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ELECTRICAL-INSPECTOR RECORD
<br />APPBOVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Eases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Torqueinq
<br />Sub-Panels
<br />Air Condrtioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Bough ,.'o.>)
<br />a a.)a4l)FINAL I /v//zoiu
<br />Notes Remarks, Etc
<br />OWNER AUILI'ER DEI,CAXATION
<br />I hcrcb, slium undcr pcnllry o, I,crrlry rhrr I M .icrq,r fon rh. Gnr[.r6 Lt.nc lrw t r OE lollowins E&n (Sr{ m]l 5
<br />Busin.sr xn Profcsbn Orl.): Any Ciry or cou ywhthrcquiEsr Fmi Io mnsrMr..lls. iryrot. d.mlih or ExE&t
<br />nerur. Frr h irs r$ac, ds E{riB rh. +pli. r for 3Eh Fmt tu lik. \i8Gl .rd.m.r thd lE o, r}F k litnsl plmdt
<br />ro l,E Frvnion! oa rtE C0nrrrrois Lian<d L.* (Ch.rn( 9, Cotrmrins *nh S<ri,. 7lm or Divnbn I or rlE Eurir.r lnd
<br />Prorc$hnr CnL ) d rhrt tE or 3tE i. .r.mpr rh.(fmm !d rlE t-iir for lll .lk,.n .rcq,rrn. An, uioLlih or Sdion 7Ol I 5 b, ry
<br />oplliconl tu r ,'.rmil suhr{ll lh. alt lic.nt lo ! .ivil p.mlty or n,l mE tho. fik hundcd dollrs lSvD).
<br />l. rr o*E of tlE lioFny, or my.,{'!,}er *ilh *l3.r B dEn n! @nlP.n!.rioi. vill & dE sdt !'d 0t {anr i 'Dridcd.n 6 otu fd rl i Sc.7ol4, Bu,iB md Proln{o6 Cod.: TlI C.ddor's LirM trw dG d .p?1, lo r owE ol
<br />l,E Flrriy wno hild! q i,ltmE tlEtqn !n *lD dB Gn N.t hiell or hdilror th d,ti! d ha oh cnploy.*.
<br />Fova.n !h.r trh inFoEmdt G d hr.iiHdolf.rd fr * ll how. tlE hirril\3 m intmEr i! sld *ihinm )o,
<br />ol snt*:lio.. th. Oemr BuiLta will h.E rtE tuln or F,vin8 rh! lE or dr dil mt hin or iqmE tlE FoFly n, {E I,u,Fr. ol
<br />_1. .ro*H of rlE F{dr. mdclu$hlr 6ffi68 Bnh lirN.d o r-rn lt on(nrr rlt Imr.d (Ss 7(}l.t. BMs
<br />.in Ao6\inC.dc: TIEC.nrrroir Li<n( L,r {t..i Fr rt?ly ro osftr orFoFny *h rDild3 or in0mKr trEi6n,
<br />.nd *tn enrGti ld tuch FoFde lnh. Codtuono liu<n puMd
<br />'o rl! C.' r<1i, ! I j..ne trw)
<br />_l dcrcnpt undo Serion_. B &P.C aorihtu E&m.
<br />D.r.: Orer worxrqs corrPilsanol i
<br />D9Ct Af,TiTION
<br />I h.rcby omrn undn Ftruhy ol tdjury onc olthc lbllowinS d..h6lions
<br />I h.w !n *ill minrdr i C.niaE{. oali,re bS.lf lnrurc rc ent6 LrrrEN.lioa a lfrfii.d fu ny:E(lbn l7filolllE
<br />bl[r clrl., fir rlE Fffll:rN ol E rr.t td wnih rlE Ftu ii ir*d.
<br />_l h!v. lnd *nlminrrin work n .onFnhrrn i.sur.m.. [ rcjuircd by Sdrhn ]r0o ortlE LlborCod..ln rlr Frfom--. ol
<br />uhrh,ah^ n nDi a n(kn Myqfl.rti.n'It
<br />S'.'ta+<- A- 6)n{i(,n insurdncc clFi.r ut Bnt y trumhcre
<br />-1
<br />-l
<br />ccnify rhor in rh. F.rfordncc of Ihc ,ork ltr which rhn F,mi is issu.d, I !U .or cnploy dny Freon rn dny @ncr6 rsro bcq'ft subi.yr h rlE w0rl6 $ntEndirn la*r ofcrrromia.,rl l8r rhr ilI rtnuld h€or $bi.l lo tlE
<br />Nrln drlEdio. pmft$nr of sd$n lrm or E LlIr Codc.l.hll. (nhlnh sr?ly * ilh llla rt!tili'.!
<br />iVARI\ilN(; lillui(' !) {(lrc sorkc6' .'nrl{tr\Iion .o\urrtr r\ unlrslul Jrl rhJll \uh}.r rn .nDl,,,tr n) (rnnBl p(tulrr nftl
<br />.ivil lnrc\ DD lo onc htnnr.(l rlDu\o doll{\ (rlor.(xx)). i', lddiri, n, rh. .oi oI .u ,F-n\ i(n,.d 'ttc\ rs tn,ridrd ntrhc
<br />SNrb. .1076 of the ljlrtr (inc. inrcrc( u.d onomy ! lar
<br />\7-.1)-2o
<br />Drcr
<br />^IuTtoNIhcEhytrnirmu LrF llyofFcrrurylhr I rn liccnkn und.. povishn ol CluFls 9 (commrc iry *ilh Sd i,n ?000) of Diviri,tr 1
<br />.f rh. BlriBs did PFfc<FN Cod.. dn n, lictrr ii ir ruu roE .d rfiar
<br />L45 12\ o
<br />1241-2tLc-,.-*\"+lllrlsugJlla-lJN0llErellst
<br />I lEEb,.ltrh !'dq Fulr, of ncrjury thtl lnc. Li. onnru.1i,n k ldht .3.tu, for rlE Ffo'rrsc ofth. wl tM whih rhir Fmr i
<br />iswdlS( l(,?. Civ C.)
<br />AIIIICANLDECIdAAIIIIN
<br />I h.86, !!im undcr !..a[ y Dr lcrflry oe ol rhc follo*inB d..hd ions:
<br />O.mlnbn P..mits-Arb.rror t{uriarr!ar, ts d.rll R.glLrbn. Ont .ll). Pd6)
<br />_R.qu,tn t. dof |{i'f.dion
<br />I..rr1lilh thc lldd'rl r.AUlari,,tr\ r!!!',1o3 !\lL{oIrnn'vrlxrc mr xl,t,l'.rhl. t, rhn pfuF.1
<br />_l drry lh.t I h.\r rd rht .lpli.rion ,n rrlc rhd rlE irx,E inrotuan ir .old. I l8re ro Nnpl, wnh .I Cn, ud Counry
<br />odiolB rin 5rrr. ris. ELt!,S ro hiiuin8 .ontubtr rn h.rcby .urlEM EJ'EErr{iB of rnit Cny .!d Couly lo ors uron dE
<br />[vc nrnri,ml p0Icnyl'tr 'n\p(rion
<br />Applic{trl nr A*cntSilnnlrm
<br />+rJ\0 ,, ) T?A ^,,\1-11-ZO
<br />I
<br />RFV 0R 07 2015
<br />DATE
<br />Communications Cable
<br />Transformers
<br />Service lvleter
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<br />Z(
<br />t nd.i( Addrclc
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