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ELECTRICAL.INSPECTOR RECORD
<br />OWNEA BUIT,I'EI DET-C R ION
<br />I lErty .lrm un.ld F.!ii, ol Fjury tha I m .169l nom rh. Contrclm Lic6c Ltw aor lh. followiry lun (Sa.703.FJ
<br />Ituin6s .nd Ptofsior Cod.) Any Cny or County which r.!ut6 . Fhn b onntuc1. dlE. irr}novc &mlih or l!,ar dy
<br />3uuct6c. Fbr to "! isue. .L. rcquiG rhc lptladr tor $ch Fdni' rc fiL i 3ir'.d nd.!6r Oi lE or d. i licdE d Fe.d
<br />ro rlE Fovtb6 ot E Connrr(i L'6r.d t * tcl,pr6 9, Coffihs wnh SaliE 7000 of Divnoi I of rlE A6i'6 .ld
<br />PtufaioE Co<|.) u rhr lt d Jr r ds!fl fidim &d tL h.. fd tb..lkcd qanpriotr ary rbliion of Serioo 701I J by e,
<br />.r0licd tu. Fmi rulr*t 'h. .ppltd ro. citil p@i, of nor mE $s nr. h!ftH &,116 (lr@)
<br />-1,
<br />B oMd of rh. FoFny. or ny .nl9lot6 *ifi w.s6 a rh.n -b comFlrlhn, *in do dE lmr !d dE murG i mt
<br />insd.d troffdrd fd i& {S< 70,1,1. SuiE !d Pmadbd ('od. TIE Corrr..h t lic L.w &6
<br />'Dr +ply lo u osG oa
<br />itr F!Fi) n'ln h'rd 6 iiq!\qrE@ !n wh.,(End! rur hi@lf or h6rlfo,lhm!€n hit hd om aqb,6.
<br />ForiLd rhr $h irFovutdr e d ndr.t d m oiEd 6r rl lf. ,'o6s. llE bildlB n i'rForqGr ir 5ld einn m Jd
<br />ofotrplai@ tlE (xc Builla will hlE $. h,rL! olFoving ,E h. ot tE .,ii ml hlld or sFor! U. FDFry br dE F,po.. ol
<br />-1,
<br />6 oPE of rlE F(,Gry. e .rdGiEb conrlrlns *nh lic G.d corrdrh ro oiqru.l rlt F.jd (Sd 7o{4, B$iir
<br />!n PrDt-in (_o&: nE Conrdq t ti..@ b* &6 mr @ltro E orE of FoF y $'ho boild! or i6ptov6 th66(
<br />ed *th orifttl fn *h Foj<n *nh. Coin(o(!) ltd'!.d Fll,d b $. Conrrdd t LtoE l,w).
<br />I m.r.nrB undd sar
<br />D.t.: orrd
<br />\aoru(FRstoMrr\saTtoN
<br />DESTJAAIII!
<br />I h6.b, afiim undd p6rxt ol Frury oG ofrhc folkrrins &.lr,.r.B
<br />_l lDv.dd*ill @i.r.in rcdiaE r.oaco,!6r r. s.lf-lBr. f q,ldl @mp.Mrn'n, & pmvij.! for by Sdrion 1700 o arh.
<br />Uhor Cod.. tor lh. pdfrirr].N olilE rorr for rnah lh. Fni B o6l
<br />-l
<br />h,L.ti r ilt Dd.j! ro dr' .omFGdio. ie,a.. s rqudd b, Sdhn !r0O of th. L.tor Co&. 60r d. Fao.lrlrN ol
<br />'h.
<br />mrt fn whifi fiir Fnn i! isld My wql6 6mp6.hn iffic ffi .rn Flty mmb6 e
<br />_l cqliry lh.r 'nrh. Ftormu. orlh. *olt f$ s'h'(h rhs p6nnl B i!.u I .hrll mr 6ploy x, rEe. in &y ME
<br />s' a !o bc.on€ $bJd to th. $ort6 compqBdn'n hs! of C,lilomi!
<br />NrId' comFNlion Flririo6 olSdtio. 1700of th. tttor Codq I
<br />rhsr 'rl should bNom. strhjer ro rh.
<br />dh*nh .omply wnh
<br />'ho* Fo rioN
<br />l. a.d Cuu rulrcr e oproy€ to diDin l Fdi: .rd
<br />k' oG hurxlrd rhouldd &rlla (tld,.0$). in ro th. ({ of coniFNthn, d,n e6 6 Fo\id.d for lh.
<br />lhrdan ind,norla ! fR
<br />7
<br />Dr( r \rt\ r l()\
<br />I hatt1 .Irm un& p6.ty ol Frry rhr I e li6.d ur& Flririon of Ch{ia 9 {onljlE!'B $rh Sdi,. 7000) ol Divniotr l
<br />of in Buind od Poft.sbB co&, 6d ny li.aE b h tull aore id.ft*1.
<br />(AuTAICUOIIEBIIIG.AGEICI
<br />I hdt|.vardu rd Fsxy o r pqrury th, rlE. a ..odntlb6 lai6g rBdl for rlE rsfo1ffi of llE rvl Sr stth rhir Fni i.
<br />eEd (S€ .1097. Cir C ).
<br />AIIIICANLIECUAAIIO!
<br />I lEdy dIiD u<ls Frly of FJu.y ot of llE foUor i4s &cl! ino
<br />Itmlilion PmngA3bcror U,oli6c b. tcdsil R.suld ioN (rnt. 40. Pd6)
<br />R.qutGj l,ats of NolificarFn
<br />I .dlrfl rhd rh. Lda.t r.guhio6 Egnl,l8 6b6ro1 .l e. Dr peli&k ro 'h! roJ.cl
<br />-
<br />I .dit
<br />'hd
<br />I hrv. rad lhB $pliolion &'d rlar. t !ho\r inrom'aion s .ondr Lsrc ro omdy *nh rll Cny &d Counly
<br />onlmanc6 ed sllrc l,\es Ehliry to burldinscoNr ed hmbyaurh,.r. r.rrdndiv6 of rhir ci'y
<br />4-!sr-t.*lx
<br />DATE ID/SIG.COMMENTS
<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 / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor ,/.\
<br />Bonding / Grounding / UFER 5-ll"/',knx\r)
<br />Transformers u' l)
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Rouqh ULn'L] t ft.t L 5:1641 N.PA 0
<br />Service Meter s'll *t")x.vnr,
<br />FINAL s-tL'I,uV/W.(
<br />Notes, Remarks, Etc.a \tr
<br />//*/.4i--?;z/7
<br />APPROVALS
<br />Meter Release
<br />('Mi(
<br />l.cnd.aiAd<!s _
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