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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNFI IUtI-DEt T'ELCARANON
<br />I hcr.h, trrm undcr F ny oa F.r'i.y lh.l I m crcq, fmm llE ConIl(r' lirtre lr, lr rh. f(nb*i{ Er$. (sn.7oll 5
<br />Alilkt rd EDfcasi,. C.dr) Ant Ci,, or Crdy whi.h E{uiEr . fmi to onrMt. .td. iqrcE. &mlkh or aFn e,
<br />irME. Fs ro ns k.ffi.. !,h Equr rlt grla..l ror sEh Fmn b 6b. raEd 3r.r.Enr rh,r h. or nr k rkm€d noNd
<br />ro rh. F iik nr of itr Co.rdr, ( LEn<d t,* (Ch.fl.r 9. Commir8 wilh S..li'. ?frx) oa Diviiln I o, rti Buri6! r.d
<br />PFr.(iE Cd.) or rhll lE ( tlr t .bll,r rh.Efmm.d rlE l8n for rlE llLr.rt.rft+t'. Any vbLri,n or sdi,n 7ol1.5 by.ny
<br />rpplic.fl Io. . Fmn objdr ri. .!rti.,r ro r ci! i, I,cElr' of mt mE rlb. fiv. h!,nEd dolbr l!tm).
<br />l. rr .c M or rh. pro,xny, or m, .nlll'Fri sirh ][s.r ar rh.ii $L onvr.erhn. tr rll 'r' 'tE
<br />*rt ud tlE (trE k nn
<br />nn.ntn or orcEn for sL(S( 7l!.r- Burirc( ! Pn'fc$io.r Codc TlE Gnnrd.i \ t i.c"s I i$ .l.rr r, +rly r. dn osmr ol
<br />rhr pnFny *lll l iLt! or inlFJB rh.dfl. !n *h, &s $h *r'n hims.ll or lrr*ll .r rhn,uSh hn nr kr own .nl,ll'}f.\-
<br />nn'vdcrl rh.t u.h iryrormnrr c rn inidlLi or.llcBl lor sr:. lt lnEE. ltE hiUins or inr'mEEd ii $B *nhr o* ]tt
<br />nf umphri,n. rlr Ownf BlitLr will hlw rlr t{!d.n or ln*ni8 rlu lr or shc dd mr huilll or irnlnM rhc ImFny lor rtr puqr$ or
<br />L si o*mr of rtr ptuFny, rm .r.lunkly .unrd trt *irh li..nrn snfu.hN (' con{ur rlr pn'Fr (Ss ?OlJ. Busim$
<br />.d Pdi:{ir codc Thc Cnnk.croir l,i.cn{ ljwdB mr.mryro uovncr nlpro|idyuho hoiHror inpmwrrhrc.n.
<br />.nd *hr onrtrB re rkh,x,Frr ldh r (.l,d*lonn lN.rd pu6E! r, rhc (tdB1.ir l-itny l,*)
<br />UqSSEILLCQUTBS Il,!
<br />DEClA8Allo!
<br />I h.rc6, .mrn uftLr p.Mhy nl Frur_v .E .l !h. tuhuin8 d.{lrFtb..
<br />I hrw.tn rrllminrrin r adifE..ol( o.{nr ro S.ll.lnur. for Norlsa.r,r{Ent rl,n..\ Iln)vrr.l fn b, s<rhn:17fi) oIrh.
<br />lrtx, Cdi.. fr rlE fFrfolm! of rh. Bolt ln *hih rh. Fmir k (!u.d.
<br />I hivcind willflrinrlr snrkcrr .omNnrrri'n in nkc, rs rcqun.d by SNI i.'o .U(r I nl rh. L'htr Codc, td rrt Frommc ol
<br />rh. work tor which lhis l.mil is tfl.n. Myuorksl NnrFnsoriotr in{umm.catri.r ud Inlk, nu'.hcr uc
<br />, ftptr
<br />-,
<br />c.rit rhd in rlE FrformN ol rlE worl fq rhih rht Fnir is ilrEit I shrll mr .'r?I'y .ny ,E qr in lny lME
<br />$ rt lo tranr srrFr ro rlE qdt6 6n!Ens'i,n L$of C.liromn rd rlN rh.' if I nmld lBom rt'Fl lollr
<br />k'd6 or{Enlr bi P,Dvkhor or Sd.. l17(I) oI rlE ljlDr C.d.. I aEl!. r.nhlilh drtiy qllh rlD. t 6yii(B
<br />Fdrurc rn s.-E $rtcF .-nFn6ran ornS€ i. lnLq{ul .d tlEll rll'Fl cn @9loF io diljdl Fntir.(' om hundRl rlDlqBl !oll!of &nqro{noo- drm!.i r Ford.d ror
<br />'lE'#rur|i
<br />DIS.AAAIIII!
<br />I h.nhy 0mrnundf p.nrltyolFrjuryrhll , or lien*l und* Imvtion oIChapt.r 9lconrmncins sirh smri,n Tlxn) oroivrbn:l
<br />of rtf, Burinc* ud Pn,fcr{,na CGlc, !,n nry li.dns. ir ir lull fom and cllsl
<br />I iztas I
<br />Y/<V ilA e .L-4- '
<br />(aBEIAU{:I:ltnIIEDId(iASEdla
<br />t h.rn, .,Ird un&r Frhy ol F!ry rh, lrEr. 6 r d'dnEib. Ldin! .8*y for
<br />'h. FrfollrI[r of llE krl for lhih lh6 r.mi ir
<br />nrwn(sc 109?. c'v. c,.
<br />AIEUIANTIIEII.A8AUA!
<br />I h.d,t !fimudo Fnalrt ol tf,rjur, on. orllE lnl[,sin8 ddh..tio.s
<br />l)cnniion Pcrnils'AslE($ NorifKarn,n rql.ral Rc8ulrrionr lTirlc 40. Pdn6)
<br />-R.rruircd
<br />Lcrrcr of f*nirEiiD
<br />_l cdiry rhx rlE r.&r.l rcSuhrinr r!rni.8 .{Hhr mirnl
<br />-l
<br />.dify rhd I lrE Ed rhn .Il?lilrrhn rn nll. rh.r rlr .l-r in
<br />N r.r rpplt hL ro rhir noi*r
<br />for.dbr h.dEr I {rE he'rt'l,
<br />y .dlrir. EF.ediB of rhir Ci,
<br />hr.r8;wr
<br />mroEr ud St{. b!.
<br />rlnr. mnrl,rrl FFnl
<br />Aro{ot or Atat SkD
<br />PmltcDtu{p.tnl):
<br />;ZU"
<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 />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Bough)
<br />lVleter Release
<br />Rough
<br />Service Meter
<br />FINAL rlqltdT*v+f,/-2t )
<br />Notes, Remarks, Etc UI
<br />DATE
<br />Communications Cable
<br />Sub-Panels
<br />Air Conditioners
<br />I rncrcDlr uRkr S(rx'i ,ll &PC forrht..lq'n
<br />D'1. ()sRr
<br />1'-t'z
<br />L. rn'r Ad&.$
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