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ELECTRICAL.INSPECTOR RECORD
<br />OWNER BUILDER OEI,CARATION
<br />I h.rchy rnir uftt.r Fnrlty oI Frury rhrr I xm .rumpr fro'n rh. C{,nt&1.R Li..nsc ljw for rhc folh*in8 Erqr (S.c 70:ll J
<br />Itu{iNsr u ltoL$iotr Cdcr: Atry Ciry or Coutrry whi.h rcquircs d r.nnn h c.n(rud. alrs. iwn'vc, d.nx,lhh or ftO'n sny
<br />nrudLrc. I'rin h n\ irru,ncc, sle ftrluner rhe slplicanr tu \uch lx ni n filr i siAmd {drmtrr rh.t ltor sh. i\ licensd Dursutrl
<br />k, lhc |a'vr\i)n\ ol rtt Conrru.rn { Licctred L{{ {Chlord 9. Coarmncin8 wirh Scclion ?(X)0 ol DivhnJn .l of rhc aunn.s and
<br />Pnft$i)n\ C,xlc)or rh{r hcor ihc hcrrmfl rh.rclh rdrhc6,\isfnrrh.'lkgcd.x.npri,n Any vxrh.on ofs(tion 7(,:ll Shycny
<br />rt'Jrrr!nlttr d pcirnil ruhJ.cF lhc rrplic..i h a.rvrlp.trakj"nrnor mtrcrh!n fire hundrcddoll&s (S5lx)).
<br />L a\ o*tur of ihc F)J.dy. or nv .ry)l.F* wnh qr8.\ ,\ rh.n {,h N'hf{trqrin. w,ll iL rh( s.A .Jxl rtr rlBlN i\ ftn
<br />i .ntdl or olT.Bl f,tr {lc lS< Inl. Burmis und I'hli({ions Gild Thc (bnradoir Ltcnsc tis &B mr rITl, ro d ostur ol
<br />rhclln)Fny slxll ilds d iqn,ks rtFEr, tud ulb dmr lkh q)rt hihrcll or h.r*lf.r ihtuu8h his or h.r orn cn{'hye\.
<br />pn)vid.J rhlr luch in{mmfi e dn hlgxlcd u orfcGl for $L lt hotr$s. rlE lxikliry or iqrcrmnr ir v,kl wirhin,,k )er
<br />ol.orlllLrrr. rlr ()sftr Buittr wlll h r rh. tlntn rfF$in! rh, h..r <h. dil mt t ild or in{mE fi. nmltny turh. t{rF)- of
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<br />l. rt o*Er .l llE Inopdr, .m crclurivcly .oddinS uhh li..ned .odre'o^
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<br />onrhd rlE rmF lS( 7{X.1, Buitu*
<br />ril hf.dr C,xlc Thc Coniftrol r Lk.ns tr* d.E mr qDl, ro rn o$a of phrrny sh. buildr or imtro!.i rh.rmn.
<br />tnd who mnlrxit tu sEt Foj.rrs wirh. ConlrEbns) lhnsd Fr,unr ro rlE Conlrrrft\ Ljc.N t *r
<br />-l.m.r.mpl
<br />und.rSdli'
<br />lla8[f,es_.carlfElsalla!
<br />DEIIIf,A.II!]!
<br />I h.rchy.lfirn uMd tEMIryol li.ju.r_ nk ofrlF lollorinp rk{l-!rinn
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<br />h.1r lrn *ill mnrrin r cd,frd. or C.o*.r ro s.lf ln!!E fn *dk6 or{Ed hn. .s tmvid.d fo, ty S6ri'n 1Ix, of rh.
<br />tlru Cod., rd rrE Frfimm of ih. H)* fr, $tih rh. p.ftir G hrEn.
<br />n rork.r! conqf,n$rrm v*rquiR{ br" Sd1.n .l7m orlh. bh.r C.<L. loi trE FrltrmN. ol
<br />Fnn ^ tr\ril Nl) {o't ,n inruhftc..rir rtt Flry nrn*{r dc
<br />11. ,1\ rh r rtr F l!trnrdc ofrlr orl fd *h*h rhn Fmi r nsEJ. I +rll mr crrth! ry Fm. in.ny .rsxt
<br />$ r\ ro tE!!m ql'r<t ro rl! krtsi otrrrEnrnitn Lw. ol C.lifomi rn +r rhi ir I dhtrE 6.rom {brd ro tlE
<br />*olts' $qr.srx'n FnunirB o, kion :l7l{ of rL L.ts C.d.. I {ull. t('lh*nh onp[ rnh dbr FDriibm
<br />WARNIN(; F.iluE kr wc *rkr' onyEnr.Ii,n .otrn{. h unhf,rxl dxi ih:ll {bFr .n or+hFr ro mMl Fmts dd
<br />cnil 6(. up kr oE hunlEJ rlsosnd dollri I n.(lD). in rddirbn k! !h. s{ of ..np.Nrhn. dam3.s .s Forid for rlE::)r)U)Qn
<br />u(rrs[Irr0rra&-Io.a
<br />DLg-i&ulgJ
<br />I lEEt'y rrro und.r tEEty ol Frry ln.l I !m liaN.d ui.r Frvirion of Cllprq 9 (mffiins wirh S.di,. 7lUJ) or oiw.irn l
<br />of rlr BuriRi.rn PreicsbB Cod.- .,n my l;.* t o tull foR !n.fr61.
<br />ts
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<br />jjOdEIf,UsIINIIE!DIG.AGEN!}
<br />I ltFh, .mrm odq F lr, ol Frruy lni rhsc ir . mnrlrB1hn Ldinr .r!Ey for rtE Ff(lirrl.N 6r rlE "dt fti. $hth rhir Fni ir
<br />nru.d (sc 1097. c'v c r.
<br /> D9Lrc |YTDFCI AATION
<br />Iha ryl$imufrkr IE ny of Frrury om ol rlE follof,i.8 d(6 bN:
<br />D.nrilhn awmirrA!tr{o{t{l in.{ir. F.d.r.l R.EULr hN lTirL a0, Pd6r
<br />-R.quiEn
<br />k'l.r ol t&rifnri
<br />l.cdifyrhlr rh. rcdchlrcBulnrrns E8ddint lsh.nor rnrNdl dc no( {rlrdbh ro lht poj.rl
<br />I .cn
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<br />ly t hlr I hrrc rci'l rhi\ lpplf,d on nl dri. rhar rlE !h 'v. r.f,trrurnn t cotr(r I rgrc b codfly Birh 1ll Ciry and Counry
<br />.nlinnfrc\ ud srarc Liw! rl,r huildins con\rrucrirn. ad hcrcby aurtDriTr rcFe{rrarik\ nrrhii Ciryahd Counrt ro.nrs uB rrr
<br />!h,rc nrnr0kr, Iln)Fny ntr
<br />\tr iunr or \!. 1Sirmt'
<br />APPHOVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />F actory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilin gs (Hard & Solfit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />7>.
<br />Rou gh ll-Z)-lY *-w1(.-\
<br />Service Meter td
<br />FINAL l-z-11 i.til\c)
<br />Notes, Bemarks Etc
<br />Vr)tr ?,e
<br />Transformers
<br />I. kr'r Jdrs
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