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TRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<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
<br />Bonding / Groundinq / UFER {r a\r1 /J-4r@
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release ,\o utq @)
<br />Rough
<br />Service Meter q ca\tol ,/r4q (
<br />Notes , Remarks, Etc
<br />I had' lltm uftls Fr.lrt ot Fjun iht I i .r6F fhm tlE Codklr! Li..M lry 6r rlE folhpint ren (S< 7!11.5
<br />BBIB -rd Prcbion codc): Ary cnt or (Nd, shrh rcquiE . Fni b odM. .fts, inprovc dablith d cF ny
<br />rhdE., Fior ro ir! ieMc.. llo Equt6 rh..pplicmt for Mh Fnit ro 6k ! runcd dd6r rhr lE o.3lF b licft.d p@d
<br />ro rlr FovishB ofdE Contrd r Licn!.d tr* (Ch.fl( 9. Commftre wnh Sdh. ?0@ olDiviron I olrlE BBiB od
<br />PtlllsbB Cod.) 6 thn lE d iE b 6.,pr rtdlnod dn rlE bci lo. tlE rlk8.d dqDFnn Any i,hbo ofsctiotr 701I t b, &,
<br />.pplic.nl aor . pdhit $bjelr lh. qplicln to r .ivil pdny of ml mrc th& fivc hu!6.d &llo (t500)
<br />-t,s
<br />o$sofrlEFFrr,ctuyalPlotcsnh$.A6silEtskotrpoEiFn. wiu&lh.wl tdUEtuEbml
<br />iddrldi d oFEql fr1i 5l. (Sd 70{,1, Itulir r<t PtofsE Co&: ftc Co ,.dn t Lt* L!* d6 d arlly b e o*E ol
<br />th.Fnpqry who hil& M ins.6tlEotr s'd wfio do6 sh m hiN.lf or hd.lr6r rhrush hi! o. lE oM dployc,
<br />Fovidqj ltll $d itrlF.vdid! e Dr idad.d d olH t( .L ll l-$M, th. hriun$ d rF.Drsrsi i $H *hhi. oc ){
<br />olorplriE E (,$E tuilb win hN th. hftL.f FDvlr d. lE d {. dd mt Udd { i'qort dE FlFty tur ft FIFE of
<br />-1.
<br />6 o$E.f rhc FoFry. @dcluiv.lyconEdin€ r h li.d.d.oddm ro codrud lEFoFttS6 7014. &.i6
<br />.d Pbt ir (n& Tt. (-onrd.!q ! l-ic@ L.$ do6 Dr sply ro - orE olFnFry $ho bdrl& tr iEFltd $son.
<br />ed *ho on.*l! for sch FojqB "th ! Coddo,lr) lt@r.{ rlBd b llE Coilndor'r Lt.e h$).
<br />-l
<br />m.lofl uftls Sdrbn-. B &PC 6.tha,wn
<br />D.t. Orn.r
<br />woRx ptt{; cotrl PItNxaTtoli
<br />IECIAXAIIO!
<br />I hd.try drm un& Funy of FruD oE ofd. nnb*i.g (bl&{$B
<br />I hA. r'd *ill minrain ! C.nii..t. oaco.6r ro Sclf.lNur. ao mrkft onrp.Nlion, s prcvirH for by Sdtm r7m of thc
<br />L.hor ( od.. for E Ffffi. otllE \!n ,or $tth llE FEn i inu.n
<br />hav. Nnd*ill m.inr.'n*ork.n NmD.Barion insursc.. a r.qun.d hy56ltr)n l?i[)rlh. rrlxn ( i,,t. rin
<br />,,-r n,r. r *,r4, ". ,,n1e t r,dFmtr n islal My wsl
<br />J;"ffi";TYflT'"E o/ro /tt
<br />I c.n,fyrhlr E rh. potormn.. of rh. $orl ror $hich rhutff 6 r3tu.d.I3lullrcr onpkt (**
<br />$ a b tEmm. loirar kr rh. M*d'comFEdi{n law! of C.lifomi.. dd rsG rh! if I should bdom. ublsl ro lL
<br />qlrlcl conFMion F$ iioB of Sald 17m of lh. L.hr ( o<lc I !r$ll lonhsnh omllt $ nh ib* FortioN
<br />ld. ro Ka. mrk6'mmFMtion co!6.3c is unlasful. ud
<br />.n. hn*idt rhotrsnl d.!la I
<br />?2L
<br />DrclrSar.lo!
<br />I hGby .rm und6 p.naht o l Frjury rhd I m licaE d ondd Foviion ofchdpl6 I (
<br />oa lh. B6iB r.'d irclsd Co&, .d my l(c@ n in rull for.. nrl.fiqd
<br />s'lth Sdio. TUxr ) of Dlrision l
<br />L ?o CI
<br />z/t ,/t,
<br />(!]:rt BlrrQllr:Dl:ti-rit}(]
<br />I hq.U lftm ur& FEhy of Fjury rhn lho. i! ! olgrucri.n lodns.sft) for rh. Fft.M.rh. * dI n, $tth inir Fni i!
<br />isulil (s( 10e7, ci! c ).
<br />Attllglr.Dlltaaauo!
<br />I hdd, .trm u.rk Fdy or Fitr} oE of lh. fouowiry &(h.nrN
<br />Oqnolir'o. Pmn!"Alb6lot Nori6.d on F.d6.lRlguhioni ( rilk 40. Pd6)
<br />R.{un.d kI6 of Ndindi.n
<br />-l
<br />cdiry thar rhc GdsdrcsubrrcB Fsedins ab6los ronoval nor oppli..hl. ro this pqcl
<br />rhd I hr\. r.rd rh64pli.rrn-d
<br />mdin.n.6 md sr.k l,*sEldin8'o tu y ed Couly lo 6rd u,r,n th.
<br />abor. nrdrio..<l Dropdiy for iNt r,
<br />\pplic.nr or.rBorr sismlurc y',/,,
<br />L \ueurs
<br />FINAL
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