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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 />Siqns (monument)
<br />Lile Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding i Groundinq / UFER
<br />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 Rough
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />Service lvleler I IIx4u b*wtrt
<br />Notes, Remarks, Etc
<br />OWNIR AUILDER DELCAR TION
<br />I hcrct y !fi,m und.r Fntrhy nr pcrjxry rhD' I u .r.r$ lren ih. ConrEtm Lt.tr€ L.* lor rlE folrl*hg E-n (S€ lo.t l J ,
<br />8u.iBr ,n Pror8sion Cd.) Any C y or Coun'y *hth EquiEr r Fmir ro drtrsl .r. .lrr. inpmv.. &mlirh or EFr uy
<br />{Mru.. Fir ro irr i.ure, lho EquiE. rlE rrrlrer for ttch Ffrn 16 fiL t s8Gl iatmn! lh.l lE or rlE n ,iancd puruarl
<br />6 rir Fvirbn\ ol rE Confurd r Lirnt d rr* (Chq,rs 9, Comrcins *nh S<<rbn 7@o or Divri,n I of th. Bu.i-$ dd
<br />Pmrcssn,ns Codc ) or rhol lE or slE ir .rcnpr llEcfrom !d llr b.ri, fd ilr {kg.n .knira'n. Ary vhlrion of Scibn ?01L5 by .fly
<br />lrPli.anr 6r i llcmil subrch lh. apDlicr ro o civil lttuhy of mr mE rhan nv. hundcd dollar (1500)
<br />_1. .\ owE, oarlE FoFnr, or dy.'iorrF! wdh w+6 $ rtrt $l orqEn bG*ill&lltwt.rddEnfumar,
<br />inrcnl.d or of.ftd ror eL (Ss 7044, Burim$ ud Prna.r.ioB Cod.: TIE c.ddr\ Lim{ t * dEr r, lp?l, ro r olt. of
<br />rhc FIEi, wh.t ius r iqhB rtEm d wtb dEs uh m* hids.lt or lEr.lto. rhreu8h hn or lEr o*n.rpbF6.
<br />p.oviLd rhx trh inF,wnl! E r, iroi,.d mo,H f $L t( lhr.E, rlE buiBng irlmErnl Lr stl wnhin om Fe
<br />of coq,Lrb( dr O*rr Bd!r6 sin h{E dr h!d.. or Fovi{ $r h n slE did Ei hi! n intmE dE FrEry ,m 0r FIFE of
<br />-1,
<br />s owEr ol rlE FoFny. m.rchrsiEly .ndrrlins *ilh lidnr.d .oddn
<br />'o
<br />o.tu llE I'nIcl (Sa. 70,1,1. Bu.iEs
<br />o Foltsbn Gdc: Th. Cofu&ba, Lk.nr hr d*3 ml +ply lo D osE of prolEn, wh. b{ild! ot impmEr ih.ron.
<br />.ad slF @dr&1.lm sEh pitrI.ir with. Clnlndo(r liarscd !u^d turh.Co re'oai Liut L!w)
<br />I @dnd udn Sdlbn .B &PC lorrhBlUd
<br />D.r. Ortur- - -]tl}Bf,lIN:.c9MTEIAIq!
<br />DECIdSAIT8
<br />I tftby rirtrm un&r p.ulry of pcrrury om o, rh. i)lbeinA del ionr
<br />_I htvc dnl will rDinrah ! Ccniarsrc of G).cnr ro scla ltrsud tu solr6 lrqEnl.lhn. at F)vil.d n, ty sarion l7(D olrtt
<br />I id Cod., I{tr rh{Frfornur. or rtE worl for whi.h rhc rmn n &ucd
<br />_l !.|l rrli w,ll drrnr.d worr.^ .orro.Nr bn rNUr.E.. a3 EquiEd by Sdlhr l7m or ilt LlEr Cod., r rh Fno,rlIN of
<br />tl. r.iy'\* ,h*rirh'. F.m rs s.un. M, wndnr' (rqrns.lion inruruc cdi.r ,n poli:y nunftr c:
<br />Polty NumtE
<br />-
<br />I ccnit thll in rh Fnnmrc of rh. *ork ror whih rh6 Fmn i! ileEd. ! nEll nn cript,y uy Fr$n '. r.y nEffi
<br />5 is ro tE{m subFr ro rhe M*.6 .on{Endiotr hws olcrlifomia. rnd rgd (hi il I rtNld tEor eut'rcl to llE
<br />mrt6 onp.Mrion Fovtio.s of S.dhn l70o of ltE L,hor Cdi., I :htll. ronhwnh $q)ry with lh,r Imvlriotrs
<br />WAnNINC: FriluE lo sm *ortcR snp. s.lim otas. h u.brtuL .tn sh.ll rub}.t .. cnDhF lo aihid Funax and
<br />c,vrl fin.s up to oE hudEd rtrusrn dolhr ll 100.000), in .d.lni.n lo
<br />'lE
<br />cor of rcnFnnlhn. d,m8.r a pmvil.d ror rrE
<br />Sr_tiotr J076ot rhc ljtl,r(idc, inrcrc{anJa ormy\ lccs
<br />,.,.,\?+z\
<br />DECIdEAIIIA
<br />I tftby llfrm und.. FE!, of Frrlr, rhar I m lirr.n uid.r Fvi.irn of Cnrpld 9 (oIftmiflB wnh Sdion 7ql0) or Ditisi,, l
<br />or rh Burims &d Pref6*,N Cod.. rn hy li.r ir in tull fod rd.reI
<br />.,**".r*, C -9(l.rcn{ N Lq r?t
<br />',","
<br />\\At\z\(=
<br />(alsrBugl0litalllliltiEd{:r
<br />I lrrcty arh lndd FMxy or Firy rh.r ilE! is. oftM bn Lniins .!Fmy fr llE FrfrnEft ol rh. *orl r(tr shah lhil Fmi ii
<br />hsu.d (sE 109r. civ. c ).
<br />L.d.r'. N.m
<br />-
<br />Af&ICANLDCq.ASAUO!
<br />I hodryrtrmu cqrnllry of Frrr.y ok ofuh. rolk*i.8 delardt ion\l
<br />O.n,lir$n P..nirs Arh.nor Nori6c{io. Fcn.r.l R.Suldion! (Tntc.l0. Pnn6)
<br />RcrtuiEd Lcrrcr of Norifrali,n
<br />_l.cnify rh, r tdLr.l EguLh.s 88.{ing.shsroi rcnx,v N mr {,rlic,hk x, rhx pn,j.rr
<br />N\.,nc^ $.e-.:tt**r.=
<br />I
<br />Under Slab / Floor
<br />lvleter Belease
<br />FINAL
<br />L.ndd t Add6t
<br />-
<br />_l d rfy rhlr I hovc Ead rhlt iDplE.rion oJd lErc rh, dr .,lbw inlotuion ir .rrEl l .tr lo oq t ,nh .I Crr lrd C6!.ry
<br />ddEftB rrd Sld. L.,r Ehiry ro hrl'ldrs +.*ixlpn. lrd tEh, rurh.M EpEcMrEr olthB Cil) &t Codnlyro.nrd uFn {t,b*mn,brdFoFnvrm,V"F,F\_
<br />\__ _ o.,. tzrEl^rprot d A16r Slrt uE I\-
<br />o
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