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ELECTRICAL-INSPECTOR BECORD
<br />APPROVALS DATE COMMENTS OWNET EUII-DE8 DEt,(ANAfl ON
<br />I h.rh, .tnnn u lcr n nrhy of p.rjury rhlr I m .r.n{'r rmm rhc O,.t.crou' Ltcn{ tjw for rlE lolhvin8 rcr$n (S.c.7011.5
<br />Bunms !!d Proa6rnfl Gxt, Any Cn, or C@'ry wh-h ratics r Fni ro @iiML rl!6. iqroE. d.dlih or EF, {,
<br />(rurrurc, l'U b nr i$udm. rtq' rdtut r ih. q,tlas ro. such lErnr n' 6[ r siSmd 3rdc'Enl lh.l L or nE i lkcn-n pusel
<br />ro rh. I,orilioB ol l& Co.rrckr.! Li.nen U* rch,prcr 9, (i'nmrine w{h Sdrhn 7uI) of Ditilhn I of tlE BuriEs xd
<br />Pbfc$krnr CrDd.) or rrE( rE or sh. N .r.nq, rh.ftrNm .,n rh. hra lor E .lLr.d crcqrnn Any vnLrhn or S<dbn 7(ll I t by .n,
<br />{npliclnl for ! ncmit lubl.rlt thc oDl,lkanl lo s .iril FcMll y of iol ffic rhm nvc ho tdi doll$ (!5LXJ)
<br />_1. .i o*N ot thc lretr.ly. or my .nphrNr * h srg.! &r rhcn $k d,rp.ns.! b6. *rll do rtr wk ltrt tlE $t]fu B m!
<br />iddrhl or oflcrcd rM sL (Se.?04,t. BusiE$ .,rl t\orc$i'N Cod. TIE ConrrEroii liTB Li* r,i*r hr +pl, to rh o*E o,
<br />rh. F{fiy shd b,ltr o, 'nFrB tlE s( dd whl dB *h wrt hrB.ror lEr-lf thsuah hr m }E off..rnhF.!.
<br />prcvn,cd rhr! ru.h infbEftoh e nn i'n.Rlcd or orcE<l for {h ll h,*uki tlE t iBin8 or inln'Emnr i\ 3,U *hhi. o* )sr
<br />of mq'h'ior 'lr O$ E Sui!6 uill &E
<br />'lE
<br />h!d.n of Imury rhc lt or {r da Bn hild tr uriftr r,E FFry f* rh l[rpG or
<br />_1, rt olM or rlt F ?.ny, d.rcbsiwr, @dBrin! *irh lftn!.d .drd6 b M{d llE I'.}d ISd. 7(t4. AurIK
<br />ad |tDfts\i,n Codc: Thc Conr6ci.tr s Liccns. Ijs dG. (n apnl, ro b o*ncr D, nroFny *ho huildr or impr,r. ih.rcon.
<br />$d who dnldi fd rkh FoI113 virh . c.dturo(., Ia.n<i pullu ro rlr co ra-lcr LirE L.*).
<br />]Iaf,f,ltlrautldta.uo!lr[clJadr0!
<br />I hcrchy aftuD und.r prnllry ofp.rruryorc ollhc blklwin8 d(lur!rt,n\:
<br />_l hrE s,n will ma.rin n Cdir$t orc(,nc k, S.ll.l$!B L! wl6 mmo.nr.lhn..! FoviLd for bySalbn lrmol E
<br />Li&r Cod., aor rh. p.rromkc ol rh. work lor whih itE Fmr it '.r*d.
<br />_t hrvc and will m'nhin *od.h cotrp.ngrion 'nsoE^_.. 6 r.quftn by Sdr tun l7U) or lh. ljbor Cd., n, lh. ItrfirllIe ol
<br />rh. *dk ror ehkh rhir lErnri' ir i$En. M, workdr' mmlEndirn insrmc qi.l o,n Fnt, nlmbcr E:
<br />_l ..niry rh.r i. rh. FtdmB! of rlE wori ftr *htn rht p.rmir t sru.d. I rh.ll mr .rq*,y .ny Fr$. in .n, ll].et
<br />o 6ht$om \ubFi 'orlr Mltrimn{rnsti'n ldw! lcdrlomE. lnd r$r rhlritI rhuld rEfttu tubj.<r ro rlE
<br />* rloi, ollryrtrer r,n nmr Ni'.\ .l sdnn .l7o r r rh Lf,h' ad..I {dl, rl|rh*irhnri{ y$rhl}br l,bvfhni
<br />WARNINC l{ibE to s@ eorl.^' mr{EBlir, (,vcmsc i{ unhwtuL ,Id \hdl rlbr.r r. cmpbF ro sihin ,Eolri Jd
<br />cnil 6G\ urr ro oE tunrn oFus'n & br (Sl(,,6D. in {td i,. b r,E (r or o.Fmriotr dIryst r. Flrii.d lor rlE
<br />Sccrion 1076 of thc ldor Cirlc, inErcn r.d {mr*y \ r..s.
<br />Ir.r.: _
<br />-
<br />AppIdl:.- _r-rcrnifr i'or'rrx,rc_rtrr
<br />DqEalAIllA
<br />I h.Eb, lirm utoL, F.rk, ol Frrury rhrr I !m lirn*d lLhr lmvision ol Ch.pr6 9 t.ommrcin8 v S..rion ?(m) of Ditirion l
<br />of llt BuriBs .!n Prcf6rirN Codc. &n my E.r. ir h rlU foe {rc .rer
<br />I
<br />sqla:IalcuoM.EdDldc-aatdcr
<br />I lEEh, rlfEm u'i.t Fe!, oa Frtr, rh.r rlE n.o <Mtbn Hb! r!fty ror rIE pdrollrrm of ft. rmt &,r ehah rhis Fni ir
<br />tsu.{ (ss 109?. civ c.)
<br />I cdily rh, rh. ld.[l tulll,lb.s E8.nli.8 rltt(or Emrrl m d{ qr,ltlbt lo rfi Jxorcr
<br />-l
<br />cGrify lh.r I h.h r.ad rhit cpdtrlion .rxl {tr. rhd 0r inE inrotui,n i! mdd. I l'r lo $nd, rnh rU Cily r l Counly
<br />odnurs.td Sr.r.1,8 EhlE ro hildinS oldnarbtr ,n hdrb,.dlbrir EFrEniiK of thn Cl,.,n Counly lo.r E
<br />'+)n
<br />ltE
<br />!hov. m.tiorcd pmr.rly for in,F1:lhn purpo*!
<br />,tppli$ntor ,\rc.l Sirndlur
<br />Site-Work
<br />Underground
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile SaIety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor I I r. I I .A
<br />Bonding / Grounding / UFER -iltfl'a WMKT v(w
<br />Transformers I
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)Lt ,<
<br />l\rleter Release 1t+ta(L<ruH +zw
<br />Rough l.t \, ,t At
<br />lltL+lu dtuLtm tu{at
<br />FINAL 1lt4IU DVilITn '4M)
<br />Notes, Remarks, Etc
<br />Rr,v 0B 07 2(ll5
<br />ID/SIG.
<br />Pole Bases
<br />Service Meter
<br />_l rh.r.nrpr ubJ.r Scrion_. B & PC.lorlhi\lcusrn
<br />D.l. o.mr
<br />AET]IIANLDETIdSAIITA
<br />I H'y arm u,l&r F.rxy or Frrory om or rtE tulblinc &<Lr.r b.sl
<br />Dcmniion Pcrmir\ ArtEios Norili(rio. FrcdcEl Rcsolrrii,nr lTirl. rto. Ihn6)
<br />_R.tun.n btrcr of trollftdior
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