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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE OWNI'R AUILDER I'ELCARAI!ON
<br />I hcrcby,lfirm undcr pcnnlty r)f Flury rhur I dn.rcq'l linr lhc O)nrra.r{,6 1-iccn{ ljw fo, ih. fulloemg rre)n (Sq?0llt
<br />Businc$ .nd ftofc$ion Code): Any Ciry or CoDni, shih rtqon$ a Fnid h on{ruc', !lr(, impmv., d.nxnnh or Epltr ry
<br />srDcrurc. prior b ns i\s! cc. rl$ rqums rh. ip/tad for su.h IErn tu lilcr \i3rk\i (0rc'rc,l rhll,Eor rlE n li..n{cn nunu$r
<br />ro lh. Fovtions or rtr Conrr.crq\ Lt.nEd Lnw {ChaFrd 9, conmr int w h selrr ?ux, oa l)ivniotr .1 ollhc tsurircs lnd
<br />Pmrcsi.nr Cod. ) tr rhar h...stx is .rcnpr rh.rcfiom .ntl rh. b.sn rirr rh. lllc8.ri cic'npiio. Any vn,brionorsdli,n 70115 bytry
<br />aptli., lor s Fmrir subrcck rhc smli.ant ro ! civil penohy of ftn 'mE rhnn fivc hundrd doll(s ( i500)
<br />_1. I oBkr of .hc FiFny. d ny cnphyes wirh *!8.i ri rlEt a,k.nn{Etrsrion, }iU (,.l rlx *$t.,n lll sdE il mr
<br />i .ri.d or oficEd for slc (Sa ?0.14. Blriftrr lrd Profc*ionr Codc Th. Coddorr LME llw .ls rul +?ly ro u os*r of
<br />it* rxoFny *ho biHs d lrFrnE rlEs( .rn wb &B sh s* him*|, or h.Elt or rhtuutn hn nr kr ow..rirhyei
<br />pnvidcd rh4 su.h inpowB e m! - .rll d orotu n)r el lt ll)ww. rlr !.iuiq q inFern n $ll *ithin ltr rs
<br />ofonTHbtrdrO*ErBuius*iUhsE,Ebt!&norFDqBlhrlE(dEdUdr!dori4mEllEInEryfnllEF,Intof
<br />_l- B ow, of rh. FrFny, d.xrluliwly conrdint r n lkdcd conrdm h ontu th. Fj.d (se 7{}1,4, BBics
<br />lil Pnftssin CaL: Th€ Cantcrors Li.cnc b* &r: tui rpplr ro m ow..r of,rotcny wt$ huildr or inoruwr tlE 6n,
<br />rnd rho 6'tfus fo. sh FoFs virh t conlralonn lilB.d [unud ro t,E G'irals\ l]irr. bwr.
<br />_l am.r.mpr uBlcr Sdiion
<br />!!a& :aslaufatarrar
<br />I'ECI.ABIIIOT
<br />I h.Eby rnnn undd FDlry of Frllry oE of rh. folhUiry &{bl'bn!
<br />_l h.E .,n will dirr.ir . C.nifrd. of Cons ro S.ltltr\uE fq 6i6 onv.trd i,.. ti F)v.kn aor by Sclion ]?0o o, llE
<br />llb.r C.de rd th. Ffm ol lll krt fG phth llE Fni i i$td
<br />_l hivr ard *ill mimrr wortc oflt'.nerrn insunLr. .s rcauiEi hy sdiir.l7m of th. trfl Co&. tu rlE Frfrlre! ol
<br />rlE krl rd whth thir Fmjr i. i!{.d. My pdt6 N.riEnrl)n itrtfur cffi rn F,la, nsniEr G
<br />-Idiryth.r
<br />in rlE Ffo'mE ofrt *orl torlhihrhilFtu a isud.I nlln .,tPt,yu,FMn!nuytuF
<br />s a\ ro b.6m \ubj.{' ro rlF so*6'6np.ndbn hu ol C.lilofrn. r,n lIN th.l ir I {buB lEatm ruhFl ro rtr
<br />$o,ts 6n.n{rbnpovisa'Bofsdion3?mofdrt h, CqL. ! {rll. fqrh*iihdirrly r{h rlrE Imhii,nr
<br />WARNINGT FatuE lo M srtm o Fnsio. ohs. i!( ull*aul. r,n rhrll .rbFr u .trt'l'Fr b dimrl Frnat !d
<br />civil fiF! up ro orc tuird lhouqtn &Is. ltloo.&O). in .ddiri,. r. rrE o. olotrFnnlio., d.m&! a |ilvirLd for llt
<br />sarbn 3076 ol llE Llhor Cod.. i .d{ ar'rl didrr's rB.
<br />uraitEllr9tilxdglla
<br />IIEIA8AII T
<br />I lErcby .frm udcr Frhy or pcriury rh.r I 0m lietr1d uodg F)viii'n or Ch.lrn e ($mmE in8 *nh S..l Dn 7u$) ol Div']Ei .l
<br />ol rh. Buqiftis r.d Pmfcssrm Codc, ,n my ltcdk t h tull nna aid cilmi
<br />LiId.Ch*:_Li..M Nunb.r
<br />D.l.: C6lr.dor
<br />CONSTRUCTIoN I F{DIN(i A(:ENCV
<br />I h.rcby utfrm undcr p.nalry o f r.rrxry rhi rhm ir r omrrucrmn Lndiry.3.rc, tu rhc p.rformRc orrr* urr rr, shth lhn llmn i
<br />nsud (Sa 109?. Civ C ).
<br />AETLLEANL!}:CLI&rIION
<br />I tmby !flln! undcr pcnalry o, Frjuly om ol rhc ioll,)wiir! dcclmri,in\.
<br />D.trx,lii Pcnnns sbc{or Norli.irn{ l;cdcr{l Rc8ullri()!!(lith {). l,rn6)
<br />_Rcquncd t.ncr of Nolifi calnr
<br />l.cnnyrhd rhc t,lcraIrcSuhrions ro[rd'nSr\h(no\r. x'vnlrrcfrIit'fliuhbr,rhNtni].rr
<br />_l.cniiy rhd I h,vc Ead rhi attltario. un \lutc rhd rhc !trv. inroMi.n ir coRl I !8K k,.omtly wilh lll Cny.nd c(,unly
<br />ord,mmc! and Slrtc t2ws El inS ro buildin8 consrrucri.r.,n h.rch, lurhtrt rcIm* div.r or lhR Ciry and Cootrly ro cnrs ulnn rli
<br />l&)vc EntioEd pmFdy lor inrF.rion purpo$s.
<br />Apqllonl or A8ol S'gDloe
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh z--t -zt 2 c -zt.
<br />Service ltileter
<br />FINAL Ze3at lLc4 N€/Zos2t)
<br />Notes, Remarks, Etc
<br />Rl'v 09-07 2O15
<br />ID/SIG.COMMENTS
<br />tindcl\ Addrc$.
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<br />Sub-Panels
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