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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COIIMENTS OWNER BUN-DER DEII-ARATION
<br />I hs.by lrm unds ngElty ol p€rju.y rhd I d .x.mpt frcm fic (onrr..t66 l-i..n.. Lw ror rh. tollo*inB r.en (S< 7011.s
<br />Buin6r !,n Prcr6io. Cod.) A.y Ciry o, Courny $hrh rqun6 . Fmi ro onrrtu( aho. lmFrcrc dmlln or rqn uy
<br />dM@. Fnr ro ir! b.@.. .Lo r.qj,6 rh. @lidr for kh Fd b frl..3igEn rim' rhd lE or rlE 6 li6B.d F,f,6r
<br />ro rtE rKrisDN of rlE Cohr,&rd r LienEd Llw {(tqiq I, Comntr'ns * nh S..ri.n 70m of Oivi.ion I or
<br />'h.
<br />SuilB ud
<br />Pturdi66 Cod.) or rh.t h. or .h. t .rmln rhqtton ed rhc ben tu rh. .lkC.d .rmFion. Any viohion ol Sdio. ?01 L5 by D'
<br />applicdt lor o pGr.tr sbjEt th. .rDlic.nr lo . civil polltl.l ol ml no,. lhd nv. hun&nl dolla (lttxl )
<br />-1.
<br />c ow of rlE FlFry. q my onplord snh w.s6 B En ib shFaii4 r'ill dr tL *rt dn UE rdE ir d
<br />inrdiLd orolfdrd for 3il. (Sc.70.1.1, BBitB ed Profiii.o Cod.: Tn Gr i..ln r l-kae l,* &6 ml .pply lo & ow of
<br />rh. Frrny vho hild or imF.E fioEtr ed wto do6 lkh Nrl hin*ll or h6s.ll o. rtru3fi hir or ha oM.nploy@
<br />Fovilaj rha ruci itFlvqcu c d irdid.d d omGt tu oL lt lb6q, lb. blillilB or lqlrqEi ii nld wirhii o( )tolcorpkiadr(xE&ilbwiULEdrhnhofFtr\ilBfirlEddEdndh'ldd!Eo\.dtFoFtytu EFtPor.f
<br />-1,
<br />6 owE ofrhc rrop6!y. M .{lusir.ly co,ruclins {irh licosd coirriclod ro codtud 'h.
<br />pml.d {Se 7044. lrdlhd
<br />rn Artsbn Cod.: Th. Conlr.dor'r Lk.e t.* do6 m' .9p1, h m or E of prop.ny * ho boild! or inprov6 lhn@..
<br />ed rho m'rd! for 3Eh FJdi3 *nh r Co'{r-ro(r) lEss.d Br@r b dF cdrdd s Li(dE tr$J
<br />_l m.rnfl u.da s.rio._,ll &PC io.thnr@n
<br />D.r. oin6
<br />\troru(rRs, (tMPr,\saTtoN
<br />IES,ASAITA!
<br />I h6.b, amm undd p.mlry oltdjury on. of$.lolloNint ddldaiioN
<br />-tha.ad*,ll
<br />im.in . C61ifr{.6aco.d b S 6@forMt6 omp6t iim. B Fsrit d for bySction 1700olllE
<br />bbor ( odc tor rlr Ftrffi nlrr s* f( $nah rh. Fnn i! isu.d
<br />I hlv. and wrll mnitrlain work.ra .osp.Nd n,o iNurrm.. B rcqut d hy scr ion 11700 ol rh. htkrr cod., for rh. psfomsc. .f
<br />ln. sorl lor $ ti.h lhis Fmh ! isucd My wdld' comrEsdon iEure. .&i, ni |)lkt nunts u.:
<br />Policy N@bq._Erpnc,
<br />cllrl rtn '. rlr Flolrl].B olrlE sorl tor uiah lhit Fnn ir s!.( I Culla{.rploy rr rE$n i. ey M
<br />ro beorc ilhd b th. *0116' oopqdion Ltr! ol (-difomia ri *r rh, rf I rhurC lEod. suti{ b itE
<br />uorl6' comD.ns.rn,n prcvttunr of S{lirr lr0o ol rh. ubr Cod.. I tull, fo(hfih .ompl) wnh rli)r prc .ioB
<br />WARNINC: FiluE ro K@ sdld orpouion $vn{. i! u.ldful ed JEll tubF e @ph}s lo odind ,olb xi
<br />c*it fnd up ro .E hu.dr.d thooqId &lld {tlm.om), 'n
<br />rddni.. k' th. cor of $mFB.lron. d!EB6 . Foid.d for rh.
<br />DfTTJAAIIT]!
<br />I hdrt, !,Imunds DcnahyofF.rjurylhd Id LcsE n u 6 Fortioi of (.1'416 9 (Nnmfting t nh S*lhn ?(x)O) of Ditirm I
<br />or lh. D6if,d ed Pmf6ioB Cod.. ard my lic@ k in tull torc. ml.lIrl
<br />r.,cdr.(.r.s .?IL,Ll,n,(,,.*"^.,,,-c. lD c?o
<br />Ta*- Lt ,tq ,.,,,,,",",. (^,'z- rti,-
<br />(olgarslloNt [!Darlc!!cr
<br />I h6rhy rrm und6 Fnd! of Fjlry thd thE. is . codrud 6n kndif,s .r6cy for lh. Ffolr@cc oI rh. *ork tu whicn thi IEhi' ir
<br />ilru.d Is6 1097, civ c)
<br />afft tctNfDEglaarla!
<br />I h6dr rrm und6 Fnrh \ ol FJur) oR of rh. folhs in8 &larioN
<br />D6no li sn P.m r-A.h<ro! Norncdion ralc l R.*!lr hn! ( l ir b a0, Pd6)
<br />-i6r!n
<br />d L. 6 of No{ifcrin
<br />-l
<br />.ar i8 lhr rh. f.dd.l rcauldidc Ee.{Dg cb...d loD\d E r, +'glirbL h thr Foid.
<br />Zl{.di8 thd I llv. rud fin lprlicdrn xd !6r. rhsr $. .hov. inrom.rion n .otrer t .3,€ ro omrll, wnh dI ( ity rd counry
<br />dErx6 r'd Srr. L.s EkrB ro hl dins colrMrc( !d lE*r .url$riE r9.efli!6 of rlt! Cil, .d Counly lo q q l4on tlE
<br />T+/*dtl L rl
<br />t/zrl l1
<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 Z ,()rza/r-
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Arr Conditioners
<br />Roof Top Equipment
<br />Factory Wrred Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release z ?,bl(\ ,L.{n{6)
<br />P,M', fA n o l4^^-(D
<br />Rough
<br />Service Meter
<br />FINAL fuvu*/ 61-----
<br />Notes, Remarks, Etc
<br />)<
<br />6bo\. ,H'io.al FoFr) for E+ar.n F,po.6 ,
<br />Applrnr or^16r skn.rur -U,41
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