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ELECTRICAL-INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Bu ilding
<br />Under Slab / Floor
<br />Bondi ng/Grounding/UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Boug h 4llo /n l wan1a1"4-
<br />Service Meler
<br />FINAL blo/rP at 1nV*
<br />Notes, Remarks , Etc.
<br />OWNET BUILDBN DELCARr{TION
<br />I h.E'hy lrrm uido Fmlry of Frr!.y rh.l I m.i.q, fmn rh. (.drrrm Lirr{ L.r for rE rolb$ng E.$n (Se 7o:tl.J
<br />alri6r rd PB,r6\i,n (-nic): 4., Cny oi C@nry whicb Equncr ! rE n rn conrrMr. uhs. nr[mvc. d.mlnh or qrn u,
<br />ilMlG. Fir h n! koe!. r|ro EAriN rlr +llirnr fo. ash Fmr t, 6lc ! r(n d {d.Gd rh, lE or rh. i li..fi.d poB.r,
<br />ro rh. ! \irbn\ ot rh. Conrkt \ l-i..nrd Lrr tcliapr.r o. Commminr wirh SecJbn 7d)0 or Diriri'n:! of rtE Buies.ftl
<br />Pmfcsbn. CeL| or rhr ltd srE i crnyr itEr.ftun dd rlE h.rir Ln rlt rlLS.d crnl{nn An, lrLrnnDfsdnn'r0ll5by.n,
<br />ipnl'(lnrr, r Fmn {hFrF lh. lFplrclnr n, ! o!
<br />'l |.nulry.r n mnrhrn nv. hu ndr.d dollxr r llro,
<br />-1,
<br />is owmr of rlE ImFdy. tr my.mrroler si'h wlE r.r rkt sh or{iNrhtr wiu &r EMrl,ndiErdGi d
<br />i'rc..Ld oficEd fo -L (Ss.rol,{. AuriBr rnd Plsfc(n6 (tn irCoddnrL.rrBL.*&EsLr+?ryror.ogBof
<br />rh. pf,r.ny rhr hoildr m inpioB th.Er. ,rn wlr) &s Mh k** himr.lr.r h.rrlf o. llwuah his or h.. owr.nplolEl
<br />pft,vid.rl ln1 ikh liFDqftil3 c .d ,r.'d.d c orH ,c rl U. LEE. 0E t{ildrB d lrFErEfl it r.ld *irhh m Ju
<br />ofdnrr,ldiE tlr ol"E Bu'rLr *illMw
<br />'lE
<br />h,rk. df proving $n ltddEdx! ml hiu or i,tlftE r tmFry f( tlr ll{,rftof
<br />_1. N ouxr of tlE rftFdr, m.x.lunlrly.otrdin8 *irh lii...d codtuJm h 6.{M rlE FoJd lsd 7ol:l. Bu!ffis
<br />ln hu6i\ir CGL Ti. c(,nlGln\ Li.cns. I i* dEs mr lpply lo m owncr or Dmrrn, who build! or improwr rh.r.orund wh, mnrEknn iuh Foids wirh a coddnin li.n*d p{hd r.rlE(t.{dd\ Li€- trs)
<br />E0arE&iittMrEBsara!
<br />DTCL E,{TION
<br />I lfthy.mhu r.r ,Edny of F,lry oN or
<br />'h.
<br />lolhr ins (lbchrdrsB
<br />I hr\r drl *'ll mrrlm r Cd nt:r. of (-onrnr io S.ll ln\u,r ttr sorl6' lr,qxndrn. I Ifrr il.d for by Sdr.n .l7ln of rhc
<br />l:lrn Cixi.. ntr lh. psr,,m,re ofuh. *orl f.n vhich ilE pcrmil i\ is\hd
<br />_l h!v. .nd will roinhin worldi loft"rnsarion ins!E,.., !. Equircd hy sdlion l?m o( dE lrbor Co&. rbr rlE Frforltm. of
<br />tL $ork for $hth fiiImi ir nsrn. My sMt6 oqEMbn iNlffi trir !n Fniy .ufrb.r e
<br />_l c.nifylhlt inrlE Frlmmr.ol rlE wo.k r(r whrhrhnFrmn it nrEn.l(h.ll mr.il)hy.ny,Eren in my mrF,
<br />, rt, b.(f,t iuhrcl t. itE rni6 m"rlrNri,n hws ofCaliforni!. Md asN lfi.l
<br />'r
<br />I {buu ltcoE ruhjcd h rrt
<br />nrlic'\ un,Fnw i,nInrtn'n\olSccii,,n.l7li)nfrh.ljhtr(.{il..l\hlll.tunh*ih.onrlnyqnhrh)r
<br />,r'l lii!\ nt, r, ,F hu'ilft,l
<br />sn,itr, xr,r,r rrl+trri.i.
<br />tr,r., 3k \\?
<br />I lf,rch) aflntrrunt.r ncMlryot
<br />dolln^ l(l(xr.lxxr). n ,1 trtr, tr, rh. o{
<br />9 (c\rmmmi.s wirh SKrion TodrrofDivirion l
<br />i rlr tlunr* onl Pnn((i',.s (. rk hlnrylr
<br />cbhi 6c\}3\GF
<br />I ls.hy uflnfl !d!.r Fniry or Friury rhi r fty r,r rrE Frrirllff! ol rh. f,o* for * hi.h
<br />'hn Fni ir
<br />$!.d (sr 1097. ci! c )
<br />L.rLrt Nrm
<br />-
<br />tttur.l-]nll.L.Itsrtun
<br />I hoEt'y dlm lnder Ftrrlly of lErjury orc of l,t folhwin3 d..ldnlirnr:
<br />Dcmlirh. Pnnis.Ast*or tiotrfE.ri). tu r.lRrgulrrirn{(Tdk 4lJ. Prn6)
<br />-R.qui,qj
<br />la(or Mrifdir
<br />i.l rc3uld Fn. E3sdin8 !\rErkx,
<br />6S'.rc rhtrrpnlf,lrhn n (ircrhn rh.
<br />Cc^
<br />: :;\;;frs
<br />Site-Work
<br />Communications Cable
<br />Sub-Panels
<br />-lrD.\.trrprrtrl.r S..r(,tr I] .'t P( rLrrhtrrr,\otr
<br />l)rk (r*n.r
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