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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS COMMENTS OWIIER BUTLDER DEI,( NATION
<br />I id.t, .frm uxlc Flny ot Firy ttr I m adF no6 {E cofirroG' LE9E t * f.r !h. to[o*,!B llen (sc.7o! I 5
<br />Bsinq !n Profd.id C.d.): An, Cily or Coud, "nth rquir6 . Fmi lo otdrud, rlr, imForq &rrclah or tqn 6y
<br />3rtu ruq Ftu b it! isue., l&. r.qund rlE rppltdr aor ruch Fnir ro lik. sisn.d nrffir thd lE or O. b licft.d poeait
<br />ro th. FovirbB of th. Co.rr..tor'r Lic6!.d lrw (Ch!pr( 9, Com.l@in3 wnh Setion 70m of Dviio. I of rh. Duhd &d
<br />PFa6i.E Cod.) or thr E or tlE b umd thc.noo md rh. tci lor rh. rll.8.d qqnprion Anr rhLrionofs<liof, 7011 5 bru,
<br />+plk.d tor . Fni lubj*s rh. @tiim ro . civil D. tyof br mcrhd fivc hur&6d dolla!(l!m)
<br />l.aorEolrh.FDFUddy6pbt6r'nh*.s66rlEir$LohFlriol!{r!dodE$il.ndErMu.i!mr
<br />indld.d d ofiircd fd rL (Sc nx4, aciE md Eoa6ioG Co& TIE Coddd ! Liw L.* &6 not {DI} h e.rE ot
<br />tbcFlFty who htiLb or i!!.oq rE@l! rd *ho r,6 Mh E t haelr or lE*lf or rhnlrh hn .r h6 o*n mph]6.
<br />provid.d ltn .uct imFlEEtu @ d i dd.d or oltad 6r sh. l[ lsEs. llE hlildilB or uqfrdEi ir sB {nhn .c }d
<br />otconplaioi. tlE Orn6 Boildd will h.E llE hldar otFnri'ts thd hc or !h. di, rcl bold o. i,nF.v. $. FlFly for lh. Furpos of
<br />l. s o*G of llE FoFry. m dchlircly conr.duu snt lic6Eql codr-rElo @dru.r rlr Ftidr (S< 7o{,1, 8@.d
<br />Ed hlE irCo& Tt conrarorr Licas t w.l'6 mt rp9lt b o om6 of FlFry qho t{ild! or imprcrBlhdFn.
<br />&d who otuxr! for *h For.d3 wnh , Conrsloi!) liGd Flt Er lo rlE Cord-ld r Li..& t *).
<br />I e .rdpr ud.r Sdthn
<br />D.t.:_ _ OiG:___woaii,6ia6 ?EllslrroN
<br />DEC|JAAIIa!
<br />I ha.by .lIm unb pa.ty of Fiuy oc onlE 6lb*ios &.h ir:
<br />_-lh.w-dwil n rin i Cariftr.olcoer b S.lf-llEG fo. *gt6 osqddaol! 6 ForiLd hr b] s6rii.]ruof lh.
<br />L:tr Co<lc for llE Ffol]rllE otllE wi fu *tth llE Fhn L i$.d.
<br />I hlvc !.d sill mi.l'i, *orl cooFMtiof, iNur.rc.. a rqun.{ b, sel i.n l?00 oarh. t$or cod.. for th. p6ionle. of
<br />rh. *ort for whth fin Finn i iqrd My worla omFaiio. iNure. csis .rd polk, nunb.r @l
<br />l .diry thd i. rh. Ffomlnc oaih. *o for shich rhir Fmn i! nrud, I shall mr mdoy rnr Fsn h uy meF
<br />s a lo bccom. rubjdl to th. wort6' comFlolior h$ olcalilomia ed rs@ lhdt it I slt'uld b.(om. bjarlorh.
<br />$olt6 mnpqul ion pnnirioN of S..lion l70ll of lh. L.bor C.de I 31ull. lclhsilh mmpry vilh lrnr Fovilions
<br />ltAINlNG. F.ihE h G@ *st6 6nFdb. @!q.s. ir !nL*tu|. xd ddl $bld u dphlq b cimiMl Frlb rd
<br />cnil 6na up to oE iund,.d rt u.d d.'ll6 (tlm,o(r)), in .ddnior to rh. .d of conp.Mn.. d!r46 a Forn.d tor lh.
<br />I ( dL. inr6d !i droir.r'3 lG
<br />7
<br />E!CI4AAIq!
<br />I bqEbt .lIm u.(b F.!y ol FjEy 1IIr I o li.q!.d ldd FDwbn otCMalE 9 (oM63 wnn S.dior 70@l of Diviliotr l
<br />ot rlE sd6 ird ll!&.io6 cod. -d m, lt@ i h tull foE .d clEcl.
<br />/,
<br />4//+
<br />d'lzr ) rr/t L- zzz zur,o.*. --e,
<br />CqIIIAI,]IIANIEIDTIGIGIIq
<br />! nqt6y.trmu.& FrlyolFjuryrlli llE i..o rucibn bni!.S*y for th. Fa<,lr1&E of rh.*qI tu $tkhlhi Fri i!
<br />iErd (SE. 1097, Civ. C.).
<br />Land6 t N@ _
<br />AIPfI{;ANLDECIAAATA!
<br />I h.qr&Eur& pa.!y orFjury oE ofln 6ll)wi.8 rL.,di,N:
<br />Ddbhb. P@irl^tt ro. t{difrrir I:.d6.1 R.guhrbc (Inb 40. Pd6)
<br />R.qriEd Lcrq of *iifi.rioo
<br />I cd ily rnd rh. a.dd.l r.BularioN r.8d'linr 6bdro! iano!.l ar. n.r {dirabl. to this pmjNr
<br />I cdiry rhi I h&r dd rhB iprlic.rion d nrr( rhd rh. !bo\ c inh@r nrn i! con.d I .eE k, tunply $nh .ll Cily !.,j Coul,
<br />edtu(d rid Si.l.lrsr cliit{ ro ildinS cordtudF[ ntd 'Eqr( rllh.@ c!.e dn€ olrhit ( n, .d co!,lt to ard upon iE
<br />,b\. lFrFn.ilropdt f(n
<br />U4*=,1ppli(.nr or.\96r SIBn.rur.
<br />12lzu4- t/ztzeZ r-s
<br />&/z
<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 .A\
<br />Bonding / Grounding / UFER K-21.17 N&-11)l
<br />Transformers \)
<br />Torqueing
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)/A
<br />Meter Release v-9-t)x.vnil
<br />L/
<br />Rou gh n\
<br />Service Meler K-21-t /x-Yt&t
<br />FINAL 10,4-17 ,ry.vHd)
<br />Notes, Remarks, Etc.\-z
<br />DATE ID/SIG.
<br />ISub-Panels
<br />Air Conditioners
<br />I
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