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E,LECTRICAL.INSPECTOR RECORD <br />OWNER BUIT-DEN DEITCARATION <br />I hd.h, a,Im u.dd D.Elly ol D.nury lhn I h .rd nln th. Coflrer@' t-icc t $ aot rh. follosiq r.un (S( "rr r r <br />Bui.s .,rd PrcBion Co&): Ary Cily or Cor y whi<h rcqriG , Fnil lo colrrucl, ill6, ihprD <br />ou.rc Fttr ro il] iBuse lto ,r9ri6 rh. aplior for ffh FEn lo fib. !s..d nidEu rhd lE <br />lo E FsuilirN of rh. Codd r Li.@.d t w (Ct+a o, CoMins r nh Srrio. 7(xlo ol Di*b! ! o <br />?refdiod Cod., or rhd lE d rL n ddF rlEcfDn !d rlE bca for rlE rlkrcd .ronFion Any rirhion olsa1 70! I 5 by e) <br />.pp!ic. for.Fnh$bjdr'hc.r'pliorro..ivilpdh,ofmrm,.thr6v.hu,&.d{hl!6(1500). <br />.--1. s o\e oflh. Fopdrr. or n, @pbrE riti *.96 B Ei, ,L cotr{Eudion. rill do lL sut .!d llE nnt:r. n d <br />idc!.!.d dotrdld &. rl t5a.70{4. SuiEtd PrDtdi'B Cod.: ]1r Codr-toai Lidg t *&6nord}bEocEor <br />rlEF.Fry wt [![h d !r!.D€ dEa rn sho lt'd rr1t est hinB.llo.lErlf or dFqh hit n rE orr nnpk''c. <br />poviaia rU octr dFbtsErt Gd kadno&.d 6. rt l( ho*M, E b.itliB d irsorgrd b sld sihnfl+rd <br />of@nplabr! rlE o',nd hriltts wiu har E hrna ofFovilg rhi h. d rh. dld Dt hild or inFlw $c FDFIy for lh. Flp6iof <br />slc). <br />-l. <br />6 orE o[th. FlFrr, eaclli*lyo fii'rs *nh lid!.d otu-r@ ro otu <br />'lE Fni(l (S- 7cu,r. &!i6 <br />!n Altir Cod.: Th. C6 E.oit Lte trw.bB mr .tpl! ro e o$G orFoFr, slh boilde or inpmr6 rh.6tr <br />ed *ho odrdr for kh Fritr! *ith . Co turo(3) ltd!.d F6on b rlt coffir'r Lk@ t $ ). <br />I m.16r, und.r Sdion <br />Ir.t.:_ __-. _ OriF:_rtoiiaEL.;..4i-PrsrloN <br />DESI4IAIIO! <br />I t6cby .mm uidq Faty of Fju.y oE offi. follo*i.s d..lr!tioN: <br />I hE rn wil Eid.h r C.rifdrc otcoen lo S.ll-lde tor *qla' @npdBti6( s FDti,.d aor ty SNlior l7O0 otdE <br />t-&r Codc fa iE Ffo.lDe. of dE m* 6. f,nah . Fnh i is.d. <br />Illrv...dwill irhin f,o*6 codFelion iNulM.. 8 r.qurcd bt s(nJn 1700.I rlE lrtirr Co&. for lh. Ftotuc ot <br />lhc Krk for wfiicfi lhi. F ni i! isu.4 My wotr6 cotrFBrln,n iaurM.. ..ni6 dn Flicy numb< ac: <br />I c.niry fid i. rhc pdlorruic. ofrh. worl ao. which ihir Fmil i! i$u.d. I !n.llml dploy.ny p6$. i. lnr.EE <br />i srob..oB{6trrrorlE*o 6' onFlrion lsE ol C.lifomii. rrd isc rhd if I dbuld hcom. $bir' lo llE <br />wrtd mmFErbn Frrilbd ot Sdion 1700 ofr& kbor Co<lq I lrdl fonhsnh omdr wnh rhor FovtFd <br />IryARNlNG: Flle ro c@ mrl6' mnFuion cos.{. i! unL*tuI. lid iull 3ubj<r d opl6F r. dmid FEnb lri <br />.ivil lin6 up l. orc hlndr.d lhoMnd dollE (t100.000), h rddnior to lt. coil of .omp.@rion. d.mgd E provid.d fot lh. <br />S..lion 1076ofth.t t rCod.,i 6Gn &d ruonEy i fd <br />_ Ar9ldr:_ <br />ucElsEosaula clal <br />Drr(r {rL{TION <br />I hd.by offm undq p.nahy ofr6jury rh loli. o1un.l6 Fnvilio. of(-h.plq 9 (comnH(ins w h Sc.li,. TuxD.fDivirion l <br />of rlE BNi.s Md ProtBrioN Co&. !d ny lic.e i! h full fore ed.rf<r <br />IO!fl8ICIIONIEIDIIG.AGEICI <br />I hdtty .lIm ur& F{iy of FIry Or $c ! . o.i.sri}. Ldrg .gdy rd llE Ffoffi of llE 6t 6r $fiid thi Fni i <br />i*u.d (Se. 1097. Civ. C. ). <br />tdd.r'r Noc. <br />AIIIICABLIIECI.ABAIIA! <br />I hdlbylfm udd Fllry ofpsju., oi.ofrh.lollowiis d.(le ioo.: <br />D.ehbn fmn!-Aib6I.. Ndifictrio. t.d6!l ReuLlio {1ilk,m. P!16) <br />R.q{ir.d ltrl6olN..ifr.rn <br />I cclify lhd rlE f.d.r!lEsuldiod Esddins abdor ron'v r. ml,pplk.bL ro rhit pmt d <br />Icai&rt I llwMd fii..pplic.rioi .d nirthn dE!tFr. inforrdbn i corrdl I.s,6lo srptytrith.U cny.nd cour, <br />ddttls -d $n. L,s Erir ro hildii, .o'uiaiba !d hdltt tuboriz rq.Errn'6 of lhii Cny d C6oit ro da l+or llt <br />.to* dioo.d FlFty tu i'4rrb! FrpoB <br />Appllsnl or .^ttnl S13n.lure <br />APPROVALS DATE ID/SIG.COMMENTS <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 lt 1 <br />,{'//'t"1Bonding / Grounding / UFER 5lr{l1 t t/ <br />Transformers rt\ <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough)I <br />Meter Release 11t{t1 -(o <br />I <br />/\_ <br />Rough <br />Service Meter <br />FINAL <br />Notes, Remarks, Etc v <br />I <br />I <br />C\'l-r\11 lLl'.lLll7 r"