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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, 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 />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh)(i -z>- 16 ,,2 \,)Jdo94 <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Rough <br />Service Meler ---iFINAL4-r-t{4-al:-/J)Aaz <br />Notes, Remarks, Etc <br />OWNER BUILDER DEl'ARATION <br />I h@by rllm urd6 p6rXy ol pajory tht I 6 odfl nlr rlE Codrlm Lic@ L!* for th. lollowi.S ..&r (Sd 7011 J <br />BuilB .d Proft*rb. Cod.) Aiy Cny or Cody which Equi6 . Fnn lo @dtu r. .ltd. ift9r.ve d6mlirh or rqti. dy <br />llru{r@, Fior to hr ilM.. .to (q.n6 dr rp?lt&r for Ni Fnn io 6b r lirncd irroMt lhn lr or 3lE i lico!.d p{B.d <br />r fi. FolirioB of tlE Coflr-loir Lk.u.d L.{ (Cllplq c, Comdins *nh Sert. 7000 ol Divition I oath. Bui6.id <br />Prof6i'N (1{G) or lh.l lE tr ri. i s@Dl lnsdom id llt t rit for llE ,lkt.d.rdnFion AnyvioLlionofs.diot701Itty.nt <br />lprlic6r Io. r Fdn 3ubjd. rhc .pplk..r ro . .i!il p.aiy of mr mE tha iiv. hurl&d doUG (1500). <br />L E orE of lh. FFny. d ny orrphtG *nh *!s6 s rrrt $l (mFErioE wil & rlE wt -d dt ,ida i mr <br />idcrLd d ofrald fo..t (sje ?0{4. B{.ir !d PrDfdioB Co& Tt Comtrn ! Lile trs dt6 d +V lo & o*F of <br />rlr FFiy *r. hritl d iI+..6 trEq tn wh. d6 ch $vt his.l, or h6rlf or llFwn hL s lE orn alpht6. <br />FoviLd rhr uh nsoEdl! G rbr dci.d dolEld &. r& I( t *w. tlE hildiB d irsovEcr i slrt *ihin m ldof.drpki^ E(xE BoiB6 rO lbrrlEhnLi ofForiS rlr Lorlltdn tEr tuildd irylElh FlFiy 6r ll! F4aoa <br />k c o*E otrlE FbFrr, d.r.llsn c, coffiilB $ li.aa.d coirxiBro odMr ili FF (sc 7o+4. BGns <br />.tDtin (_od. TIE (otnr-rq . Lr.e tru &d tur rp,lt ro e ow olFoFiy $lF t{il6 or iiFord rh66tr <br />rho onrtrr fo. iuch FoFr *ith . (ondo,lr) ltd.d FEd to ltE Co'ftrd 3 LaqE t^ l <br />I 6 .iont undd sArb. <br />^,,? afall <br />I haqa .mm unrla F..I, of Fj!.) oE of rh. rolrN ins &.h,r Fc <br />IhrE.rd*il,ni .b r Cqrifrr. ofcoe lo Sdf-ltfu ftx wnt6 @t4odio( ! Fnvit d ftt by Sclior lT@ dl rlE <br />lrhc Cod., fd r,E Ffotrrc of th. *st 6r wtkt tlE Fmn i isEd <br />I h.r. .id siu tuinl.'n $fltd 6rE dion i.me s r.quir.d by Sdlbr 1700 orrL tlbor co&. for rh. Ffolllle. ot <br />rh. *irt liv whkh thir FBn n irld My Nrl6 @tr[Elnior Uud. 6ir erd Flicy dmba G <br />It,liqNumh.r Elpn6 <br />br c.drlyrhd mllEFn-ru .of rhcrorl tar sh(hthn pnh B i$u.]. I 3n:ll nol aplo, any F$. i...tnmnd <br />$ 6 t. tlton. stid' t' rh. *0.16 conp.r3dion l.$! orcalifomis. ud r*r rhd if I slbuld h.rom. 3!bi(l to lh. <br />worl6 Nnlgulirn t iiioEof Sdion lT0oorrh.l,l{, C.d..l tull. Ldh"irh comply snh rhs prorisioB. <br />$,{RN|N(: |inhtr. h wur. \o'tqs .rnlhR inr ful, ud sfi.ll subj..r d @ploF to ainir.l Fuh6 ed <br />lo rh. con ot.onp.@iion, ddrCd a provid.d tor lh.cill fin$ u,, t, onc hundr<d rhousand dollaB (tl <br />s(rkn, r{i76 ofrh. I rtrr ri ., .,d nl <br />L9 1 <br />I ficby.rrm uftld F llyorpqjuryrhnIololAlndiFnrsionofclEp(s9(onmtringwilhS.dbn?000)ofDnnionl <br />of rh. Bcod od Pr.fdio6 Cod..,n mr lk@ n in tullforc.!d€Od <br />cottsTtl]cl'loN LF\ptN(: aG.NcY <br />I harby.trm u.& Fdy orFjury rh. th6. !..o6ru.rba t di!3 .a*y f.r lb. FfM otlh. s,t fttr *lEh fiir Fnn i! <br />qu.d (Se 1097, Cir. C ). <br />AITIJSAdI.DECIdIAIIA! <br />I h.dry dEE !D& polly oaFiu, @ of U. 6llo*ins d..l-rb6: <br />Orblibo PaDa'Arb.td Ndif'.ni[ f.&.1 itruhiE (Tllc.O. Prr6) <br />R.+ird l nq ot t{di6'rit <br />I cqrity rhr fi. r.d-.j r.suhr.B .!8a!r'.s 6han lft!!.I s. d +plt.bt lo lhis Foi.rr <br />4 til_ <br />/a <br />I <br />I <br />I <br />I I <br />Meter Release <br />I