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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS OATE 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 />F ire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />onding / Grounding / UFERB <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit RouOh <br />Ceilings (T-Bar Rough) <br />Itleter Release <br />tl <br />Rough ,,hxllu r TADvlA 6-r' <br />Service Meter <br />//sl s ar7J77tu /o2_ <br />Notes, Remarks , Etc <br />O\YI\ET BUILDi-N DEL(ANATION <br />I h6.try .rfm ui& FrXy of Fju.' rhi I G aorpr frem rlE Cdhcrdr' Lc.M t& for rh. folh*icla). (s< rpll , <br />B6h< Dd Prof*ioo ( od.) Aly Ciry o. coury *h.h r.quiB I Fna ro llnrtu( drq. nproG .laDlit m lF.r xy <br />inr.lE Fb, ro n! is.u.q !k' rlqliB rlE e?lter for Mh Fnil ro 6L. rBi.d nio6t ifi. ,E or tE i! lica!.d pu$a, <br />to rh. FrovnioB ol llE Conl,lcto. ! Lic.nrd t w ((.1sF6 9. Colm*ing enh S€tiri 7000 of Diviiion I of th. Bain* ud <br />Pbf*iotu Cod.) or rhr lE d lic i! erdpr rhqdrom lId rlE h.!ir lor th. dh.d.i6rFio.. anr rioLrion ofsdlion 70.1Lt ty &y <br />.oplkd &. . Foi $bjd! th. r!9lic&i ro r civil p.ehy olmr @c lhe fit. hlndr.d rLll6 (t500) <br />-1. <br />a o*G of 0E FlFlt. d my dpbr6 *ih $s6 a $.n $l (oFutrr six & rE edl rn E rnrlE ii d <br />indt&j 6r ofdd tur sL (sc 7u4. B6itB sd Pr.iBi.E Cod.: TIE Codr.da! ttc t^' d6 d +ply to e ow of <br />rh. FlrFi) *lF ulitl or uFtr€ ttr6l! -d wno dE uh KlI lihelror h.Ell o. rkouSh h! d lE o$n dplola <br />Fovid.d lhn luch imDmEE Eml irdrLdoro,tu ftr6t.l[ hs6s,lrE t! .i'rE or inqsEEn ii $ld wih{ ffi r€ <br />of lrnlkiotr llE (xE B{ilb will h.v. rh. hlda of Flvau thd h. tr JE dil mr tlild or inFovc th. FoFty ftir llE prpos of <br />-1. <br />6 osE of th. p.opqry, m q.luiv.ly coirrxl u's *irh lic6!.d co'rrldd ro @6ud tlE Fj4$ (s( 7014, EaIB <br />.rn PDtu Co{.: T1EConnr.roar Li.@ hw il.€ mr.pplt b eowffi ofFoFryrho brild! or iopror6 lh6@,! <br />ud *ho orE13I qch F!F! snh . Conr*o(r lto*d FrvEr ro rh ( odr.dd's ti6g t^ ) <br />Dz>lZz. <br />lrr!!:!&!!4] <br />I h6Frq amrm undd Fdy.lp6ju,y oE of th. rolhtr o* &(lolioB <br />I h&. ed will rin.b r aalifEd. of C(lrEr b sdaIBlE fd wt6 Mp.o.lioa s FD\ii.d for b scii,.1700 olrE <br />l,hr (-oda fs E Ffnrc of rlE f,rrt for "tth th. Fmn i is.d <br />_l hA c !.d tr ill mlintrin wo.Idr .onpGrlion iNurlnc., a r.quncd hy sdri.n I 7(x) of tlE bt{r (-od.. aor thc Ffot'llMc of <br />rh. worl lor which thi! pdir n !$.d. My worldr' .(nrF&lio. i6umc. .dE6 ud policy nunbc a. <br />-l <br />csrit rhd in rlE Ffotu. orrh. r.rt for uhEh rh6 Fnn i! is.d. I rh.ll mr mdov ry F$n i, oyffi <br />s B r. $eoE sbiel lo 0r ronq onFMion L$! or(|lifomia dd +E rh! il I lhould h.(oft sti.ll lo rrE <br />"orla'conpdsrio.poliioNofSdtiof,l?00ofth.l,ho.Cod..litrll,fonh*ilhsndysilhlhosprevaioa <br />w^nltlNc [dlurc ro su. sorl6'compsBn'on (trs!*.,s unhrtuL ind rhrll $bjd M mplordlo siniMl pauh6 ud <br />.n'l lln6 up lo oE hun,r.rl rh,usnd &nla (ll nion ro rh. .or ol conp.Br .V <br />Df{:ltSallo! <br />I hcby .mm urd6 Fnrhy or pojury lhd I d licasd undd Fovbion otchlprd 9 (comcin! wnh sdlion ?000) of Divisbn l <br />ol lh. Buind ed PmldioE ( ode dd my licru n in tull forc. rd.lt6l <br />Lic.@ CLs:-LilE N@hq <br />colirBl]cuo!.tElDllc.Acllcr <br />I h6*', lmm uda F!.1t,.f prjuryLn, thE ir r codMiri krdinS.{try for lhc Faolm. of llE *o,l6r *tth lhit Fni i <br />i$!.d (s< l097.Ci! C ) <br />aflll(3dl.![ql8arra! <br />I hdlht ltrnn undd pa.hy oa pajory on. of lh. follosing {k la.lioro: <br />D.nFhio. PmieA3b6rd NorifEdion F.ddl R.grhiod (Tnk40. Pd6) <br />-R.q!nal <br />Ldra ol N.rifrdion <br />-l <br />cor'ty rh, rlE f.il6rl EsuLr oB Gsadi.s aldor rotr.l a. hr .rDlr.hk b thi FtrF <br />ply *Ih dl('irt ud Coumt <br />(y dd (,)unr) ro mrd uF nrtE <br />I .dil, rhd I h.r. ial rhi .prlicdion ad 3i. rld rh. .hor. infotuio. 6 cotr..1 I ra,a ro anl <br />ilJffi#ryWL,,W a,fir/t/ <br />- <br />FINAL <br />Poh.yNumbd:_ <br />Lidsi Ad.t6: <br />-