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ELECTBICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNDI' BT]ILD}:R D}:LCAI{ATION
<br />I h.Ebt lmrm und.r D.Dalry ol F.rIy rhd I @.i.mF toi rh. Cotu&ru. Lt.n€ tre for E folb*fu t .en (S.c 7(ul i
<br />BusiEr: r,tl Profcsbn C.ri.): Ant Ciry or Cddy *hrh,!quG r ll.d ro drrM. .td, ir{,mt. &mlkh or EFn hy
<br />rel@. t r, h k icr, iqr r+riEr dE 411.u tur $h F.d t. fik ! !i!Ed {r.r t,'r lr ol O. ! liE .d F rd
<br />h dE FDytrDnr of dr Cornsroir Liirsd rr* (C)EFa 9, co'rmrm3 win sdhi ?GI) oa DNrDo :l of tl' Buli8r ..d
<br />PDf.$nr Co&) orth4lr r r& n.&np( lhq.nomlrl rlE b.!tr fo, rh .3.d.r.nSrn. AryvFbrtD.fsdrr,ol[hyMy
<br />.pplt. nr . F.f,ir subj.d i rlE .ppla.nr ro . civil p.rky ol rn mn. th,. fiv. hldjr.rl d lh* (t5{ir).
<br />_1. rs ow* of lrE !r.Fny, u. my .n$brr.! wlh wrr.r 6 rlE! r* drtrgEMbn, vill dr U! *ql ad rb rid@ t mt
<br />!.ad.d c lY.El nr 5l (Sc 7ol.. Bus. . l Pr .s.6 CdL: Tl: CidE--! ti!.r tr* d(n ni Iol, to d .*a of
<br />rL FrFry *tn tlild3 a rSilB L,EEa rn wh d.- si ql tulrf d lEl, o. irqrn hi! r lE ou .trtlby6,
<br />Foei.Ld fir kh i.!frmdr ftd danatt dh lo. rl.It h)ffi, ttEtuuElm lqlGEd ir-U rann(r F{ofNnplli'c ur o*H Burtlc v hE dr h!&..lFDviI3 d. h.q ni dn d hi! o, i.rtftE dE FUFi,lb.th F[Foeor
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<br />$ olBr.f rh. FoI6y. m.r.llriEly codBll8 *i$ licord odrd6 b drdtod tlE FoFr isc '7o.lll. AGihr
<br />.rd Er*smCo& TIE Co rd..! L-.nE lrv.!Er d .I'plyh xorF ofFnrinyrlb boi:dtor nttrnB tn.rd[
<br />dd slD offi. tor ryhFrFr! r'it.Cddqtr lic.rd F6u,r rolh.cotudd ! tirM L.v)
<br />-I
<br />m .mpr unj.r S6r$i-. g & P.C fir(hn..lhn
<br />D.t: Ormr-
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<br />worar(r'Ls-,co-MPr'{sT|oN
<br />lacl4lAuq!
<br />I lEby rrTrn lnt .,.sry or0qlry or orih ft'llpru d..Ld$B:
<br />_l h3v. d * 'll truinrrm r (inrar.r. df Conkm r' s.lf-lnrtrr. n, *rl.ii compcn\di'n. r\ p rvd.d n, hy Scri,'n 3701r ul lh.
<br />Lfi , G ., nr rh. n rformD. t,I rh. wo* for whi.h rh. Fmn i\ n!u.J
<br />_l h,k ui * l midain *olt.r' $mq.Mnn intu.. 1 .rquftd b, Sarbn 17lr) .l rh. Urr Cr&. n 0l Ff{ru! ul
<br />(lE qrk lf r1lxh rhir Ftu i1 i1$d, My sd6 NryEndion inuI.^_-. .ftr rrn F r, mmh.r c
<br />OE,,::,yrh:r m rlr p.rfdnEx.olth.Kd tu ehth rhi! Fmi n i\u.tl, I rh.I br .trpby dy Fs. i! uy lME
<br />mp.dim Lvt of Cdfo@ .tn .tE thr I {uld tEor $bF lorll
<br />nr l?u d( rlr I rtd Cod.. I {r[, ftnnrih o,ndy *in rh* pNnDu
<br />a '! ro tR)ft ihJ.q ro dr wdt6t o
<br />k!t6L orp.nsrion Fovili,nr of Sd
<br />WARNINCT FliluE ro scG H{t u
<br />(ivil fircr !p r. oE tunlrd ttnuod
<br />sdbn 1076 0f rh I-&r cod., inrEr(^,.+/ro /aatL
<br />i\ un[wt'|. MJ \hll \uhrer nn l.yrr n) rimrnrl Fmlt.i $d
<br />TerStfuc*),)
<br />I lEEby alfirn ud.r p.nalry of Frtur, lhd I m li!treod urn.r Fovni'i ot C'luriE 9 (conftkin8 eith s..lior'lull) oI DivGi'n ]
<br />of $. AliiEi..rn Pbf.rarB CuL. !n my l-.re ! , tull foc rd.fiar
<br />Y g 2t*"_,.f<l;:i:<**_
<br />colLsfxucTloN Ll-l{rnll(: lcrrcY
<br />, tftby.lftrhunLr F lyol,Eprythrrlftir.(rdMiorL!dr!rlc,for:FfffiotrrrEtft,rlEh$!Fdr
<br />nsEd (Sa l{r7, Civ. C.)
<br />Artl.rcaxl.DtcljSAllo!
<br />I Hry rn u(j.r Fnrr, of FJury om of 0E f.nhu.! &cLrii,nt
<br />Drmliri P.mitlAsb.no! Ndifi.dbn F.d.ral Rquldi.ns (Tnk 4{1,I!n6)
<br />-R.quind
<br />Ld6oal{tfrrB
<br />_l dify dr E frd.zl EB aid EglnDr r{E{ol Gmv'i .E nr lppli.bL ro rh! F)l.d
<br />I hr\t r.rdrltr\rrph. ('nud {ir.rl r'n N..d I.3rah.ory1, wihlllCtryaxl C umy
<br />nr. r.rfts?turv?\ DfrhN Ciryand Counry ro.nr.r uB'nrh.r.l.r$\ r.lJnlll r' htr'ldinB
<br />:hrvc mnri,n.d pnrFny lor imtErhnNrF)$r
<br />1^r*.rrr - ^rr*
<br />t,-.,.*
<br />(pm,ormrpamr:-E kun;t X,-.4kf14a
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Satety /Low Voltaqe
<br />Frre Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER qYl 0v uw.l 064U
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soff it Rouoh
<br />Ceilings (T-Bar Flouqh)
<br />Itileter Release
<br />Rough
<br />Service ltrleter 9,1{,/lY trJaorF
<br />FINAL ?tY/ 6/Aaate ,IPV
<br />Notes, Remarks, Etc
<br />Rev 0A 07-2015
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