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ELECTHICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNEI AULDER DELCAR TION
<br />I lrrt, rrrd u'id4r FEhy bI Frnrry rh.t I o .r.r$ fion llE Oodffc LilM L.* Ior rlt db*h! lt&n lsE.ltrllls
<br />BoriBr .rn Prohsb. C6d.) Any Cn, or CNdy whah EquiB . Fni ro onrnl.|. .hd.
<br />'nProw.
<br /><Lmlish d EFn dy
<br />r.are. Fir b ir3 iM, rh. BtuiB ilE tprrltd ror u-h pqn lo 6L. rkftn dr.E ! ${ lE or tlE i lk.B.<t pdt8r
<br />ro rlE lretirb of tlr Conrrrrs r Lirnsd L.s (Clq'rd I, Co.ftrin! wih Sdrion 7dD or Divni,n I of llt AGiEs .d
<br />Prnt.iionr C'od.) rh{ lE ddE ir.&npl rh.r.ftE!n rlE b.rn for rlE dlqcd.rn$ri,i Any vn,riir. ors.dbd 7011.5 bt m,
<br />rl,I'lilnr lor r Fnir $bj6ts rlE .pplrmr lt, r civilF iyofmr mmilq 0v. tu.drcd dolL.r (3500)
<br />l. &r o*E o, rlE p.oFny, or m, cr{'l,Fr B'rh *!8.r ar rlEir sk onFtr{rio.. rix & rlE s,t .!n llt .dlE ir ml
<br />'nrdridi or ofi.rcn lo. sL tse 7o+4, sunx$ .na Prn $hnr Codc ftc Contteloir lJcnE l,w dd* m! +rly ro tr o*Er or
<br />rhc F{Edy wlb hilds d inqn,Es rhad4 drl wh' da uh u)rl himrlf or h.r{lf o' rhn,uAh hn or hcr own.dpkrr4!,
<br />F)vid.d rhar s$t ir,{,mwmnrr E mr inlc .d d o,li.r.d ft, elc Il hoM, rh. hoillhS or i"{mErE n $ld pifiin om ).!
<br />oi (mpLt ion, rh. oercr Buildry will turc ItE tunLn of Fn,vinS lhrr lF or sh€ dil mt lDitl or nr{nrE rh. Imthy ior tlx r,rF. of
<br />l.r\owncruirhcnnrp.ny-urc(lu!rcly..nr,r.rtr'Sw h l'..n{d rontrrkn k, . r{ru.r rlr rn!.crrSR 7(}u.8unrc$
<br />Irl lh'ls\riCodc: Th. Conrknr'\ l-'.ci\c l.uw ({\ tror rpnlyr, rn.}'ncr ol proFnyrh. hu'lJ\ nr nntn)rc\rl(rcon.
<br />url qho.rdo.Bi.rsuchporcr!*!h0(i,nkn.n'n\,lr.n{JN*Mrk,rh.Contk!tr1l..ctrelr$)
<br />-l.6.r.npr
<br />u kr S<rbn-
<br />D.r.
<br />-
<br />o,Er:
<br />W(IRKFRS' COMPE\IS{TION
<br />DECIJAA.IIITN
<br />I h.rcr,t .mrm un&r FMXy oI Frury om of rlE (nb*ina d.rlrdios
<br />-l
<br />hlE lrl *ill mlnhin r C.n iar.r. of c(,ns ro Sclr-lnsua for hrt6 conlEndbn, rs EovrLd ktr by Scron l7m of ilE
<br />trhor Cdl., for rtE Frfm otrtE wrd for phi.t lh. rchir i! isrD.rl
<br />_lhnvc!d*1llnuimrinworkrJconlxnrdriorin\u6ftc,!rrcquircdhyScrhn:1700o(rhclrhtrG.,larrhcp.rforiMc.or
<br />rh. *o.k for rhthlhisFrmil is nscn. M,*orkc( !1rmFnsotn,n insurlrc cricr oir Flty nrntE, d..
<br />I lcnity rh.r in rtE rdfolmN orrlE worl r'd *hi.h rhir Frmn n i*u.n. I rhrll mr ciq'l'yrry In$n in lny @Er
<br />b t ro bcd.E bFr ro ttE snt6 .o,rFMirn !r! ola.lifomi..,n .3E 0rl itI rtnull tFoft {tF rorrE
<br />*ond{ otr{ENri,n FDvi!6N ol Sdhn l?m ol rlE L.&, Crn . I tlEll f.,rrh*irh o'r?1, wdh rlsr ,xrv6btrr
<br />WARNING: FnhrE ro E@ r6lfr'oiF.lnir $@sc i! unhetuL rn {dl 3ubFd r €il'bF lo sihin l rsrlis !,n
<br />ctrrl liE! ,t ro oc hlldEi rholsln d,Ln (! ltqooo,, an .rtdnion ro rh. 6r of 6qr tioE d.rr.! a Fovn.d for llE
<br />aarior 1076 ol rlE L.lE Codc lna.n !d .|bry ! f6
<br />Ir.r.r ADDUonl:.- -.-.
<br />-r lcFNii6{imc-rf)R
<br />llEcI4EAMN
<br />I h.Ehy lmrn und.r Fmhy of pcriury lhrr I m liensn uftbr Flrbion 6f qDpt6 I (smmmin8 *ilh Sdion ?(x)0)o{Division 3
<br />ol rh. Bnsifts {nd PmlcasioN Code. !i my lic.r ie in tull forcc Md .It6l.
<br />l-rcn* Nutr E,
<br />I!}NIIBIJIfITNJ.E DA!!i-A{iE!II
<br />I tmby rrnm lnLr Frn, ol Frriry rhd rbrc F . otr{rElion t ndn8 asc, ,ot llE Frfoture ut rrE k t for *hrh rhn ldtu i.
<br />r!!.d (sr Ir97, Civ. C )
<br />AITLISANLDIIIJSAIO!
<br />I tdrlry dim !.d.r penaly of pcrjlry Dr ot lhc nnk r in8 d(hrurions:
<br />D. bliri,n P.rnirlAsb.(os Norificalion F.d.rrlRcgul tions ('lirk 40. Pln6)
<br />Rcquncd L.rr.r oa NorifKulir
<br />_l ..nify ttutr rtE f.ddrl E8ohrionr Egsdm8 .rhcnor Efr)v.l orc mt amltlbk lo rhn FrFd
<br />_l dily rh.r I llv. rc.d rnir +pla.ri,n rd tr.rc rhd ttE llow inromltion n Mqr. I rlG to onFry *nt .I Cily rd County
<br />odiflr.r cd Sr.r. bB Ehri'B ro hildinr oldntlblr ,it lEr{ly dn riz EFrlrriB or rhir Cn, .ni Cmry ro dE r4on dE
<br />.rDw mrion d poFny fd i6Fda'. Fqrres
<br />,\ppllcn| or.{tdl SiBmlon
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under SIab / Floor I I I
<br />Bonding / Grounding / UFER qf
<br />^-*VrTransformers..----r
<br />Torqueino
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Solfit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Belease I rr4 24 /-/
<br />I I
<br />Rouqh
<br />Service Meter t t{7l z
<br />FINAL llq't2,Dl9r /l I
<br />Notes, Remarks, Etc.[ .r
<br />Rev 04"07-2015
<br />ID/SIG.
<br />'flu v
<br />Sub-Panels
<br />DTYiE..
<br />DffryA
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