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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BI'II-DER DELCARATIOI\
<br />I h.(hy rrrm ud.r FEIry or F,l.y rtur I m .r.nv rn,m rh. Coir,ulor' Lt.ns lre ld rh. rollow,.8 rc.nn (S.c ?0ll 5
<br />lru.imlr ul Pror.$ior Co&r: Any Ciiy or ({'udy lhah rcqrEr r F'd ro m.rru.l. .hd. inFN. dcorrrh n, Rrrn uy
<br />nMruE- Fi, h nr tsllIre- rl$ Er|oiEi rlr l|'rli!.! ror rh Frni ro 6} ! <i8md rrd.nHr rh.l h. o, {r ir I'm.d l[l!d
<br />b rtr Fra\ii,.r 6rrh Conrrrdi Li..ncd lrs lorFd 0. Co.lmrins $nh S..!io{ 7(Ir) or lrvna.:t olrlE B$iEs.nd
<br />Phrr(r,nr CnL) or rhd lE d dE i{.tcnin llmr.oh.d llt tlrii fttr rlt Jlcgdl.lrnt{itn Ary vxtLLr or Sdhn 70.! I J hy rny
<br />tpnlr. tu . F.mn sbre.r\ llE rnplir.r t)rcN'lrEulryoamr m'E$- fit. hunlt ddnlJt rt5{r),
<br />l. .r .uH of rlE ImFny- d ny cryk)F!{ * fi *qc\ si rhctr sk.orqtnsrrn. $ll d, rh. rrt u, lrE (urm tr E
<br />orcddl or .ft rcd n sk rsd 7(x.1. Blnftr\ rfrt Pnrle(k,ns (ixl. TIE Conrdoi \ Lic.ns I r* &Er frn {ifly k' .tr .src. of
<br />rh. nn,rdy wlr' tlrlds ( i.tmr\ ih.B,tr rnl *tn (16uhHl* him(lf orltr(lf nr rhn)u8h hh.i h.t osn.,r{'k,}t.r.
<br />pn)vil.d rhar \uh imlmErdseon inlcrhln.n6ltuat lr. lnf,$s. rlE LiltinS o. rtrNlmd ii lrll *irhin oR }tr
<br />of.onphrir. rlr Owftr au,hd *illh.E rrr honkn of pmvnla lhd lEtrshcdil mr f ilti or imfnN th. nn,rdy ntr r nurFNof
<br />t. \!*rkrofrtk Fot'cny. utrr.\.[in.ly(o u.rrn!lirh[..n{dconhrrn\tu.Dn{nkrrliDrutf(S.c?(!,1.8u\im.r
<br />rl l\l)f$sin(i c lhcConrartr'.l-ic.r.ul-i*(['c\ orrpt]yn,inoBkrolprotny$lx'hdild\ori'nprrr\rhcrc.tr.
<br />rtrt, sh conrBcrrfor$chInJ.{rtrirn,(in &t.(\rlf,c.$n pu^uanr i,rh.(irtr.ttr { l ac.{ litrr
<br />-l
<br />ln.xcm undcr S6tior-. E &PC nrrhtrc.$n
<br />lhr. (thE
<br />ETAIEIN:IIIMI$SAIA!
<br />ITEIIII{IIQ!
<br />I tErhy rmrm und.r Fmhy or,slry oE ot lh( rolhsinr &.L"rr ir.s:
<br />I hsk .rn will minrrin d C.nif*.r. of Con{nr t, S.lr- ln<uru n, f,nrlqr omFnerrrn, r\ Frvikd f(tr iy S€rnn .t7fi, ol ihc
<br />llti, ( d.. fi, rlF FrfilM. nf rh. sr hn *hkhrh. toni r 6{u.i
<br />-7-l hu\. rrrl will nuinrlin *mkrB'co ,I(Nrt[n ,n\u,, ... r\
<br />,h. trr'l n,r*hi\ h rhF n'mtr'\ ^{nl \ly $,{1.,! \on'nci.rr
<br />, ^,,,., // ttttLt t tt,o . tt-,
<br />..qutrd hy Sdion.l7{x) orrlr lltxtr (i'.L, r,tr ih. JErLrmmcof
<br />ion insurarN cMier lrrl ,lirt.umb$dc
<br />,.,,,*,*,",*,li)a.Oy)D ) rqPf ,,n,".7-/-r 2_
<br />-l.cnilyrhll
<br />inrtE F,nnB c ol rh. *ork r., *h*h rhn Frmir r ssn. l rh,ll ftn .q,k,y lny Fra,n in rny ronmr
<br />s, r\ h tr{'ft rubj.{r t. tlr }ifi6' mrFn{li'n htr\ or C.lifortri!. ad lsft
<br />'hrr
<br />iI I rh,uld tEom ruhF I ro lL
<br />kdd. qlqrnqi in F.lirbni ol S<l,n :17(t) ol rh. l rtr, (Lrrc. l rldl nnh$irh oti?lt s hrhN|ntvirr(
<br />WAnNlN(; FaluE k' Gurc scl.n onFnerr8 $wr8c i( unhrtuL ad <h.ll \uhFtr u crq,bF ro oimiMl F!li\ od
<br />cni! nms u,' ro om hundEd th.uqd &'llur |tllr).|^ffi;;*d'dfrtr'ih'srrr ri,T6ofrlr tjtrr IL/?-t-a-a
<br />DICITAAII]N
<br />Ihcrcbylmrnund$pc.aliyolFrrurylhitIomri.lnsnu.rpruvnbnofChntrd9(.ommeinBwilhSdinr(xil)olDirkbn.t
<br />nf lh. Businc$ md Pmfc$ionrCod., tuklnyli..nt ir in rullr .c lid cfldl
<br />0 -l!,,rcNun,rn /D-ez ', >q/d-**-t Z_ [1-/_z 44,",,/D- ?-/ r
<br />(atutlrcurilJilInlcltiEdtr
<br />I h.Eht .!tun ud.r FMlly of FrJUry ritt rh(. n r .r,nr&1i{ kndin! $ctr, for th. Frfi,lmr. nl I h. }orl t(, Et*h thi Fmi k
<br />tr.kn (s( .1097. cir c )
<br />dIILIor^lDKLLBdIllrN
<br />I trrrhtrltinnunJ.r lt.nJhy ortf,rlury ofu ol rh.lolk's r8 rlcitr(rk)ns
<br />I).rinIi( ttrr *Ashcno{ Noriri.rri,n, I:cd.'rl Rr!trlrrirtri I l I tl]. P 6r
<br />_Rcquncd L.lrcrof Notifdb.
<br />7l (cnrlyrhirrtE fcd.rllE8lLrion\ EBanlmI htr{orRmvrlsc norqTlr.hh t, rhirIn,Fl
<br />_l c. ny rhti l hdc r.rd r hir rrT,li(!t[n lrl {d. rhur rh. .hrr. int,tr@ri]n n cond I:*W r!r* r' dq'ty wiin rllCiry.,rl Counry
<br />iB orrhn Cny Id Counr,r0. 6 qbnrlr
<br />^.,/t3r
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Sollit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />lvleter Release
<br />Rough
<br />FINAL ltlfls :i\#t
<br />Notes, Remarks, Etc
<br />Under Slab / Floor
<br />Service Ir/eter
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