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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEtr BI]ILDER DEIT'ANATloN
<br />I h.Eb! rltln !n& pdrly or D6j6' rhtr I m 6mB Eod rh. Colrr.l6 LtqE t^ for 'lE ft,Uorts lwlSE.70!1.5
<br />Burin6r ltd Profsion Cod.): Ary Cny or Co!.ry whth r.qut6 ! pqnn lo corddcl, .h6. ihprovq rlmlith or rqtt dy
<br />!'n.te Fb,
<br />'o
<br />nt isumq .l$ rquiE th.4pli.Et for 3o.h pqEn to 6L. sUEd nnqEn lhr r. o. dE i! ltdB.d Frf,rr
<br />to rh. ForitioE or E Cor{hcrd'r l-id!.d Lr* tci.Ctd 9, ('olllllwinB qth Sdirn 7000 ol Diish. I otllt &BiB rd
<br />Phfsion! Codd or rhri lE M !h. t.ro$r rfia.trom lrd rh. h.ris tur rh. lll.sd d@p((n Any viotlrioh ofs.dion 7011., try.ny
<br />.!?lksr lor. Fnn uqRrr rlE .oplicer ro r civil Fr]ry of rr mr.lha lic h!.dr.d ilolldi {tJm)
<br />l. s ownd ofrhc rioFrt, or my mplorG wilh wlna s th.n sk comp<Bdron. rill do llt sol nd lh. nnE1E n rct
<br />idcrLd G off6.d ltr EL (S< 7014, aui,B od PrcfdioN Cod.: TIE ( 0llr-r ! Lt.c I^ .itd d +plt !o E o*F.a
<br />rrEFbFrr.- f,tb hirit d in+.o6 dEor rn sho dE rdr h nilMllor lE*lror llmullll hi! d hq oqn 6'phF..,
<br />p.oridcd th.r rlch inF!!tut! e tur hrdd.d orotu 6r et. lr, ho*BE d* hildi.s or hq!\t'6l i $ld uilhin on. Jat
<br />or(tPldia E OIE Blil&r *illh!!r tlE h^tclof p.!qu rh. h.(Jiddd hrild 6r in+ro€ 'n FoFy 6r tlr Frro3ol
<br />l. 6 ouE o[rh. F F!r. m d.l6rv.ry .oinr*tins s nh l,.d!.d.offanm ro.odrud rlE FtrFl (Sa 704.1. B6itB
<br />dn ProI*rcod. It Co do.r Lk@ L.e d(E m' oolyro u.nFofForEryuto b{ildr or inph}6 rhdoc
<br />od rho co dcr! for ruch Foj.tt' *nh ! Connft(r) li.6aat p6d
<br />'o
<br />rlE (-.nrrnror'r Li.ou L!s)
<br />I d.rdnF udi.' SerM
<br />Drr€ Orn.r
<br />1r oRr(rRs' ('ott PtfisA I toN
<br />DICI^AAIII)!
<br />I h.r.br- aflirm und.1 po,Lhr. orfqjuryon..rrh. lolkN'nE ddla'ar.B
<br />I h!t. &rl * ill @Drrin ! ( diff,dc of colsr to s.lr.I trE lor strtd'conrEMnn.6 F.rnd for by S.ni6n 1700df rlr
<br />Iihor Codc. lor lh. nqforo.c of lh. wort tor 'ti.h lh. Fhi ir isu.d
<br />I h!v...d will mlln.i. sort6' .omFE4i)n inlllft., 6 r.{!n.d b Sdhn :l?00 of llE L.!or ( o<L. ln r!. pohllrec oa
<br />rh. worlfd*hichlhi!p.mi n isu.d Mywortd comt Nalion irouMc. cMi6.rd Flicy Nmbs e:ex{rngL
<br />l.diry lhar in rh. Frfomnc. of th. s.rt lor whichlhisFmil is lsu.{.1sh.ll nol oploy any pd$n in m, nsna
<br />v, s ro b6.ft rutixt lo rlE rdr6 snldlrEn LB otc.lifomi& dryEfid ill snouE bcoft $h lotlt
<br />iorta soFE ri!. FDririoN of ldbn 1700 of rh. l,t . Cot . I {dl. fonts n ond} snh 116 FtairB
<br />\tARNlN(;: F.ilur. lo su. sort*' omFldhn Nd.s. s unh*tul md !h!ll ebJdt m mpk )E ro shin l FElit ,!d
<br />cNrl lin6 up ro oc huidr.d rlbulsd &rlls (tloo.lxr)). in lddnim k' rlE .on or.onFEdio.. d&,36 6 FoiH for tlE
<br />sdon 1076 ofrh.l,br(od.. int65 and alk,mct 'I-r,^.- /7-=rr fm-r:u iinlr nv-ron_
<br />Dllr!r&{j0:-D.-.or.*-,"*-*"o",I rEc"rs .lIm nn td FEtt o f Fj!r, th. I e li€rd u.& Fovitio" of OuFs 9 (
<br />ol rhc BNind ud Prcf.arnrni Cod., ard 6y lr.@ ! B full h..c nd .Ird
<br />,-,."*",'* I (: \O
<br />-", ' l':--lr2-fa
<br />q(
<br />,-,--.}(..-1rT -
<br />( r,)tllu , !,i\ r r11,r\(. r(,r \r I
<br />I hdrtt .lIm !fl& Flhy of psjury lllr llE! b ! olnru.lbn lsdiB .sdy fot llE FflllrrEE of rlE xrt t'r s'iin lhi! FEI a
<br />isu.d (Sd !097, Civ. C.)
<br />1.ft!r'r \m.
<br />aStu(aNLIl[gJa rlo!
<br />I hdrt, !rn' u.(b Fnll'y oa Fajury on. of lh. iolbwing d.cl{rioB:
<br />Dsmhbn PGIiB-ArbGror Norifrc.rio. t d6rl R.suhndlInt.r0, Pd6)
<br />R<utcd lardolNoin dbn
<br />ion irr@.d I.Cra'o ond! rntrllCil) !d Counry
<br />rn. r.Fendi\ 6 of thk ( n, dd ( o6'y lo drq uron E
<br />'IQEL D.".Iz-lo{4
<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 />Communicatrons Cable
<br />Building
<br />Under Slab / Floor I ^\Bonding / Grounding / UFER illrt q [-u-0d
<br />Transformers t rt
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners A
<br />Roof Top Equipment tl/171 a fr,llJril
<br />Factory Wired Unit r !l
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meler I r\
<br />FINAL ttlu o1 krLh0l
<br />Notes, Remarks, Etc.
<br />-,
<br />o.,.. . t2-tO- \4
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