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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNrI BUILDEX DET,CARATIOII
<br />I lrFb, 'rtu unkr lrn{y (n Frjury rh.l I d.rc,q lttd rrr Con-lin'trn* L.} n rlr folbf,!+ r?Lrn (S.t.loll.s
<br />Bunk.i .d ft r.$u CtL): A.y C y o, cddy *hah r.q!E. . Fmlr h Lnntul. rlrd. 'mJf,ok. &mllih or trF{ uy
<br />(ru.ruE- Frn lo rt N$.m.. ak, cquftl rh. {tl.d for :sh IEm r' nt . s+md srd.mnr lh,l h o, nr n ldn{al !unr?,
<br />rr lh. Jhrvsil)nr of lh. Conrr&tx\ l-ic.n<J lre lchrfl.r 9. C.mm.ftin8 wirh SK.'ri',n 7(XX, .l OtvisDn I ol rh. Burid* lnd
<br />Pnn*si,hr C\rc) nr lh.r,t o. ih. r.r.nnt lhd.rn, !d rh. h$s ritr rl'. llkrdt (r.t{rio. A.yviobrionorseii,n70:rI5by.ny
<br />,n n.ut rar r ltm $hFlr lh. .pdi..ni lo . .rvn r'.Er y or fl,r fr'F
<br />'h,n
<br />t!v. hu lEd JollI (550,)
<br />l. .( osrcr.r rlr lrrcnr. q my.ntlkrF\ rnh *.86 s rtrs vi. rorytns-n. qrrl &, rh. ed rn llt rdr( tr ni
<br />uroi.ri u on.EJ n, q]. ( Sd 7o{4. AurEs .nJ Pn,LsrFrr Cd. I lr crflfr1oir Ltsc llw rtB Bi {rry r. a o*N .l
<br />rhc FIMy wh) l[ lrd qt)6 OE$[ !,rl *h, &s uh $rt hml.ll or lERlf or rhn,ulh hr d h.r os.q'Ltt.!,
<br />Iln,vrLd rhrr skh !r{n,(nr.lr N mr nrc't r! d olls.al for g]. Il, h'EEr. rh. burlq or drn,wftd ir $E srho ox FT
<br />ol ror{kr$n, rhc Osn.. Buu.r w l haE trr hni.n ol pmbs rh:r lI or rh. dn nol tui! or sFrk rtr F{6y ,ar lhc I'{rF { ol
<br />-1,
<br />ar owE or llE F,Fny. d.rchrstly sdr-r6! w(h l(n!.J ..d*r(F ro @nner rlr ftu d 1S... 7OL, Bucri
<br />.,n h)t3!n Cfti.: TL Co.baroar LE.rc L.s &B mr tpply h & o*mt or FlFry snl ho rot hPFEr rh.rct(
<br />rnd rl$ sdErt rq ch Fria{t wrh . Cdr&rlr) liInrJ F,RU., ro rh. C i 'i l-,s- L.w,
<br />I rmcrcn.r untd sdrr'n B &P.( r,nrntrr!",n
<br />.EIEtrEES:CAIITIdSAIION
<br />DECIAEAIIA!
<br />I lERby fmu ., FDlryolprijoryoeor!h.h,llrrD3&.l{{hn.
<br />-l
<br />hlr fn wrll mmt.! r C.nfr1. of Conenr k' St,t l.!uE ,r srtn ...pcrlsrm. ts F vrl6l for h, S<rrn !7u, ol rlE
<br />Iltff Co.L. for llr Frl,'|]rte! ol trE hrt litr xtun th. Ftur 3 NU.J
<br />I nrvc anJ w,ll nEnrr
<br />'n
<br />wurkcrr eonrrnsrr !r nuurrn .. rr r.qutrc{l hy S(l()n 17m ol rlt l,xh.r Q)J., i,tr rlk Frldrrotuc I
<br />:,":.,'. Fr;i6i;ilt-+-Uffi
<br />o*-*"^*, . REW,S)I1Iq
<br />tr' .,r,rd ull\nk t rtrn'lt, r.
<br />7l-30 li
<br />I (.nrly lh.l m llf, !.rlsrrum. olrh. *nik I't uhrh rhtr Frnrrr tr^iu.J.I\hrllR.r'I}lly.nyI'cr$ntn!n'm,nRr
<br />y' r\ n, h.om bFrr,rhc w.d(cs'L.n{Enlrri'n law\ 01Crl,liff'n. rtr(llrNc rhllrl I shn'll h...m rlhFcr k'rh.
<br />*.rkd\'.ohp.n\xr0nlln'vs!'nrofSeli,n Tlrlol rh. tf,tlrC,r]c.I5hrll. i)nhwilh(r'mll! *rihrh,{ l)nrvsi(,n\
<br />WARNTNG: t.rtuE n' s@ ,sk R' .on{mqr.n ..vn8c ! u.Lslul. !r1 .h.rl iuhFr rn dqrl'F lo (mEl ItfllF.,r.l
<br />rtrrl atrr un t. oE humlnJ rk'urdl &nLF rlltll.fil)). h rlJr$n n' rlr o{ of cdqEnsllr. !.NItr ar !n,vd.tl tor tlE
<br />Sei ir .!076 ol rlr l,h, Qrr., orer rhl rtrumy-l lel
<br />DECIdSAI TB
<br />I h.Eby ,ffm unLr Fnrtty of Frjury lhnl I .trr lNnel unlcr In)!trxr ol Ch.I't6 9(.ommBo8 r h Sdrbn 7Ux)) II),r r,n.l
<br />.l rh. Busms.n! Ihn.r(!n( CdL..rn my lr.trE ! tr tuI nr^rlrl.rl(r
<br />,.**.ar*, J3 b
<br />"^. .lD;A-11
<br />calslf,!](JlaNlEdDlNlilglll:t
<br />I kEny dttm ur,Lr Fnrty .l Frt ry rh.r rh.r. B r odNnn Ed6S .Sdy tu rlr Ffi,@tu. ol llE rut litr *hrh rhir Frn n
<br />trsuJ rsd iD7 C'v C )
<br />APPI ICANTDECL TAflON
<br />I h..try .nm uLkr Fnrh y oi Frlury ox or rh. nnl'*i,! .l(1lllrr rnr
<br />o.drl.r,n P.mns^tlE{oi t*rfurbn Foknl L.3uL'aw (T'rk ro, Pm6)
<br />-Rcquirql
<br />l-.I.r ol l*rlri.r$
<br />r#fldffi;*ffiil**r8E t6 .!tr{'ly *ni !! C{ y ,Il Counl,
<br />ri6 ol rllr Clr.rd Counryro.nrd uFtr lh.
<br />!h,vc mnrrff-l lln{Eny t,r h
<br />Appli.rt o. *al $arl!E:.x ,",,Jo#-1q
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Sollit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rouoh
<br />Service ltileter
<br />FINAL //-b-t9 fu-14/Dz
<br />Notes, Remarks, Etc
<br />+
<br />DATE
<br />,,"," ./o-)>-lq
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