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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNER BUILDER DELCARATION
<br />I hd.t't drrm ond6 lEMlry oI psjury lnn I &n cxmpr frlm lhc c.ntrddt Lic.ns. L:w for lhc follo*ine rcMn {5(.?0315
<br />Burind !.d Plof*ion (odc) Any Ciry ot Counly *hich rcqun6 a Fhil lo connNd- ,rd, inprove &iol*h or rpl, M,
<br />srruclue tinr lo ir! suM.., ab. nqoir6 lh. appli.d aor tu.h p6mit to fiL ! sis.cd $6.nmr thn lE or cE t li..d.d puN,,'l
<br />ro rh. I'nvirioB ot lh. ConrrlcrDar Li*n..d liw tch!flB 9- Cohnd.in! wnh Sdiio. 7000 of Division I oflh. auinB ed
<br />ProlNion! Codc) or lhal lE or 3h. it qdfl (hc.from .d rh. lEit aor rhc .ll.s.d crdFion An, violalion ofs.dion 701 LJ bv d,
<br />'ppli..n! lor i ,.rmn lohjers rh. +pliclnl lo r civil p.nally of nol mrc rh& fiv. huD&.d d.Um ($t@)
<br />l, 6 own6 of llE proFlt, o ny mPlo)E Rnh *.86 s tn.t $1. NnFsiior. "il & tlE *ut Ed th. iiaiE L mt
<br />irndrd.d o. ofidal Lr $tc (Sc 704,4. BuilB od PiDl6JoE Co<lG Th. Conr.dd r tice Llw &E ml t9?ly lo u oqs ot
<br />th. rroFry who hil(L or itrqe6 tEa4 t d *ho d.d s_h $!tt hiro.lf or hoElror ihtuueh hir or fi6 oq.,n9lov6.
<br />Folrdal rh{ rEh inpN\/o]Et c bi iddd.d M 6fir.d lirr rL lt h.M. lrE bitti'E or inproffit ir ,ld wrnid o* ta
<br />oto.pk iotr 0E O*M B{ild- xil h.ir rlE tuta of Frres lhi lE or nE drd ml hild n uFoEllE FDFI, 6r rlE F!p6.of
<br />-1.
<br />ErNnd ofrlE lr.p61y. m *cluirclyco rr-r[r wnh hcoE d.oddoE to odru.lllE Fjd (se 7ot4. llatrG
<br />!,'d hrE ir Cod.r Thc contdor'! Lic@ bw dc nor 4pl, ro & oss olFoFry eho hoild! or inprovd rfiR6..
<br />md un .offi 3for $ch pmJ€13 wnh ! Cod'tto(i) It@.d p6o!d tollE Codr.dn't Lie bw).
<br />I m.r I, undn 5d1
<br />J!ABf,E8I:CqUEEII6IO!DTOJIAIIA!
<br />I h6.!r .mm lnda Fdy orFjury oE of th. follof, hg dEbalbB
<br />t lw. r'd *ill minl.h ! Cdrf.d. of C6lFt ro s.lallM ltr wt!t' ont,autior s F.Yi,.d tor by Sclion l7m oldE
<br />lio. cod.. lor tlE Flffi of ltE *!d td rnih thc Fnn n is.l
<br />Ill.lrrodrrltm.'.t.rwo d .omFMion imlm4 E rquird by Sdrio! 1700 of th. t hr Cod., for lh. pqfM. of
<br />llE qs* fm tr'hah fiir FD( u sd- My wt6 omFMion iEffi caiE ild ,olry .uDba G:
<br />Polf,y Nudbq
<br />-ErPic
<br />-l
<br />coiry rh, ir rh. F6tl1uc of th. s!.1for *'hrh tha Fd i! eai.l ildl mr otpb, E, Fe. i. Dy ffi
<br />s B to b.com stixr to rt! * ta ompddion h*! ofc.lifomir .td .sE thi if I slblld b.tor tubdr lo rlE
<br />*utd 6np@dir. FoliriB of Sdioi l7O0 or lh. trt, Co& I filL ft'nhrnfi ondy *nh llrt Fovti.B.
<br />*ARNnG ruluc b hw s. 6'mmFsrn coro.E.6 unb$tu|. tri sndl sbj.tl & srplolq I
<br />cu'il 6n6 up ro oft hd.ltd rho6ld dolk! (tlOo.OoO),
<br />licrion 1076 olrlrlilr{Coda 4tadr .(qrEy! fG
<br />ro rlE coe of corpaB.riotr
<br />DpctlSarroa
<br />I lE*, .rm unb Fd} o r Fjury rhc I s lic!.d !.da Flvti,n oloupts 9 (o.lMing rth Sdbn ?0@) 6r Dn ki'. 1
<br />ol rh. B8i6 rn PmftsirE Cod.. in 6y lic@ 6 it tull foR in.trd
<br />I lE t').Irm u,xla p. Xyof pajury lnd rlEE t.6tub. hdnq tsry to.llE prfm. of rh. wt 6r *tt
<br />is!.d lS<. 109?, Ci!. C.)
<br />AIEUIAM.DESJAAITqX
<br />I ha$y.trm uBla F hy oapcjury o& ofrhc 6ll6$inB &.lrrioN
<br />Datu nir. P.miB-Arbdor Notific.rio. tddrl R.euhiom (Tnt 40, Pd6l
<br />R.!uir.d Inl6 of Noril'cdEn
<br />I cdify lh, lh. f.ilssl rcluhbN r.ssdins sbdos rmoval sc m| qDlt.bL ro tht FDi..l
<br />I cdify rhd t hsr. ..!d lha .pplaari..ro complv rirh.llc yud cou.ry
<br />ordiMncB dd Sl!t. Iius clrin{ I
<br />rhrv. moron rl proFny tor
<br />,\ppli.rnl or Atdrl Si*n.lur.
<br />| ,.-n*-..,,n",,!.O4d 1
<br />I
<br />ofrhi Ciry4d Couryro 016 uF)n rh.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueinq
<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 Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL V|1il4 To ,\1v,+14 -1., )
<br />Notes Remarks, Etc
<br />COMMENTS
<br />Transformers
<br />a &PC for rhis ren--------r------
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