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ELECTRICAL.INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.OWNEI BUILDER DILCAR TION
<br />I rrEby !fiirn lndd F&n, o( Ft,)ry rhd I M .r."t, rrm rhc Cotldm Li.cns L.! lor dE n,lbsh8 ra$. (56.?0]l t
<br />BusiBr rd Prolcs,n Cod.) Ary C y or Cdd, *hri Gquir! r Fni ro $.r.d, .xd. i"t oE. rbmlirh or rFil ,
<br />rlr!.iE. ntur io rs irrulN, nlv, ftquir! ih. ,J,plisr rd sEh Fmi 'o
<br />liL. sqEd nd.,Br lhal lE m nE ir lnrn{d I,umur
<br />ro rhc I'n visions of rh ConrEror's Li.cnscn Llw (ChcJ,rE 9. CDm'rming wirh S&rion Tlxx) of Divirio. 3 oflh. Butims rnd
<br />Pratc(ion! Csl.r q rh,t lE or rlE L.x.n{r rn6rri.n rir OE b.r6 ror
<br />'hc
<br />dl8.d.r.ryrbn Any lirLlior of S.dbn 701I t bru,
<br />ipplkr.' fttr.p.m .ubFB rlE rptlt. ro..ivilF nyof mr mrc ths nvc nu'd,!d doll:B l!5@)
<br />_1, $ o$rr olrhc pnrldy. m.r.turnrly.od.ds8 * h lr.n{rl (.nldoF h (rmtu1 rtE FmI{r lsN 7oll4. Burtr$
<br />ord PFflxsir Coac: Thc ConlrNln ! Liccn\c Llw do$ not apnly t o o*n r or pfr,Fnt eh() builds or mpioks rh.r.on.
<br />lnd rhl) .oMdsk slch Frr.rs *irh r c nh.to(r) li.cn<n pur{ud ro rh. a'dncroi\ licnE ue)
<br />_l am.r.mpr uLld Sclrn_,I &PC fin thN E!g,n
<br />Drt. orn.r !!trlil:Es:ll)lll1lula!
<br />D}:!LI&UrcTIl[rrh!Jllt utrJcr t{ixlryol lt4ury nrc or r[c n)lL,*rt,lcrl.trJnotr\
<br />_l hltc sn sill Ei.llitr r C.dirr{. 6r CoMnr ro srlr-lmrc for rork6 NntEndbn. I trevid.d ror ty S.d ior lrm of IE
<br />L.ls Cri.. lor llr Fflm ollh hl fd rhih lL Fn bi'fid
<br />\sl&vc rnd wrll rurtrrdrn workc comp.nrrrrh rn\unrc. s rquircd by ssrbn]7m ol lh. t$or Oldc, for ltE I'6formN ol
<br />lF-Ehk l,i sh.h rhtr rEmr 'r n{r.d. My x,itd mr{Endrn rnrum trir rd policy nu u k
<br />o,tu <c tf
<br />PolicyNumbs , Z,l lL .\d l-t)')l
<br />I c.niryrh.r inr,r p.rlo.EE. ('lllE *o rtr*'tihrhnFmi tr iro.n.I lhrll , .n+1,! rny Fe,n r.ry IfrE
<br />s N tr hclnm subF{r t, ih. woadi .onqE.:ari,n lawr of Crl,fom!, rnd lEr lhd if I slsuld tEom suhF{t lo rlE
<br />wo,kcn coqrn\,rion povi\k,n\ ol sertun ]7ui.f rrE litr)r Cod..l {ull. fonhwirh comply wirh rlnr pmvlriors
<br />WAtrnNG Fdtur. h ffi *ork6'on{Endion
<br />.ivil fin.i up ro om hudr.d rhousln dollus (Sl0o
<br />Sdion 1076 of ltE lltrr C.dc, inl.rcs &d $orEy\
<br />Drr..- \-|f,-r\ _ ^pp[or:
<br />ornXc r unbwtul. srxl {ull $bFr u orpbF ro 6ini..t Fnrar lrl
<br />,src), in oddnirtr lo lhc cod of r6np.nr io., d.m&. .s phvid.d tor rlE?-
<br />I lrEl,y !finm uftLr p.m[, oa Frrlry rhxr I !m licns.d un&r Ftviii,n ul 9(6mmN'r8 *nh Sarin.7000) ol Division.l
<br />or tlE autimr rrl Prcf6shB Co&. rn ny ltctrc i h tu[ roE .n.fidt
<br />\an\)c "1rI-Iq ...,-.,..K
<br />I rEEby lrrm udn Ffllry oI lErrury rh.r rlEE i . @n{nEtion h,nu8 rB.My fo, rrE tElm of ilE qrt fot *nah lhir Fhr ir
<br />kndea\ Namc:
<br />-
<br />L.0ld r A&Irni
<br />-
<br />AIPfICAII,DEILAAAIT]!
<br />I ho6, .nim und.t Fndr, of F!,, oN of rlE tolbsa.B &.Ld i,.r
<br />t)cmtuion Pmik A'h{6r NdrrK{ion Fcrknl RcBUhnnrOnk,lo, P86)
<br />_R.qun dt lsof t{olifsrion
<br />LHu:y
<br />ity th, rtE LrLrd E8!li io6 rc8.rding d.b.ror Emvrl e mt .ptlt$k lo tlrt FIFll
<br />thlr I hlu rcld rhi! ufl'li.ari'n cd (!rc rd rhc !h,vc nlnrdi,n $ doft.r I ogre k) con{,ly wirh .ll Cny rdl Counry
<br />u.dimm.!.d St'r. ljwi Ehlin8 ro ttrildiu c.trdnEri,( !n .!lh,rn. eF.Edxi6 .f r ht Cn, .,n Counr, lo .nrs uFn 0r
<br />rhr. !E.rx,md pmFny rd in
<br />,\Drlir{ l trr]\rrnl SiI urr l-t),2
<br />r
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bondinq i Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />It/eler Release
<br />Rouqh
<br />Service Meter
<br />FINAL 41't1 lzt DW-,t-l
<br />Notes, Remarks, Etc
<br />Rev 08-07-2015)
<br />COMMENTS
<br />_l. s wk, ofrh. nn,trnr, or my cmpb)$r eirh wotcr !s lhcn v,b otrlEn\dbn. *illd. rh. B.,rt {ld rlt dmre i nn
<br />oroidl or oftrn ror sL (Sa Tolt- Busircsr .nd P,.r.(i,n. C.dc TIE Coddors Lilnr Lrw &.r n{ {rly lo m ovE of
<br />rlE FIrny *ln follrs d iqn6 rhdEa rn wb &E $h *n l h,nclf or lIrll or itrDu8tr fiii or te om.,rplrrr.s,
<br />,lr.vd.d rhrr .uch mpnrwdl e mr -r.niai or oif.nn tu sL. la h'wq, th. tuidlB q rrmtmd ir old *irhr trE jd'
<br />otcoq,briD. trolrer Bliltcr prllIEE rh. hiftLn ol Fn'vin8lh, rE or ltlc did ml t ld or i,irmrc lhc rmFny foi 0E rdrlrEof
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