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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILI'ER DET-CAR TION
<br />I h6rby !,Im undd Flhy or papy rrr r m aaar-noo r* <orrna*r: ii.* r^ r.r rr. ouo*ts *,L'. tso loit 5
<br />BGins &d PrcEion Co<L)r Any Cny or Couiy *t!th rquiG . Frn lo @trrtud. !hq. intmvc darclirh .r lF.n Dy
<br />shdE Fi'r io ir! isl!m.. .r!o rcqd6 rh. +dtei aor 3u.n patur io frl.. riSrd laffir thi h. or {r ir licqB.d Fda!
<br />16 rlE Frtb6 of dE Con6r'r Li.ar.d L* tcn+r6 9, co@di,s ehh S<1b. ?ffi1.f Divbi,. t of !t BBir rd
<br />PmfsioN Co&)d ill.t lE or ds ir d@F thd.6on ud lh tE! fd t,E dLS.d s@Iriri. tut vblrrion of Sclion ,01I 5 br &y
<br />!ppli.. for. Fnn sbjrlrllE rp?li(el lo o ciril FEl, of ml mrc lhs nv. hutdd doll6 (lJm)
<br />_1. B osE of rh. FnFlr,.r m, ddor6 *nh $.e6 a rh.n sL omFdior will do llE pat ed d. nnarft i! Dl
<br />i'nod.d or orq.d for slc (58.7(}14. Bui,B ed Prafsiod Cod.: Th. codrr.ior'r ti.e t w d.€ @r ppl, to o ow ol
<br />th.pDFi, r'ls trilt n !rs!E dEua tn *,lF &E rt wrt hiMlf o. lE*lro' lllousn nt d hd om dplolq
<br />FrviLd $! Mh i,lForqd, ft d ddrLd d ofidld 6r sl. l[ hw. rlE h,ildi'u n uprorld i -ld *ihin c r€
<br />orcompltb( lh. O*n6 Buildd wiu h!v. r& hrnar of Fovi!'s thd lr or d'. drd mt build or inprrE th. FrFtt for tlE F,FoF of
<br />-1,
<br />B ornq oflhc Fopory, m qclsivcly coir&1ins vnh licots d .onlrlcroB ro 6dtud tlE F,i..l (Sc. ,044. Iiu'nd
<br />ud PrD*si. ( o.L: th. Conlrtdoir Lic.G L.e &16 mr.p?ly lo M oR.6 ofFopcly who b{ilrL or inprcG lha64
<br />.nd trho orffi! nn kh FoFlr wnh. Coir.im(.) liGE d puEur to rlE cd..dd r L.qE l^J
<br />I uner.mpt unLLi S(l'o
<br />D.r. oin6:]]ll&il:&r(outllrallgtDrrldSaua!
<br />I hs.6 rm,h un,js tduh\ ol IEJUT,\ oN.f rh. nnLNm! &.Lrark'N
<br />I hr. a'd * ill Einrlin ! Cdifsrc of(ot&! ro S.l uE tor Mrl*- omp.neli.n, a r&vid.d fd bt S6lion 1700 of llE
<br />Lnu Code fd tlE F6.llE. of rlE sdl fttr shin EFrn ai!o.d.
<br />_lhA.andnilltoa'nr,'nwo.r'.o6r.!L$rioni\urm.-f,irqur.tlbysdrnnr!700ofrh.t.6htrCod..aorrlErsn,rtM.cot
<br />Fnir ! &.d My wrldt -r:-
<br />r /rt
<br />-l
<br />.di& rh.r ir rlE Ffolfu. of lI! *ork fo, *hrh rhis Fma ir du.rl I rhlll mt Enploy sy rEer i! uy ffi
<br />$ ! ro hcorc sqd b rlE r<,t6 or|padion hus ol(.I'aoEia i'd *r th. 'f Lsuld tBoc st*.t
<br />'o
<br />rlE
<br />wo 6 omFshnproviiiod of S<ion l?m of th. t b.r Co<le Irldl. fodns ilh snrt wnh lh.s Fovtiod.
<br />$ RNING: tnlw b sR rql6 onFErsn ords. E uL$n L !d dd obFl D dplotq t ai,inll Frrb !n
<br />civil fi.d up ro oru hun&.d rho@d dotla (ll0O,O00), h r<tdnion ro rh. con of..nF8.rior! drue6 d Fovid.d for 'h.Setion 1076 of rh. tirr Code hr6l3 &d fidr*r', f6
<br />u(llsgrroaraAcraB
<br />DE{;IIAAITO!
<br />I h6.t y ,lrm urLr Full) of Fllry ltrd I m licdcd urdd Foar. .lcr[Fa 9 (omntrtrU $ nh Salion 70OO) ot DnirFt 1
<br />ol th. Buind lnd PNfGioN ( od.. dd my licoB is in tull forc. dd.aldl
<br />6
<br />lz.tz
<br />Z
<br />^22/Z<.
<br />co!ira!g&!.tt!!t!slli!!t\
<br />I 6, .nm unra Fdrr ol Fj!r, rh, rh* L . md,ldir ladiB .gcy for tlE F (Ilu. ol lh. 61 6r "tth ihn Fmi b
<br />su.d (sc 1097, civ. c.)
<br />AITU(A{LTECIJAAIIII!
<br />I haltyrlfmurdd Fn.hyofFj!ryon. ofth. followins d6ltr ioN:
<br />D.mlirion Pd eArb.n6 Norifrdion l-cd6.1 R.3uldiod (IirL {0, Pd6l
<br />-R.quiE{t
<br />l-.116 of Ndifi .ni,
<br />-l
<br />.diry Or dE ftnqil i.llhbB Gtrditr8 6t rd lqmvn e mr rdirbk to lhil Foitr.
<br />lai cdiry tha I h!,. rad 6!! .pclt.tioi .d nn. rha dE .!or. infotui.n ir .orrd. I lsE ro ooply shh dl cny .rd cour,
<br />odin.,E rd sd. LM EtiB ro hiLli,B odru.lb( id hd.6t dhoriE rq.-drn6 ofthi Ciy ad Coudy lo qna l4o. dr
<br />rh\ . m6non ! rolEd )_ ld nrFl rn B[Ii*
<br />\ppli.rnr or {tod Si*nrrur.n, {L t'7
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />S pas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)ozad-flro/ctt i7 nLLldt4l ) *rto'-
<br />Ceilings lttarO t Sotfit Rouoh I.ut t
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 44-tA't ,t lr*a,ra^Pr)
<br />Notes Remarks, Etc OI
<br />a\J 'I a
<br />7<72/ I
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