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ELECTRICAL-INSPECTOB RECORD
<br />APPHOVALS ID/SIG.COMMENTS OWNM BUILDER DEL(AR TION
<br />I hr.hy lfltrn und.r p.naht .r( o.riury th, I M crcnpr rhrm rh. codftroa Lk.n. I iw t r !h. followrS Etsn (Se 70:l l.s
<br />Burikrt id ftof.iii)n Co&r Any Ciry or (:ou,'ry *hi.h r.quiEr . Frmr ro on(tu.l rlrs. nll,mE, d.mlil or EFt uy
<br />nu1E. Fs b ii ifl.N, .ls Eqim rlE .0f,liant ft, rh Fmn k, fik r.i8rn {d.lmr rhd ll.r.tr 6 lk.Nd ID|\M
<br />k' rh. tx.lirbnr or r Cbntrktr'r l-i...cd lrw to[pts g. Comrrins *irh S..rin 70@ o, Divtb.I orrh. Borifts...d
<br />l,r,fc$ions Cod.r orlhal rr.r sh. h.xcnnr rh.rclmm snd r h. hnrk tff rh. .lbgcd .xcn{ri.n An, vi,hri.n ol Sdb. ?0.1t.t br.ny
<br />!r?li(!nl for . Fmil ruhj.ils I lE ippli.n o r .ivil p.Mh, ol $r @B rhd fivc hxnar.d &llds (S5{n)
<br />_1. ( ow6 o, rlE F.Fnr. q ny .ipLF.r wirh *4ci G rlEn $F mqfr!.rio., ,i[ &, r,! frrl .d dE *Gr6 b hr
<br />inrcid.d G ofr.r.d ror rk ( Sd 7044. BuriEsi .nd Profc*ioni Ctn : Tlr Conrfuld r l-k.nr kw drr d .pply
<br />'o
<br />rn .gffi ol
<br />lrE F,Fdy eho hildr or i,qhB rtEen. 3rn etn &a sh 6t hidt.lf nt hcrslf o, rhrlsh hn 6r lf, om.nqrk,rr.r,
<br />prcvitn
<br />'hd
<br />sEh nqmwdredi .!i.d roiEEd ft, sL ll hoM, lll hlili! d irFwlrd i:' bld *ito w )srorMphria dr OrB Builld ri! hE rll hrtLn 6f Fnw{ rl: h. q tE dil hr b{ild d 6+.oE dE FrEr, &. lrr Fr4ft 6l
<br />l. r\o*mrofrlE FoFny, ,m.x.hsikly.o r&th8 *irh lk.&n.oitturds ro.o6lrud rlx pnrF lS( 7Oa4, Busrms
<br />&n Prn6(im Cod. rhc Conlrrlort Lk .E trf, &B u .4ly o e o*Fr otproFty vh build. or itr9mtr lhcon..id who mddrtor lun rfrrcd. eith r C.dddn litnrn ptNrrr ro ECo r-r.rt Liur trr)
<br />Innr.xe rt rn,l.r Scr.otr
<br />D.r. ora.
<br />tf onxFfq a($rPrnsiTroN
<br />TEgIASAIIIJd
<br />I hcEby afltfl lndcqEnollyollrrJ!ryom of lh. nnhuinr d..hr!lions
<br />-l
<br />h6E !n rill irl.h r Ccniard. ofco.d ro S.tl-lNE ld krt6' 6r+.Nli,( r Foviln for by Sallo.lrm ol dr
<br />bhd C.4.. t( rlE Flltrrc of E Et fd wtih rlE Fni b i{.d
<br />ll!,vcd d qillnrinr.m sork.r{.o'ht.isrrinr iNuruncr. n\ (qrircd hyS..rt,n 1?rlrnl rhr hhor (id.. frtr rh. lxrnr'tuftcol
<br />rh( *nrl lir whf,h rhs lf,rnir i\ n\hrl Nl I f,orldr ..n F.srKnr in\lrs'rr wi.r rii F,lay numh.r dc
<br />-l
<br />edify rhn in rh. Frfor|1rr. of D. r.rl ld *hah rhn Ffrir ir i1*d. I slEll mr .q)try rn, Fm. iI rny m.6
<br />n 6 ro tEsr snFl
<br />'o
<br />llE *mt4 oqEnr.liln L$r or C.liromn. .d rgG lhd if I .tFuld lE or $t'irl lo llE
<br />eorl6 c{mFtrrlli,n pmvision{ oI S.d ion l?m oa lhc L.lmr (-dc. I rrdl, lorlhwilh omFly wilh the Fmlnior..
<br />.r'l rnr\ up n) om hu ircd rh)uurxl Jolhis rll(
<br />Sr.r[n 1076 Dfrlr l],hn Crxl., tr .rc{ Md rnorft.y
<br />0s,., 1/-'1.!/ a,,,r.,",,
<br />, rh. co( ol .o'l{*nqrn,n. drR8s a\ fn*rld for rlf
<br />II:IIA8AIIOB
<br />I hcEby {fiirm uRl.r r.Mh, of Firlry rh.r I am lianxn ond.r pmvhbnol(lllprs 9(mmNrcin8 *irh S6.'rhn 7(rr,) orDirniD l
<br />of lh. Ausitr3slnJ Pn,Lsurnr(\dc,.,n mylt.n{ it in r"ri nt.. { .r-j
<br />t{-(6./ f
<br />, hcNhy rfinr und.. Fnlhyofp.Ulry rhalh.rc F i Lanirudr'n Lndin8 is.rr lor rh. JErro.rMRc ol rtE Bork nn *hich rhn Fnnir is
<br />issu.dlse ]{l97.civ c )
<br />A!ELI!:I\NI.!&JIAAI[I!
<br />I hdrtt .r'm un Lr Fat y oa F,rrry oE 6t rlt fulb*ins &rLdions
<br />Ocmnii{,n Pdnirt. Arlt(oi Nr,l ific,ior tu r.l Rc8ll.ri,n( (TilL,ro. Pln6,
<br />R.qlicd k d of f{r,rifr.rio.
<br />I .d,ft rhi rh.(dLr.l Egulrrn.s rc8i{inq r.trsto\ rc.rhlE nn !0nlr.bL ro rfiu fi,Fr
<br />-l
<br />rcnili lhlr I huv. rcud lhis rt'tlt0lion ut ([lc I rh.ih,vr inlonNridri\coE.r l,AreloconllllyrirhallCity{trLlCounry
<br />.rliNNc{.Bl S!.r.lrr\ Elrrn8 r' h,ld'n8.,tr'{drl h.cht .uthor[. rcFErd,hr or rht (
<br />", .nd County ro ..16 uFn rrr
<br />.h)v. nrnr.rhl pn'Fdy for i.sFirn
<br />1r't,li.nnr nr \!rn! sixnrt'..,r,"/'/6 l/
<br />tq--V/a-t+,
<br />Sile-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltage
<br />Frre Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />To rquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Cei lings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter a/DFINAL /r{I I n t.)
<br />Notes, Bemarks tl
<br />DATE
<br />L.id.ar Addrc$:
<br />Translormers
<br />Etc.
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