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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 />Building
<br />Bonding / Groundinq / UFER
<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 Rouqh)
<br />Ivleter Release
<br />Rough
<br />Service Meter
<br />2r's'7)ererA"
<br />Notes, Remarks, Etc
<br />-t A A
<br />C.s',,wtz?)aLa
<br />--+
<br />owNf,R EUIlJ)AR DEI-( Af,4TION
<br />I hddry srm undq p.nalty of p6jury rh.t I m crdpr fion rh. Codr.do6 Licft. lrw f.r lh. touowina rter {S(.70.11.t
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<br />.hd4 Ftu ro i'r isuec. .Lo EqliB rh. q,plitrr for.rch rEri'n x' 6k..isrd dr.:6r $d lE.r tE a lkd!.d pulld
<br />16 rh. tnr.io6 of rlE Conrdoi. LirEal l.r (C1BF6 e, (-.nnfti.s r nh S<nio 7000 of Dtr ni.n I 6l th. Bdi6 ad
<br />PNfsirns Codc) or thn h. or rh. i! q.rq,t rhg.liom ud rh. hdn br rtE .lkf.d .rdF ion An, vhblionolS.rlD. T0.!1.5 b, uy
<br />appli..dforapdmnNbjdrlh!.pplicanlro..iyilp.nallyofnotmot.thofiv.hundr.ddollu!{$500).
<br />l. 6 o*E olrh. FlFry. G ny drph)c *nh *rs6 6 rh6 .L onpdsi.( uil do th sut tn ft rnrrE . li'l
<br />incrjd 6 ofr66d f( d. (Sa ,o{,!. Fsi,F xd PrbasilE (-.d. ft. ftrrrrloir LiEE L.* 4E iol {pl-! ro d orE of
<br />rh. FlFqry qtr hitl or inqo€ llEFlt !d *tE dG sh rtr hid.lf or helf or li, ulh hn ot hd om strploys,
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<br />ofconptriotr tlE()sE Buildd vil IEErh.hmlarofFvtts thr lEorslE dn d hrld or mpt.r. dt FbFr,6rtn FEF*oa
<br />L s oqK {f rh. tmFiy, m dctunrD c. nL1i.E *'nh lic.6.d .ooEdoB to @Mrud llt Fj.cl (56 7ol.l. &!iE
<br />!d trobsbn Cod.: Thc Conlr&roi! Licftrc t.iw do6 .or .prly ro own6 oapropcny Rho b{il& or ihrror6 rhde..
<br />.nd *ho ot*n rr aor 3uct lrtrj.(s wnn ! Codtrro(3) liccrE d p!E@r ro rh. Coirucroc. l-i.@ t s)
<br />t .\mll u'!ld SdFn
<br />Drr. Orrd
<br />wonxrns' conrPgNslrroNplclllarlQx
<br />lhd.t{ amm und6 FEh} oaFJun oE orrh. rdl.* in8 J.{ErrFd:
<br />I h . ad { ll moran r ( dlificdc oa(}rsr ro Sclr ldrr ror s ork6s' ..mFBdn,.. G provid.d fnr by S<lnrn l70o of rh.
<br />l.lhtr (od., forlh. Ffomoc. ollh. wort fu *h,ch lh. rann nsucd
<br />I Ur. rnd $ ill u'mrr r.rtd' @rp.Mi.. iffi.. B rcqlr.d bt S.(ion l70O of th. Lbor C.d.. fo. rhc Ffo|rle. ol
<br />rh. u..t t *li.i rhir pdnn i! i!61 M, snl6' omFdhn iBle. ffi, sd rEliy numtd ftE:*-^e*
<br />PoltyNunhd Erpi6
<br />/.4r.-'ry,r'" .,t'. -r"mmc oIrh. qnrr ro, *hxtrhi! Fnr i3 nru.d.l rhlllmr mphy my F$n in uy m&E
<br />" e a,o bdoh. ruhJ(r !o rhc c orLd mmFnd hn hq of ( alifomia Md .96 ih'l il I lhruld beom tubjdl lo ltE
<br />tro,t6 onpoB.rio. provaioN.f Sciion 1700 of rh. r,try ( o<rq I Jf,ll. lonhwilh conply $nh lh.* FtvitioB
<br />$ARNING r.ilur. ro su. rort6' mmp.Mi'. ord*. i! unlartul. dd rh.ll lubrLr e 6n9hJi r. riniEl F|lis od
<br />ciil Ii.6 up r. on. hudr.d rhousd dollus (1100,000), in lddnbn nr rh. con or.onp.MiioG rl,r.*6 s Fovt.d for llE
<br />Sdri('n 1076 rfth.l ihor O)d. inr6d Md
<br />r,"., ' ll ))-7 tG a---f---'r--l
<br />DEClrl6rIO!
<br />I heby afIm ondo poalr, of rEju.y thrl I M lkcrE d !B]c Frvirion ofclqra I (co'Mdcins vilh Sdrio. 7000) of Divilio. l
<br />of rh. B6ind d P,oa*io6 Co&. d m, li.e a in frlll foB d.lld
<br />13_,tl.l,+r( (Nu,t.T
<br />(..",,.".,*A,Za4
<br />2105 3
<br />CA|iIAIJCIOII,EIDIIIj.AGEICI
<br />I hdct,..mm utul6 rEndhr otFjuryihal rhq. t a coNrrudFn lodms rroty for rh. Ffol]Mc. of rh. trotl ior shrch rnir Fmil i!
<br />isurd lsft 10q7. ( n c)
<br /> }PLICAN'T DECLAR 'I'llTN
<br />I hodly lEf, ur&r Fany of Frurv oc ot rlB hllo{ i.8 dah.nid6
<br />l,.mhi.n P6mn}Alb.dG Noxfic.rir! [.dd.l R.8ult( na ( 1 nL ,l0. Pd6,
<br />.\l
<br />R.quir.d l-rrlqofNodfc ioo
<br />I diry d!. rlE tudd t.AulriE E8.dinr el6 tq rd e mr +pl..bb ro di F!j<t
<br />r6rit rhd I h.v. rad rhh Dplt.dri ,!d tlI. rl'{ dE .bo!. irbmnion ir correl. I rsr- lo @trply vhh .ll chy tld coumy
<br />il'r!1!frh's Orv md (i\nty k, (rr uE)n (h.
<br />rl
<br />ho
<br />lrj t7
<br />I
<br />Under Slab / Floor
<br />FINAL
<br />K-
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