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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Owr'B!ihd IL.lmthn I h.r.by rmrn unda p.dlty olp.rJury rh.t I.m a.m lorm $.conhdoB'Lr..* tlw aor ih.folro*'ns r.&n (G 70]l.t Buin6r .!n Prof6sion Cod.) Any Cny or Co6ry *hich r.qun6 r p+mn lo oNmd. .lld. mp.or.. d.mlsh or r.D& Dy dructu.. pn r ro irtilsuft.,.LioEqut6ih..ppliqniforiuchpo6nloil..tisrn.r@nrrh.rlrorrlf,itlk.udpE@brlEpm\iiio66frh. Contrdoi r L'eB.d trw {Cllprs 9. ( omm.m'na *trh Sdb.7000 ofOrvBD.I oarh. B6rn6r.nd P.oadoB C.&) or rhrr lE M rh. t .r.mfl rhn.6om .(l rh. bo! fu rlr .lLs.d .rdFiq Any viollri)n of S.cr ioD 70.1 I t by uy .ppli..nr tor . Fhn rlbj.dr rh. $pli..nl lo r .ivil F hy of ml mE tho fi!. hu.dr.d dolLn (1500) l.u osE of lh. prcFny. or Ey dployd *hh lra6 ! rlEir hk 6mp.uri.n. *ill.ro rh. wort.rn !h. {m.rdc 6 ol intdd.d or oIt6.d for nl. ( Se 7oaa, Bu,,g !d Prol6r.B Cod. Th. Cdndoat l-ee Ltr d6 Dr .pfly to .. ow ol rh. DrcDdr, *lb hrilrlr o. i-pmG dE@tr .,n *lh d6 tBh *oit hi@llot lr*lao. tkoush hL or hd fln drlolE. ForiLi rhd luh inFlrttMl! e 'rol erdd.d or ofiad tu rk ll how.E. th. b{ildus o. inFor.@m ir oB *nhin oE y{ofcomrla6..dr o'xE.&ih6 will hrr.lh. trdm oa pffiry rh.r lE or E,Dt bciLd o. inpo. forl,E,u.F* olnlc) _1. u wF of rlE preFny. rD d(lutit.ly @rdila lnh laa!.d.o rlon r. o6tu.t rla Foj.s ( Se ?ol.l, &!h6r.!d PDftiibn Co<l.: Tl! Co Ecoir IEM r.* d6 d.rrt ro &.w olFopdy *ho hl'l.r or nprov6 ttE6n . .,n sho @nrr.crt for tEh FoJ..r! *nh . cdnddlrl lEd!.{ ,s6onr ro lh. cod,.d6rt Lft.r lr* I I lE.by.flim !nd6 F hyof Fjory oE olrh.folh*ina d..hnri.6 _l b.tc Ed,ill min i.. Cdifr.rc of Cd!.fl ro Sdf-ltur.lor F.l6 @nE drb( s Fot'dd lo. hr Sd.n !?0o ol.lE Lbo. C.rL.6r ll* pqftu ofdE rort a rbth E!-Di ir isad I hrv..nd s'll N'lnrh urls 6qu,.n by Serb. ,7m oftlE L.bo. Codc l6i th. Fforflftc ofrlE vorr fot *hih thn pcnn . &o.d My E sr' @trrFBro. ,Brr.m drfl.nd p.lE, .!mhd .r. Polty NuEb.r: ___ _ Erpis (ltit <btr...d mr b.6qld.d if $. F6it ir 6. orE hgnd..rl dolL6 tlloot r La) I cdily $I in rtr Flo. ft. ol rh. f,.rr fttr * h.h rh'! Fhn B mr .tr9lry &] P6on 0.n, llle6 k s ro b.c.h. subjd ro ilr mrl.B @mp.nsrrnLuof Crl,fornr..ld b.(otr tubJ( o rh. !o,ls! cotrp.Miior pmlti.m of sc'i,n 1700.arh. l,bor (i)d., I n,*t! -tv-!s1^*,^4 WARNING F 'lur.ro r(ur. *ork.6 comp.B.ron co!.ng. rr unLw fu l. !d rh.ll e mFloys ro dnElFMh!6 tnd cilir fr6 up ro on. hu(L.d rhoend d.llB { $ l Oo.Ol)o).h .ddnion ro r cor of thc l$or Co<L. ccl .rd ltom.v s f6 dtmBd a prc\ d.d for fi. Scrion !016 of UCEIAEDIAIIAACIAAIAISdAAIIQ! I h.rcby.mm ondd p.Mhy ofp..ju.y rhrr I m lic..!.d undr pornE. orCh+rd 9(sMcicina w h s<rni '7l)00) or l)ili.ion I or rh. BBiodr ind Proad3ioG C.d.. r.d oy lic.s. t in tull forc..nd.r.cl l.nd..i Addr* AITIICANLILDICI.A8AIIA! D.mlni,. P@iu-Atbctlo Nodfrc.rbn F.d6.l R.suhr bB (I lk 40. Ptn 6) R.quir.d L.n6 oaNolifi crlior I .arify rh.r tlr f.ddl EsuLIiod r.s&du{ sb6ro ttmvrl r. ml tp?lttbk lo rnn pioJ..l It':;t ,ay rhlt I hN. rdd rhn @pltc.lirn md llll llE rhov. ufotmlFn ! com( I r$e lo corDly r nh tll Cny rnd Couly 6 rnd nd.IrIs r.l '.s ro blrld r.p.*ntttiEt of 'hs (\y.nd ( oury to 6t.r uFrn rh. rbor. m.ntion d prcp.ny for insF.lion Applicmt d.Sd 18 \ P.mirrr @(pri )f,!lvfx '/g 0 )-to-/f Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Bu ilding Under Slab / Floor Bonding / Grounding / UFER Transformers Torquing Sub-Panels Roof Top Eguipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough Service ltleter FINAL 3-22-r/ .//.la'*,(ce Notes, Remarks, Etc aa o 2 .1, MlWP51\P6.ml lBpcclion Fom\El.clncal.lnlp€crron R.cdd do. 03 31 06 - I m.rmpr und6 sdion *"r.0) -/0'l{-/O CONSTRUCTIOIT Lf, NDING ACINCY I hd.b, rmm unds p.ully ofpdjury th.l lh@ n..oMtru.iiri L.din8 {cn.y for lh. p.rao@.cc of rhc work for which thb p.mil ir i$ucd (Sc. 1097. Civ. C.). tlnd.arN.o. Air Conditioners