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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.O1r NF.R BUILDER DEII'ARATloN
<br />I hsct y oflim unds pdahy of pnjury rhar I n .r.mfl fmm th. (\nlradoB t i.os lis lor lh. followin8 rar. (S!. 703 I 5
<br />auind xn Pmfsi'. Cod.): Any (-il, or Couily "fith Equn6 . Fnir r. snntud. .nd, itrll'ble dsmlnh or q.t.ny
<br />erudE.. rlff ro ils iBtre. e&o rcq$6 rhc +!l(er for sh Fmd ro 6k r risno.l rr.lml IIr lE or ,r u ltaB.d F,ur
<br />ro rh. ,m\ uioB ol rlE (-onurrm 3 Lta!.d Llw t( 1urr6 I, Comcie * ih s<ri.n ?000 ol Dir niln I of rh. BciI* &d
<br />Prof*Dnt Co&) d rt r hc d rh. ir ddF rhd.ton ,nd rh. h..i! lo. rh. .iks.d ddnion. tuy rx,Llio. of s<inn 701 I t lArry
<br />sppli..nr lor a pdfti rubjelsifi. lprlicnt to acililnm.hyotnor hor.lne fi\.hu.drtddoller(t500) t
<br />l, 6 onE of llE FoFrr, d n' oploF6 snh $rs6 6 rh.n $k 6,rFsior qil dr dE wt ed llt.,rdE ir 6l
<br />$ior&, d ofdrd for DL (S< 7044, &!iB sd Ptsfdim Cod. TIE Codrrrr'r Lrcg Le dG ml 4lt to 6 osE of
<br />fi.rmFty wh hill c inso6l,E@G -d *ho dE sn *r,I hiell or h.mll.. ftou8h hit d lE o$t.ttphyE
<br />provid.d !h.r 3u.h imE ffiB e d iddxlal or.ficsl for sL ti ls*M,llE bildhs q iqnrsEn n sld,hh!. o.. tg
<br />ofo.t9Lrii.. thc 0*{6 l]{iLk will h.v. tll hrddr olFuiry rhi tE or {E dii mt hrild or imFoc th. pn pdy lor ilE F Fxof
<br />L B osffi of rh. t'DFIi m.rclGncly contncl'.r snh [c.u.d conr*l6 ro odod rlE FD].d lsd 7oll. l]l!i,r
<br />Ed hokbn Cod. Th. Co relor.l.icd* trw do6 mr rpplr ro !no$.d otFoFdr*h. buildror nIpmr6 th66n.
<br />Md who .o.lr!c1r for 3u.h Foj<r! rith r ContMo(r) lt6.n plBMl lo lhc ( o.tlrlclor'3l,ic* lr*)
<br />I m.torr un<ki S.li.n
<br />, p / /a/zatq
<br />pr { I \R\ll0\
<br />I h6.1,! imrn u.d6 D.$ht ot Dqj!^ orc orlE
<br />I tu!. arl * ill trint.m . C6lifE.l. of CoMt to S.lalMrc for *!.td .onpqdion. a F\ d.d for bt S..l$n 1700 oa ll!
<br />Lat r ( od.. hrrh.FLroc. of lh. md for whi.h lh. Fmil i (!ucd
<br />Iha..rduiltru rirwo d conp.rc.rio. iNuBEc, s rqu,.d sr( Sftlion l7m otrh. t hor Co&. fo,llE Ff.m.of
<br />rh. *qt f( *tlih lhir rEni a isd. My *ort6' @oFGiion iM. ffi !n F li) .uibd G
<br />I .drryrhd i. rh. Ffollr:tr. of ilE *ort aor strt rni Frir 'r iau.d I ,ll.llmr dryloy Dt Fs. i. uy m&F
<br />$ s lo h..6m $bi6t ro rlE *Drrd' onpdlron lr*! of Crlifomi.. ed rec thd if I ttbuld tEom. sbj<(l lo llE
<br />ma6t' .ompa$tion pmvilioN of S.clior 1700 ot th. libor Codc, I !,ull. hnhwilh comply wilt lho- pmvirioro.
<br />ir uil,etuL md ndl rbFl e dphF lo mdd pdlrtt di
<br />..td(hn ro rh. or ol cotrp.!.tnL dDr36 6 Fn\'.Ld for rlrcnil fin6 up ro.E hund.d llnuldd dollm (lt(
<br />S(rf,in 1076 oarh.l.t r Codq im.d rnd dorEy
<br />"",, 4 leftuhLt/l
<br />I nd.by imiin uBjs F.dlly orFrjury rha I d l(ot il iiri.f (-tEda e(NmtEcrlr *nh Sdn.700Ol uf Diishn:t
<br />ol rl,.lnr{trss atrtlr" ria\i.ns(irl!.. r v I'crn\. n
<br />collla!(:tlouJliDtrclc[Etr
<br />I hstl,, ilm uI<l., pdrty of Fjury Oi rlE! i!. @ruodi hn q+*r 6r ll* Ffqne. of lh. *ut tu stih rhi! Fni t
<br />isu.d tse.1097, (i a ).
<br />L.nd6'! Nam.:
<br />AIILT(ANLTES.AAAIIO!
<br />I halhy .Irm und6 porh, o I Frlury on. or th. follouirs dc.lsn tD3
<br />D.mlnhn Pmire^.b6r6 Norifi.d hn l.dadl R.grl4 hro 11 nt ,r0, Pa!6)
<br />-R.qu@d
<br />L.nd.f Ndrrii..
<br />I I c6rif) rh.r rh. r.do.lE8ulrliau Glddas sb6rordor.ld.N rrplr.bl. r. rhi! pm,.d
<br />I
<br />lC I.d,6rh,IrB.cEdih6rrplrd.irdia.rhi E.boE infornrbn !coG.l I lsciosnp|r *ih !I cnt.ndcod)
<br />ic otd& Ci, rn Cou y lo a a '4o. tlE
<br />^,. 12/ttt/Zt/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 />Communications Cable
<br />Bu ilding
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueino ^22Sub-Panels H/fl/7 5Yl
<br />Air Conditioners
<br />Roof Top Equipment
<br />lt
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough I aa
<br />Service Meter Atffi ffi ,@,--,
<br />FINAL /2JK/fi l/t t/k(/AGg/
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />Transformers /t
<br />\Lfilttt(,
<br />aborc notoncd trop6r) for
<br />-,..11,/a.-:a1'---.-.-.':-
<br />llenrwt --l- N)ayd
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