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ELECTBICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNEf, AUILDB DEI.( RATION
<br />I lrr.hy .[i,i und.. FE]r, r,t Frrury rhd I D.i.trd rn,n rlt G'ntdo^ l-arn* lr* ror rrE lolr'win8 rr{n (S( lrll J
<br />Bxin.rr .id Phf..iih Cod. ) Any ( ilt or ( ounry whi.h r.qunn ( Fmi' h conslru.r. olld, inprov.. &mlnh or ErEn io,
<br />tlrEllE. Fn lo ilr nffi. tt{ Eq!n.\ rtE .Irt td fd *h Ftrd tn fiL. rl3xn {d.a.r rh.i L ( .h. ir litnr.d ,rlun
<br />lo lh. Fnisn,nr oft,E Co.lrocln s Licnsd bw lorprcr 9. (onmrin8 *irh Sc.ri'n 700(, or Diviltn I otr,E B iit* rnij
<br />Pmfclri,ns Cod. r oi rnlr lt or rth i dc'l9r rE lrom rd rh. h.rn rtr rlr lllclrn .rcn9r hn Any rbhri,. nl Sd i,n 7UlI t hy !.y
<br />+plar lor. Fmn iuhj(k rlE .Idt! k, r.ivilFohyofft\i mErh$ li!. hu.dEd &,llur(SJ(D,
<br />_l- !r o*m. lrrE In'Fnt.,r my cq'hFr< unn sr8.r.s rhc, (lc $nFNri)n. *ill d, rlE *qI !d rh <riift i nn
<br />idnkd olI.Ed for sL (Sn 7(ll,1- Euri,E( lil Pm,r(ns (od. TL Codrd{n\ Li.n( Lr d€r trq,pl}hMo*F.f
<br />rh. ,n,n ny vh) t oildr n. irptr,vc\ rtEN,n, and *ho d,rr ruh Bn hin\cllorh.r(lforrhr,u8hhntrh.rowncmployccs.
<br />p..vrkl rh.r rkh tqrrmdr c rl -rdrd.d otu lr oL lt lrEs. rh. Liuilu d nqrNc.r ! $U *irhin oft Fr
<br />nr.rnrllhrbtr
<br />'r. O*F BuiB.r r ill IEE rlE htrd.n ot Fnvi.e rhd h. r \tF dil n, tuiE i, inp.DF
<br />'h. F{Eny f6
<br />'lE FfFE or
<br />I. r\ osN of rhc lfrIEi:". rm.r.lu'kly cn rdmS rnh lkcn{d mnrdnF !o $n{el ihc F Fd (s( 7oll. Busmr
<br />! l thtrsion Cd. Tn Conr Errtr s l. ic.ne uw dEi mr .mly ro rn .*rcr of InI'.n y Dl'. bualdr or int'rov.t rh.rcon
<br />rnd *h o, E1r [i, trn I[ Fl*irt ! Codrrhnn ltcnGl |nnuri ro rlE ('odrrid l l-t.tr€ br r
<br />I rl.nu onJ.' SNrn,n
<br />nl)a[I&t-!rlu!!la.rl0!
<br />DE(IA.EIIIQT
<br />I ho.lrt rIli,tr, trn(l.r Ianrlr:"ol tirlurt on. olrl[ r,'ll,,r n[,lN]r,,ntrin\
<br />-l
<br />hl\r rn *nlminllin r (tdirE.r. olcoEtrr
<br />'o
<br />scll l6uE nn *or Lsr .l!,tr.d bn, a( ln,vn.J nn hy Sdlrr ]1(l) ofrh.
<br />I ibor CG]c. lor rh. ,trfttrmmc ol rhc worl ror rhich lhc Fmn E issu.n
<br />Ihar.ind *rllm'nr'i. sort-i coq{r,rhf, nrurar.,,\ rcqlmal tlt S&lrrn !7Uroillr lltitr Grk. fi rlr plrformBT ol
<br />rh. *orl rt, *h'rhrhn |tmrr n askd M) *ork.^ .rmtFhs'rtrln insurecmEis lnd Fni., numhcr uc'
<br />-l.cnify
<br />Ihd in lnc pcrrortrencc.lth. work ntr rhth rhN r{ nir k trNd. I lhrll nor .mfby !try p.hon in anr moncr
<br />v, ,! t, kaim objt{r r. rlr * ln dr{End r,n L*r .f Crlirdni.. .nl r8N rhd il I t'uld h(r.E ruhrrr io rli
<br />*.rt6 Nqrneri'n fmvnx,nr of sd{n :t7dl of rlr I-hor (iiL.I rlull- lonh*irh o.r{i} trirh rlne Frvtion\
<br />WARNING l;.rtuE k' <urc rinl.F' n,rqEn{hn oy.n8c i! unL}rnl and .h,ll iuhFr ( d+Lr{ ro aimd Frri\ !,n
<br />civil nnc. un ro orc tu"dGd rh,uslnd dolhs (tlm.(IxD. itr lddnion t, ih. co{ .r comFnsrn,n. d.m8.r.r rn'vncd n, rh.
<br />Strrion 1076 ofrh litr, G)d.. inrcrc{ dil atromv i ft.1
<br />r)sh: lo-<-lli ,rpprronr,( AE4Lrl-^4
<br />Lr(+'Ns.-6( oNTR TT{|R /
<br />lEq.df,AllA!
<br />I hcEhy rfllro u'dcr r{.Dlrt nl ljcriury rh{r I d ln\narl und$ In,vi{i(,n or ( idFr( 'r
<br />(cr n,rrncinS rirh SNli,n ?lxx)rofl)rri\i{'n 3
<br />ol rl! Busimsl !d Pnlcasionr Codc.,n nr l[.n{ n o fullritr$ n.rr--'
<br />Liccn.c CL(
<br />-
<br />u". Io,- 1- !U A t<Lz)t1(
<br />!:O!SIBJ]qIII]NIEdDI!UG!d{:I
<br />I lErby rmrmud.r FmhyorFritry rhrr rlm ! r o.{tulnn b'din3 +.fty ft, rlF F r(triEnr.lrlr sork tu *htt rhn Fnr n
<br />irffit lsd Ir], cn cl
<br />AITLIIjANLIECIIAAIIIN
<br />,d'ylrmru crp.n!hyof lrriuryonc.rlh.rolk'qin8&.d!li,ns
<br />Dcml ion P..nilr AiErln tr(llirrlrion tu r!! R.3ulii'n! lTiiL.n. Pd6)
<br />-Rcqnn.d
<br />I Jrrcr or N{rifdrir
<br />Site-Work
<br />Underground
<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 />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release
<br />Rough Io.1-\%io9dv /o
<br />Service Meter
<br />FINAL lo -E-/B (*v
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />-l
<br />$niry rh, rrE r.rlcnl E !Llio.! ESidinS rit <ln Emr.l E nx +t'linhL ro lhn ,ro,.d
<br />-l
<br />Nnily rhd t lIE rcn rhi .rrlt.rih !n ( . rld rlr .tnE infomhn h cltfrr I rFE .o o.r{,1, wnh .I Cil! rn C&nry
<br />ordimn.r lnd Sr.r. Lr*r EhrilE ro hrildii! onno.rt' rd h.Ehy dlrrt. EFd.trEr of lhi! Cny.,n Collntro drd qtn it-
<br />.hort nrnri^md nmlEny for inrF{htr nurFq<
<br />^pprm,d^n,si.rruE l! *-lalyl+1 - ur !?:1'13
<br />J*I.l-
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