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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER BtIII,DEN DOLC NATloN
<br />I h6.by trrn un<ld pddr, of Fjur- rhd I m crdF 6oi 0r Coff-!6 Ltoq L.s foi llE folloMs ld)ntsr701!5'
<br />BBi.{ ,,n Probiotr Cod.)
<br />^Iy
<br />Cnr or CNn! rhah r.$ic . Fni ro odM. riE. inForq &rbtrn o. r4.ir ay
<br />lrruclu.. Fi,r lo nr sue. .t r.q!i,6 rlE rrplicer tor $ch p.rni ro 61. . sisncd nnomr rhr lE or rlr ir licd!.d Fne!,n -
<br />lo th. F.rilioB of $. Cofi.crd 3 Ltd!.d L.* (Chlpra 9. Conmdirs *irh S6rion 7000 6f Division I of th. ButiB ad
<br />PmfdhN Codc) or rhl lE d rlE a 6o$ rffi!6.d rlF b.ta for rlr.lkscd qalsion. Ary violtrbn orsdior 70ll 5 by uy
<br />&9licd for . Fri tuq.ft llE lpplkul io. ciril polt, of Ft tur. $d nv. hurd,rd dollr, (l!00)
<br />l. a oMd oalh. FnFly. or ny.,plor€ wnh $.86 a rh.i. &lc @oFldirn, $ill& llE *nl.!d dE nnd@ i mt
<br />inaial or oII6.d for rolc (56 70,1,t. &!iB ed ?iofdbE Cod. nE Codmd r l-itq lrw &!6 d +ly ro s o{ffi of
<br />lh pllFry who hlililor ir4r.\q s6tr in*lb dBsfi Fn hin*lf or lEdtor llmush hn d h6 oB dplolra
<br />,rovidcd rh.l such imFslqa{r e mr inlcd.d orofE.d nx sE lf. lrlB6. E tlildint or imF.\ffi ii sH *ihin om }6
<br />of.onpkior tlEoln's BoiBd *ill hN!0E h,rl.. ofFovi,B lhi lE.rdE dii sn toild np.oE s FnFi, ftr rlEFtrFEof
<br />I. a osr( ofltc lrrpcly. u .rclurir.ly codr.cl in8 " irn Iicae{ .of,k($n lo cotr{tud rlE pmj.d (Sa. 7044. Bum6
<br />.rd Pn'isid Co.l. l hc Cont&roas Li.ce t { .tod rcr rprly ro e owns of pmFny * ho brild! or imp.ov6 rhE6n.ed uho odr-rs fm *h F$jels trnh. co dorl.) lkd!.d Fl:d 'o
<br />rh. Co rdoai Lile t*J
<br />I rr.rcDfl un(lf sexon
<br />l).1. Oird
<br />uoR(ris' ( onria\sar(r\
<br />Dl(r.Alrlla!
<br />I h6.bt dllirn undo rEralryolpdu')- on. oflhc foll(r'ns d(l0,dit)c
<br />Ih.v.rd*'ill inlrin . CqlilEa. or CoE b S.if-ltu. fir *..td @nFGdFn, E F!!id.d for br Sdion 17m of rlE
<br />I i!.r Cod., for lh. pdfoffi. or lh. m fo. *hich rh. Fmd ! i!$.d
<br />I ht* .nd u ill i!inl.'n *'ortd coEFa.lion iEuee a n{uiEd hr Sdbn l7ff.lrlE L.bor (-o&. for tlE F mffi. of
<br />rh. $nl for ehrh rha Fnd . e6d MI*trI6' omFqnn '6ff.ffi tn plrr nunha r
<br />.-. , S*"*e- Fc,rnJ
<br />roryrun,al:Z l41J(L-79tL ,,",- .9f?ofZo0
<br />I cdify that i, th. Ffoffi. of th. worl lor shi.h rhn Fn'r t &unl. I .h!ll ..! oploy e, tEen in my @k
<br />e 6 ro b.coft obrl to llt wil6 o,pdsrbn L"! olcdilomia dd rE drr ir I dblld ttor slicl lo llEmrt6 onFu.rnn FDviii66 orsdnn 17@ orrlr l,&f, Co<lq I tull. fonh*nh onpb win lhi FDyilbB
<br />\+ARNINCT Fliluc kr w. s{rl6'conFdion ( 6+. ! u.hraol. di sn ll btldr m dnplols r. dmin l pdEhid r.d
<br />ctril fn6 up lo oE hull(ld rh.uud &llc (tloo.filo), in .adnion to rh. cd ol.onq.Mio.. rdxS6 6 Fo .d for tlr
<br />s*toi l\076.rrh. hbor Codc. d6cd md dbmr'3fG
<br />rfclAaalta!
<br />I ha*t .mft unda !.o!X, of pfju.y lha I m li.r!.d und6 Fovirion oach4rs 9 (.onmtring qnh S.dion 7O0l)) oa Divsior l
<br />oa rh. BciB.nd PotBhB Cod., rtd my lic@ i o tull fo.a id.lIcr
<br />,.*.,"*t-&-,,'3/W .?tu37
<br />f
<br />CONSTRUCTTON LFITI)'NG AGFI\(Y
<br />I hdltt .rm !.da Fdy 6f Fiur! 0lr rhd. a . s'dructnr hdiis .edy rq dE Fftffi. ot rlE uql fo, *h.l| rhi Fna i
<br />Bu.d (s6 1097.c'v. c ).
<br />APPI ICANT DECI-IIXATION
<br />I narjby tlfh urdd r6!hy of rEr,try oE or llE rolklwing rlcl,.dhns
<br />D.mhion PmnlArbdG Nonic.lion F.rl6il R.8uL'ioG (InL 40. Prd6)
<br />- R.qun.d Lrl6 of tiolifidion
<br />I .dr r! rhn lh. t dq.l 'euhrFB ,.3idin8 abcnor r.mul r. mr fFli..bk ro rha troj.<
<br />ld&
<br />"airy rru I r,""c -a rr'" ,pclk{io. d{ 3rdc rhd rhc !tF!. i.romrioi ! ccr..r I lsc ro o'ip! q nh .ll cnr ad counry
<br />odiffid ed Srd. Ir*r GlrlB ro hlildilB siitudbE !d lEctr lrhorir r.F6dnin 6 orrhn Cnl !'d Coory ro djld won dE
<br />rlx\. Ikrtr)n n pmp.nr for iEr€c1 ,.!.,"","n
<br />Appli...l or A16l Shnilur.
<br />U"-n**-",r.t,,, K LV tl*i B*1e.lr
<br />:-3lzlt
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Li fe Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / 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 Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough 2 *zltq f,1a*nn-
<br />Service Meter
<br />FINAL *rz/tl (''-rYr.tdtl-/rV.
<br />Notes Remarks, Etc
<br />APPROVALS
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