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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BI]II-DER DELCARATION
<br />I lEr.l't lmrm u l.r Fslry of IrrJUry rh.r I m c(!Il{ rrrm thc (il, rd,n l-i.ne l j* n'r rlt tdb*in8 rtrr6 ( se 7(,:l l 5
<br />Bxiinc$ r l Prtrf.(6n CdL,: Any Ciry or C unry *h(h rnukr { Fmn rn connru.1. rh6. inIroE. i.ml'rh or qrn lny
<br />(rucrurc. ritrro its issu!trR. rle rcquncs rhc omli<0nr lnr such Fnnir h nt0sismd \rlrcmnr rha! lror +c c liccn$d llru$r
<br />h rhc Forrr,ff of llE Confiritr.r l-EnEd L* rcbprs 9. (innftmme s h Sdir. 7un of Dirnir. .l oa rlE Eu\iBs a.d
<br />Pn){.s\i,nr Cd.r or rhrr ltnrrk n d.nqr rh.Ffft,m rkl rlr h.\n lrr rlE rlks.rlcr.mBnn Anr rrbrnnnfS.ctnnTo.ll5 hyrny
<br />!t',ilicrnr tua p.n{ \ubjc.'\th. rmli.anr x, !.ivilF.Mlly.lnot Drtrc rh!n livc hu rcd dollr\ lJ5(x))
<br />-1.
<br />!r o*mr of th. FoFny.,n nry cmllolE\ *nh u{.r. th.n $E Fmlmqrion. *ill do rtt k rJn lh. {dft. br
<br />inicdlcd or oficGl lor slc lSs 7044, Btriiftrs rnd Pn,r.sions C,IjcIhc (ontn ror'r Lr.nk lju do$ nollnply k,.n owp nl
<br />rh. Fnltny q'h h{iU. or iqxnE tlEB'n. .d ltF {ks qh wnl hnrdl or hcrcll or I hrush nir q llr o*n cqtr!y.*.
<br />rorikl rtui .*-h itrtFtflrds k i 'ni6n d.' ofi.'d ltr sk llln*.rfl.illL re or int'okftd nrUralorE}{d
<br />or.on{'lcrin. tlE ( )lftr Bui!.r w n{w llr tuLn orllr(*iu thd ,E nr rhc dil mr llih or iqm,E rrf, pn'rdy rr, rh. t rr.c !r
<br />l. {\ ovNr ol r h. proFd ) , !'n crrbii\ clt $nrrB..iiry { h nlrtr{al .o rhro. kr .o.qru(r rtqx)Fl rS.{ ?l).1.1. Bu!rcs
<br />nrxl PDli\\rrCod. Ihc(,n rrcroi\ l iccnsc l,rw d.c\ nill'nlvt, unou.cr olI)n)r,c yNho hoildror nnlbvc( rhcrcon.
<br />nnd clx, cohld\ fr \kh F.Fh r h!On{Ert,nn lrnrd f!^utrr tr' rrr C.d, &1.4s LEnc ll*l
<br />tr.l. ( r$r.r
<br />IIl14f,!&il;lJAlfEJsatr0N
<br />DI. ( LAl{ATl(lN
<br />I h..ch\ rrlnn unJd r(.,ht oltf,rjlr!om ofrli ftnl)*'4 J..h'rrtr$
<br />-l
<br />huv. !d $ ill roinrain , Ccn irrlrc o, Conrnr ro Sclf- ln$rc rar $rk.A ronFh{rnr ss F,vidcd itr hy sc.lion .l?fri or rh.
<br />khE ('(nc. fo! rlE rr.rfonuN of rlE qrt r{tr rhth rll Frfrn n isu.d
<br />lhn\. nl trilla,xt rin qnrlrr\.otrFnqrr)n ntrln.. r\ rrq t.(lht S.rrhn rTrxrolrh.l nhr Co c. n( rlE,Hl,muk. ol
<br />rhr so,k lor shi.h rhi\ pflr '\ n(kr, Nlyro'1.'\'.o 'rn\nri(nr i'Nurnnc. rnnnr nklF,li.y ntrrrhc,,.
<br />.,.^,- 57,r7t AAfu
<br />u^,,;*,,,,,*, . ? 2 GALZA 3E ,*^: //Zo
<br />-l
<br />ccn ily rhar in rh. pe rfoiruk.'. ol rtr work (tr $hi.h rhn Fn n n\ucrl.Irhrll .nrloy lny FRrn in tny mlnrcr
<br />q, ar t, trom lohFr t' rh. $ olkd( con{f,.qridr hst ol Cllifdni!. lnd +nr rhd if I rh.uld trv,m uhj.cl ro rlt
<br />r o,I6a $nFn€t rr IF\ r.,F of Sdrn J'7(1,.f rlF ljlw Cnir. I 'lull nihsirh ormly *irh rh& Imlti,nr
<br />\vAllilN(; l.rihn. t, {.n'. sorl.^ .rnl,inerk,, L,trd rftl fi,ll \rhFr rn c'nI'1,'trr t', LrDinrl Frqhi. !nll
<br />rtr'l ti'k\ up h ,'r hunJri rtx'uq'nJ Jolh^ r!l(
<br />Sc.rhn 1076.frh! l.rhn (irl.. tr .r( nnd aronrv
<br />rh. or .r $d{E,qrio,. dm!.r !r ,rod.d fin rlE
<br />-z1r/zz
<br />Ih.rby slfirn unLr IEtulry or rErrury rh! I rm lntn€l u Lr Frviri(lnof (lEptdq(mrlmrirt lilh Sarior ?(rrr r oa Dirist,n 1
<br />or rn Burimr< ldl PrDl$ii.n Codr. rn mt li.nr i r rull nna lrl.lld
<br />c76 ,*, /o?3/ o f
<br />n1ry'r
<br />l!]NiralJglllrNlldltlllaaliEdst
<br />Ihcrc$y.ffirmu $ Fnslry Dl Fjury rhrr rhe ir. on{n'.1hn Lrdins !s.E-', nn rh. p.rfolm(c orrrx *ork ror *hi.h rht Fmir ir
<br />Fsu.d rs( l(,97. cir c.l
<br />AIEII$NT.PEII.A8AIIA
<br />I h, rtrim u.dd Fnhy nf Friury oft of rh. ( krf,in*iL.br.rrrn\
<br />l)cmlirn,n P.rm . A{En.\ N{ ifrurln krl Rqukri,n\ rlirk.r). Fan6)
<br />_R.nuftdkrr(of tt if(dir
<br />I r. ily rhnr rh. Ld.ril EFulari(' E8s'lint r$.no(rcfr,ultrrc d,lolplnnhk x,rhirpfl,j.(r
<br />I dil!rh,r I tEk i.rd rfii1'n ilrrn.
<br />'nlnrr.\ nt Sirt.lr{\ r rr 'rr,n l h.(bl rhtr,. kr.cnr,'ntr ofuhr ('iry !ftj ( ounrt k' c.rr qln rh
<br />rh,k narniitrr.(t l,otr y rnr itrl
<br />,\pplic!trl{r \aenrsiau
<br />/-t**
<br />4/2
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />To rquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />lvleter Release
<br />Rough
<br />Service Meter /
<br />4'Lln"l
<br />Notes, Remarks, Etc
<br />Transformers
<br />F|NAL 'tlr ll1 vtslill
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