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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER BUILDEA DEII:ARATION
<br />I lE tt rrm ui& FEny of Firry rhr I m aEiF 6on [r Co'rrtroi lloe t * tor rlE 6lb*q reD (s< m]l ,
<br />Bcin* dri Protdion Cod.): Any Cily or Counl, *tth rcqun6 . Fmit to ordN. .llq. hlmve .bmlilh or r4.ir e!
<br />irucruc Fior lo ir! Lsuuc., rlo raluiG rh. lpplic&t for tu.h Frnir ro 6lc ! riBo.d ndodt lhll lt or t'c ir li.dal p@d
<br />ro llE FDvnb6 of rlt Conrrro ! Lt6!.<l t * ((lupG 9. Comtrir8 wnh Sclion ,ofi ot Diyirbn 1 of llE BBi!B od
<br />Prof*iod Cod.)orrtd lE or rlE i dapr rhslfron 8d llE h-s for rh. dLs.d.GlFnn Any vioLrio. ofs<rion 701I t bt xl
<br />,prlicel for sFoi rubjal! rhc rpplicdr ro s.ivilpaahyotml nor.lnD fiv. hundr.d dollm (1500).
<br />l. B ('lrGof rh.FnDdry,(6yopht€*nh$rg6arlEn$bomFdion. rin&0!$!.indtltrtdft aDl
<br />dd.d or o,r6.d for 5lc (S< 7044, Bui.d sd ProfdioB Co&: Tt Cortreto r Lt6E ltw &d tur .fi'ly lo & o*d of
<br />rt ,.oFly who hil(!or iqmv6lhrFl! !dun do6 sh Mrt hinklf or tc!.lfor tlmuh his or h6 oq mPLy..i
<br />Fovi,.d rh4 tu.h inFolElxfu G d nalLd otu 6r .t lr. ho*ff, llE b.ddinB ( ligirqd ir $ld wihi. * )d
<br />of@trplriu UE O4c Au dd trll hrG tlE hrddi oaFDvi,'e ihr lt or lE dn d hild or itrFlw t E FoFy hr lh. FrFrof
<br />l. 6 o*E of rrE pDFrl. m a.!u.n.l, coddnS sth lrdE d cmnlar6t. co'Erud rtr FlF {se 70,1,1, 8@6
<br />rnd PFfrsim Cod. T1. Conrdoir l-icmE Lt$ do6 mr 4?ly lo o o*nd of FoFry who bnild! or inpm!6 rh6@(
<br />rnd *ho co'n6.. for 3u.h p.oj.<r wnh . co.ldo(s) lk.nt d puE@r ro rh. Conrr.doi! Li6* l!w).
<br />I e.rnF uda Sdion
<br />Itaatr}:8s:can rElilal&x
<br />DEtta8AIla!
<br />, hd.by .miin undd Fn.ky .l !€jury on. ol th€ follo*in8 d.clealione
<br />Ib.v.rnxillri.i'r.('difd.ofcoMrhSdfiBWlswl6oopddior!6rrolid.dlbrbySar6n17mofd.
<br />ttSor Code for th. Ffoffi. of lh. port for wtich tlt D6n'l it isuoi
<br />\,1 h!,c.id "'ll tuor.,n "ond (o,rFr..r.n ,ElJle.. - r.qdrGl by Sdbn l70O oalL titor Co&. fd d. paf6tle. ol/ lh{* fo, "hxn rh! Fri . er.d M} *dld @rq@rbn iffi. ffi rd Flr} nwbq d
<br />.*l 6L\,1 (rrul h_LL,t i(uw-iaiall _
<br />_l cd'ry $d ii 'lt pnfotu. of rh. sort lor $ikh rh,s p6mn ! is.4l nrll ml 6ploy ey F&6 in dy nltlE
<br />qr a to tEom $brat to tlE *mI6'omFdion LB of C.lifomir .d .erE $, if I 3lbuld bem Dtid lo tlE
<br />wo,t6'coopoerio.povirENofsdirn.!?00ofrh.tiborCod.,lrlull.aodhwnhomplysilhl,h*lrovnioB
<br />crrl lin6 up to onc hudr.d lholsud
<br />SErrc.1076 dfth.lrbo'Co{t , nr66r
<br />Lr('t\sxli ( (tNiir{( iox
<br />lll(lrlS UAS
<br />I hort, .IIm un& pd.ny o f Frury rh. I m lE!.d '!ia Foviti,i of ctIOG 9 (sntllE,B rnh SElbn ,000) of Divirb. l
<br />of th. Auin6 dd Pmasio CodG. !d ny lic.e 6 in tull foe dld.dEi
<br />"-,
<br />-c (D
<br />Vat- 7a%
<br />I t) 7-l qQ
<br />.,J'ro\ n+ 9cE^v
<br />cqNilf,lcfl0ll,lllacag!!.q
<br />I hatby .ltm u,!ds p@Iy of pqrury tht dE L . €dtudbn l6di'{ .sdy lor llE Fftu. of lhc srt ttr *tih lhir pqril i
<br />'!,rd (Sa. 1097. Civ. C.).
<br />ldr&r'r Nm.
<br />AIIIICAII.DEq.dAAIION
<br />Lry+ !&o ur& F!.ltt or FJury oE ol tlE folbsinS d(Lrd i,E
<br />Dntuhion Ptutu'&bcrG Norif@lhn !.dqrl R.gul{6N (Tnlc 40, Pul6)
<br />- R.qurcd kfid otNorifttio.
<br />I cdrrry rhn thc aaldllr+ularioB rc!&ding abGros cnovlla. nol dpphclblc ro lhE proJdr
<br />VM,.rhr I lh c Ed rhir .,'plrcnbn td srrc rht rhc rlt r. infoinrio. b .n<r I rgrc
<br />'o
<br />orply w'lh lll Cny d Coun'
<br />ordtuncG.ad srarr li$t iv6 ofrh6 C(y ed Counryr. dr6 uFrn rh.
<br />?lxr. mol n,n.d Frtrny n
<br />^pdi..nr
<br />or A36r sianrl qn\cL UffqqJ
<br />,";\-7l-70?"
<br />Site-Work
<br />Underqround
<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 />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Noles, Remarks, Etc.
<br />Rev 08-07.2015
<br />APPROVALS
<br />WAR INGT FnbE lo su. uirl6' cmFsdsn orsrj. ! uL$tul &n .h.ll sbrd s dnpbF to ainfll Frti: .Dd
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