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ELECTRICAL.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER rz/z/t c a.i /o\
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service MeterFINAL ,aL*r, /t /t,YP lo7
<br />Notes, Remarks, Etc
<br />e
<br />OWNER BUILITER DElr( A RrlTlON
<br />I h6.hry rrm und6 pcnaly .f ,sjury thn I d .xmpl from lhc Co .rclon Lic.n* l,w lor lh. followin! tun (Sa.ml I 5
<br />Asud .rn hofasn Cod.)r Any Ch) or County *hah tcquiB . Fmi lo snnru<l. !ha. ioprovc damlih or t r.t D,
<br />irEi@. Fb. ro nr i<llre. rle E+iB lh. {plitd tJt Mi Fnn b 6k r risi.d iinffi thr lE or dE it li.q!.d F),td
<br />b rh. FovitbB of rli Conlrr.ldi Lien*d l:w (Ct F6 9. Co@ci.8 *nh Salbtr 7000 of D\irion I olllE BdiE! d
<br />Prof*ior! Cod.) o, rhd h. or th. t adpr thd.from a.d lnc hci fot rh. llLgcd dftFioi. /uy viohiotrolselbn 7011.5 tv.nv
<br />.pplicd 6r . Fnn rubjdt rtE erlicot to t civil p.dly oa ml mr. lhd 6v. hundrcd <tolkn (1500)
<br />-1,
<br />! o$E of rlE FoFry. q 6y 64hr6 *nh *te6 ! ilEir $k onqdldb( e &' th. *st.n fi..iarE i d
<br />idarldt or ofi6.d 6r eL ls6.7ora. BuilE 6d PEfolioB Co<l.: nE codtuld ! Ltoe L!* do€ nol +?t lo & o*c of
<br />rn FbtEry who hrilt! o. ispmE llE&( d *ls do6 sch elt himt.ltor hdlf or $eugh hi! or nd om drplo)6.
<br />psri,.d $r kh inFDvllEB cd ndld.d ototu for -l..l[ ho{E€, lrl boildi'\3 ot i!qD\6Er i $ld rihh om )t
<br />oforpldbtr dr. OwE Buib *i! lrE lh. hda olFlvitl 1,. L q iE dn d hild n iqDE tlE FoFrv ft. tll FlDc of
<br />-1.
<br />s ow- of lh. FlFly, u dduiEly onrr.(li.s vih licas.d contEdoB lo onlltuc1 ttE Foj6l (s*. ?04 4. tbilB
<br />.,n hoEsta Co& It. Cotrr&ld! LkaE L.w.106 ml .ppl, to u orG ofFoFt, wl5 hildt or itFot6lhGoE
<br />ild *tD @nrxrt br uh FDFr! with . Con rrdlt) ltc!.n Pllld h tlE cddd r tidE t s1
<br />Im.rmdui&sduon ,a &PC forthnt n
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<br />E!8f,f8[glullNiarlali
<br />OECTASAIIA!
<br />I hftby,mm unda FallyofrsJuryo.. ofrhc follosing ddls ioE
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<br />h.!. r:d *ill Ditnrh. C-lifrd. ofcoE! lo sdf.lda fd 6la conrFurbn. 6 FviLd for by Sdion 17OO oltb.
<br />tdd Cod.. for 0r Ff(ffi of tt wI rd rn.h lh. Fon ! ier.{
<br />I h.r. rnd sill mtrinl.in work.rt' comFurhn iGuranc.. s rcqutal by Sdtio. I700 orlh. ttl,o, ( o&, for tlE Fr(roc. of
<br />lh. *orl aG whit lhir Fnit i! irn d My wld otr'Fulior idlllm. @it ,n p.lky nuobd e:
<br />Poli.y Nrmbd:-
<br />-l.6rifyrhrl 'i tlE Ffolrle. of rlE *ort tor *hah lhs Fmn n ieal I iEll Fr snplo, et pa$tr in dy noE
<br />e 6to baam ulr..r ro rh. srld mmFdion L*: oaclliforna .,!d tc lh, if I Jsuld bdoe tut,irr ro tlE
<br />wodd mFpsstir pmvilioN of Sdlion :IT(JO of lh. L!b.r Co<tc. l CEll, fMhwilh Nmply wnh rhor Frr.ithB
<br />wAnNlNG: lrlurc ro su. *dI6 onrFMion s\6!8c i! unhshrl. !i 3h.ll lubr.l u dlhF ro 6ini l Ful6 !d
<br />.iril 66 up r. oE h!n&.d tlFusd &il@ ltloo.mol m aldh
<br />S<t$n 1076 of ln. lrtnr Coda hr(d d'd rndEy'.16
<br />I h@by iltm ulda Fn lry olFjury lh.n I m li.d8.d o,tL. roliion of(rqnd e (.omMirs *ilh Sdi.n
<br />of th. Bcin6 dd Pre,i6sioB ( nd., &d my lic.@ d i( tull for.. lrl .ff61
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<br />L.nd.at Adds
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<br />a.88llQlll-D[Clllarlo!
<br />I hrd, .fim uo.la Frlt) of Fjury oG or llE lollosbg .blri ionr
<br />Dmlithn Pdne^sb.noi t{.dfi. ion F.d6.l RcsuLlb6tlllLa0. Pd6)
<br />-Rqtuircd
<br />14e oa t{oliaKaion
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<br />.dib rhr tlE t dall cruL!.B EStnqr aldG 160\.1a. rx ,t'rl*!bk r. rhu FoJ<d
<br />-l.d'ry
<br />rhrr I hA. r..d rhir dppl is.otr.d I qrd ro c.mdy \rilh all( ily 6nd county
<br />od,.e6 dd Sr.r. Ir*! Eld!.A 'iry Ud Counrtu 6rs uF.ltr
<br />rhorc Mronqt FnFit for {/t e/t1Appndnt or AEdr slaMrlE
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<br />Sub-Panels
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<br />rsu.n lsc 1097.ctr (', \
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