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ELECTRICAL-INSPECTOR BECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER'TIILDEI DELCANATION
<br />I lEEhy .lttm ulLr Fuliy or Fr,ory rhr t d .r.n9t rnm rtr (i'dr.l1rn' l-to< ljr (, rh. rullotry E !'n (Se.?oll.l
<br />BlliE( .ll PNf.s6. CdL): Ary C y or Ca y phrh r.qudr r Fld kr urdml, rlld, in{hN. .lBnni or tF, dy
<br />dtucruc. Frtr b r l$um.. rr\o Fquftt rh. .p!h-r for iuh Fmr h nt . .Emt {.r.rnr rh, rr or rh. n |r6€i Flrqd
<br />nr rh. F,vino.s of rlE Conlruntri l.i.nELt ll, (Ch.F.r 9, Con@roS *irh Sdlxrn ?ub dl D'rnDn I oa rk aurir.r lrl
<br />Pn)lcr[nr C,xjc) or rh.r L 'rshc tr.r.npr rh6.rrom.nd rh. hrlr tor rh..lk,.d.r.mptr'n. Any ri'hlr'n.l SetM ,0] l.l I'y .ny
<br />:t'dNrntr(tr.FmrshFkllF.,I'Ldnrh,t(rrnFMlyorftnmrcrhuikhunJnrldollerlssm)
<br />l. r{ o*mr ol ih. FrFny. or ny.r{tloF! *nh *rtd s rrr! r'k..a{$qrrr. *'ll d' rlr * rn rlt {rrm 6 nr
<br />d.Bkri o. DlLEd for rh (Se.rO44, Busmls.*l PDI($hB Cd. Th. (ont&tn'sl.r.nr liw lIEr or.fiiy ro r.*rr.f
<br />lrr FIdy rh, |{rllrd fi{n6 th.Ffl, lrl}bdet rkt srl irmr.U or h.r.,l nr rhn'uAh hr or hct o*n .m!lo!..\.
<br />pn,vrtd rh.r .Nh qnwrir c d nobl rofi.r.J titr el lt hrk\E 0r lnNlB d flrntftrr 6 5l! *rh6 m F{
<br />ol$nlllLlr,n. rh. owr,8u.lLt *iI hrw rtr h!d.. orFlvlle rhd lEdrlIJn ln ln!! or qnrt x F,td, rd rrr l[rFR.r
<br />-1.
<br />r\ o*rr oI rlE FIrny. m cr(lunv.ly Lon.&rq *ah LcnkJ (draron !, !..(Ml rlr F'Fr (Sfr itxi, A!im*
<br />,d PNf.rsir clrh: TM Conrtutx'1 Lt.cnr. trv &rr h, {t'ly r0 e o*E ol lroFn, *h tlu,Hr or toltoE h.B)n.
<br />lnd *h) $ n Blorru(hIs,jsl\w h. GrrBrion, luMrl lodrd ftr rh. (r,ntrknf, s l,..nE lje)
<br />I m.r.d unLr SdtM .B APC tu,thnFrhh
<br />Drl. Ox .
<br />]loaf,ESs:rcufliata.I&N
<br />IIICIdSAIITI!
<br />I h.r.hy.llmr utu,c Enrlr y ol Erjury om olrh. ful[,wnry &rllJrrlns
<br />-l
<br />h.E .,n ull d!r.x . ctn i.rc ol clnw n' Sclt-ln$E rq s'rt6' omF.sd o., .r Ftrvrj.J ft,r by S{r $h r?fl, or rh.
<br />tlh, Cirk, n, E F.iim! or llE qft n, wn.h llE Fmn . lrwJ
<br />I h.r aftl r rll nrhr.m woit.n .omncn\{rNtr moanr.. !\ Eqrtrel hy s.ur Frn l?(ll ol rh. ! jhtr (i'r1., for rh. txrn'lM. .l
<br />rlE srk ld *hrh rhn Fmr N Flrdl My *d*rd' onlrndrr nrurar.d.r.rn F)lr, Nmtxr a..€ lolz (.rno.
<br />115f,+2("- z J,8c*",,, 1
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<br />r rh,r ,n r h. Fr,Drnre. ot rhc -orl In. whrh rhF F.mii r FnkJ,I (hlllfrn.m )v .ny !.('n in riy lfu6
<br />g' r n! th-B iul'Fr h rh. h.t6'L$nFnt{r,n Lws orcrllom!, .Ll |*E rhd n I \h,ull li(,m {hFd !r tlr
<br />vrlcr' d,tr{Endm n$ri.rrns ot Scr nn lrfl) ot rlE lrtrr Cqlc, I dull nrdh*i h $n0ly *rrh rh,< nnrvri,n...
<br />lVAXfilN(;r frilu( t, qu. sf,t n'FEIrnsdn. Llv.nt. 11 unL$t!l-:hr (hrll hj(r s dI'bF n,.rrlr@l rtElF.nl
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<br />r(n llrr6 0t rh.lrrtr (irL 'nr.r(a dn)
<br />L1 I
<br />IECIJIAIITA
<br />I F,tt'y rfinmlrkr lEmhy ol Fr]lry rh.r I u lE.si udcr Fsvri'n orClr.fld 9tonmtu'n8 *{h Scdu 7(I)o) ol Dmir I
<br />oa rlr Burftrr rBl PDf.\ranr CflL, .n n, lidx u h hiu roR .,rl .tler.
<br />B lo 12 z r4,)
<br />s(rNtlaulllLlN-LEdllac.Ac-E!(}
<br />I h.n'b, lll m ufll( Fnalty ol pcr,!r,v lhlt rh.r tr s .l,nnorrir Lhdo! ulcR y ttr rh. f nnmN. ol rh eork 1,, whth rtut Frmr s
<br />^\u.J is.r rG)7. Crv. (- )
<br />Irn,.i\ AdJ^(: _
<br />APPLIC NT DECLAR TTON
<br />t hartt lfm uftLr F..tt ol F J!lr, .F .r rlE nnbpu! ddLnr ur:
<br />lxn,lrnn PmreAlh.nur l*rrfad.n Fc&nl R.luLlr,N (Trlc{r. Pd6r
<br />R.quRt t lcrolld,r iiM
<br />I ccd'ly rh, lh. t &nl rsohrd. E!r.do8 nlE(B Ffr,vrl !E R rlt .shk n, rtut nnrFr
<br />l..n'r!rhr I hrv. EelrhA !pt'l'({ntr dri {rrc rhnrrh.rh)vc rnhtr sri , ^(omrr I rtrNn,.o dv} h ill(iryrftl (htr y
<br />,rilnrec\.ntl srrrc l'*! rLrriS rD hu'll]rn3 c.n{ru.tDn. d, h.r.rtrrh.',. '.tr..ctrrxrn(\ !n rIF ( dv rnJ (i'unrrn, ctrN trli rh.
<br />,h,r nrni[Nn Pi!,Fd! nx m
<br />\pplnnnr ur \xLDr Siantrrtr.r
<br />.rl4orau ft /)l "b)t"r
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />LiIe Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soff it Rouoh
<br />Ceilinqs 1T-Bar RouOh)
<br />Meter Release
<br />Rough +"K-l"l x-r
<br />Service Meter
<br />FINAL -24 Y"){.1il
<br />Notes, Remarks, Etc
<br />I tdl
<br />/LA
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