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ELECTRICAL-INSPECTOR RECORD
<br />APPBOVALS ID/SIG.COMMENTS OWNIiR BTIIT-DFI DEL('A RATI(}N
<br />I hr.r,y rrrrn nnd.r Frdrt r'f Frry llEl I m .r.rpr ,ion rlE C.ffim l-icnc L.* for rlF f{,llo$in! rctn (C.. ro.ll :!
<br />Bunn.$ sr, I'rolishn C.&r Aiy Cn, oi Co$ty *han r.riui6 . Fnr lo on(M. rxfr, ant'.E, d.m[rn o qu y
<br />srNduE, Fh, ro irs issuN, !l$ Eitli6 rh.,pplflnr r,n such Fmit lo fiL ! ii!ftd i!!.mnl lh.l h. or rL ir lie.r.d IrBr
<br />t, rh. Frvknrns ofrr Conlr(lor'r Lic..cd Llw (Chlprcr 9. Conh.minS wiln S..rion 7000 ot Divi.i.n :l ofrh. Bu\incs rtul
<br />Pn,f.$nnt Codcror rhd h. o h. ir.r.npl lh.r.frcftdnd !h. h.rn for lh. !lk! cr.nprirn. Any vhlai,nofsarbq701I5,'y.ny
<br />q'pli.!.r Ln ! |l.ml ruhj.it rlE rprlic.nl lo . civil Frlry of rn d,E rhr. fiv. hundr.d doll&s (!JoO)
<br />-1,
<br />I owEr oa rlE FDFny. r m, c,llobF! with *r!ri ! rrE sL on{soi,n. *ill &r rrE *qL !d E rNE i 'blid.id.d c ofi.Erl fd slc I Se 7(}{., Buri6 !d Profsnm Col.: TIE Corrrd( r tj(IN ll* &E! ri +rl, b u ow or
<br />rlt FrHy *L, ttrilb r illIn6 rrFqn rn *hl.lFst sli hirelror lrclr.r imullll tir q lE o*. crphy.6.
<br />t ovkcdrrr.rtun ir{rcl$dr c d nEd.d troffs.d tr -t lt lnEE rlE tlirint. or inpmEm.r i -U wrhin m rE
<br />or orFLrion, rlE Owmr BuitL, *ill lnE O. hlrt r or !n'vnr8 d.l lE or slE dij tr{ lrild or inproE th. IxrtEly for dE FrFc oI
<br />-1..io*rrorrlE
<br />rrp4ny, .f,.r.luriEl, co rllins rith li.mEn.omar@ ro tun{Ml tlE [mFCl tS< 7Or4. acm*s
<br />lrl hftsin Cd.r TIE Conhtor. l.t ns L.* &s n, +pl! ro r ow*r ol tn Fny rho builds or inPmEr lhd@r.
<br />.nd Elm onrEir fo ch F.Flr *nh r c.ffidlr) lrd<d Fl'uI ro lL (-ofldd r Limt t s)
<br />I M.efrpl ufllcr S(li'n
<br />Itll8f,[rN:sglrgNlauo!
<br />DIiILAAAIIIN
<br />I h.rct'y rltum u,rkl Fmlry ofFrrury om of rh. n,lk,r'n[ &lhhrbnr
<br />-l
<br />h.E .rn will Eid.n. C.nifr.t. otcoen ro S.laln@ rc wt6 oq.nr{bn. a FoviLd lor b, Sdbn l7O of ItE
<br />L.tr Cod.. td rlE Ffm of rlE *xt fw rtth lL Fml ir n{r.d.
<br />I h,v. .kl *ill minrain vorkc'a .onqxn$ri,n rnsuruN., !r rcquiEi hy Se.-ri,n .17(f,i of
<br />'hc
<br />ljktr (iilc, fitr rh. Frrolfrfl. ol
<br />rhc wo n, rhiin rhhpcrnrir is i!{u.n MywortcB Mn{xnrurion insuiamccarirud Pli.y numh.r re
<br />-l
<br />Nrtiry lhrr ,n rlE trft,mR ol llE worl fn whih lnr tr mr k a!!.d. I ih.ll mt cq)lry.n, F$n in rny dnF
<br />I N k' l.uom flbrc<r ro rrE w)rt(r sn{Hralion L*\ or (-!liromia, . l i!ft thd ia I rnooB rrrom .!hF1 h
<br />'lEr, l.,i (on'tk srri{rl,rx)v^tr,tr\"l S.err).llTlx).1rhc l;,htr (i t.lslull h.rn,tly xrrh rh,r Imr^rtrN
<br />I+ARNINC FriluE lo sur. *Drk h'coqEn{rirn $hru!. t lnh*tuI
<br />.ivrl n..( up r. oN hundEn lh)oqri dollu! (llm.fiXr. in ddni'n l.
<br />Seii'n 11176 oI E lrho. Cod.. ur.E< rlld fodty r fs
<br />-..r an oll)I'y.. !) lrnninrl Ftuhi\ md
<br />Rrion. d.m3.r rr t'.ovil.d for rh.
<br />'larhb K
<br />Ilf,,rhy!lltuund.rI(trrhynltrrltrryrhirI6mlnnwlun(1..I,ovi\i,)nDlchnt)!$I(.unrEn.inBwirhsNri,n7(xxl)olDiri\i,DJ
<br />of rh. Itlnmr{ and Pmicsi{'nr C,x}. dri ny lr.n( t ir lull lne di cl',Nr
<br />r'ttl+ir c rm'|or
<br />crrNf[8l&I0&LBDlNliilillgr
<br />I luEl'y dtum undcr Froliy or F.]try rhri llLi. n. onnrucrbn Ldi.8 4.tuy t,. tlE Frform.f rh. u nn shkh lhn lEmil ir
<br />nr$d (se lur7.civ c)
<br />kd(i! tlJr
<br />-
<br />I.rktr'\ /\n,lrc$
<br />APILI TNLIECIJIAIIO!
<br />I hfr.hy eninn undd p.n!hy Dftr,jury.nc o(Ih. nn[,*in8 d.clnrli'ns:
<br />D.mlirion I'.rmi8-Asb.slos Norifi(dhn F.d.6l R.luLr k,nr l-l'irk 40. P.n6,
<br />_R.q!n d L.ncr ol fhrfrrirn
<br />I ccndyrhrr rh. rd.ralFSlht.,nr eSudin8 {f,(o!aDnrlm mr +duhk ro
<br />'hn rmFr
<br />l.cnrfy rlN I hav. rc rhir lnnl.8riirnmld rilk,rhn. "rrori itfl ^.dn ;sN r. on ly w{h.llCilylnd Cornry
<br />o',lnxn..\ rRlSrnrc l- s\ rl rtrt n' hur n,!.o ivc\ ofrhn Ciry rnd (, dyn,cnrc.utx,n(lI
<br />.'hr( nrtrri. 'r'1tm.nrny 1,tr Ln\trarB{' t,u'FAc\.
<br />nrrr*, * a*-, t n-.* F
<br />P.mr(dftrprinr): - f in.i(?ue"s,*
<br />,lr,l,,
<br />Site-Work
<br />Underground 's/zt /n -k tun 4"1
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Build ing
<br />Under Slab / Floor
<br />Bonding / Grounding / UFEB
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)3/rt tf ^kq:
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />Ivleter Release
<br />Rouoh
<br />Service Meter I I li
<br />FINAL t hr"ltl .rtW,1
<br />Notes, Remarks, Etc./ l' 'l /'7- V-
<br />DATE
<br />f:roiEl:
<br />-
<br />u(l:Nrll(ai.t&l!1a.8
<br />DI(LLts,{IIQN
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