro.o.\iM rlE Fqs! (56, ?0a{, Bcrs
<br />.rri hDBan CcL nE ct'ddoar LE.nr Lr iler Dr 'rplr ro u o*Er orFoFdy *ho tlild! or nDDvs dsq
<br />rrd vlD cddr nr !.h F.j.tB *iLh . codEro(, lk.E d F{s{.lr b rlE clrrn( r r,j.{r Ls).
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<br />ur.rn{n unLrs{rbn ,B rtPC &nr
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<br />DECI4SAIIAB
<br />! h.rby.l,nhun<l.r F@!yuln rjuyuB.trl. n'lk'Brnadcch.itbB:
<br />-l
<br />brkrrd v,ll mntrjn r C.ntfrrr.ol(hie ro S.lf-llm nr *rrtd oDpqdi4 s FDvd.d n btsdirn l7mof dE
<br />UlIt C.d.. ror orc rEriffi. (,r E *rI ror rtuh rh. panu i isu.d
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<br />hrE rd *ill Dot.u *ir(o (on{lerrn roELr, .r E tulld b, Sdrxir 3Tm of tll bhor Cod., fo. rh pdfm. of
<br />ttE rul k ahrh lhn Fd 6 s*d My *dldJ shFldbo iNulre m, ud F,li, Nnt , r.l
<br />Polq Numb..-rpiB:
<br />-l
<br />cd y rhdt r tlE FrlorniBr otrtl. *urt tu *l'i.h tlu Fnii n lcn I:ldl d dpti, Dy pa5, r uy lMErs G to lEor iutr.t ro rlr wrt6r' ..nFdm lr*. or C.lrmn. !d {r Uu ir l nsuE b..om tubt .r b OEMrto .!tr .d.n FurB.B olsRli)r lT0) of rlE L.ld Grl., l aru rdlh*irb.xtrply *nh Dc FlrilirB,
<br />Wr(llJlING, FrituE ro BaG wt.^ orrFdion 6e..rr. 6 uhLllul. &l ,h.ll {bj.{t d .nplor.r to minr, p.tuti: rnd
<br />cN lilg q' r'oE hrdr.d fi{srl &lL6 {llm,Ur). in rdlli,tr rollr cor o( cor{Ersrion. drm8.i a ptuviLd tq r
<br />Scr&! Il]6 oI rh. ljru CLrt. d.F{ rld rlmy r fa,
<br />lE[trSarl)x
<br />I h.Eby {fm !Bj.r p.Dfty oi tErrury rhd I .m lNrEl uaL. Flhrh ol Cp(- r, (omBi.t rdb SdoD 7m) of Di!!!r l
<br />ot rh. BulEr!.Ill ftlks.B CoaL, d my 1..n. iJ m full f@ rri.r&.r
<br />L..e clrn
<br />-Lt
<br />e Nur$a
<br />D.l.
<br />-
<br />Corrl*ror:
<br />cqlsf,lqua .JaDI!!-a9!!ct
<br />i lftby .n n utd.. Frlv ol Frirv fid Eft ir. cotr{Mirn kndi.t.rfty for tlE FrM. of rh. *rI tr, siiithi Fftr i
<br />i'sxd rsd. ]Ir7. civ. c.).
<br />ApttlcarYr necluaTtoN
<br />I Ht ltrh !tui- Fdaly ot !.rl!ry or ol thc folloli.r &chra@:
<br />D.Dlniin Pqnne^.h.io. Ndfrdi,n Fcdcrrl R.8!ldx,nr Onk 4). Pd6)
<br />_R.lurrd ldra ol |](rftrir
<br />_I cqtil, 0!i dr r.dq.l r8lLrioB t3dur !.t !t6 Fmyn e d* +alid,l 16 thir poid
<br />[, *,,r,,- , "* *,t u,*liii'n {d i& ttu [E r!ov. hlmnrra n cmtld I {r b o'rply eih d ciy.d cod,qdilrc rn &n. !.et Ellit l. hqildiDt .onedi.tr .d lEEbr.d,r.lria EFl.diE orrhir Cty rd Cddy r, qls l+.o th.
<br />du. EmnEd ptu!.ny for inrpalon purIIEi
<br />'l "t rl,rt tt-,t\
<br />^
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soff it Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lvleler
<br />FINAL ? j'zu,2- (.:,il€/1.Y "27J
<br />Notes Remarks
<br />-n
<br />Bev. 08.07-201:
<br />COMMENTS
<br />".*, ql lqloc
<br />Life Safety /Low Voltage
<br />, Etc.
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