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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG. <br />Underground (/<t/n 5t\{d <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lile Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />U.nder Qlab / Floor */tulrc ?\g< <br />Bondind/ Groundino / UFER O k-, l\ hurueE <br />\ranef6rmers l'rtfl{ <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipmenl <br />Factory Wired Unil <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilinos (T-Bar Rouqh) <br />I 4d*"M,@ <br />Rot/g r/ <br />Service Meter /t <br />FINAL 7)n'v)r,lWtrh 1a/ifl <br />Notes, Remarks, Etc. <br />OWNER BUILDEN DEL('AT,ITION <br />I lr..lry.rrm u.i.r Fuhy {'r Firy rh.l I m d.,ri lEr llt conixr(m l-r.n- bw r rE nnbsint E rin lS.(7dt3r <br />Burinc$ lnd PhLsion c.d.) Any Ci'y or CoDnry ehlh r.quiRr u ,Eirni' b (onslru.l. all.r. nqrclq dcDlish or Erf,n uf <br />{erw. Fir ro ft irrllm, .l{ rquiH rlE 9t ..]n tu {h FEr b liL. l'sxd 111.6r ih.l h. or rlr i litncn IloM <br />ro rh. F)vri,ns otih. G'nttukr'! l-irn!.rl L.w rctrpro 9. c.nffim'n8 rnh Sccri,n 7O0o of Divtion I .rrh. B$inc* !.d <br />Ptuf.sirnr Co&ror rh.r rEo..lr kcr.r{'r rh.Efrondn rlE t.sn Io. rlE.ll.!.d.rn$hn AnyvioLri,.otSdb.7l)!I5ltym). <br />.tl''ltllllrurFmirshFdsrn.pnlt.fltoicivilFuhyolmrB,rtrhhfikhnndr.dLknlar(t5m) <br />_l-!r o*EorrtEFlFny. f,y owbF. $nh rl!!r.\ rh.t r,r. orI$slifl. *ill A, rlt *rt rn l't (ndm n d <br />inrc kn r o,rc(d rtr sL ( Sr 7(44. Busim$ rnd Pf,nc{rn,ni Cnd. ]L (i, rKttr\ Lirn* trr &Er nor rpFly 'o .n o*tt or <br />rh. F,Irny *lrlt &o, in+n'E rh.€4 nn*hod-r'hqrt htmell.! lExllorItld3ihn td o*..q'by6. <br />I,nvd.d rhrr {uch iqmffidr e d irdd.d d ofi6.d lff d. ll hoqds. tlE tt,ldtrB.r ItrFEml, n $U $irhin oE Fr <br />of. mplcli'n. llE ()srcr Builtr tiu IEE rlE txr&n ol F $'s rhc lr r {t dU d f.iU or inp.oE <br />'lE FIEnt ntr llE FrIr t r)f <br />_1. N osEr of rtE Fotdy, d.r.lutivcly co d'n8 rirh la..Gd.o .dn r. oNrnrr ilE F,r<r (St 7041. Aurits <br />.rn Pttrbqr Cod. TrE (i,nt-1rtr . l-ic.nsc llv &Et mr lmly lo d ornd of nn,Fry lho burldr or imrovct rhcrdrn. <br />.nd sho oninrrr f.r su.h F,FN *irh ! (irmmk(n li..n$d |)u6mr n, r h. (,'.rr&ktr \ Ldn< l,w ) <br />I rmcr.n,fl r'xlcr sc.rkrn <br />lvt [tKER(' coi! PrNsal I(JN <br />DI;CIJIAIIIII <br />I hrd,y rllnmrnd.r Fnalry rlJrrJurynrc ufth. follt'*n3 d(trhri(n$ <br />I hrw nd will ni.r.i. . Cdif..t. ol Con(nt b Sclt ln uE ,tr s,ts mfttfdir, $ Fsr .n ror hy Scrnn .17oO o, lh. <br />bti CuL. ror rhr p.raormn.c ol <br />'h. <br />qo& lor which tlE Fmir h h!u.n <br />I hrvc .trl will numrdn *od.rr' con[Ensllhn insur.ncc. rt rcqutd hy Sci ion .]7(D of rh. tih.r Codc. for rh. Fal{r@ftr o, <br />rlr wurt fin whkh rhis Fcm ,. no.d My *orl$ co,qEnsrir inrurre laiE !d Fray nuniEr N <br />,,^"", Ac-a- <br />^,.,n",**_CC-Ll6a7i4 dr /tz- <br />_l (siryrhi in rlE Ffttr.EN of rlE ro* lr uhrh <br />'hi. Ftun n i.e.n.I drll ft c'rnt'y rn, pERrn in.nyrum, <br />s sri' irc,m {hj.cr ro rh. wnt$ Nn{ffsri'n l0*! .r Culiar,6id, rJd lXEc rhll ifl d,uld lEcom ohj.ir h rlE <br />srt6 mnlE.qti,n Frvibnr of S.nion tTlL oa rlt l,rq ( od.- I rlEll. rdhenh mitly Pnh lhE ltovni,B <br />. il limi rp r. om hudBd rlx,u{nd dolhB ($lfi,.lxlr. in dddiInitr ri rlx (Ni I lonu(n\rrtrnr. ditrlxds tr\ nrrkhrl lnr r,r <br />I $. lltu Cli.. in'.,.sr .nd .rlorEy s le!-/l4a <br />I hcrh, arrd nnd( IcBliyofFruryrh{ I er li..trcrl u.d.r F)vni,nofCh.fls 9l.omrri.8 rnh sdhn 7ux)r ol Diri\ion l <br />of lhc BurE3r un Pmhr.i'nr CnL. ul my lt.o* n in tull roN rd cfrd <br />I h.Ehy {,Iirfl und.r FruhrorFcrjury lhll rhcrc n ! con{rMri,tr L.dhr rg. r Lr rlr lErf('l1rmc of rlE!.rk f.r *hihrhh IEna a <br />h\u.nrs.r xp7.{,\ c I <br />AII'.ISANI.ECIIf,AIIA <br />I hfthyrlrtrmu icr Ftrrlly ofpcrjuryorc orlh. f{'lh,witr3 d.chdi6nr: <br />tlmliii,n Ermni Ait ior Mtifrxon tunl R.8uhrbnt (fnb 40. trln6r <br />_R.qxd L.tr.r .l ridifElir <br />_l ucnify rhll rlr r'.d.i.l rcsu h r irnr ra[di.! r'r. o\ r.fr,vllm mr.mlaohL lo rhh rmFtl <br />onliMR(rlnd Sr.rc ljr\ rcbrtrE rot iHint oNMriic.d h.r.6yrdhtrtr rcF.edrr6 ollhn City.rn counrylo c c uIDnrli <br />,hrc nrornftn nmF ) lhl 'n\Fir <br />,tpplic.nl or AEdl SiEEtuF A/*Z- <br />4-/3'r? <br />COMMENTS <br />Site-Work <br />Meler Release , .e / <br />'J.trC <br />,.,,",,"r,,,, * czT rtr.i*rjutrnr /?fi,r?," e-fi-ic ..^,*'". fl//-"-- <br />tt