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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUILT}fT DI:LC R .TK)N
<br />I lrEt? rffm ldLi F..ty of Ft,ry lhd I i.r.mpr imm rE Colhtw Lirtrc br fo, tlt (!lk'*i8 E r, tsft.loll 5
<br />Briirc$ r,xl Prof.sb. Cud.): tuy Cny o, C' , *hit Equm! ' Fd ro od&r, .hd. imrituE. *mlirh i, RFi hy
<br />{ddE, t in to ir\ nlumr, al$ rquiEs ill sDtli.dr fttr rrch Fmii b nh r iiSndt \rd.r.i rhlr lE or rlE it lic.nEi pu$d
<br />N rlE Frirur of rrr Conrdq r L.i!B.i tl* lchr+.' 9, Colftrna *nh sdhi 7ull of Drvnirr I of rh. Burcs..d
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<br />rppltd nn i p.mi hlai! lI. rlplr. {orcivilFMtyorn mr.rhd fiv. tu,rlrql Jdhnl$fi|)
<br />L n .eEr of rlE rn{Eny. or my.illlloF.i llh uq.r :r rlEr iL G,mn nd$tr, w',1l]l) tJE wo ",rlrlE {dE ir d*
<br />ddrl.rl ,r orIcr.rl fr sL (Se.?(x., Bunrsr &d Piof.i.bn\ C(rL Tll Gdrd( . L&.. L:v (rx d Tply to u o*E of
<br />l,r FlFny vlD t!*& q .tFB tltGa r.n *rs rIF srh *m tire{ or li&lf or rhflluti hG d lH om .npbr!.r,
<br />provildl rhlr suh ,rll'nrmtu e rn d.nlnl i{,'iEEd tur {l Il lrrM, & tlildirB.r rnFEEd B nU sinii @ )a
<br />DI cDiDLri'n rrE Oem, BuiU6 will tuF rh. b{nl.n ol In viry rhd ll.r s& dil d l U or !r{'n,E UE pmp.ny,ortt llurlr)sol
<br />-L
<br />tso*E.titE F4dy, m.rclurN.lyo rdlla wih l,c.r€, Marmb @Nd ttr FoF (Sd.7(} l,aGB
<br />nn E\rin,n co&: T& co trrol r Lic.n!. Ur drs mr rpply ro u oen . of proFr, vlb hlildi or inlPmE. rh.r.oG
<br />idl *b odEs tu luch pojd. snh a Codr-t'(, lt.nr.d Flhd btll coddorr Li..rs t ql.
<br />-l
<br />m .r.mF ud.r Salr
<br />lhi.r Orftr
<br />wox(rr{s, L'oMpl:,ls^TroN
<br />lEgJAAlIq!
<br />I hdr6y rrn unLr F.rXy 6f 06iury or of (h. tultrsfl ddhdaB:
<br />I hrv. url will m'nrM ' C.nifur. Dl Conenr r, S.lf lnsr. tu krl.h lrnnF.sdirn, !5 rmvid.J n, hy Scdi,,n .l?tn o, th.
<br />trM Gn., fu rlE IEri'trllla of lh. k)i. Ln *'hrl' r Fn, u triu.d
<br />_l h.E.'d srll tuntr rork.R o.q,.db. a{lt.. !r Ertur.d br 5<r..17@ of ri. L*i, C r.. for dE Fritu of
<br />ilr wl ft, whth rhn IEm ir irerd My *dt6 $nD..di6 mruft. 6Er .tn F lry Nmb.r e
<br />a)A$f,'TDN l6DPAtiaz;
<br />3^E ?v
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<br />rniry rh.i in rlE p.irorflr. ufrh. eDrl td shf,h ihis r.nnn t !su.d,l.h.ll n.t.mpl'y uy p..q,. in rny meei
<br />o $ t, b.d'd {br.r b d. En6 !r'np.tr<D. L*r of C.lituq nrd.aR tr if I rltuld h.com uhF ro rlE
<br />Nltd{ .\np.Nrrm Frabn. of sdri l7m dri. bhr cdL, I rhrl nnn}.h onply ein oEr noyilirr
<br />WARNIN(; r':'ilurc n, (.ur. s.rl$\ t mp.i!trk,n ..v.ra8. n unl wful. J \h'll \uhl..r in .npl()r.r n) (rrnnrl F ks .ird
<br />.!ril lin.t up o DF tunl..d rlr)u{d doll{s lllll),fix)), in ldJiirn b c.rF rdion, .m3.s 6 pr vn.d tor $.
<br />o"",1 4-ol4-^oou*,,
<br />DESIAAIIOT
<br />I h.r.by .lrm ud.r FBly of Frruy 0, I u liarod urd6 F,vEbd o, OEin 9 (offii.! v(h S..ii.r 7(m) ol Dtvirb! l
<br />ot (n. Bu.ims.rd PDf*iB Cod.. d, mr lEa* n n tull i,N rn.dai
<br />ADB W"5
<br />16 ?1
<br />follsral]cuo!.lj![lBc-actlcr
<br />I l,.Eh) rlftrm u'i.r Frr, of F pt dr Et r r fl !tuirn lddnS +dy l rlr F tffi ol rlr wnl for *nrn dE p.tu .
<br />niual (sd. .1(r7, civ c )
<br />aEucAll.}tctdlArra!
<br />I h6tttrf'mudl.r FnrlryotFrrrr,om of tt ftnhwin8 dELrihnr:
<br />D.ml.in Emir^ft.co! Nd'rrrior tur.l R.rlhur (Tik.r0, Pd6)
<br />Rrquir.d ht.r of NdifErbn
<br />-l
<br />cd y thr dE f.d.rd r.3{hhnt E3*lint :{*i.! lm,hl e tu I'l ..6L ro ihn F,Fd
<br />K;;:r rly lhd , h.E r rhr q,nlk!k,. 'rn nlG rhc rlE lhrw nid i,n !.ffrd I rFc r,m4ly wih lll Cty dl cdny
<br />I m(lsrlre tner EldrnS n) h0rld r4antlhcrhy rhrrkr.l,r.\.nri.v.\ulrhi\(-'ryitrJ(i)unryr,.nr.ru]lrrh.
<br />rh,!. nr rnrJ poF.ny l!trin\Fcr
<br />^pdic-r - aR-tsh-i,*X ,*,,. bllS\)
<br />Sile-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rouqh
<br />Service Meter
<br />FINAL I / -/,2L Zf-4.a.,xr'2)7
<br />Notes. Remarks, Etc.
<br />Rev.0B-07-2015
<br />l-die 1 Arlt*
<br />t'rmire num.tprinO:F
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