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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWNEA AUII.I,ER DATTAR TION
<br />! ffiy rmm undd p6.lry ot pqjory rld I e .rmF 6.n lh. Conll.clon Lt.N L.* 16r fi. aollowing l@n(Ss70ll.t
<br />B6ins md P,o&.sion Cod.) Ary Cily or Counly u'hich r.qut6 ! Fnn to .o.rdcl, dls. imFov.. tbnolbh ot Ep.n uy
<br />tttucrEi Fb h nr iffi, lLo EqiiE lh. +plael tor lch Fni ro 6L. !iS..d llrtui lht lE or 3lE ! licdlr.d Fltttd
<br />h rlE Foririod of . Co.r.-rd 3 LiE!.d lr* (Ct+r( 9, (tffiins tr nh Scli.. 7flr0 of Dnnhn I of llt BdilB dd
<br />PslBiod Cod.) o. rhd lE d .tE i .rmpl ltE.6oE ad llE bGi! f.r $..lLs.d ddFio. Ary vioLrionots.dbnT0ll5 b,v.n)
<br />rr4licst for r psnn 3ubarr rhc .pplicdr ro . cilil p@I, of nor 6oE rno tu. hun&.d dolld (1500)
<br />l. B ow oftfi. FoFr), or my stph'6 wnh 8.gB s rhd sl. omFlrbr riu & dE u<rt dd dE rnrlre b ml
<br />i'nrd.d orofidld tor sL (sc 7014. BqiIE xd PEfdio6 ( od.: TIECo'rr-rs'3 ti.@ t { dcml +Pltlodo*Gof
<br />rh.Fbpai, *t tril&d rq!\6dEEr d *lD d6rdr\!n hncror hdrltorrtmuah hn qlE os.iphtt6.
<br />Fovii.d rh.r ruch iqrcErEn G d iddd.d or ol*d tu rt.. lf, ho$s6,llE buitl4 or !,F.$nd ir nld wirhi oft )a
<br />otconpLriotr ih. oena Build- will hN dr hrrn ofFoving lhd lE or rh. dn d hild or 6!i$t dE FDFry 6r lh. porFe of
<br />l.6o\n6ofrh. FoFry. nd.l6iv.lt.o ditr3 $ft lic.E d corrrdoB ro codtud rlE Fnl.d {Sr 7044- &!c
<br />ad Pmftsih( o& th. Conrr.croi3 Li.@ l- p do6 er ipply r. M opn6 of p.op.ny * lF blild! ot imprcld rhaon.
<br />lid who conrrd! tor $.h Fojds wnh. Conhdorl3) licord puBunrlo rh.Cod..cloa! l-i..@ L.w).
<br />I m cr.npt u.dd s.dF.
<br />t).t. Ornd
<br />woRKI. Irs caniPrNs^rroN
<br />ll&cl.aa6rql
<br />I h<cb rmrd uidd Fn lryorFjuryoRof lh. aolloq ins d.(hrd'o6:
<br />I l6c id uill di d. C.niftd. of ( o6d h s.lf.ler. for f,qt6 oErdtion. 6 Flri.d for b S.dbn l7m olrlE
<br />l,bor Co&, fM th. Fftu. of th. @rt for *tth rh. Fni a isu.d
<br />I hlrc lnd will noanlai, wortd .of,p.Nthn iNrMcc. E r.quircd bt s<lion 1700 oftlE trbor Co&. f6t th. Ffm. of
<br />rh. *qt hr *nkh rhi Fmn it i$.d. My rsic @npalrhn ill]ft. @ir rd polky runhq e
<br />l.dit, rhd in rlEFfr!tu.oflh. *ort tor rhthrhn Fnn n i!$.( LEller dqloy o)" Fsn in er_ Mc
<br />- B lo b<od .utid b tlr *dtd ompadion h$! of ( .lifomi& ,{t *c lnt if I dhuld tEom $btar lo {E
<br />r!lt6 comp.t&rion pEvirioN of Sdi.r lT00 of llE L.bor Co<L. l lllll aonhw h .omply wiln lhr Fovirod
<br />WARNING F.iluE lo :w Ertd' orF!ti6. sv6.s. ! 0l,o6rl. ud ndl lubJal e cn l,oF ro ainiMl Fdi! &d
<br />Givit fB up ro .ft l|t'dr.d rhoued dollsr (tloo.om,, ir .ddirion lo llE o{ ot cotF.6.i@ d,r{6 ! Fo{iLd lor l,i
<br />S<rFn 1076.lrlr t td Co<re d6.! d .rorrEr'r tc
<br />ucErstlrQllBAcrta
<br />DESJAAIIA!Iha!h'unu.daFriyofFruryrh,Imli.EEdurl6ForiionofouFn9(@'llrBllts$ilhSdnn7000)otDtuh.l
<br />of rfi. BsitB .nd Prcfao6 Cod.. id ny k.e i in tult foE rn dld
<br />COI{STRUCTION Lf,NDINC AGENCY
<br />I 6y .nm !,ild FrXy of Fjory lhd lhc. ir ! @lJtu<rbi ktdile .gd, for lL p6Iffi. of dE srt 6r f,nth $it Faa it
<br />i*u.d {S€ lm7, Ci!. C )
<br />l,nd6's Nmc'
<br />APPLICATT NrCIIT TI(IN
<br />I h.+ .fm ui<lcr Dcnlhy of Ddjlry oft of fi. fouowiq .ktLrdioN:
<br />D.molirion Pdmili-tub6ror Notiliclrio. Faidrl R.guh ionr (TnL 40. P!n6)
<br />R.quiEd l!r6 of Notifrdib
<br />I cd'ry thn ln tudd Esuhnod r.gf,dinB 6b-ror rmn.l dc nor 4tlrlbk ro rh6 PrcF
<br />I cdiry rhd I h.v. rad lhn .pplidior !n nrl. lh.l lh. .bov. inforndio. L coEcl I t8,t lo onply wnh .[ ('il, $d Co! ,
<br />ndih46 xi Sid. t^! ELiry ro hildils codru.rior -d rE!!y db.ri- r.sefin'6 of fin Ciy d*l Colrl, lo ant won llE
<br />.bou. di,n d F!F, ad iBFliotr Fap6-
<br />aprldr or ar6r skuturc: D.t.:
<br />F.rmhen.r.(pritrr):
<br />Site-Work
<br />Underqround
<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 I
<br />Bonding / Grounding / UFER Ir{ lt9 /{l,il,?A)
<br />Transformers lr
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)t,
<br />Meter Release I tllt1 ,,4J4 n l)
<br />Rough
<br />Service Meter /,1.6rt 9,/ ^FINAL ,(l-ita''r{q/
<br />Notes, Remarks, Etc.IT tlt,-zV
<br />I ((M Ndb.rttcl
<br />'t5
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