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APPROVALS DATE ID/SIG.COMMENTS
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monumenl)
<br />Life Satety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bonding / Grounding / UFEB
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />/^\
<br />Rough il"29-lr Arffihl
<br />tl
<br />FINAL e (.-ut Dft{4dt
<br />Noles, Remarks, Etc
<br />OWNEI 8UILDSR DELCAAAION
<br />I lE(bt rr,o !nL. llnfty of Firy lhd I m .reop tum lh. Co ndn l-irn* t * frtr 'lr fo&,*i{ Bsn (Sc. 70ll 5
<br />Bunn.s un Pr$fssi'n Cdl.) Any Cny or Coudy shih Eitlnd r Fmir 16 oneM. dr6, irq,mE, &mlkh or r.Fn uy
<br />!rirru.. Iriu ro irs ssuarc. rt$ EqliFs rlE.ppla. ror rEh Fmn b fib. riSrn r.r.cnr rhll lr s rlF t liccntd lrttld
<br />ro llr Fovii,ns of ilE Codrdtr s l-k.nEd hw (Ch,pr.r 9. Cr.@min8 *nh s(rhn 7m or Divirb. I of tlE Surin.$.nd
<br />l,mfcrsn.r ('od.) o. rh.r lE d nE ir .rcrl'r rlmfiom rd t,E h.{s for rhc rllc8€d cr.ryrion A.y rhLrion of S<ibr 7o.l I 5 bt .n,
<br />.pplirn' ror i Fmn shFti rh. rpt lk. ro r .ivil pcuhy oI mE thd liv. lu.dNd dollor (t5@|
<br />l. ri owEr dr rlE tFt.ny. or my.npk'Fr *irh e.scr !s rh(t sb mntEn nn. *ill&'rh.Ei!dtlr.dnEirtu!
<br />i <,'d.d rofi.Ed fd sL (Sd 7(r,lt. BuriE( ad Pmf.r.hnrcnLr TrE Cr rddtlilet r&Bml.I,plylooowE.of
<br />rrE FoFry *lb ba rh tr in 106 rtHEr !n *ho d$ r! srn n'fticlf br h.tulr or rltDolh nL d hd 06 .nnloF6.
<br />pmvilcd th.r trh rtfrffir e d ir.i(l.d {roftrld lii gL lt hoEE tlE t{&!B o dlrlEEln ir -U pihh * J&
<br />olco.q'k{h( rrEol,ffi Euili( will hE r,r hrd.trorFDvin! ttr lr ar dil d hih or ilFoE tiE F,Fny ftrllt IrIFEo,
<br />-1.
<br />rt.$E ol'rlE tmFny, u dcbriv.ly onrEtins wnh li..nEn codda ro oncru1 rlE [mFl (S< ?O{'1. Buiirsrd Phftsrn C.d. 't'li Conftlor\ l-kcn€ L.e drEt mr .t'ply h e ovncr of pmFny $lb hiur or nrqrDEr rlEr6{
<br />ind sho onrmrfd uh FoFr sih r CodMonrr l&.in tuhM rorh.Conrndor'r LiM. l!s)
<br />-l
<br />lncrcmnrr crS(rrn-.I &P( ktrthnrc{q'n
<br />D.t.: o*mt
<br />ultaf,Ela.grMrBsArM!
<br />DES.AEAITAN
<br />I h..6r lmrm ufrLr lEflh, rl FFry oE of ltr ftnh$r8 rL.lfrr ion\i
<br />I h$r rri w iil tuinrrm ! C6rrf.rr. of Conr k, Sclf ln{uE nr *{rl.s con+Mqr$n, 3r pnrvd.d nr by S(rion l7fil of rlE
<br />lilu C,d.. rn rhr Fnorromc ot rhc s(t nn *hth
<br />'lr Fnir i! i.(un
<br />Pol(y Nutrftr Frpirr
<br />U) nilt rh, in rlE IE for'tInr ol lh. uort ror whah thir lE nir ir srkd. I ihrll mr .rploy ..y F$n in rt nuHs s ro t sr $tFCl lo llE qrts otrp.nldir Lss of clltunir, ud +E lhd if I buH b.om tubirl ro rL
<br />h,k6' omrEnr.iion InoyirioN of Sa1hn l7O0 of rlr litd Gnc. I aDlL fo hlirh @rpl, *nh rho: I)revnhn
<br />WAnNlNc l.dtuE k, <uE s.lcr' sn{rhuii)n .r
<br />.Nrl fincr ut ro.m hxndftl tlmusrn &,llra (ll )r. ii ldrlirl)n b rlr.o{
<br />!,/2 lihtr(ixlc, 'nrft{ rn,
<br />4 z_K
<br />I h.aby imrn unn r F rhy of Frury rh{t I o lirnErl udc,iu, nlClupr.r()(.onnrEn.i',g r hSc!tr)n 7Ul,ol l)'L^xr. r
<br />of llE BUiEN trd PmEabn. Cod., an my liift i! h
<br />,,*"*r,-. Z LftMNuhb.r: /0222<t
<br />^,, G V2V1,."**,->, -wt"," * Q *^( - . G-r* -,1.-,
<br />gtltuauclll)u.lJlDllti.AcEN(r
<br />I h.Ehy !fl]rf, und.r F.rl'y ol Frjory rhd rrE a r oNMirtr llnh3 .8.8t lor rlE F.i.rdr. .l rhc *trk for uttt
<br />'nit Fon i,
<br />LtEn(se 1()97. Civ C )l.d.r\ N.m'-
<br />L.i&fr AddEr!:
<br />-
<br />t .d rfy rhd rlE f.d.6l Egxh! b.i E8ir n8 rrtrno. dnrlrl .rc d{ rlplarbL lo thn lmrcl
<br />i,y rh,r I h.v. rcrl rhil uI,I,liari.n !d {are rhrr
<br />'hc
<br />atnE inromlion n oRr I !3r b o,91, *irh rll Cny rnd Counry
<br />onlntrrr\ rBl srrr.l${dari\.\or rh'\( n\ rd a',rtrrvn' cnr$ ulru rlI
<br />,\t,pli(nnr or \xrnr sixnnrurr
<br />,.2r^" e
<br />ql/zcy's
<br />ELECTRICAL.INSPECTOR RECORD
<br />Site-Work
<br />Service Meter
<br />_l h*! !d sill dinl.in hrl6 cor{Ensdfun inrunnrc, !s EquiEd by S.!-lhn 37(D or llE L.bor Cod.. ror rh. F.folilftr of
<br />ilE wt rq *hth lhi Frhn ii nr,.d My sorlsr rcqEnqrbn in{nrc cair .id l!lt, nut,lE e
<br />ATIIII;AtrI.DE(;'.A8AIIII!
<br />I H,y .trm und.r lEnrltt of F jury oE or lE folt'wir8 &.L,.lbor
<br />thfrnirbn P.rnlr.Asb. or Ndilk ion F.d...l R.8lldinr (Tnk,lo, Pd6)
<br />-RcquiEd
<br />lnlgof l\lxfErrm
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