ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEI BTITLDER DELCAXATION
<br />I h4hr tirm unLr Fn ny of Frrr4 ln.r I u.rcrpl 6tr6 0E ConErd L4m t r for dE rolhuin! E.s lS€.7O11.5
<br />Bu.iEr: ..d Pmr6sio. Co&): Any Ciy o. Cou.ry *hah EquiFr . IEni ro ondru.t rhB, nrprcE, d.mlnh or EF dy
<br />sturE. Fnr to it bsuft., dso EquiEs rlE $dtel for such Frmir ro fik a ttftd sl.r.tunt U lr o. .lE i li.cned pudud
<br />'o
<br />rlE I'oliri,6 ot tlE Cdnr.trd r LFnsd Lr* (Chrprd 9. Co.mri4 rnh S6liE ?0(l) of Divirb! I or i SotiEs !n
<br />P,!f*si,n! Cod. ) u fi.r tE or rlE ir crtrp! rh6lnoi nn rlt t.rn lor rtE .Ir.g.d .r.n+ri'.. Any vbhlm of sdbn 70J LJ by .ry
<br />lppli.lnr ror . pcmrir subF.rr rlE lppli.rnl
<br />'o
<br />r civil p.dly of ml mE lhu fiv. hlnrlr.d dolldr ($500)
<br />-L
<br />r. owF ol E FDFdy, d my .rpbFr *nh w4ca s llEn st orqEntdnn. ri! & 0! wl .rn dr sr',i@ k rx
<br />inr.nd.d o. ofr.Ed fo. slc (Sd.701,1, lGiEi. .d PEfc$ioni C.n : Th. C.lBlori Lt.nr f.e do.r d .prly to u owr or
<br />Ihcl,[rEny wtD ttrild! o inrreEs thaFr! ,rd wh. d6 un hir hinslr ot hcr*ll or thmuSrr his o. rEr own.nplo}t.r.
<br />FoviLd rh.r *h dFolnl1ds G d iEld.d d ofid.d ro. .1. Il hokE. tlE hoiBiq r EFNf. n $U *ihn ft Fs
<br />ofcorq,t]iE E O'xF Buitjd *iI llw dE h!&r ot FDvi,ts d lEmrlE dn d hrld c ltFor rrE FbFr, ddE F FE of
<br />_1. !r o*dr or lE FoFrr. m.rcbrirlr.odr.r68 *ih li.tu d $tuda ro strtu rlE FlF (Se 70,{. a6N
<br />drl Anf6si. Co&: T)E Conrmrolr Lkcn* rrs d6 mr +t'ly ro u owM oa Forsr, *tn boildr m rprcE rh6@r
<br />and who conrncG aor ruct rmjecri sith u Contncro(r) liar.d puru.r lo rtE Ornrd.ls Lacns Lrwr.
<br />I .flcrmpl unj.r Sclnn
<br />IroBtrl:8s:rouf}Itau()tt
<br />DI:II,i!AAIIQi
<br />I ltrch) rlltrm utrJrr ncNlry ol !.rJurv.'f, ofrh( l,nIi*'ng J..hrro.n\
<br />-llurrd*illEi,l.hrCcdi6..olc6e
<br />ro Sclaltr@ rd mrt6 onFMi,tr ar FovlLd for by S<lbn 3?q) otlh.
<br />Utq C{dc. fq rlr Frm of di 6t rG rtkh rh. Fdnir i! iskn.
<br />_l nlvc nd will tuimain *ork.^' .or{En$tn o iNurE.. rs rquiEd by sdr6n l7m ol rlE Llhor aod., for tlr lEforltEsc of
<br />l,E hrl fd shih $i. timn n iqd M, wql6 @ne.n'.tion imlm. ffi rd Flry mmb.. e:
<br />_I ..n,ry rhrr in rh. pcrro.mft. ol lh. wo& tu whi.h fin pcrmi n !ru.rl. I shrll rcl cnploy ony pc o. i. an, mer
<br />$ sh tKar ruhFr ro rlE sort6'ory.ns.rion L*s ofc.lifomi& lrd .sr th.t ifI3lbrld bdnft rubFr ro r
<br />m dr ohFNrbn FovirbE of S..ri.,n l70o of rlr LIE Codq I !l!ll rdrh*nh 6r?ry wirh rhor F$viri,N
<br />WARNINCT Faile ro Ite erkdl edFtrr.ri.ir owns! ir lnl,wtuL .d rr!0 sbFr & .rploFr lo sini l FEln &n
<br />cMl liEr up ro oE huil,.d rhouern d,[rD (l loo,m]. .. rddnk n b rtE .oc of o,p.Nlb( &m3B a pmvt.n ltr lli
<br />5€rDtr .1016 of rlr L,tq Codc. hrmn dd ,ronrrt rc.r
<br />D.l.: ADp{or:
<br />-rrcnriro-Frffir
<br />DECITEAIIIA
<br />I tEEby rltrm und.r p.Mlry or pcriury rhrr I m li.rh!.d urd.r F.vi.ion of Ch{,ro 9 (6llmrin3 *ilh S..lbn 70U)) of Divition l
<br />of llE AuliEs !n PEfBim Coit, rn ny l..e is in tuU loe Md clE r.
<br />cl)lslauJlltuJ.EDlBli.Aq[dcr
<br />t lrrh, dlm u,n r Folry 6r Fri,y rhd ttE ir r 6dMr,n h.di,8 .8.m, ror tlt p.rfm of rlt wl lor rnth $i! rttr it
<br />is cdlS(.1097.Cit. C ).
<br />AIT'.ICAII.DECIAEAIIIIN
<br />I trrt, tIfm uBLr Fnrllt ol Frrury om of dE rolowin8 &cbdiotrr:
<br />D.rukn,n Pndih Arb.,ro' Norifkdbn r'.dml R.Buhrirnr (Tnk:r0, P.n6)
<br />R.quiEd L.ns ot Ndirralnn
<br />_l rdriry rh,l rh. r.d.nl Egulnrio.r ES.rding ab.{os Enbvd ft n.r +pltlbL to fiLr rDjdr
<br />I rs,ry d{ I hrv. E.d thir lmlt hn !n .rc tld rlE Et vc inf.n$r!,n ir corEr I rlE io 6nplt *ith .ll Cir y xd Cou.ry
<br />otdimrccr utrd Srot. Llqs rcllrins ro buildirr consrrudnrn. erj h.rby tuUr iu rctEsm,rivci o f
<br />'his
<br />Cilt lnd Counly lo cntc ulx)o llE
<br />.bow n.nriorrl poFny rs intFlion purF,ss
<br />Appli.. orAECntSltuluR
<br />P.mil( Dm.lprinl):
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Buildinq
<br />Under Slab i Floor
<br />Bonding / Grounding / UFER
<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 Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />It/eter Release
<br />Rough it rl4.tT.U trua 1660
<br />FINAL 1't+'U $a,h 8tt1
<br />Notes, Remarks, Etc
<br />Licnrc Nun[cr *
<br />Co.f.<{c
<br />Lcndcr\ Ad.hsr:
<br />-
<br />Translormers
<br />Service lvleter
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