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ELECTRICAL.INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS OWNER BUIT,t}ER DET-CARATloN
<br />I hcrchy rfifl, ondcr pc'uxy ol lErjury lhll I !n cxcnnr fnm rbc (r,nrr.ttrr Li.cn\c li* i,n rhc ri)llowinl rc
<br />Buin.{ dt Proli*ion Codc) Any Cily or C.!nr, shich r.rturc( r IYn ro c.n{n.r, rhd. ir{lrct. &m,li\n ur EFnnny
<br />{ndurc. nr x, n\ i$ua(., al\' ntunc{ rhc.lPIEanr Io. luch pcrnir tt fiL, siEmd (llc rnr thrt lrur \h. n l!.cn{i lUnulnr
<br />t) rh. fn)vnnrN ol !h. Conr6.rn s l-i..n*d ljw (ChiPr.. 9. ComncinS wirh Sdrion TIXX) of Dirtn,n .l ol rh. Btrsift( tr..|
<br />I'mlc(knr Codc, ar rh hcor\h.is.rcnprrhsdmmlndlh.h.\hI{nrhcllks.dcrcq*inn Any!i,n!rio. ls.rli'n7l)ll th,!n,
<br />lprlicrnr lnr r pcrnir subr.* rhc lpplicrnl ro !civitncnahyotnor dtr.rhnn nv. huntc'l dollxn (l5U)l
<br />l. !r owrcrofrh€ prcrldy. or ny .nploFcl *irh s{s.iaslhet slemq.nsirbn. eilld,llE vo* (n rh. nrErE i\ n'l
<br />in!.drl or oficrcd n, slt ( sd 7(x,1. Busims md PtDfc\siotrs Cr . Trt ConrEtnit Ltcn{ Iiw drr not .Prly ro !n o*'d o,
<br />rh( nnrEnv *lF hoikk or illIrtc ttB$.. srn wlh rlB sEh Nrt hifr!.lfnr hcr{lfor rhn,u3h hn or h( osn.irlk'F.i.
<br />pn,ciJ.d rhr lrch invro\rmnF c r, int.rn d {, ors.i frn qL lt howc\s. rlE trilliry r iqrnrttrd i. old wniin oft Fti
<br />.Idnq'Lli'n.llE O*E BuikLr rillME tlE trtd.n oalmrins rlu hcor{Edn mr l[iE or rtrcE r F,Fry turh. IrirIIl{ or
<br />-
<br />l- a\ os rr of rhc I'rFny. !n .xrlu{$ly contut inB *ir h lf,.ns.d ..fidror ro con(ru.r rlr FrFr rse 7l rl t aunrs
<br />$n ttlf,.l(r,n Coi. t h. Conkkror'( Lk.nr k* der mr am lt ro oukr o, nn,Pcn y vli, $uild\ or nnln'vc hc'sn.
<br />,nJ *h onrelr rd trh ImFlr trirh a codrko(r) li..<d lurlad t' ih. conrmn"\ Ltn€ liwr
<br />!.nrr.nrpl under Sdim
<br />Drl. Ore.woRxlis--oilPF\aarloN
<br />DECIJAAIII}!
<br />I h.rhy rffii m unrld Fulry ol F juD-, oE of rhc folk'B m8 d.rlrr.rins:
<br />I hlv. rn s,ll mhhin . Ccnifr.rc ot Cdtrrni ro s.lf.lNur. fi{ qrls otrtxnerirn. ( F$vil.d Ior by s(r*r ])m of lh
<br />tilrx (ti.. fr rlF Frfffi ofllE w* ft' whth rh Fnn k nsu.d
<br />,l h.E .d B ill minr.in rorr6 c.n9cNtbn i.susr.. a. Equircd ny ssr i,n 17{f,i nl rlE L.rst C.&. f rlE F.rlomr.nl
<br />trE lgt for *hth rhi! I'.mir ir r.td My edk6' mnqtnuion inqrxl! €rirun Fnty nun{t E
<br />-l
<br />enify rltd in rrt FrormN or rlE wort ltr $htn lhir Frnn ir 6rBn. I (n.ll ml crpli,, dy F$. r lnv rontr
<br />$ nro tEom ruhr.r ro rlE hgtd onp.Mbn Lws of Cllilomn. t d rrd rh{ ir| {.ulj tE .m {lr.<r r. rrE
<br />ul*dl .lnFnsrhn Fottb.r af sdbn lru of llE blu C.d.. I {xll- ,odh*ah cr.t{ll, *nh rbt rot.i.nr
<br />WAnNIN(; Flturc ro cua rut.F ot{Edrn ormSc k unlalirl-.rl rhrll \!hFl .n dI'loF t' $miElFmlir.lxl
<br />rr nrc hudr.J rhuqhd doll*( r!lU).ot)r. n add(rn n, ih...{ oa e'rl'Irnstion- dms.r $ F.vd.n ror rrE
<br />sr{ri 11176 !f rh. I2lrtr CIxic i .r{..d.n ftv'rlesqAalrq
<br />I h.E$y lfrrm u.&r FEIy of IE riry rhd I M lt6*d undd Fo rion ofch.fld 9lc,hftrm! rni S.6ion 7lrxD nr nivrrr t
<br />oa rlE BuiEs sir Pn'r*rbnr Co&, un m, li.nq n in tull td( .d .lTd
<br />cq 5 -7 qq a1
<br />g/\a llq c.a*r".(
<br />I hcFby rnnm unrLr lEn.hl o, n rFrr rh:r rh.r. is. $Nuti,n hndiry aB.ry f rh.FllnIEKollh.*dlii,*hihlhirF.mirk
<br />h\uq! lS.{ .IP7, C'r C )
<br />lrtrJd \ Jd't*
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<br />ATIUIANLDECLAEA!!]N
<br />I lE*,y umnn u M.r Fn0Xy ol lErtuly om otrh. lnllowin8 d..lrt.iion(
<br />l)cnrniri,'n Pcrnil\ A\b.rtx Ndrilic0tion Fcd.r.l Rcaulalion\ ll irlc ttr, Pd6)
<br />R.qumd lrncrof Mtificdhfl
<br />l.c'rllvrhnr rhclid.6lr.!ulrrtr)n\ 'rg di't! x\hno\!. t,!rlrr. Nr r|nli.rhk n) rhA |r'r:.r
<br />I lra1t9
<br />, hitr nrn', tr,1t{',|lrr] rtr trAt,., r
<br />arr,,-r*a*.ra,^*,,^(
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />LiIe Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / 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 />Ceilinos (Hard & Solf it Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Bough
<br />FINAL l&*2o_51 .s{d g)
<br />Notes, Remarks, Etc
<br />Service lVleter
<br />kn'.\ Nlmttr
<br />-tt
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