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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Late Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor A
<br />Bondinq / Groundino / UFER g-t71t (A,l4tu
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ce llings (T-Bar Rough)
<br />Meter Release
<br />Rough -id(/Q{-L K171t xN-{1.
<br />Service IVleter A
<br />FINAL K-t7-tl D-t4{tL
<br />Notes, Remarks, Etc
<br />O1VNER BUII,DER DI]I,CARATloN
<br />I hcrcby ar'ftm unds pctrrlly (n pcrjury lhd ! ao cxcmpl lom rhc CotrticlDs Liictre ljw lor lhc follo'iry E"$n (5(.?011.5
<br />Bo\incs\ ,tuj Pn,fc$ion Codc) Any Cily or Court $hich rcluirc\ 0 pcrnir r,' consldcr. ,licr. imprcvc. dcmli\h or rprn Eny
<br />slru.hrc. piorlo irs issurr.c, also rcqurcs rhc {pti.rnr f,n sxch |t'ni ro fil.d qi8nc'l sarcme lhnl hcor shc is licc.scd !u6u0nl
<br />ro rhr Fovisins of lnc Conrrucro s Liccned Low lchaptcr 9- Commcrcing wirh Sccrion ?OO0 oi Division :l ofrhe Bu\inc$ !trd
<br />Pnrc\\ions Codc) or tnaltE or she n cxeryr ricrc{romand lhc barn for rhc llle3cd cicmnlion. Any viohri.iolSccri{,n 7l}.115 hynny
<br />rflili.anrf(rap.nnnsuhj*hrhc.prlicrnrbacivilpcnahyolnorfrrcrhmfirrhundhddollds(S50{,
<br />_1. as o*mr ofrhc pn)Dcny. rtr myemDloyc$ wirh waecs $ rhcir qnc com!.Ndiur. $illdo rhc work und ih. srBruE i\ no'
<br />ir[.*]td or.ffcrddftr$lc(S.r7044.BusincstrddImacsi{'ns(:{xlc'llEC.nkscrrn\l-i.rnscljwd..rnorop/yronnow.crol
<br />lh.lmpcny who build\ or irpFrcs ltrmn. inl wrm.les sch $!r* hirscllor nc6cllor lhmueh hn or hcr osn cnrl.yccs,
<br />B,vidcd rhrr such iq)rov..rms tu nur inr.id.rl ur oficul f(n sL ll. h)wcvcr. rtE hu iU m8 or nnpmErmnr ir $tl silhin onc rJr
<br />otdnnlhrion- rlr Owrcr ltuiEcr Nillharc rhc hunrcn or proviry rhr hc or {hc dil norhuiklor inrpmh rhc,sFiy f.r rtr pu! ror
<br />t
<br />-1.
<br />a\ o*'u ol rhc prrpcn y- um cictusnlly conh.l in8 wilh lirn\\l .onrriclo s k, .otrn tod rfu pmJccr (Sd. 7014. au\i,tcs
<br />.d PnnlssiotrC.dc'Ihc(i)nlr0cktr'sLiccn\cl-0w(hcsnorrt,flt!iitrowrcrofDrolEnytrhohuildsortnprovcsrhcrcotr.
<br />dnd *hd contnrh r(tr su.h p(rLrh wirhr C.ikacbr(n licci\c pur\urm rorh. ai trJcroas Lic.n\c Lrw).
<br />I an.xcmpr und.r Sc.riJ
<br />nontr[&r:g]llflrNsarraN
<br />DrcL1tS It0N
<br />I hdch!rllnduidrrj[ rlryofltrjuryoncolihclallowi'rgJ..lraii,)ns
<br />lhxvc ud $iU nuirlrinr('.ninc coICon\ctrrl.Sclflr{tr.iitrworkcr\con]|rctr\(nrn.!. pmvi,l.d f(tr hysLrrn,n l7(x)ofrhc
<br />lcnnirMrcc olrhc wo* n, which rhc pcirnir is trucd
<br />ktrqhichrhispcnnirni$uslMy$.'kc'rc.n,J{r\rrtn,i',\urrn.ccrnicrxtr,lF)li.yiui$c'u.'hlilch +lrn-or.:.c",vt
<br />c0ttr^Dt(lDlaott
<br />I.cdilyrhrr inlhd pdrfonM..c ol rhc sork fr whi.hrhn Fnnir is issucd.l rhrllnorc lllloyrnyttr{r ir rtry nrtrrcr
<br />v, u\I'i hLorE sutjccl l('ihcworkcs conDcn\rlion hwsol Crlitunritr. {nd egrcc rlNl ill rholld hccoturuhid t,rh.
<br />s.r[cn cotrlPcnurionpmvni()n\olS(rion37(X)olihcLltnrC,ilc.lshrll.fi,nhrirh.oltnt*irhrlo\ctmvhions
<br />WARNINC: Frilurc b surc $orteF conDcnsarion co\crr8c i\ unhsill. and d,rll \uhFcr rn cnrploFr b 6i'ninrl Ftulrics rnd
<br />civil nnc\ !p ro onc nunrlrcd rhousana doll$ lSl0O.O0O). in lddiiion ro lhc cosl of compcnsarion- drnB8cs d\ Imlidcd ror rh.
<br />#{tiue:,,1.. inr.'.n rn,l nr,ncy r
<br />Llr!L\t!]!u.!)I
<br />I h.rcby irtud undr !.nrhyorp.rjury rhar I rfr li$ia{ und.. provi\ioi orChapr$ 9 rc.nmrn.ine wnh S..rion lur) olDilision l
<br />ol' rhc ltusircss antl PnncssionsCodc. ld mv liucn* n ir iullircc nn cllsl
<br />,,","qI
<br />L[lo,Pc D
<br />\t 1N-
<br />(1)NSt lll (t l()\ Llr\DI\li i(:I\( I
<br />i\sri (Scc 31197. ci\. C )
<br />ArILTANTDIIgI,AXAIITIN
<br />I l.trrny,llionundc! !.nulry ol acrju.y onc olrhc tnlowin8 dcclMlions
<br />Dcnhlirion Pcrnits.Asbcsk,s Nolific0lion l,cdcml Rclulrriotrs (1 t|c40. PM6)
<br />-Rcqnncd
<br />&licr ol Nolifi cirion
<br />ccnilyrhor lhclcdcrrlre8ullrions rcBdins u(hc{os rcnn,vil m noi ip trhlct)rhnnmicr
<br />rhnrl hrvr r.rd rhisrmlndi('n,ntnnrcrl rhc h)vc trtun ri,nn.otrrcr ld8rah...rtlys rhnllCiryr d(\ n y
<br />nndSrrrcl]w\rrhringhhoildingc.nnturrn,n, nl hcrchy rul,rrir rcprc\c rrri{\ofrhnCiryIndCnunrrL)cnr.rutr rlr
<br />.e^tl ,"," jlLllt
<br />Site-Work
<br />L.nd€rr Ad{tls
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