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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/st COMMENTS
<br />.tSite-Work
<br />Underqround
<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 />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)h"T-l'l ')n'lu
<br />Ceilinqs (Hard & Soffit Rouoh tA
<br />Ceilinqs (T-Bar Rouqh)a-25^.1',7 b,Y$4,
<br />Meter Release -7-10-t1 \{llJl4 Va.artr rp buY ^tlft/"bUI\)8-lz&,g/o{Ca l-q-tc
<br />Rouqh I
<br />i\Service Meter
<br />FINAL 1-5-t1 9ur.l(}
<br />Notes Remarks Etc
<br />OWNER BUILDER DET-CANATloN
<br />I hd.b, altm un.Lr FEhy of pdjury rh.r I @ .r.m!r 6.m th. Conlr.cio ' Lic..!. t w f ln. folkwins .@n (S< 7011 5
<br />Auird .,n Proi..ion Co&) any Cn, or Cody qhEh r.quiB . Fni to oldrud. rlc. inFovc, drrclirh ot EP.n ev
<br />nruct6.. Fir ro tr i!le., .Lo r.q'riB llt TPla! tor *h Fni ro 6k ! rign d rrq6n lhi lt d tE it licqu.d Fmd
<br />r. rh. FoviiioB ol rlr Cotu*td t Li..nt n b* (Ct4lc 9. Coffius snh seri.t 7m0 o, lrrrilion t of llE BlBi6 ud
<br />Pmr*ioN Cort )or$!it or ih. it.tmpl ltacfroft ed llE h.si! to, rhc tll.Scd.rm9{ion Ary violdio. of Sdion 701I5 bv&v
<br />'pplrd aor . Fnit qbjclr llE lpplicml lo . .ivil p@hy o f mr mor. lh& fiv. hu.ntcd &,llr! I l50o).
<br />-1,
<br />6 o$€ of llE FDFry, d hy aplorE rnh *.s6 s ll.n $L snFsior wiU 6 dt *dl.n dE rr(lE a d
<br />ifloi.d or ofissl for sL (Sa.rO,4.{, B6i!E ud ProidioB Cod.: Tl'. Colnrdr'! lI@ Ir* &6 rn 4?ly lo , orG of
<br />rhc pmFry wh. tiiLi or inFo\6lhqEn. -d who do6 sh wn himi.lf or lE6.llor rhroush hi. or hd om.nploy6,
<br />provii.d rhd tuch iEF!€EG c d ds!.!.d or otu tu r]. l( ln6d, l1l build!'s m iirftEG, i! rll witi, ft tc
<br />ofotrpLir( dr orE Elilda r ltEdE hrdaof F\t fir lIcti<til bl Uild (
<br />"ryDw $.FqErr- tu 0EF,!.r.of
<br />t, s omd of rt! r.Dpdy, M cr.ls'vcly cod&lins *irh lic@J co'rr.doN lo co6rtud rh. lmld (Se 7044. UBd6
<br />ltd Aolsn Cori Th. Conir.doat LkN l-rw &6 rcl rrrly ro s orE of F.p6ly who t{ildt or imFotd th6an.
<br />xd $to mffi tuuch rmiri! rnh. ( odr-ldlr lk.sd Flr-or brltcodrrcld r tl(@ ln).
<br />I dn .rcnpl utrd6 Salnr
<br />Dri. Or.n *ontrts-conrig sltroN
<br />llEcldSauo!
<br />I hd.4 .rm u.&r F.ah, ot psjury oE or lh. follo*l.g d(ltraiioB:
<br />-l
<br />[,8 tn will mhr.i!. Cdfrr. of Co@n lo Srtf-lde fd wtd' on9aurim. . Fnir.d for bt Sdb. i7m of rlE
<br />r.!d Cod.. l@ rll FfdM. o r rl. wl fd {nin [. FDi a is.d.
<br />Inrv.edwillmlinlainwo.r!.omFB.rioniBur.nt.Nrcqutcdb,setion1700ofrh.Lltx,rCod..lotrh.Ffolfuc.ol
<br />rh. mrt for *nth fin Fnn i isral. My qnk6 conFlaion iMm. <eid ,rl polky ruhtEr &.:
<br />Policy Numbs
<br />-Elpid
<br />-l
<br />cdriry rh.r in lh. FfolrM. of rlE *ort tor $hth lh! Fon 6 ieal I nrl ml slpt'y..f Fen in et Mc
<br />$ 6 ro bdm strd b th. q,I6 od!E&b. h$! or ( diaohi( !d .sc thl. ,l I ilFlld t<or stiltl ro llE
<br />wrtd sdpdlrion prcvirirB of S.oion 1700 oflhc lrhor Co&. I JEll. fonhsilh $mPly sirl' tfior ProrirroB
<br />ltAiNI]tC Fnhe lo qur srl6 NmFdion o\t 8. n uL*ful- eld lull stld d 6q oF to <mind FErE.,n
<br />cnil nn6 up ro o huD(H lnded &lb. (ltm.mol. r idhhn b UE co!4 ol..mFerion. &us6 ! Fo\i,.d tot rlE
<br />Sdron 1076 ofrh. t b.r (itL. btsdad rnr,ky'.
<br />//zt/r'
<br />IICIJAAITq!
<br />I hslby ltld u.dd p.n xy oa pdjury thl I m licqE d undq Fovlhn ofcntdc e (com*'ns *irh Sdnn 7oO0)ofDirnio.I
<br />of rh. Buing ud PtufeiDE (trd., .rn m, lkc i! in tull lora !d.r<r
<br />l-i(6. clas:-l
<br />4r:/-t t .-.9L--,r\-.\*_-,
<br />catsrBu(Ila!.Llllullilcllr}
<br />I hmhy !firn undd p.n,llyotpdjuryrhd lh6. is r co[nn,(li,n lcndin!.!try for lhc p6LmM.. dfrh€ work hr shich lhn pqmn ir
<br />isu.d (Sa.309?, Civ C.)
<br />&ETCAILDEOAAAIIO!
<br />I h.*,.iEB ud.r F l) of Frury orcolrlE folb$in3 d.chrnpo
<br />D.mlitioo Pamit!-A3b6lot Nolin. ion l_.dd,l RcguL'io.r lTnk 40. Prn6)
<br />-R.quircd
<br />L.rrq olNorifi.iion
<br />I cdit rh! rlE f.d6rl Esuhnr6 rBrdns 6tidr.. rfrvrl o. ftn !,l,lr!bL ro
<br />'hn Fnj.d
<br />-l
<br />cdiry fid I h.v. rad ihi! .pplic.lior ul rtd. thd lh. .borc infomibn k coE.d I t$e to comply wnh .ll ( nv ud Counl'
<br />o.dNB6 rd $!r.l,s! EL'iC r. hr codMbErnlEd!ull$d.r.t.srn6oflhn(nytdCou,'odlsuIDrrL
<br />!bo\. 'MhEJ rropdr! tn iEpdr
<br />L Wt// 1'^" "
<br />'//"/tt
<br />C fI
<br />Transformers
<br />l,cnd.r'tAdrn6!
<br />tl
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