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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS OATE ID/SIG.COMMENTS OWNER BUILDET DELCARATION
<br />I hmb, irm u.d.r FBXy of Firy rh.r I m cErpi fmm dr Cofirrfi LitE Lr* ro. dE lollori.g ,Een (5e 701| 5
<br />Buri6! .!d ftolcs-rn Cod.): Any Cn, or C@.ry whah rcquiB . Fmi ro odMl. .h6. irproE. d.mlih or EF sy
<br />rudre.I,Drroirs i!flft.. lls EquiEi ln t9plior fn rxtFmil lo fiL. liimd arcd tur l!orih ! Ite.4d pEqtrlr
<br />ro rhc ,rcvirbm of 0E Co.l,rbrr Lltn..d tre (Chrrr.r L Collmftir8 wilh Setion 7000 of Di,irbn I of lL BuriEs ud
<br />Pmfcsi,n! CqLi d rhd lE d rlE i! .r.npr rhs.liom .rn r& b.si! tor r,. .lls.d .r.nFjo. aryvirbionursdimT0ll5 by.ry
<br />l|!|tliri' ro. r Fmir sublrB tlr .pplkmr ro . .iv F nt of m' E E lh.r fik hulnEd &rlhr (55O)
<br />_1.r osErofrhe !n Fny. mycnllroFr sirh w.!., $ th., $k ftrn{EMri}n. wiu& dr rqt.d Enrtlrbmr
<br />dci&l d ofi.Gl fr .L lsc.?044. BuriBr.,n Pmf.sioN C€d.: Tt Co t-r.t! li:E 1,, ihg d +ply io { orE ot
<br />rtE proFny *n' hiUr r irrEh lhqBr.nd *tn dcahr t hinktrd lEBlr or 'kDuli hir a,E oen.rthF.i
<br />pR,vidcd rhr' ruch iq,owmnt e mt int nlal or olt r.d for slc lt h.*cE lh. tnildins 6r iq,lftmd i sld ethin o* F{
<br />ot$trpkrbn.
<br />'rE
<br />ol,mr Buih.r win hrE rlr h!e! oI Fovine u tEft slr dil d tlild m lqrE tL D.lFry for rtE porFE of
<br />4ila*fuE owrorrh.Ihpcnr, mcrrh\ihly.odrrc!d8 *irh lk.Md $nrdoR to enslrucl tlE pmF.l (S... ?044. Borirc$
<br />l"/ifu Lt"* cod" TIE conrrroi, Ltcntc Lw de! mr .ppl! r. u owB or poFn, vno l[ill! or itrlprows !hcr6..
<br />rnd wlb sd,trrrd snFr(t! rth. Co.rr.lon, E r.dl!lr@ro ECoffiort LarB L:r,
<br />lrr rlrtr,J, utrJ., S..rtr,,
<br />D.,", '-?"e->'1.*.E
<br />D[r,.a8aDo!
<br />I h.rcby aflirnru.dcr JEMI!,orrsj!ryom.rrlk rulltwin8tl(la.thns,
<br />-ltEw.odBi[mi
<br />.in rcdifrd. ofcr'|:d b S.lt l6a lo.6k6 odtENbE u FoviLd ld by Selia !7@ oflh.
<br />lrbor C.dc, for trE Frfo,rl1.N olrlr sdl ld *ni.h tL Fmi! i isu.n
<br />_lt EIdeillminr.ine 6'comrE erbniflsMN,ar Rqui,.db,Sdb.l7mof'lrt hor Oo<b. ror dE p6l()ffi ol
<br />rlE Krt aq *'nth thn Fmn k nr,.d My wldi @nFn da. i6u,rm csid rn poEy numbd e
<br />-l
<br />.enify rn r in tlE f.rtortu(c of rhc eorl li,r *hich rhk pcrmlt k k!!cd, I shrll ml cmpbt uny IEr$n ir ony Mrcr
<br />$ s ro bc6E subJet
<br />'o
<br />tlE mrt6 otrp€Mi,n hur of(l]itmil .d +r rh.r il I llbuld t .or.!bFr to or
<br />hrt6 ftrlEerion FovtioB6rsdli,n l7mof E Lnr C.d..l irll fclhrih€nply *nnlho. Ftrvni$
<br />lryAlNDlc: Failurc ro *u€ *ort n on{Ensrion $wn8c i! unlleful, cnd shil lubj.rl .n cq,low ro siminll FE!i: .d
<br />.irit nEr ltr ro or huidEd rtnlern doUrh lllm.gn). i. .ddnir h rh corl of otr!,cNl@ .Lmg.! B Fotidcd lo, rlt
<br />Serrin 1{16 oa th. lrlu clnq akH rrd dkjmy 3 fer
<br />"",.--7 2:&L-
<br />Dtr.cr lx-A?I{rl
<br />I lrEby .flirm undq pcn.hy oI F.jlry rhd I m lienrn !d., Fovi.iJ. o( C-r'!prn 9 l.lmming wnh S..1in ,m0) ol Divtig. .l
<br />or
<br />'lE
<br />BuliEs .d Pmf6sioN Cod.. .d ny li..nr is h tuI for dn .fid.
<br />gJlsrarcullut EUDMi.AGEII:I
<br />I n Eby.i].n unL. FElry ofF iury rh, rE i..6drBl.n Edlia.8.rcy lor lL FI{m ol ! erl for llli.h fii rEni ir
<br />rrnxn (sd 1097. ci c I
<br />AIIL!!]dNI.!ECIdAAIIO!
<br />I ter!, rfm uidc, Fnllr, of Fqrry oft ol0r fnUowin, &.!dbnr
<br />D.mlnbn ftrmts.Arh.$G NoiiiErhn tud.l RcruLhn. (-rnt lo. P.n6)
<br />Rcqnird Ldlcr of Norifrdi,o
<br />#d;ffiffiffi $h6d rcmvrl @ d {rplian! n' rht l,mFl
<br />cihrr rhrrh,vc innnurkn, nr')n.d I a8rLt r, oi1pl, wirh nll Cir y akl Coutrry
<br />h.Eby lurbriu EF.s.'.rirc. olrht Ciry srl Counry lo cntd ulnn rrE
<br />.lI,E nH'iEn riDpcn, rq iNrtrbn
<br />ApDliNnl or A!.trI Signulurc
<br />t5lqo G*/lr,.r ^,",?'a-;21
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor t/ t ^ )4)
<br />Bondino / Groundinq i UFER w6/4 a{caw{IM
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Bouoh)
<br />Meter Release
<br />Rough -^ /.t ll ./ra
<br />2b/.d/Jru,{A rzu,t>
<br />FINAL I uc/)/ktullt.5ZK/
<br />Noles, Remarks, Etc.
<br />rr->
<br />Transformers
<br />Service Meter
<br />L.rxLr . A.llE$:
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