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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUILDEI DELC TATION
<br />I rreby r,lrh u.d.. FEny of Frry rh.r I E .rc!q, nod 0E Co'r.i6 Lile t w lor dE 6lt n! Eetr (Sc.mll.t
<br />BBimss rd Pmfc$hn Codc): AIy Cn, o. Co!I, whih trluiB . Fmi ro omnrr. .k6. inpoE &tulirh o, EF a,
<br />sldde. I'i,rro ir. i{ rae, alro r.quiEr rh..rplicd for such Fmir to fihrsi8rcd (ot.mnt lhrr lE or sl* ir liccned pusrr
<br />ro rlr FovubB of dE A,nErrm ! Litnsd Lls (Ct pra 9. ConEEir8 wi'h serion 7m of Divni,n I or 0E BuriE$ Dd
<br />ProL$i,.s Co&)d rh.r rE slE ir.r.rpr rhrtfbm.rn llE h.!ir lor tll llLr.d *qrion Any rbhrbn of S..rbtr 70.] Lt by my
<br />.ml$ot for . p.mjl suhjeB llE +pli.nl lo . civil p.nrhy of tul mE lh.n fivc hundrn dollrd (5100).
<br />_1. 6 o$Nr of rtE FoFny, n m, ctrploFr w h M8.r &i 0Et $L otr{Ension. riu d,lh. *dl rn dE 'rtrre is d
<br />d.d.d or .llcnd for oL ( Sa.?o{ AusiBr xd PDf.snnr Codc TIE Codtdr'r LitnE t * dd.r d .td,
<br />'o
<br />u oFE or
<br />'h. ln)tmy *lr,t iklr or irtmEs rh.mn. !,i wh d6 rEh srt him$lfor lE.sltor rhou8h his or hcr denc,rlor.ca.
<br />ptuviLd rhr! .h in{nrm s c Nt ind!&l d oficrEd f$ $L. I( hwE. rhc bildina or iqreEcnr is hU *ilrin .x Fa
<br />ofmrpLlia rlE OsH Au is will lIE tlr hnLn of Fbvins lnd lE d rrx rli! bl hxx r !r+.DE dE Fqdy rn dE F Frof
<br />trLt***,r,,* -r-r. dcEbtirryotudu,s virh rim(i.odtrro!ro oNelE! rh FDixr (sa. 7ff4. BuiEs
<br />.rd hrts). crd.: Th. Conrdolr Lk.ns LE &'.r mr lpgly ro u 016 of lrDp.n, *ho hildr or trpmE, dE6G
<br />.nd who onrEdr,o.rEhFoFrwirhrcohrBro(r,liinsdpurMbrlEco.!dor'sLiusLi*)
<br />E A Pa n, rha mnY,n<'.,zlz\L>l "., \)aa-/.-.e^+LJz'/J
<br />I lrchy allirn un&r lrElry of FJliy oft of rh. tullo* !B d.clar.r.n\
<br />-l
<br />h!!c {n *illminr.in. C.nifrlr. oicdnsnr to S.lf-ln r. ror krkc$ .dmtx.sdion. ( pmvij.d for b, Scrrbn 1700 of tlE
<br />trt r Con , r r rlE Fnm oa llE *od tu ahth llE Fmil i B!u.d
<br />I hrvc and *illminrlin eo.k. rr .onp.nr! r ion insursh-c.I rcqun d by Sdi'n l7m ol dt Lrb.r Gxk, for rh. Jxrformr. of
<br />rh. work f.r whi.hrhis Fmir ir irEn Mtworl6 on{Endion inrurm. (Mi.r crn Fnay noobtr el
<br />fnhyNumh.r _ Erpm\
<br />AI 'J.lyt:fdrry rh.r
<br />'n
<br />rlr Fro.mE! i,arlr *ork rtr shEh ihir Fnn ir Eid.l rrun mt.qbyMy FMn jr D/ mnEr
<br />s s lo b.roft rlbiFr ft rn. eorldr convEnrlrion hwr .f Californi!, lrd 33E ltur if I $o!ld b.(om flbjel !o ttr
<br />s*6J conlrNtion pmviriotu of Sdion lrm of 0E lrtq Cod.. I idl fonh*nn onlPly sirh rlb. povi.6m..
<br />WARNINC: l'oilurc k, wuE p.*cB' comFn\dbn cotcnsc i\ unhwrul. nt rhdl suhj.it e mtk,yrr lo qimml Fflta:.td
<br />rivil fifts u, ro om hundEn rk,usnd doll,r (1,00.Un). in &ilirion ro ttr .oi of cor{Enslion, drm8cr I rovacd ,or llt
<br />C.d.. ,lcEr rt llldEy s le1Sdt 6n J076 .r 0E L!h.
<br />K".,.:].,zl L
<br />tlt l.L,ltrura:IlEEhy,lIrnund.,FM!,orF,lryrhdIrmli...durj.rImvnb.ofcll.I{s9(onmrinS*nhsdbn,m))ofDivri'nl
<br />of rnc Burirc$ ud Pr fc$iods (bd.. ard ny li(cN ir in tuU roE ..d .fi(l
<br />AIPIIIIINIDESI.ASAUII!
<br />I hq6ry afm uder p.ndry of p..rury oft of rlr folb*in8 d..Ld ions
<br />D.mhion Pt mirlArb6rd I'Jdirr.!-,. tu nl R.8rldbn. tTirL lO. P.n6)
<br />RcquiEd r.(cr of Ndificaion
<br />ffi#ffi:ffi ;;t'ffiffiffffi ElH".iri1.s"j*"*
<br />r^f nrnrk,md nDIEny ntr 'n\F{r[n purF,{\J.-.$^,9)ril2,f rPt,liirtrl or Uul si,:ntrrtrR l\l
<br />".-n--*,,"*,, f,l}l g1a\I AuY H
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment x
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />FINAL alil/tt'r
<br />Notes Remarks Etc.
<br />*
<br />Sub-Panels
<br />II q0llrBJlqtroNLllDlllilcENcr
<br />I h.Eby.lfirn undcr F lly of IE Jury lh.l lhs. is r oNrtod bn Lndi.s lgcmy frtr rtE lErr.lrlff. ol lhc mrt fot *hich rhis Fnn i!
<br />nrud rse 1097. civ cl
<br />1.ftL,'\ Nrnr
<br />-
<br />fT
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