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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNf-f, BU[DTA DELCAIATION
<br />I ffiy sfl'm u!& FlXy of Fjwy rtur I d .xaIPl 6on th. aotu .t6 Lilg L.s 6r rlE bllowilg 'a). (Sd70115
<br />Bui.< -d Prebio. Cod.): Ary Cty o. C@!ly *hah r.q{iB . Fni to @ltntud, .nd, ir!p..vc. darclilh or E .n &,
<br />nnrlc Firro i! illee.h6 E+iE llE @ltat tusriFni!o 6k.lign d.rqn $r lE6.rh. ir ltau.d p.llf,d
<br />ro llE Fovtb6 oad. Co|r.-t(.' Lic@.d L.e ((i.Fo 9. Co@ins vnh Sarion 7000 ot Dntb. I ol6c aci.6 ed
<br />ItofisioE Co&) or fid lE d rll i! aarTr th66!o !d tlt bGi for th..ll8.d qcqi Ar, *,Lri,n6ls<rio! 70!1.5 b, e,
<br />{pl'm for . FBd lbjqlt ilr +plK.d ro r orrl Frny of Er trm lhs liv. h,xH .bll4 (iJ@,.
<br />+tv,
<br />-1.d
<br />owol E FoFr,. r n).rpb)6 wilh rr86d rlEi ik o@dbtr rn!6 {Ewri rd lll otdR i d
<br />id-a.Ld d ofrd.d td ..1(Sc 7O|,t. All.6 od PrDtdis Co<lc Th. Codrrd r Li.* L.* .b6 i.r @ly to 6 otrG oa
<br />th. FlFiy rtD h, i d lrsoq ltdEil .d who do6 ut wt tiE lf d lEElf 6llmltl' hir r lE o*n dploy6,
<br />Fovii.d $.1rld lrsDEErt c 'd n.'d.d doitrd 6. rl. It tow. rlE bildiq d iryll.d i rld wihh w lsof6rplrb.. tlE o,E Boilb sin lIE 0r h,&. otFlti'e th h. @ iE dd Dt hnu o i,q!w ttr FlFty 6r E FrFn of
<br />L a ow of th. Fopqly. e s.l6iv.l, conlr*liu wnh lkd.d codrador to.oNhd tlE p.!la:l (Se ?044. BBuBrd Protsib Co&r Th. C6mBror'! l-i.d* l-!s do6 ml .pply to a oq,n6 o f ropart *ho buildr or ii'lsvd rhqo..
<br />ud pho conrB.r] tu .uch Foj.ft wnh . ftntEdo(3) lico..n pNu,n ro rh. ConrBcrol! l-i.N lrw).
<br />I m.rmd un.ld S6rnn B &FC Lrrl*aon
<br />Yo,,,f ir-2"r1 5d..- fLU ntl
<br />\rtnxFRs ci(rENs^rloN
<br />, DECLA{II ror\
<br />I hsctD ammun.l6 Frn) olFjr4 oE.f rh. lolhu irB &tl* i156
<br />-l
<br />hlE rd vill aid.n. Cdifd. of CoEr ro SdfiuG 6. $dta oq6.b'! - Foti,.d for by Sarir l?00 of rlr
<br />, LrtorC.detutrF6.lmoftlEsdl6.*tih E Fbit ir iq.d.
<br />I5 o* - *u -t- *rtd .o,Fddbn imc . equilit tr s<ra. r70o or E r,hor corL. ft,' rh FrdM. of
<br />th. *qi fd l.nti lli Fni i io.d My wdt6 oDFd.in iffi. mir -d poliy lMba t
<br />PolicyNmhq:Erpi6
<br />I cdiry rhr! i. rh. Frolfu.c ofrh. *o.l lor *hih rhii F{n ts su.d.l Cullnol nploy &y F$. i. m, nm6
<br />$ E lo baorc subjdl lo th. rnLd emFEdio. Lw of Crlifomq ud 4r th iflnbuEt com. tlbr.rl rolh.
<br />wr[6 compdstion pmvilioB of S.cl6r ]700 of lh. Llbor Coda I sh.ll fonhwith .oBply wilh thor Fovnios
<br />WAnNING: F.il@ ro sw. mrl6 sq,osiion covdlc. a unlauful, ed dBll rubr..l D dpldF ro dmin l Ftrhk. dd
<br />ciril fr6 op ro oe hort d rr$loi dolla (ll0o,0oo). i. rd<lirio. io th..on of.omFru.ron, dlmgB s pre\id.d aor th.
<br />Selion 10?6 ofrlE hbor cod.. htad !,rl !'totrr'r 46.
<br />f"'"'-7.f ' 7ol-l
<br />I hd*! rllm ui& FMry ol Fru) !h, I m loEprn 9 {.on1JrB ins qnh sdnn 7000) of Dn i!b. l
<br />of lh. BBi6 d Profdioa Cod.. in 6l l.6e i! n rull roc !d.rar
<br />( onlr..lor
<br />CAIIIAUJIoIIEXDIICIGIB{:I
<br />I horby 6,Im urdd Fdly or FJ!r, lh.l th@ i! ! mdruclbn L.dr8 .Btry tor th. Ff(ru. ot lh. Htrl trr \ hrh lha FDn i
<br />isuoi (Sa 1097.cr ( )
<br />ladd s Addr6r:
<br />A.TIUIAULDEq.AAAIIO!
<br />I ho6r .trm u.dq Fn.ky of Fjuy o* of dE rolowin8 d.ch.niod:
<br />D.mhi,n Pdrhlkbaror Norifi..'ion t.l6.l R.guhbN (Tnh 40. Pd6)
<br />R.quird td's orN.ri6<ibn
<br />I .sliry dlr lh. &(b.l Erllli@ ,t8.{&s .b.r6 loEd e d @IirbL lo rhir roi6l
<br />fr*,rr ,n' , ,.* ,-o ,lE +plr r $ d na. rhd rtE .h'E bft)rEibn ir @.rEr. I t8r ro 6rdy vib tu ( iry .rd coudydiB.lc lld Srr. L.s Ellt
<br />'o
<br />h .,ry ffibtr rn halt,, rrnoriz rqEdriE olrhir Ciy -d County m dnd rfon rl:
<br />.h.v. di,..d Fopdr, for iq.c'dlF,F.d /
<br />/^,,*,o.r-,.ro,.., l)il$1' zr - z, t7
<br />'Pmhcu.,pr,.o: I t'tTo-lt l!fryd T.,
<br />'l[tllt]i
<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
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilin gs (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter ---)
<br />FINAL // /l//t '2W4
<br />Notes , Remarks, Etc /t- / L/
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