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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O1VNER EUILI'ER DE1IARANON
<br />I lE<ty Im un& Fdry or Fjury thr I i dnl$l tni rh. Coffi6 tkdE ls'frtr llE tollo$ig l6]n (Sd?011.t
<br />BBin6 .d Prof6.Dn co&) Aly cny or Colny *hEh F+riE ! Fnr ro mldrud. .nd. in91orq (bmli.h or t9.ir .y
<br />nru.i@ rir ro itr i.Isc. .bn Gqri6 tlE +dtd tu st Fni lo 6L. rBi.d nr.nEr $, b. or CE i ltla.d F,r!i
<br />lo rhc ForilioB of rr Conr-loat L{6.d tr* (Ctu9l6 9, CoMirr f,th Sali,n 7O0n of Divilion t oa$. tluilE rd
<br />Prc&sioB Co&) d th{ lE or !h. b udpl nEcnom ud llE b.rb fo, lh. llLg.d B@Fio. An, vioLrion ol Sdion 70! I .5 by uy
<br />.pplic l for ! pctrir .ubjd! lhc lpplicsr ro . ovil p@lry of nor moE lhu tivc h!n&d dollur (1500).
<br />L s omd ofrh. FoFrr. tr ny 6rplor6 with w{6 u th.n rb cohrdBlrhn. trill d. llE *dt !d lh. nrxl@ i! mt
<br />itndrd.d otoft6.d for vL (Sa 7044. BNi,@ dd PrcfdrhE Cod.: Tn Co doi! lj.d L.w do.i rDl +DIy lo a 0*6 of
<br />rtEFFr! wL t!it& .. mFo6 dsEtr rd *ho dE rdr *st fiUElr or ,s*lf or lt6usl hn d hd o$t mph]6.
<br />ForiLd rhn Ech inlF.lEni Ed ardiLd nolH kr -k lt lh*qs, E hitltrB ( in{rcErd ii$lil{ihin@ E
<br />olcnrpldia rE (nE &iLls *ill h6r UE hrrri 6f Fo\il* dri tE q 3h. dil d tlild d rqo\ c ln. FlFry &. lrt F,F.c ol
<br />l. B ouF otrh. Fopdy. m dclBiv.ly .odh<r ins *ih hcaa.n .o.rdof to tutrrltucl llE pmj.rl (S< ?o{4, adllB
<br />ond Pro&sin Cod.: 'l h. ( o.trrloir Lic6s. l-.* d.6 ..t 4'ply lo an o*nd 6apror'.ny *ho blikL or inPro!6 rh66r.
<br />aod rho conrr6d! fo. ch pro.tccrs sirh. ( odndo(r) li.aa.d pcM ro rnc (.. rlclor! Licd* Llu )
<br />lun.r.mp( u d- S(nor
<br />D.t. Oitrd
<br />\a oral(rns, atirPiNi{TroN
<br />lfdlJf,Alla!
<br />I lEcti_t, lmm unrkr Fslt\ or psru) or of rh. lollol mt d.c!En$c:
<br />I hln Erd *ill mi.r.o r ('qrifr.lc orcolgr r. s.ltndua lo *orld'omFdhn. s FlliLd lor by S<lion ll )ofrhc
<br />Lbor Code for rlE FfotrMa ollfic wo* ls u'hrn lh. F,un a Bu.d
<br />tfha'c oa *Irmrlnrrln *ortd codp.Barion iNuEnc.. er ,.!ut d bysdion t?oo or rhc ktD, cod., ro, rh. pdromMc. or
<br />th. rort for q,hich rhn p6nit i. iq4d My wo*a .omFsrion irourwc 6i6 ed Fli.y nuobd e:
<br />tt lr lzo>o
<br />I Gslit thd in lt rErfo.M. of lh. tr6rl fq *hrh lhlr Fn'r i. iq.n. I rh.ll mr dnphy.ny F$. r &} MF
<br />ar a r b<o@ 3!tt<t h tlE *r,ld onFMhn !.s! of( .lilom4 dd .sre lt t ir I thuld b..oN $brer ro fi.
<br />wrld coiposlri.n FlvsioN oasdio. 1700 of th. l,b. ( odc l dElL fonntr ilh com9lt *'rh lhos PEvilioE
<br />WARNING: raibrc k' suc \rcrk6 conFMn'n cov6aB. i unhsnn. ond shrll brcl M oploF Io onrinal FMhi6 dd
<br />crrl lir6 up kr oc hundrdl rhorsd rLllr! (ll0o,rxnt, in addnion ro rh. rcn ofc.mn Ntio.- de!!s6 a Folid.d Lr rh.
<br />S{rFn 1076orrh! l,hr( o{k. ihrdd.nd droE:i fG
<br />,,.,,, ll allurLo .,,,,.";!flfl!ffi ?fer'fu
<br />!!(IJSAIIO!
<br />I hotby .Ifm u.dd Frry of Fj!ry tbi I n li€!.d lndc p.orili,n ot Ctullrd I {con,fthe *nh S€rbn ?0o0) of Dn Li.. l
<br />of lhc Bci6.!d Pofdiod Co<lc .d 6, ltce i in flll aore id.lT.tl.
<br />rLr.nn.i\( CIO
<br />*- tlql?o7-o
<br />4.?.i?.sr/VlVtn+ SotaP
<br />callral(IloxLBDEctcEdq
<br />I hqlb.v .lIm unda Fuly of Fjuy thi rhr. i r olunario. lddirE .8tr] to. llE FfolM. orlh err ttr {,||.h rhb Foi it
<br />is{.d (S<. 109?, Ci$ ( )
<br />Invlo'r Nm.
<br />AIIIIAITDfJ:Id8AI,IO!
<br />I ha6/ nlm undd pdrhy ol Filry oE of $. lolbs ins rt .ls!lDn!:
<br />r,.mhi<\n Pmn$A.t'd rldiakan F..l6rl i.guldioB (Ink.o, Pd6)
<br />R.qu,.d t rqof t*rifdm
<br />I.dif\ rhI th. inl.il , cglhtons '.1alnr! rtr6r\rdn.\ild'c ior n 'lr.rl,lct, rl'6I'n,[tr
<br />g{*r',,u,n,*.,..,,,t'Jr,rn(irFnflklnrrcth.trrr'. 1i)\( 'nn!n,aru, '\.otr.\r ln!!Nk,(.,nrl!{irnill(ifitd(.!nr\.*-. ::;_:_P##- *#,_ ., tta tww
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER ,lbl"/ n ahi^-41LJ ?a)
<br />Transformers I U J
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Ivleter Release
<br />Rouqh
<br />Service lvleter
<br />?lH?e 1 nap*a 'tD)
<br />Notes, Remarks, Etc I ut
<br />,,.,., hvYltl I cltn ztv\ch
<br />,,.".r,,- \ryLS\)4Vot3
<br />FINAL
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