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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUILDER DPI.CA TATION
<br />I ltEhy lrm urnd p.MIy ol rr,l!r, rhrr I d.r.qrr rFn llr G,'r,rr6 LiiB b* for rlE follo*rg m$n (Sa 70:ll 5
<br />Auri6. 6d Prcfcarion cln , Ary Cny d Cddy *hih Eqlr.r r Fd 'o
<br />rnn{M. !h6. irFoE. &mlnh ry Ep{n ut
<br />dturun. tlf ro nr iriutk. rk' ,.quiB 'i. +plad rd rxh Fmil ro lik r rtErl rr.l.rnr th,l h. q {r ; liQtd tlllfud
<br />b rh. Foli\hN ofrh. Co.k(kr\ Lftn.d tre (Chq ( 9. conmrhS sirh S.dbn 7u ol Dtnion I ofrli Sulirc.r lrd
<br />Pnni*io.s Cod.) or rhd lE or rlE it .r.npr thcdror .,n llE tlrn ntr th. JhEFd cx.ryrnn. Any vioL'b. 6t SdiJn 70.] I 5 by .try
<br />llplicunl for a Fml subj(k rh. rpfliqnl lo r civil ,'cnrlly ol it nn.lhan fivc hondEndolls (55s)).
<br />l, r\ o$rr ot rhr pmFdy. or my .f,plo)r.r *iih ert.l r\ rh.t {)L MnFns.lion. will {t' ltr wGk ljd rlt {lBt@ n r,
<br />inl..ddl or oE Fd rn $h ( se r()4ll. Bu\ims lnd Pmr.(i'ni Cql. TlI Conrrror'! t.iftns uB tI6 ft rPplr ro s ourr ol
<br />rlEFnFny wh, trildr or irynrE rlEF\ lrl wlr t,lB q'h hrt hinqll o. lEmlt or rtm!8i ln r h.i o$n .rvbrsr.
<br />pmrikai rltsr rkh iqmlm ! e !{ ardrLd d dk lfr {l ll hftG. tlE ttrilill3 or inFNmd n sB *thin iE Fl
<br />or d,.rlidiE rlE o*F Bulr.. *ill lrtr rlE hd.r of ImnnS rlr ,r q t! dil r{ tdld n in!frE
<br />'lE Ftdy for E FrFror
<br />I rf ,crcnDr und.r S..ri,r-. ll .! t' ( r,tr rh'\ rrn\n
<br />l).1. (hrr
<br />jrlraf,!85_grll[lsttuM!
<br />lul:l.A8 rl0r
<br />I li,.hv r,lnmun,lcr Frolr ,lFrjur! o'r nf(hc nnl,\ 'ry &{Ltr!['n\
<br />-l
<br />hlE rd f,ill Dinrih t C.rlitFl. ol Con$r ro Sclf lBur fttr s,ri6 one.ndir., $ ,n,viN for hy S..li,n ]nrl or r
<br />t$or Cd.. fm rtr Ff()ffi of llt eo lor *,6ih 'rr Fnil a n.ucd
<br />llf, qorl ri,q'hichrhi\ pc"nir i\ i i MvsorkcA .oa,|ir\. kt i!trtr'rN.
<br />e-;
<br />n,*.,n".tr'\+Jh L\aL\22:lr ag-.,,*jqBr1
<br />l ..dify rhd in rlE Frforllln! of rh. rort fd rhah rhn Frm n R.u.d- I sh.ll ml otltry .ny IEmn in rny lMmr
<br />B h h.om iutr< lo rlE qri6i orqEnr.lh. L*r or(ilromir. . rsErhdirI ihtlld h.<.m ruhF ro'rE
<br />rn*ri mmrENri.n Fn iri'nr or Sdbn.UlI) orrl'. l,h, (iiL hofrtl, $iti rhE I'mviihnr
<br />rl^R\l\l; IriL. 1, ". ', $'"1.-\ ,,an|' \ L{'.. .I $htrr .n .nll)lo\rr [' !ri' trrrl Ir n ri\ rtrrl
<br />. 'l lnr\ ot rr rm huRl'(l rh$rtr(l dfll ^ tSlll,.lrx .on'trtri ii,. ,l)trirg.\ tr\ t'f1tr1.,1 l,n rh.
<br />\(.rntr 11176 ',rr)r I rh( l-\tr{n
<br />',.'. lt>z-l\5
<br />I lE.c-r,y rlfirm lnlt] FBlry of Frjurv rh.r I liuyn ! lc'Fot * rnh Sdtnn 7li[)) ol l)'\^ir I
<br />k,o
<br />\U-NAoe t:sreJ<:
<br />go!8rf,l]l.1JlJJllatilca!}
<br />I hE-rlt .,rrn urll rEdty or F,lry rh.t rtEt is r @trrnalbr Mint r8.cy lor r Frfr.ll^r ol rl! ,rt 6r rttt ihir Fma ir
<br />irqrn (sG -Ir7. civ c ,
<br />1.. .i\ Addrc(
<br />APILICAII.IIEIIJXAIII]N
<br />I hdrt'yullmun&r Fn.ll, ol!.rru.y orc of lL follosin! d6lar bnt:
<br />l).m,l bn PcrnirrAlh.rhr M{irK.'bn tu nl R.8!ldi\nrITnt 4{r. P.n6)
<br />-R.qur.i
<br />t lrd ol l*nifrri,n
<br />I ..nity ih.r rlE lcd.rrl rcrul,rlhs i rl'0lirhk ro rhs l(,Fl
<br />l.dfy rhrr I hr\t ral rhr rml.rr
<br />onl rtu.r 8nd sr&r.l,f,s toldin8 rr h{
<br />lFn n .orr.cl I .sr x' mqrly *th tll ciry .d counrt
<br />hruc rcrrN dn!( nlrhn C y EJ Counr! k' cnrd qu' rlr
<br />:'Iitr. ntrtrri,nkd nnrIf,ny lnr
<br />\t,t,tninr or,\!. r sixur r.\O 2-l$
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFEB
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter , ---1
<br />FINAL /o7zz /// .4 vq)
<br />Notes, Remarks, Etc
<br />Sub-Panels
<br />l. r{
<br />' 'tr m, ol rh FnFrt. !D.r(lu\ivclt co rerintr h lk.rsn ..ntf,nB ro crn{tu1 rtr Fl Fr ( s\- 7(}l{. aunF$
<br />rl Fbfrasih C{xlr l'hr (in rucrn r l-i(..!c Liw &E n ,nflt h m .}ncr of prol'Cn y tr ho h!,lik or imtR*t\ rh.!n,..
<br />rtrd wtu conlmdr nn ru(h pn'J$n wirh , O'nrr&lon s) ltctrf,J I[ UrnrrrrhrCohksdor'r l-i.cn\c ljw]
<br />of rlr BuiiE$ r Prst .rhnr (ixl, .ri nry la6r r m full fttrN lil .rltrr
<br />f ----T_------
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