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ELECTRICAL.INSPECTOR RECORD
<br />OWNAT BUII,DST DELCAR TION
<br />I tmby afr"m !nd.r FDh, ot pc@ry rh.t I d.r.iir tbn rlE Co dffi LatM tr* fttr
<br />'lE
<br />ldbwn8 s$n (S€tu]I5
<br />Bulimrr rin Pror.*i.n cixL) Any Cnt or Cou t qhkh r.qunct i IEfrir ro on(rucr. 3lrs. impNve d.mliih or tprn ay
<br />{BlE- Fri ro ir( isu4!. tho rqliE. rlt .tl?lrel ,or (Eh Fmn b 6l r risEn {.lcmnt rhd tE 6. dE ir litn:n Frlid
<br />ro lhc r!!nn,ns of ll[ Conlfuclorr L,ic..{n tr* i('nlptcr 9, ConftrinS *irh St.ri,n 7m) of Divi.ion I ol lhc Eurircrs .nd
<br />P,nlc.rbni Cod. r or rh.r h. d rlr ir .rcnq,r t,EEh,6 tud rlr l$i. ror rrF ,lhgln .r.ntrbn. A.:,virhi,n ol S.<rio. 701 I t n, uy
<br />rpplr! t r r trmr ohj.rk riE +0lt.nr ro ! oril FNlr, or mr m,E rh.n fivc hu.dr.d dorlr! I lJul,
<br />_l- B dF o,rlr FoFnr-.n m, crDldFi *nh *r!.r tr r,Ei.:!k o,p.nqr-,tr *ill & rlE *st In dE (nrlE ir r,
<br />id.nLd or ofldd n, rk (Sd 7(x4, 8u.i*s.rld Pnrl6in. (-.n : TtE Colnr&rc r lirns lr* dB n ,pPly ro d tm of
<br />ihc rdld, wlb hiilh d [$DB Dsatr !n atr' &s skh lolk h,mrclaor h.rElfor rlmngh hir u ls own.mploy..i,
<br />pmv'.bd lh.l *h !r!FEEd. E nn ir.diLd o .6dd ,u st lt lnffi, rlt hiBlE d irItmld t sld *ahh d !r
<br />ofongLlbll. rh. 0!,6 BrilLr wi! llR dE tut{ or FDvirB lha lr i, {, dn d ho,B u iqnE dE tmFr, ft, rl! ,tFE of
<br />I. nsow*rofrhc |ft{try, rm.rcturiv.lyconrEdo! *nh lftnkn (frftlE ro sntltuci rlE F)F1 (sd. 7or1. BurRs
<br />a,n ltlre(i6 Cqi. Tht Conukrol! Lk.nE lr* ttE! nor lpply ro .n .{Br ol proFty }lF huild! or inpnEr lhdon.
<br />.nn rlrl 6tur lor *h FoF. qnt. Corts(ril3) larn*d pu^d ro
<br />'lE
<br />Co -r(\ Lj(w Lir)
<br />I rtri.\. 'r! u'ki.r Srrnotr .ll & l,( lnrih^ rcrs,
<br />I)al. ()*n.r
<br />1}llaf,Ealll:9llflasrlr0!
<br />Dl-cLdRA I',loti
<br />I hcr.hy rilrtrr trn,l.r F.nalry.r p.rJtrry om olrh.l{)11,,*'n!,ll( hrnri,,x
<br />-l
<br />ME.,n *ill mhr.h t C.nifr.r. olconcnr ro s.ltln@ fd wl6 oqrrh.tnn.8 Fovd.d ro. by S6lih:!nro olllE
<br />Ilbd Cod.. ror rh. Frloll'm. of lh. wrt for *hth lh. Fmn n is.u.d
<br />-l
<br />hr\t nrl will rnt.in $rt6 ("tFn{lion insnr.. .r rcluuEi hy S.dbn 1In of'lt lrb.r C{'r,r, fot rlE Frf(l|llEm nl
<br />th. work for whichlhis,Erm ir nsrn My*orlm (iqEnsli'tr insururc cMicr Bn [*,lty nonb.r e:
<br />c"'' E\lEg€<r AJ ArroAJAL- r^)s
<br />p"r", N,-r., -7(, oo o or { a 3 tQ \
<br />I enifyrh{ in rh. FrrornEre or rh. work fu *hi.h rhn Frnrir ir nlEd.l rhlllfrn cq,bt rnyp.,vr. ir r.y mntur
<br />a .. t, lEom euhi\r to llE rorts. oirlEnrri,. L*i ol C.liromi. dd .gd rhd if I asull ls.m rut!.< h llE
<br />*od6 o.lFnqri,tr pmvnnrns ol Sedion lnn otllt lilxr (ildc.I duu- todh*ilh d,npl! *arh rtnt,hvirt,ns
<br />WAININ(; Frihr. ro GE *r*6 sqrnn'i{ owh*. r nnh$rul .,n drl .ubF m.r{,llF lo siniul rEnli: r,n
<br />civil nn r u! k, oft hundEd lhouqBl dolhF l!rm.(xD). in lddilhn
<br />'o
<br />tlF co( oI cotrqEtrulann. drm8.! .r ptovncd aot rlE
<br />Se! i!. 1076 of rlE l:lu clrL. inrftr !i ,tmyi f€r
<br />uclM4cQuuac8ra
<br />DEgBIAIION
<br />I rEEh, llfirm undd Fndly of lErjury llEl I !n limsl u.dn Ftrvihn ofch. cr I (srncxirs wirh Sdbn 70i.IJ) or Divnirn l
<br />of rh. Burifts rn Pmf6rb.! C.rl., d ny lace r r tull rore !n.ff.1
<br />.-,*., 3lrq lzo r 1
<br />.n "-"n* B, A. c- 9
<br />o.,.fma a 2t z!L6 -.*"*n.'o,b0431 o
<br />i4!* @liry arDri
<br />IaBSIf,I]SUOITIEdIIIEIiICDNII
<br />I rxEh, rfl,m uftLr FMlry oi Fjury llE rlE t . o.{nrlio. Hh. tScrt for tli Frt(m ol rlE krl ld *ti.h rhir Fnf ir
<br />hrucn (ss 1i)97.civ. c )Lrnkil Nor
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<br />AIIIII]TNI.IIEqAAAIO!
<br />I hdd, .fm undclEtull, ot Frrtry ot ol rlt fou'*ins &rlrr i6nr
<br />O.frnni.n P.rmr Arh.nor t{difdan tunl R.8uhihns {Tnk {{), Pd6)
<br />ReluiEd lr(d nl Mrifkdbn \!
<br />-rrdrfyrhd
<br />Ih.vrr.!drhr! t.rir irr.r.'hdrltan,w inlotuion t con$1 Irsr.lomnplyeirn.llCirtr ('oxnry
<br />ordiMturr und Srdr. lrwr mldirg lo hiuin8 .o.(Mrir,tr ., rEEhy ru'htrn. Elr.snllliw. of rhn Cily &d Counly to cnt6 utnn rlE
<br />l.r'r lv rhJl rhc lt'lcfl'ln l:trhrtrin\ rc!mli',S r\I\{o\ 'cnn,vrlrr. n.( rI,Ilf,rhh n, rha pR,J..r
<br />p.mIF nom. (prinr r, Efe-rl- BLv'"..
<br />APPBOVALS DATE to/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monumenl)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundino i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflil Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />t
<br />Rough
<br />Service Meter )'-
<br />FINAL .z hn 14 nba
<br />Notes Remarks, Etc
<br />-7-
<br />Meter Release
<br />T-
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