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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUILDET DET-C TATION
<br />I nq.t.rm {d. p6.liy or Fiu.y rhi I d qdt?l 6on lh. Cotu t6 tia* L.e 6r tE 6[orio€ t6i'(Se?o]15
<br />BsiB rd Prctu bn Cod.) Aiy Ci, or C@n, si.t rcquio r FEi lo o r8( .la. i4tov.. ddliln or r9.r -y
<br />!ru.t@. Fi{ro ir. illsc,.loE{lErlE+pli5rfo!MhFrirtotu.r'SD.dr&rdthrEddEaIEEdF,t.r
<br />ro dE Foviri,E of dE Cor rEttr! LiE.d t w (Ch.Fc 9. Co{Miry wnh Serion 7000 of Dltbtr ] of ll. Bui6 !d
<br />PmfeioB Co&l 6 tn.r h. d sh. b 6aqr rh<ltor &d rlE h-ir tu llt .Ls.d adFbo atry vbLrion of Sdbn 701 LJ !y ,ty
<br />.p!li@r for. p6sir $bjat! th. {9li.r lo !.ivilporhyotmr mEtno fivc hui(H &rlld (5500).
<br />-1.
<br />s ouo of th. FFly, or 6y mplord with w!s6 ! lhct $1. @nFuion. wiu 6lh. Frl at dE ni6G i ml
<br />i a!d.d oroff6.d for rd.(Se.7044, Buh6 sd Ptufdiod Cod.: Tn Co,ttrdrLt*l8do6ftl@plytoDo$€oa
<br />rh. EoDqty vho hil& or irrE!€ thaEi, td eld &E tldr s hitu.llor ha*lfo, euSh hi d lE oh dPlor6.
<br />FlviL{ thd ei inFovqEr! G d irrd.d notuld 6r.ie I(, how. tlE hrildfu tr i4ruld a $ld sitnh m rd
<br />of@qlri,! llt olrc Boil& *iI llw dE hrh ofFDvrB rlr h. o dE .In d hdi n irylE $. FoFr, 6r d. F,06. ol
<br />l. 6 o*E of rh. FDFr), e d.ta*I, .otudi'g wdh lkaed colrrrrd lo onr.ud rlE Foi< (Sc. ?Or4. E!!B
<br />.d hoa3im co.tc Tt Co.rdoii Lkru L.u d6 rcr .p?ly lo d ow orFoFty {ho hrildt or inptlt6lhaon.
<br />dd wlF 6tnn lt tor qch proitl! wnh ! Conrso(, l(oE d FrRM lo lh. Co'n &roi 3 l.r.e t4)
<br />I m lrmF und6 S.(ior-
<br />D.t.: _ Ornd:wonxlii, coMPENsanoN
<br />oEclJSarlo!
<br />I ha.hy .mm undc Frny of Fju.y oE ofdE folh*rs dalittdioBl
<br />-l
<br />h.l! ird *rll rorE . Cqt,6.!. olcoEd h Sdf-lw tu 6t6 @rpdrbtr - FviLd for Ly Sdri@ ]700 of Oc
<br />t bo.t de for rtE DdfdM. ol$. w fc riEl llr pnEl ! 6rd
<br />l/ t t*.,ld *itt ..*- *orld mdFld.n !trq6 EquiEd b, scrior lToo olilE t bor Codc ror rh. FfdM. of
<br />iBuff. ffis lri rrlEy nunha r.:
<br />F4^)ct(31r (t-r-zl
<br />-:l cdily rh,! i. rh. tEfolrffi. of lh. worl for $tEt lhr Fni n su.{ I srrll mr mPloy uy F&n in oy n.,E
<br />$ sro b..om tubidr ro tlE srr6'@r$6sa6.lrs olcrlifomia .d +r lhd if Lhutl baoc $tid lo ln.
<br />{ort6' onFEni,n Fuuilios of Sdion 1700 ol llE t Er Co& I idl loahso .omply wnh br FovisirB
<br />wARxtNC Fnhr. ro sE !qi6 onFr!.l.n .nvd.s. 6 rl,r'tu|. ad ndl $bFl u anpbF ro aininn FrlE .d
<br />rhoLBd rhurd (tl0o.0o0). in rdftirn lo th. con ol codFrE raoi, d&oe6 6 Fov'daj lor tlE
<br />Code inbd and elonry t
<br />edo,r< 6>teuc/
<br />lrI('l.lll'\llO\
<br />I hort, .llm undd Fdy of Fjury thd I d lka!.d udd FovlbD otcluptE g (coffiiis with Serb. ,m0) of Divnion l
<br />of iE BBic' Dd fb&..iod co&. ed Ey licoe ir in tull 6E ai ctft.r
<br />/ o L76(r,"*,n- b'!!O
<br />-,.,J:?l- ?L,,.^n*
<br />coNsrnucTlor! r fNnr c aGENct
<br />I hftby lmm und6 Fdty olFjur, $'lr lhq. i! . odruclirn lqdins lsacy tor rlE Ffo,I1 c. of th. wrt for whi'ih lhn Fiil a
<br />ilsucd (sc. 1097. Civ. C ).
<br />Lcnd6 r Ne.:
<br />AIIUCAILDECII8AIIO!
<br />I hody tn'd uidn Fuly of FJory or 6l rh. folhwr8 &lribB:
<br />Ddlnion Pmit+A.h.ro! Norifi.dion F.dq.l R.8!hioG {TnL a0. Pd6)
<br />_Rquir.d t!6 ol fiodfE in
<br />I cdifyrhd th. f.ls.l r.gulalioN csedins sbd roovalE. dor tpplic.bl.lo lh! pmj.{
<br />I cslify rh.r I tuvc @d lhs lrpliolion dd it.r. fid ih. !hor. infon iiri a cor6l I tgrc xr onPly wilh 3ll Cily tnd Counly
<br />ordimm6 ed st.rc t iw! Ehlitts ro huildins condnd'ol\ d'd rq.6d{ v6 o f ! hi. Cny md Counly lo ola uF}n llE
<br />abo1. mtion d prop<ny lor
<br />AppU.. orA86l shtr.lurs
<br />eC/r,,'r _=.sJO\e't
<br />,,," /"1/zu
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor /./,t ///)
<br />Bondinq / Groundino / UFER 41ltl ll&t&)7)l
<br />Transformers tt
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />M6B,Rplease iioc\ar 41/n ALETE,,7\)
<br />Rough
<br />Service Meter l- /-nFINAL0/4///ffTl./tul ,la
<br />Notes, Remarks, Etc
<br />)
<br />Rev.0B-07-2015
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