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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Vollaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab i Floor tl rl C1
<br />Bondinq / Groundinq / UFER u,nt DTYTtr 'Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)lt I
<br />Meter Release Ll D
<br />Rouqh I I
<br />Service Meter t 7Z u
<br />FINAL tt 1,3 2A 7
<br />Notes, Remarks, Etc.I I
<br />O\{NEB IUILT'ET DELCAIATION
<br />I hcrhy llrm u.&r Fnly or Frry rh! I d .r.n+ nDm E Coffi lirN L* rc llE folb*u! lwn (sd.?oil !
<br />Bu.imss td Prci:rsb, Cod.): An, Ciry or Cou y qhth r.quiB . Fmi ro @nrirud. .Id, urp.oE d.elih o, EFir y
<br />srMt@, rior ro ils nr!e.. ilo Equia! rh. {,pltdt fnr skh Jlmit io lilc 3 3i8Ed rr.m.l thll lE or slE i! ltcnEd pm.rr
<br />16 rh. FD\irioB ol rlE Conhrof r Li!.rd tlw (Ch.F.r 9, CoIiEftinS rirh Sdi,n ?000 ol Divi.bn I or tu asrics .rd
<br />PFf.ssbn. Cod.) G fid lt or rlE n cxcrr{ ds!trln.,n rlE 6.tir tor lL .lts.d .&n{rir Aly v.ldb.olsdirnTo.ll5bymy
<br />.nplic!fl to, i Fmir ubicrs rtE rprliclnr ro i .ivil F.rxy ol mr mE tho fiv. hu ,.n do[ffi l$m).
<br />_1. $ ow6 of rlE FFny, d nr.nphFs *trh ugd a rtEn $lc otr9cnuirtr *ill & tlE rrt !d llE {ndE 6 ml
<br />d.id.d m of.r.d rm d. (Sa.?o+4, BusiE$ !n PDtsoB Co&: TIE Colltdd. L!.r trs &B l&r.pplr 16 M ow6 ot
<br />rh. F,pcny wtb t ild, n id{n,B rtEotr url who da Mh *rI hinsclf or h.rslf or ttruBh hn or h.r own.nploy.6.
<br />p6{it d rhd skh i.iFow r e br irdLd oroltdtd f6 rl lf.lbffi. rlE t iEtB d irFwnd k$E !l} nmJe
<br />orolFLria tlE OwEr Buitb $ l hE dE h!nd! of FrviB 0rr lE rlE di, mr t{ild d instoE rE ,'oFry tu dE F,pocor
<br />_1, r orar of ih. F)IEtr- d cr.lusirc!, cod'dinB $hh lirnEn .otud.n r. 6nrd.1 dE F$rd (S€. 7(X4, Ausrs
<br />lrl FoGl.incod.: Th. Conrrror'r Lt.nc t r d{Er mr .!Dly ro u o*E of Fop.n y *ho b!il& or ilrpNEl E61
<br />r n tho conur6 Irtr \uch Pf,lLcr\ q htr(i,nh(nlr)li.n{,pu h rh. conk*ntrt Laci{ tjw)
<br />,rrr'r":"V'Y
<br />I lrEby lmrn unds n Mlly of rElt,ry om ol tlr folh*[8 dcckrri,nr
<br />-l
<br />hlvc rn lill ruinruin s Ccn irrlrc of Conrnr to S.lf hruE ri,r *ork.( comrEn{rbn, $ povijcd ror by Sc.rion lTu)olrrE
<br />Lhr Cod.. ftr EFrmorfi.* tr$rhahllEFDi i irsEi
<br />_l hav. rnd *iU minurn worl.n .omp.nlorion in.ur!m.. al Equt d by S..ri'n l?m of lhc hbor Cod., for rlE lErfolmBr of
<br />lrE srk ln whin lhis Fmir ir tsu.d. My vo*6 or{Ensli,n insum caar ud Fricy nrnind e
<br />-l
<br />ccaily rhrt in ttr lErlomrc or [. *orl ror *hth rh! Flnn t nsucd. I rhrll mr.trpbt.ny FMn in.ny IuNr
<br />h {i lo b.('nE subj.{l lo lh. qo sr comFns{ion bw( ofcsliforni0, lnd rsr lnd ifI .oE bccoru subFr ro rtE
<br />sd(6' alnTENtbn lmvisiont olsalion lrfrr of tlE lrt r Codc. I rlEll ,o.ltuft o,rq,l, *nn ft.i pbvi,bnr
<br />WARNN(; l tuE n) surc rorkc^ dnnn nsalion .\)vrs8c N u hl(t rn.trt,11,'.r n, (rtrnnBl Brr[f,\ JtrJ
<br />civil ffts ur ro orc hundEd llx)usnd doll&s (llm,(ID). in lddil I::::;'4+'Cod., id.rcr &d dn,ry r f6t foZl*r,_^,
<br />ut!a&rllur
<br />I h.Fby rfirm und.. Fnrhtor|Equry rhar I m lie.*n ud.r F,visir or(lDpl6 9 (mmrEin8 *,lh Scrin 7(lXr) or
<br />,,1 rhc lnr'r\\lrkl llrl.$iotr(in[. rnl i,'y I'cc \rA ',ullr,tr,r x]c,r..r
<br />I kctr\r Cll$ L c.tr\u Nu {r
<br />Drl. (inlre(lo.
<br />q0lslBlquQNLENDAclIiENra
<br />I h.mby dlnn uri.r Fn lry ortE lry rhd rtEE ir. on rudirn Liding.rdy for llE Ffm. oa llE *qI lor *hth lhi! Fni i!
<br />ir.ed lS< .Ir7, Civ C )
<br />APIIIIANLDEII4BAIION
<br />I hddry rJlm !..,.r Fnrhy or Fru.y oE of rh. fo&rwi.8 &.Lnrbnt:
<br />D.mlnio. P.rmih At!.{ot tlorifr.rion F.d.rl R.suLrbns (Tirh ,10. Pd6r
<br />R.quiEn kllc. ol f{{ifE rir
<br />qffi h.r ih. f.n rrlE8ll,rDnr c8ading lsb.ikx cm!!lr. d {plilbh ro
<br />I .3E b onVily *nh d Cny .r, CootrryI hsvc Ed lhisappltarkrnod {.rc
<br />oilmiEr !d Sr.rcli$ EhrDsro htildins iv.\ or ihtr C y ri O,rnrt ro .hic ulnn rli
<br />lnlE Entioftn pmFny lor insFdi'. prBes
<br />,rr,,-nr,. t*"* r,*ur,.,(
<br />r'*-i,* ""-",r.i",, }Z-q 14-l-44
<br />al&t
<br />a,I
<br />I
<br />Dtr.}EIEEEE
<br />1/1
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