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ELECTRICAL-INSPECTOH RECORD
<br />APPROVALS DATE OWNEi AUIDEI DELCAIATION
<br />I hercb, rm,f, und.. F@lr, ,,1 Frjury rhar I m .r.ny lbm llE C.nrdom Ltcnk L.w lor lh. n,lhqine E&{'n (56 ?ol I .l
<br />Bunm$ lnd Pn'fdshn Co&) Any C y or Cdnr, *hrh E{uiEr . Fmn ro oE nr1. .l'q, iqmE (lml6h o r?.t dt
<br />ndduq lr*rti ir\ irsurft.. trh. rcquits rh. lpplisnl frn so.h Fmil lo fiL ! !i8n d ndcmnr rtur lE o. rlE b lic.nscd FU.$sl
<br />r0 rlr Fflvnhn! or rlE conr,rrq r l.t n{n L.* (ctBprs 9. confthiry }di s<riln 7c{r) or Diviiar I olft au.iElt !d
<br />Prot .rionr Cod.) or rh, tr or ih. ir.rctrpt rlmfiom end rh. bdit nr th. .lh8.d .xcnprion AnyvbhrionofSe-ln.T03l.JbyBn,
<br />.Dplic. for o Frmn subJars rlE .firlicrnt ro r civil ncMhy of ml mE ih.n fivc tu ,.rj &,lhr (lvx))
<br />L s owr ol llE In,Fny, or my crployc.i with *.Bct $ rlEt slc @,q!N!io", eill & tlr wl ,'d dE riIlw i! Fr
<br />idftj.d ' off.n<l ao. rt (Sd T(x.L BuriBr r.d Ptb,63i'6 C.d. TIE Codddk Lffi tl* d..r d .prl, b x olEr ol
<br />rh. Dmp.ny wln tlillr or iEr,Da l,ENn. !d vh. dGs B-.-h mrt hinrll.r lrrslf o! rhrcuBh hn or ltr oen.nFhyei
<br />Fovii.i rh.t 3Eh ingmmd. G d ilcn.d ddlirld n rL t( hoEE, rh. bildh3 itrtmwd ir $ld wihh m Jd
<br />of dq,hna E O*H Buirhr *i[ IEE tlE hiftbr ol FovhS OE rr or tE dn mt t!*r tr 'n+.N l,E ,lotEi, tu rlE FIFE or
<br />_1, os o*mr of rh€ rorcny. !r cxclu\iv.ly conrfln8 w h hccns.J conrretoE k, con\rrucr rh. lmjc.t (S( '7lll4. Butincs
<br />.rn Pmc$in CdL: Th. Conr-rofi Lk.rs h* &* mr +rly b M.ww of |,sp.ny rho huilds or rmpmEs rrsn.
<br />lnd who n,niE r!ror rkh pn,Fk *nh r CodBro(s} lt.nsd pur@r k, rlE Cod.rkr'! LsnE trB)
<br />_l rn.i.r{, !dr.r Sdri,n .a &8
<br />11(
<br />I lErchy lmrm un&i Falry ol FJUry om ol rlE foll{lwhB rL.L,.ri.N
<br />_l h.r.,n *ill minrin . C.n ilrrk or Conc.' ro s.lf.lniurc for mrt6r'onrlEBrlhn. G Fnvid.d ror b, S(lbn l'70l) olllE
<br />trhor Cod., rd rl. Frfolrjm otitE k i n, "nth iE Ffrar i! i\.*d.
<br />_l hrw rd siu minrrin work6 .o'qEMirn ,NUrr.. r ,lquiEd by Sdhrn l7m of ln. Lhor C.d., ror rlE Fflm of
<br />rh. mrk i eh.h rhis Jxmi k F.u.d. M, wor*d dir{Enririon rn$,u. ffi.r.rn Fray.lmbct R:
<br />Polky Nutri.r_ErpiB
<br />_l ed'fy rhar in rtf, lErfo,Illld or rtr $ort tor *tth rhn Frmn t ieqrn. l sh.ll d .nphy rny FH'n o ry ruEr
<br />s s b ltoE rubFr h llE wf,t6' s.rFndion h*s of Crlifomi.. .,n .8re
<br />'ha'
<br />if I ilsuld t cor iuhixl lo rlEqi*6 $nDcnsl ion pn,vi{irnr of Sariotr lrm of llE L5hq Codc. I ah.ll. r'orrh*ilh coriply wnh ltE$ thvilionr
<br />WAllNlNc l:r'|tr'c kr {.urc sorlc'\ .oDt,rfsrtrn.orrrrt. ,\ unlrtrlul. un] n[ll \uh].t( nl, r'nfl(,yur t) (tnitul F&lr.\ dd
<br />Ihrchynitmdtul{rtn,lryolp(rjlryrh lrn lien{n und.r F,vilnn .f Chaprd 9(d,nmE- 8 wnhSdr$n 7(XJ0)olDiv(ii,n.1
<br />of
<br />'lE
<br />su(ims\ {nd Pnlasi)nl CoJ.. !d my ltctrr ir in lull ,rnr ]tr .lINr
<br />Lird Nudhd
<br />IOISIBIJI]IqNI!!DATi-Aq!IgI
<br />Ih.rcby !lr"mu b, Fn.hy of p.rjury rhlt llrrc n r on.lru.li,n Lndiry rg.ry forrn Ffi)ll1mr ot rlF mrl rr* *hi.h rhir ttmi ir
<br />irucd (Scc 109?, Civ. C.)
<br />AIILICAdLDEII.{8AI]Q!
<br />I tolby rffmbdd Ftulry ot FrJ ry.E of rh. dlbwing dkL^rijnr:
<br />D.mlirhn P.rniB Asllc{os Nohfr.tb. Fcd.rrl RcBuErhni (Tilk.r0. P.n6,
<br />_RcquiNd t.tt.r of Noriff, 6rion
<br />lrcnilr_ rhrr I l"ivc rcrJ rhtrrpnl(dtrrlnl {rrcrhrr rlrrhN, lrSd()ro lt'ly s dh .ll ( ry rd c()!trrt
<br />or'l r(csrtrJSrrrclrw rlrri',Sl(,hu,kln,gco ntudii)n.rrlh(rcbydrhrurrcl,rcx zrvc\ol0r!Ciryal'dCo!trryro..lcrqr'nrh.
<br />;,*:::il;K;rc&
<br />P.mr*Em.,prrnu ICC\\.r X/I /"-a!)4-
<br />o l- oq'zozl
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Sarety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicatrons Cable
<br />Buildinq
<br />Under Slab i Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service ltrleler
<br />FINAL / -LL.Zl J ).G taa)
<br />Notes, Bemarks, Etc
<br />R.lv Oa-07-2015
<br />IDiSIG.COMMENTS
<br />.ivtl fmr !,, b oE hr,nrd ttnuqnd dolLn lalu),qD,, I drlni'n !o rh. mr
<br />S(rion 1076 otrlE tjh, Cod.. inr.Ei.nd arktrEy r f*s;*"-'*""-*^;;;,K_etA*j.E|rqH*+s;EEt
<br />-,
<br />c.n'ltrhi rhc ndrrel rc*Uhrn,n\ rcgrdin8 asb(nosr.nx,vrlnrc nor lPpluhL ro rh$ pml..r
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