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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEIT'AR TION I ls.try .rm uida Frlty ol p6jory thd I m q@9r tom th. Contr.clotr Licfte L.w lor lh. followi,S t@n (Se 701 I 5 &si.o lld PrDfsi,n Co&) Aly Cty or CtMy *tih r.quiE . Fmi lo @i!r,(( .hs. iqmve &mli'h or lP.n Dy nn<rG Fu ro m 6ll.e .L rc+ic 6. +plaar for sh FEn to 6k . 3i9ad nrdEr thr h. M tE . lt6.d Fn d lo lh. FDvirioE of llE Cont&bi Lic$Gd tr* (Chrpl6 I, CoiMtrini wnh Sdlion 7000 of Divnir. I ot llE BuilEs dd Prcle'oN Cod.) or rhll lt or $. 6.rdpt lha.fiom ed ifi. &ri! lor lh. dLr.d q@Fb. tuy violtlion of Scli.n 7(rl I 5 by D, irplic.d tor.FmisqatllE +plic. lorcivrlFE yofml @r$a 6t. hundr.d &rlLt! (u00) -1. s ouc of ir FoFir, or ny opbtE wnn w.36 s th.n $k dmFBdD.. *il do th. "dl rn dE drEr6 i mt i adol or off6.d aor sk (Se 7044. Bdi,B dd ProtnioB Co<b: Thc Conrrrcrdi l-a.e tiw &. nor tpgly l() x .wn6 of rh. FsFry shd bilrk M inproE tlEoc sn who d,6 st qnt tilBlaor hdklaor thmu3,l hn or l'. ou dnphyE, Folibl rhd Mh EFD\sl6 G d irad.d 6fE !d i, et l[ lDEq, llt ht'r,n8 d ,4..!qEr i! sld wihin 6 )d oacdlplaia 0.o'^E ButE wi! hw tlr hrdor ofForif, dti b. or iF dit d hitl d lrsoE tlt FoF9 tr r pl,F..of -1. so{col$. F1Frr. m d.lsiv.ly.odrrlhs wfi licd!.d co alNro.odtud tlE For.d lsd 7Or4. rk6 rn Protd, Co&: ThG C.nr.r.rd'r Lace l.* d6 @r rrply ro d o*E of prcFly who bortdt.. unFov6 thdo( &d *l{r com&l! t', sct! Fojdr uih r codddls) li!!.d p{audr h lh. codrkd ! Lk* t w). -l d .rdpr ud6 s6rio.- laatrESr.cqurlllAflqx DECI.AIAIIO! I haby !fim un& Fuxy of p6jury o oflE fouowif,S Ghr.lioE -l h.v..n *ill 6ifl.b. Crnifrd. of CoM r. Sdf-lBe tu wlo onpdqrb'\ d FD\id.d fq bt SBrin 1?@ oftlE l.hor Cod., fot rt pqf.trl@c of llE *on aor *'trich llE Fitrn a i$.d. I M!..nj *ill m.hr.in vorl.rr' cofrp.B.ri.n ul.lfuq d }.quiral t, sdhn l?00 otllE bbor co&. fo. ih. FfolM. of rrE $.rL fd which rhi! rEnn is isrd M) wlcr odpd6rh. N ff (I -l cBrify rhd in rhc Florlec of rh. wort for *hich rhn p..nn n isud. I ihd nol oqthy sy Far h uy tunq $ slo b..om. bjdtuth.m d omF!.lion L*s ol(slilomia sd t*E$n if I lhould b..otu subjel lo rll edd' onFMio. FolnioB or Sdiion l'700 ot rh. L5hn Cod., I $.iL f.dh*nn (.nFl, * ilh rhoe Fovbioa nARNIN(; lailur. r(' $uc $drkd comFndio. .D ub} tu|. !d snall iuhjGr m mphF h sin!'rl Fdta. .Bl uivrl fi.$ ur lo onc hundrcd rho(snd dollDs ($100 ion ro lh..osr of .omp.Nlion, ddnasB N rr.viddl f.r rh. l!rl.lJ&ull2: I h6.by .ftm d& Frny of Fjury lhi I e lica..d u.& Fouuio! of Cll.Fa 9 (offine *-nh sdbn 70m) ot Dirlrio! l of th. tlBiod ald PrDhioc C6d.. rn Dy lt.e t i. tull lor tn .ftcl 8 1513 5 -J- (aBsrau(]roNjtlllliii(iEBcr I hdrtt .rrE !d.r Fury of Fgury lhd lha s . oo3nd.i l@diB .3tr, fn lh. pqf(n]re. of rrE srrl 6r f,lltt lhi' IEdr . ilqr.d {s< 1097. Civ c) AITUCABLTICIAXAIIO! I hdlbt rn'm !.& po.hr of Fjury onc of $. followins {krl6lioB: Ddmhrn P@n$AltBrd Ndifi.rbn F.dai RquldbN (ThL 40. Pd6l R.quErl r-dl6 of NdifMir -l .al ify rhd lh. f.dd.l rcsuldrFB Egri[ns slEror rmr.l @ mr .apla.bk lo tha rtoj..t. -l cdibrhd I ha\.ralrha tpPl{.rhd th. rtrr. infotun'n ncorar I isc ro sndy *nh ![ Cny ud Couq .'(lnrnccs o(l Srnle lnNs r.l.ni$ n)ion. r.d hftby outhoozc rqr6otiliv6 of rfu3 Cny&d Counly x' drd upon rh. dtrr. Mri,r.Gl pmFn' I ^ppli..nr or A*dr shn.' dvWS Jr & l)34/7 Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Building Under Slab / Floor Bonding / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilinqs (T-Bar Rouoh) Meter Release I Rouqh N\\Y Service Meter FINAL (\PqL Notes, Remarks, Etc. Communications Cable I