ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OT'NEE BUILD€N DEITAAANON
<br />I hd.tt .rm uidd F y of pdirry thr I d ddry 6DB rlE Codrrcl6 Lic.e L& for rh. lollowi4 tu {Sd 70-l! t
<br />F6iru rd Profcsnn Cod.) Any Cn, or Co[rry xtth r.q!n6 . Fua ro odnx( .h6. ieForq ilaElilt or rF., -yntu(l4. Firro iis i!l&.,.io crG rh. eli5 fo, r$h Fnn ro frL. t,8r.d fiffi dElloriritlit!.d F $d.
<br />ro rh. FovirioG of tlE Cohr,*d,' LaB!.d Llw {(L116 9. Comftins wnh Sdraon 7000 of Oilirir! I of rt. Bui6 -d
<br />PNGs'oG Cod.) q $.l h. or ih. ir aaDF rhdrfom rld rhc bGir for rh. .llg.d qdrrioi tuy vhhhnorsdih 7031.t by oy
<br />lpflicDr lor. pcnir bjell rh. +rlicd ro.civil p.Ehyoamr mr.rhD fivc hun<h.d &,ll&! (1t00)
<br />-1,
<br />s ow.d of rh. FoFly, or s, oplorc wilh wag6 s lhd sl. smFldiotr will 6 lh. wod .d tE nnxlr i! bl
<br />inldxLd or ofi6.d for gL {Sc.704.4, B6i,r dd Pmftsi.B ( o&: llE Codr.clm't Licu* L$ d,6 hl .pdr lo D o$c of
<br />rh. F!F1v *'t[ bil& o, i,rstr\q Od|,l..!d *ho d6.di *t i hiNcllor hd*lfor thrcud hk M hd om.npb]q
<br />F.rii.d rhd $(h mForgdr c d n.'d.d trolH 6r eL ll lFM, rh. h,itfu'e q nry!\EEr it bU {irrin oR }t
<br />.f @lplain th.o'rc BuiLlg *i[ h.E tlE h,na ofFDvi,r thr lE d JE dn d boild d rFoE E FDFry 6. tlt F,pcof
<br />l. 6 d E oarh. FlFry. m achaiEly otudtrB $ nh ka!.d codrdoR lo o'Brucr 0r FoF:t (s6 7014. alc
<br />.d h.kn Cod.: Ihc ( D.rdo l-i..e Lrw d€ mr +rlt ro D D$6 of FoFry who h{il& o npmE th@n.
<br />lnd *ho s,ntu3 for ruh Fojdr snh ! Corrffro(t) lic.t!.d pGtrr ro th.Conldoa! Li6* U$)
<br />I m.\.mpl unda S<tion .1, & l'( ntrihi! rcNoa
<br />l).r. o{trd
<br />laa{};8l:(auff;DraIlt !
<br />[ECIJ&ljjO!
<br />I hd(t\ lnirm undd p.shr of Dqtua oE ofrh. f.lh\ hJl .L.L,.r ioN
<br />I ll.w !n fill mbr.n. Cdirrr. orco'er ro S.tf-lM fr wlGa .ohp.rsriv\ 6 FviLd for b, sdid l7m of rlE
<br />Lthr Co& atr tlE Ffolr|r. o r dE wl f etth lb. Fnn i is,.d
<br />-l
<br />h.v. !.d * ill mainrai. sollfit comp.N.tiotr iB$sq s equt.d by Sdl ion r70O of lh. Llhor (i'&, for lh. pafolr1rtr. oa
<br />th. *ul ltr *hi.h lhir Frmi n is!.d. My work6! ompasdion iEurecc sis .d policy nlmlE ec:
<br />-9/r -^ol t v\n aa\
<br />'B U OwC/'/.)?6</
<br />I dirythI ir tlE Ffolrllu. oltlE wo* fs whih fik Fnr n i!o.d I r|]!llrclotploy -} Fe. in et nffi
<br />n ! to bald $b,.cr to rh. e!rt6 ffiF!.ion bx! of Crlif.@ d !*G 'ht if I ltrult tGoE ut*(! lo llE
<br />s*6' N6Fadio, FovnD6 ofs..tio.l70O of r r,&, ('o&. t trll tdhrd ompb f,ht llFs Fo\irioB..
<br />WARNING: Failu. b s@ mtld' snFElion .or'.r.9. L lnLrtuL d dEll subjar d d0loyn lo dimi.d Frni6 ud
<br />.ivil li.d up ro o.c hun&.d rhoBsd dolls (t100.06), i. ddnn,n to th. con of conip.Nrion, das*6 4 Fovid.d for rh.
<br />scrio. 1076 offi. r?bor ('ode i.ld6l rnd.nomy ! f6
<br />u(rlr}:|L(a:-llt tt-lllBltlra&uraJ
<br />I ha.6,.lrmuD& F yolFjwyrhr I m |irdur& p.ovirinotorpr6g(oolJrdil3 *nn S<rb.70m) olDivirhn l
<br />of rh. S6ilB ri Pmf6i,6 Cod., .n o, l.a& it h tull lor rn.fic-1.
<br />\5
<br />n",- . o/ -07- /7
<br />I hscllt .rm urd.r FDXy ol Frury oln llEr ir . dIJru.lion l.diq *dy tu lhc Ffoll1rm. olilE m* 6r rllih thit FEa a
<br />isal (sd !097. cir c)
<br />AIIUCANI.IES.ASAITOX
<br />I h.d, !tr m unda p.@lr, of pdjory on. oa lh. following &.larriom:
<br />l,.mliion PdireAslEro! Norifi.alion F.dall R.sulllioa (TirL40, Prn6,
<br />R.qun.d L.fla of tldifdhn
<br />-l
<br />cdiry $i rb. f.ilad ESrLlbd Etrdi'r !6.nG ,Emvd d 'd +lidL ro lht piljBr
<br />Ud r* r*",arnA@lira. -d nic dli dr.lovc inbin aon a.6<r I {E ro 6rrly witt.r city.d cMry
<br />ordtu6 dd Sl1. Lis! Ekng b hlld'n* corlrrudi,
<br />!to!. m6rir.d Fopdy for iBpalhn p{rFE
<br />.!ho@ l.lleidir6 o f rhi! ( n, d ( omly lo ols uD6n lri
<br />ADpli.rnr or Asflt sirn|rtrrc D(
<br />r'".n,ir." nr."tpanrt, (-
<br />,O!:q.19/
<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 />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough 7 /,q/1,)
<br />Service Meter \--
<br />FINAL 4 c t')/u4l/i)I
<br />Notes, Remarks, Etc
<br />Sub-Panels
<br />aahq
<br />!3
<br />ot-c'tt'/€l
<br />tT)()
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