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ELECTRICAL.INSPECTOR RECORD
<br />IDiSIG.COMMENTS OWN}A BUTLDFI I'ELCARATION
<br />I hcrny !1tum trfr].r Fn&lry ()l Fr^ry thd I m cr.mnl lom lh. C.nrrrroE LNn( lrw f rlE lnlbwu8 cr:'i (s.c 70ll 5
<br />au\rn.rs fJ PnncskD C(rlc): Any Ciry or Counry whi.h rcqur.r s lEml l,' (1'nrlMl, ,lr.r, mPnt!., d.n)lsh o. Enlr iny
<br />{ru.rur.. pnrt' rrr Rsuro, d!! EllEs tfu +Pl.ml fDr {.n Fm i, nLt nrFl {ar.trhr rhtl hc or \h. n li(nr.d puN t
<br />(, llr Forn)nr nl tlE Orrrrttr\ l-8.!.rl l,w ((lqrd 9, CollrmhnS *rrh x_rx,n ?Ol) ol Dviirrn ! ol lrx Butft\r ,nl
<br />Pn,l.($ns (irL ) or rh.r lE drrt !.r.qr rtrlnn.rn E h..$ r!tr |lr .lLstJ .i.rq,r,n Anl t)ldr{ of S(rrh 7o.r l thym,
<br />.pphinr n)r ! p(mnr \xhr.{k tlr rtplE,nr k, . uv rl FMlty ol n frFrhd nt. hudr.n dinld{ (55{x,
<br />L * owtr! ol lh. I.)rEny, ur nrycr0loyc.s *nh was.i r! rh.t clk (,mFrqrhn, * ldi' rlt w)lt lrl ltr sturw tr ft
<br />lr.nLl {n oniEn lor qt lse 7(x4, Bustr$ .*l Pnlf.r.6 (ii.: nE A,,rh.loir l-r.nc L.w &xr r {,p1, b d oeN oi
<br />rh. F,ltny rlr' h{[rr G utrmB rlro( lrl ]kl dr! nk hm<lf or h.ell dt llDuSh hF { lx, ow..tPbyei
<br />Iroyridl rhi sEn uil'bmd. e r* doLl n ollad i)r eL lr. h)ffi. rh. h !r! or drF)Ecn ! sB arno .r r{
<br />ol(q'lxu,rh.Oh.BuliawJIh.EllEhr*noiFrvh!rdh..rtlE'ldDrtr,*trrFrEtlFPnFnyfddtftuF*nf
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<br />l. .s o*dr of r h. l'UFdr, er .t(lusEly rod.&1n8 wah l.rnQl $draron r' (r'n{d.l rlI InrFJ ( 5- 7044 8urtr(
<br />,trr PnlEsqhcirlcr Tn G' ^..!,'!t-rcn*t r der mr rp?ry h u owF ol pn Fnt sh) burlr( or rmPoE! rhdd'n.
<br />.n.t wh.. dri lq rNh FFt *nh r cod4i{'lr lrd{.t trEM ro rh. (ndr-nf, \ tr.n* lr*)
<br />I !nr.r.mpr unJ.. S.cri,n-
<br />loEaESs:Cqlrflll ro!
<br />DECITSAIIO!
<br />I lErcby rfinm uftLr Fulry ot Frrnry oft otlh. rlrt'woe &.hr{irr:
<br />I hitr.rl wrll Minram r C.nrrii. ol Con{nlr(' S.ll-lnsur. !,tr wod.r' @nlr n\4r!,n. a\ f$vlkd nn hy S..ri,n l7U}ol rh.
<br />llhtr Gri., ntr th. Fnotmc ol lh. q)rl lir *h(h rhc lrmr L\ trlkJ
<br />I h.E.d vnl Nlrrr srt.F'.oii.Nrrr ooErc, ar E!!,.J lry Ja(rrr 1'7(tr ooh. Ltttr (i!..lor rh Ffutut or
<br />Itr sod ntr*hrhrh! pcmn n ntuJ
<br />(:,"",' 317*re
<br />MLIo*d! !onpr|eDn fiu,ft. ..m\ dl F,L) dmh., a.
<br />/ ,:.. d
<br />)a^rnrtN!*td . / /''Ao55'
<br />-l
<br />!!n'lyrhr m rrE lrrforNB. orlh. *ork tu whrhrhr Frnur n s\ud.l rhrllBn cmPloylny Frqr ndytMrr
<br />v, $r,)h.(|ft sut'jNr r,,rh. w, c. r.r{EnslrtrD h*lofc.lrhma. Md |gE.rhlr iI rkrull] h.urm \u]'Fl brri
<br />worlcr (mrEn\.r ion pmvs.nr ol s(ton l?00 or l h. titnr C,ri., l rh.ll. lonh* h con{ly wilh tllrc nNvirions
<br />w RNIN(;: lr!tuE t) BuE *rtrt 6 $n$.ndr)n orhs.,t u.hrful. rd firll suhFr r.n{lk'Fr b ffil F lr. 'lNrl fftr up r,r oE hurirJ rh)osd dolL6 lllm.Ure), r .dl!r)n rlr ih. .o{ or Lon{tner0n. tl.m!c! .! lflllJd n, .h.
<br />lECuSArla!
<br />I ,tEr,y zlttn onLi FMny ol Frlllry thc I M lNnEn urtr Fsllnn ol CrEI'l.r 9 (d,'tmNDS *rh S<dn. 7mO, .l DNrnn l
<br />ol rlE Brtfts o,rj Pn,r.*$.t (iil.. .nl my lr.ns n n tuU n,c .rn clld
<br />a zzo
<br />qo!lr8!JlflaNJ.!!|)l!c-AcE!.cr
<br />I h.rhyra,tm nLr Fnrlrt- ol Jrrruryrhr rh.E nIur{ur.n lcnlmr rycmy n{ rhc Frtomh-.. ol rh. k lor*tuhihFFmrF
<br />rtk! (se .l(r7.(i!. c )
<br />APPI ICANT I}F('I TITATION
<br />I hft! lnrm ud.r Fnr!yol F rlry om ol ttr li,U'*'nf &{Lt.fu,n\
<br />lxn,lnk,n P.rh ! A\h.ios N.rlf,lri,n l!!.rrl Rc8uLrnlni (T l.4(, Pd6)
<br />k.qtrtr.rl l.(u.r !n NdlfJrnr
<br />| (tn rly I tu rh. fqjcal tS!l,rx)n\ rct.rJo! ^h.*^ rmtr.l a. ftn q" .rnk b thN litr .Lt
<br />fu ,n.,,,,',.,-u'n,',,,',".,,
<br />, ,htrJhr. rnl Sr r I rE\ rclr'n! n, hu
<br />.'hr. nf,nir Fl n',{rr! 1,tr in\Far},'
<br />ir. (.r. thd r,E.tnv. nrl.r I lne h!.mply snh rll Cdy.d (ir
<br />hcrchvruilxtru. rc|n.lrnnrvc\,n r['\ (iy rn,l Conn!
<br />\pnlic.nl.r l!onr Si!n*lu
<br />Site-Work
<br />Underground
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflil Rouqh
<br />Ceilings (T-Bar Rouoh)lt
<br />Meter Release 4//7///t r1,Q!,\ 2 4l)
<br />Rouqh
<br />Service Meter t^
<br />FINAL
<br />Notes, Remarks, Etc
<br />-+.,
<br />APPROVALS DATE
<br />Pole Bases
<br />Air Conditioners
<br />tt//1 ///t ^.{/\l
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