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ELECTRICAL-INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS OT+NER AUILDE' DELCARATI1,N
<br />I lrEhy .rtrm ud.r FMhy or Fjury rhd I o cr.ng tun rlE Comrro6' Iiris tiw tor rh. rol,oBiig nrsn (se.r0!1.5
<br />Burin.rs d Profcriioi Crd.) Any Ciry or Counry *h..h rcquiEs r ltmi' ro $irrucl. alls, impmw, d.mlnh .r rcp.n ony
<br />nMrw. Irior ro i', isutN, al$ EquiB ilE +pli.sr for wch p.rnir ro fik. si8ftn llal.mnr rhil li or rlE ir liansl pua&r
<br />ro rL F*irbn! of r,E Conr-lo r Litnld lrw (Ch.prs 9. ConftEing *[h sdh.7frD or Div'rbn ] of rlE Borm$ &d
<br />Pn,f.$irni Cdt , d rh.r h. r ltE ir .r.q, rhd.tom rd rlE b..! for r dLB.d .r.qrhn. Ary lbLIi{ of S.clbn 70.11 5 t'y sy
<br />.nl,ltM' lor t Fmn $hid! dE .rplt d ro r ciril F !y ol 'r mE th.n fiv. lD'dr.n iro[r,r {!Jml
<br />,_1.!:owrrolrhcr,ftFr'r.ordycmphrriiwirhwas6rrlEir$ksnyE.sri,n.*ill.Ioth.w.,nUEltrudEid,
<br />inEnd.n or .fr.rcd for rb (Sa ?044. Burir$ ud Pmfcltbnr Co& TlE C-ntrxror'. Li..6e bw d*. d .pply lo r osH 6r
<br />rrE F,I6y rlb boili! d irqmB OEc .,n vh dc ut qrt hiNlf or h.Ellor rlFlsh hn d ltr M.n?lor+i
<br />Flvildllh.r uh iqmErnrre d iroi.d dolIqld t( r!. lth.}.E,0rb,lll8adld.lrdibldwinhmrd
<br />.rslllhte tlEO*E Buik lthErtlhllbnotFowBtLlEdaEdnm'hn!qrF@liEFoI.r,6.0rF FE{'f
<br />_1. arosEol rhc In'ncny, umcr.luxirclyconrDcrins *irt liccnfl co.t(b^ b connrud rrx Fr..r (s( 7{}l4. Bx{k(
<br />url [h'f6rir Codc Thc Contre'or's Li..nr. l-!w des .o' lpply h !n o*ncr ol polrny *ho build! or impn,vc! ri...o.-
<br />rnd r&' o.nffk for (rh I'oF( *irt ! (-onralod n ltcnrd tudmr b rh. (in ld.r'r Lacnr tjq )
<br />_l .m.roF un&r S6rbn- A. & P.C lor di! ,m
<br />D.ll: orE *ffiffi
<br />I lErby rfir6 u.4r F.J!y of Firy o* or 0E folb*i4 &.L.rbB:
<br />1f,11(t * *a.,tt- ,-.cdiirB. orcornr ro s.r.lNc ad wt6 6qEnd.n. G Flit d ror b,s€rin l7@ of tlE- ' irtG Cd.. ln tlE FfmttuN ol ttE qrl f6 *t'th rlr FEi ! .nrd
<br />_l hrvc md *ill roinrrin sortss coDpcn\lrion in ranc., I Equircd by Sc.i bn J700 of lh. trhor Odc. for thc Frrormm. of
<br />rh. wdt tor rbih rhn F rnir n n .d My workdt corlx.dion Esur*. cMir on l.li.y numlEr e
<br />c-x,,1*o+wa c*
<br />P oti t N' ntn, -hN!2\/!at2!5ZZziL.*.r4/ne/4
<br />-l
<br />ccnilr rhar inrhc pcrfo,ruN of rhc wort lor whichrhnF hjr is nsucd.l !Un .mplor dy F.sn i. rny mnrcr
<br />rJ * ro tf,sm subFr t. rlE sdtdj on{Etroiin,.wr 6f Crlirotu !d r8N
<br />'hd
<br />if I JDuh b.<rE obFl lo tlE
<br />mrtdi oqEndb. ptuvtatB of sdsn l7m or E tih, C'dL. LlElI lnlpih of,{'ly *ilh tlss FuviioB.
<br />WAnNINCT Frtm ro sE xirt6 6n .Mbn otoi! I unletu|. un rndl tubirl D arploFr b qn nd rErXi:.d
<br />civil fiNr u,' ro or hudEn rhous dolla (llm,om), in rddnio. ro llE od .r oftFBriotr. dd.Fs a Fovilcd for tlr
<br />S..rl,n 1016 of rh. Ubor Cd.. inlcEd md orEy'sfes.
<br />o.n o6 /z:z,t l o:-1 +p^r.7c92c P,*7t '-aALICF-NSFN (JNIIACIUft
<br />OECIatAIION
<br />I lErby rllm unt r FMxy or Fiuy ih, ! m liHid uaLr Flvtbr of Oq{d 9 (oIrlffiir8 enh Sclbn dI)) of Ditrhn ]
<br />of rh. BlriEi. rd Pmf*drn. Crd., {d ny li.cM i. in tull for !d.ffer
<br />'<to
<br />LEtrE Nunbr loz?6? 7
<br />a6./23./2 t cnr,anO'qnle C ,"4 5o I a-t/
<br />r0lsrBucullNtEND[{c-&c!!(r
<br />I lEEhy rrtrm u.d.r Fulry or pcrlury lt, rlEr t! r onstMrao. Lndi,8 .9.k, ro, rh. F lolrrDm ol rlE srk for *tih fin Fmn ir
<br />nrun (se 1097. civ c )
<br />AIIITCAII.DECI,ATAIIO!
<br />I hsd,y rm ufldd Fn.llt ol F,lry oN of tlE rolklwi!8 dcLr.t bn!
<br />D.mlirbn P6nir!-A.b.tro. t{dili.rbn F.d.nl ltcgll{irnr Gnk {0. tr.n6)
<br />R.quEd L.n6 of Nodrdix
<br />-l
<br />.qiiry th{ rlE tcd.r.l E!!l,lio6 Es.,ning $b.nor M,vrl e mr +?lt.hL l. fin poFt.
<br />J)!{ drry fir I lrw Ed rh! +plnlbn rn o. rt{ E.!ow illnrrirr t.drEi.I {r lo @nply ttn rI CnyDd Cd yr#lrrftr rrl Sl!. Ls Eht ro hI'En, onfum rn Hy urlEri& EFr-tr.ri6 or rhn Cl, .arl C.ury ro .nrd l+on d!
<br />.lbw nE.r.El pbFd, ror insF<ion
<br />ApDli(!ntorAaenlSk,!lurc
<br />Jc55<-
<br />_ ^," o/ /z-tlz-zl
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ilding
<br />Under Slab / Floor
<br />Bondino / Groundinq i UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meler Belease
<br />Rouqh
<br />Service Meter
<br />FINAL '{l nJu *.4 w
<br />Notes Remarks, Etc
<br />I
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