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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG COMMENTS (r$ \t:R Bl .t[.R t,l.t r \R\Uo\
<br />I h6.ty.lrm uida F.lry of Fju.y $n I m ddpl nDm rlE (od,..r@' Li.ot. l!* aortn followi.S la)n (5<.7011.5
<br />aBina dd Prcaa.ion ( o&)r Any Cily or County rhth r.qut6 a tE ni ro @nntu.r. .Ic, inprov., &!oli.h or Ep.n sy
<br />mdEe Fs ro iir isll4c. .lo cquE lE ipdiul hr t$h p6on b frk . 3igEd sdaffil thd lr o, th. i! li.d.d F Edr
<br />lo dE ForirE6 ol dE ( onllr.ld r Lia.*d L.* {ClEPra c. CoMins *ith serir 7m of Dvnb! I of dr BUIIB Ed
<br />Fr.ftsios Cod.) tr rr lEciE i! adlsr rha.Goo.d th.b6n tor $..lb.d qargb.. Anyvilhbnofs<li)Dr0ll.Jb'ey
<br />dpplicer lor . Fnn sbj*$ th. erl(sr ro . .ivil p.n.lrt ol mr nor. lho fiv. huidr.d dolla. {ltoo).
<br />-1,
<br />B .rc of lb. FoFiy. n my dplolc wnh w.sd s ln i $L .omFlrhn. will dr dE *qt id 0E r,u.rR i! rcl
<br />ncd.d d or6d for nL {56 704a. &siB !d Pr.66bE Co& TIE Coritdd t Li.!E Ir* do6 d I?ly lo i o*c.f
<br />ln.FlFry who t!il& i!F!EdEqi. -d{lb d6*l' qlt hi@rf or lErllot tlmwh hi'd bd omonplorq
<br />ttuvd..l rh.l iuch isFoffie d ndld.d motu tu sL.li tow, OEh:iEi,| or iaF.s!!d LrH* inoEtr
<br />ofsnplabr tlrO*G Blildq *it! h.v. r h!&n ofFlvnS dd lE or d* did ml bild n ingD!.lh. F!Fr, tudt F FEoa
<br />L sorE of lt EorEry, m ddutrdy codr*i-E tr'nh lr6.d coffioE lo @rdtu.l tlE FDj<l (!i< ?044. B!!B
<br />od EDknCorr., ThcCo rdor't Lk.e td dc mr ply ro 6orE oaFoFl,*rb t ild! m inFord lh.@tr
<br />od *lni cortlcr' nn $ch Fojd! wirh . Co'rndo(r, ltd.d pf,d h lh. Codr..ld't Ltog la)
<br />_l ffi crmpr udc Sa
<br />aax[Ii8!!o!tEE!raua!
<br />DECLASAIQtr
<br />I hd.br .fiinn undcr ps y olDqjuryon.olrhc aollo*,6ll delarrioG:
<br />-l
<br />h.E.n *nl mi,r.i.. Cdifrr. of CoeI to S.lt-ltut fo. wtd orlpcnt lioi, r FlviLd ,o.ly S6lio. 17m of llE
<br />L,hr ( o<le for rh. FtullE. of tlE *dI 6r rttt rh. Fni i is,.4
<br />I h.vc .nd will slinllin wo*nr' comp.Enirn ier4., r rcquiEd by S.nbn 3700 of lh. Lrbor ao&. for th. psfotu. of
<br />rh. *orl for rhth rhi! psrnl ir ie.d My work6! conFMior iEurec. !-did ,r1 Flty nunbG r.:
<br />Polty Nubq:-EtFa
<br />-l
<br />cslia, rhr( itr th. Ftolruc. of lh. worl tor whth lhir F6oil it i.tu.d I ltdl ml nploy dy Fsn i. D, nafl6
<br />$ d lo b.roft et*.r ro rt. wr4'@mFdi,. Ls of ( nitomia ]d *r dld if I .lFqta bdor stixl lo lh.
<br />$o d $nlc6iio.FrirbGof Sdiotr l?00 ordE l,td Co<l( I Jdl l h*ih omdr wnt rt6. FDviirc
<br />WARNING F!,luc lo sN *sld @r.p@.!ion .orars. t unLwtul. .d ndl 3ubjd D qnPhF to rinidl F!!b &d
<br />civil fin6 up lo onc hundr.d lho@d dollc ($100.(xJ0), in n. ddn.x6 c provid.d for rh.::j/#wi:
<br />lacrAsano!
<br />I heby .rm unds po!!y o I Frjury rhn I e licain unda Folbion of a1ldE 9 GodMcns *nh Sdtb. 7000) ot Divnion l
<br />ol lh. Bsilla rDd Poaci)N Codc. -d ny ltEB n in tuU ro@ rd .fi(l
<br />Iq
<br />(lllllBucDau.ldDl!(i-acEl(I
<br />I h6.b, .frm u.dd Frny oa Fjury thd rlE! i ! eNlru.rbi bdng .eGy fo. rh. Ffoffi of Inc erl 6t f,t*h rhit Fha b
<br />isucd (S(. 1097. Civ. C ).
<br />attulAxl-![clJSAllo!
<br />I hau,dannundapa.h,.apqjuryo&of lh.follovin!d..lslrio :
<br />EuDhsn Pftnl^.b.nor Norifc{i{n F.da.l R.alurioB (Tnk r0. Pn6,
<br />-Ratur.d
<br />Ldtd otlloriftdno
<br />I .dif, $.I th. aald.l ESul.Iiou Essdins sbdlor r.mvd e nor .pplk.blc lo lhi! pmjcl
<br />-l
<br />cdrry rhr ! lEr Ed rhi r{pli,lir .d r!.0i dE olc hfornrFd i..61<l.I ter ro o,Ply *ih.ll
<br />M,rEm6 sd Sldc l,*! EklC lo building .o r.Fefln€ olih6 Cn, drd (
<br />.bot. rmri,..{ Dropdv f iNr..r
<br />lpplicinr o..\g6r SiEmnrrr I
<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 />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouoh A\
<br />Ceilings (T-Bar Rouqh)b,Wtt)
<br />Meter Release /\J
<br />Rough
<br />Service Meter /A
<br />FINAL tsr'I *.vltl1\
<br />Notes, Remarks, Etc
<br />')-z-,,,1
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