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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNET AUILDER DEI,CARAT'ION
<br />I lEGb, .llt6 uftlq IEBlry (f Fru,, rh.r I m .!.q{ rNm rh. C r-r,n l-i.trr ll* ror rtr folh*ing nsn rS.( 70:ll5
<br />Burkss dil Pn,t srrin Cdc): Any C y or C,rdy whrh Equu.s . Iml,t ro (nsrurr. alro. 4!rov.. &mllrh or rF" ry
<br />(urN- Fr h) r r(lm...le Equrr rL qrilrrr ln ui Fdir tu lil. r s'!rJ {rmr lh, tE or.lE ir h.^€J pwqrr
<br />b rh. F$onr ot lh. Conr&tsi Lrcnsd 12* ((turrd 9. ConmNins *nh Sernr Il,J oa Drvtrnrn ,t or rlr Bu ms.d
<br />Pmf.(N.r CoL) ii th.r lE r {E ! .r.nt* rtsd.tm rn rh( h.r! ftn rtr alkg.rl .t qrx'n. an, vi,lrrin .l Scrih 70 r I 5 ty My
<br />lprrlrrnr l,r.Itm uhFk rh. ,ml(anr r, i ( rv 'l
<br />p.Mlr y ol ndr frlR rhrn tlvc hundEd dollar l$J{I),
<br />l. rs owrcroi rh. F Fny. r my.mployat *nh *.Eer r! rh.tr q'k r.nlxnqrHln, wdl &' rrr wd*.,rt rh. sBlE tr
<br />urati sr.ll.Gl lq q]. r5( 7OL, BurB! rnd Pn,r.irns GrLi Ttr Conlr&lr'i Lr.E Lrr dx. n {Tl, n' n**r (l
<br />rh. F{Eny *h! bulli!.r l,In,rs rh.B)n. rni *tr, JtE t q)* hm(lf or h.M ll.r rhn'u3h h! {r ls own.tr{,krrftr,
<br />FovrkJrh{ .**fi otnrwdr e Dx mr.r*J or.flFl t,reL llh'kEr.rllct! s!.* dlnrtmd ir.'U* to,rFr
<br />ol lrnq'LrrE rlE (rvM Butti., wttl hrk rt* hhld ol Futrna rrd lr d \t Jn nn hrl r qmE dE ImtEry nr llr FIFE ol
<br />l. r\ , 'wkr ol rh. |,.pcdy. rn crrluqv.ly .dnrr&xn3 *! h lEnEJ .otrkr(d (, eo nrurr rh. lt)i( r (Se. ?0{4, 8u.ms
<br />.d h)L:qr C,rr. l'n Conkrntr'\ l-kcn{ Irr J(d n .r?ly !) d "$m ol [roFny *hr hurldr r m['n)rt\ lhfrrn,
<br />inl wh).onrh.tsn{rkhF)j(cwrrh.Ci'n[en'nnl.cnEnpu^unrr'rh.Conkr$r'4l-Hn{l2w)
<br />I trDrr\.It, utr.,.r SrrrDi
<br />TqAf,ESll!,ETIlISAIlqNlEgaSalta!
<br />I lErchy .1, trn un j.r Fulry ol ll.tury o'E olrtr nnh*bi J..hr.i$N
<br />I hlE {n * rll d! s r (irlir.r. ol Consnl l. S.lllnuE ntr *nt6' !anllx^di,., .s F)vrlal lt bySelDn.}7(r)olllE
<br />Lti, (i!L. fs th. p.rfol]iw. of llE s)rl for *hrh ltE p.ml . rs.n
<br />I h.vc ao.i wrll nEmrrln *orkcF (omp.nsr[n mrurl(.. r\ rquftJ hy S( I kn r7(Il ol r]F lrh.r (ixlc. id ltE Fn'rl4-c or
<br />itE u.rk fitr*h.hrh! p.mir s trsu{ My work.B' rotr{xn\.ri{)n 'n\!rk-. rdr. lrl ltnry nuotE e:
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<br />v, I n,lir.r ruhFr t, rh. Nxldi otrlrnqrir L*rol ('rl'rom!..h1.3N rhi n I d,ull lri.nr rhFr ro rlE
<br />wor*.F Lo r!f,n\rrh,n In,vrtrrnsor sccrtr lTtxlofrh. LrhtrGxlc.l rtull, ,,nl hw( h omnlt wihrhK pn,vnR,nr.
<br />WAiNINC: F2rlur. 1,, rrE *,trk r'.on{rnrdrlrn.{v..arc
<br />cr nN un l..E hu,rlFl rhru{,rl d1,ll$ (tl0,rx[,. b
<br />rh2ll iuhFt { cmft'}rr 1,, aimMl Ftut.l .nl
<br />xr trl .onFnqtDn, d,m3.t .t nr.vn., ntr rlE
<br />\!\rnr, \ 1,,rrrh( LJh4 (,!l!.. nrls{,trll
<br />,,^,. /ol t l4t'l
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<br />_-, {
<br />DECT,AIArlON
<br />I tf,rl!, rll ro nnLr Fnrlry ol F,lr, Gi I m lEncl rnrLr tnrvr.ir. ol Ch.Fs 9 tolM-_.hS *!i S<r!r 7(x), ol Drvlri,. ]
<br />ol rhc Burfts ulxi Pn{cs!n! Cod., ,rl m, licn( t in tuI n,N ,Jrl .trdr.
<br />/U
<br />SQEETBUqIlq!.l.ldDBG.f,CEll.a
<br />I hcRty lil ns undcr Fn.I, ol Frjlr, rhrr rhcr i! ! q'nrrerion L..lh! r8.tuy ro, lhc Fnnlrre! of lh. v.rk for *hth rhlr Fmn !
<br />8.eJ (S& l{}r7, Crv C.)
<br />APPI ICANT DE(]L ITATI(IN
<br />I hddiy r,Im unLr Fn.hy ol Frur, oE o, rlE lolhwbg &.LnriN:
<br />D.mrl!.n P.rmr+Arhcso! NdfEtto. E&rrl Rcluhnnt (Tik 40. Prn6)
<br />_Rcqu!.d kr.r ol Nol,lillion
<br />I (cnrly rhnl rh! lsl.rrlrtuhtlrns Rgd'n! $h.{os r.nk'vrlrrc Nr !t'fl'(rhlc t' rlrF pfuFr
<br />_I !.n'ly il r I hrv. r.rJ rhtr !pIl'(rr
<br />or,lu r.t rnl srtk Lf,\rurtrr8 tu hur
<br />rlr'vc trrnrkr(.n nnip.ny ntr nslkrk!tr
<br />)vc ddrnulr,n r(on(r l !gr( r)$htly wirh rll C yrnd (i'uhry
<br />h.n't', $rhru. ,.tr.(.rrrn.s (n rnr Ciy 8l Counry t' cnrd uFrrtr
<br />ApDli.dnr or Arcnl SiEnnrun vLt L ta
<br />/ro
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundino / UFER
<br />Translormers
<br />Torqueing
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service lvleter
<br />FINAL tolgoltl PAtat -Py1
<br />Notes, Remarks, Etc tr
<br />ID/SIG.
<br />Pole Bases
<br />Sub-Panels
<br />Drt :-
<br />l.nJ..r Addrcsr _
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