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ELECTRICAL.INSPECTOR RECOBD
<br />APPROVALS DATE COMMENTS OWNIIT BUILDEN DrIC RATION
<br />I hcrchy riirm unds |Icrohy of p.rjury thd I m crcm, lmm lhc ConrElo6 Liu€ lj* nn rlE ll,|t,*ing Ers. {sd mll-r
<br />Busin.rl !d Prorcs.i,n Codc): Any Cirr.r Counry whth rquiEt r Finn k, co.{Mr. 0h.r. iq)rov.. &mlnh or EIEi u,
<br />1tNu., Fix ro ! sffiq rtar Equt.r th. +tlad ror skh Frd b 6l r ii!ftd rr.l.G.r rhd tE or nE k lirnrd Fulun
<br />ro rtE FirioN.frL Coniturdi l-tcnEd t $ ((-lul,( 9. Colft-inA r h Sdiln 7(II) of Drvnim I olrlE BlriEs.nd
<br />Pmlc(irr C.d.) or rh.r lE c rlE N.r.rf{ t}.rfnm.!n th b..k fir rtE ru4.rd.rq{ir AnyvtuLli.n.fSdi'i 70.115 hylny
<br />apiiclnl i(n a Frnrir rutj(r\ lhc .DFliu rorcirilFuhyolml mrclhu fit hodEn dollE (t50)l
<br />_1, N .*m of rh. F{,F.!r, ., ny cqrtrF$ *nh $!rcr !r rtEi, $k s'nlrtrdbn. will& rtr sdt,ri rlE iME t ni
<br />id.o.trl or odd.r, fd {k rse 70a:1. BuriB!..d Pml6lrfi Cod. TtE a. .doi. tr.m f.r dB nn rpply lo & oIBr of
<br />th. Intdy *tr lliLi or iqnra rtft{ an rh' &- u+ *, hitull o. }r*lf or rtmrSh ha d ts o*r .n?hyrr.
<br />Fovilcd 'Mr rNh in{mmdt n n,r hdLd or oflftn ftn rL. i- n)[ff. rlE lxilduB o, itrF)EEln x ild w.h'n or FrofsnBlLri,..rh.OwmrAuiu.rwillhlErh.hrd.nottmvinglhdlE,{.dddhdildorirlIroEC.,rnrtEtytufrpuqF$of
<br />L r\ o*B or rlE F)Fdy.m.rduiEly.lfudr *irh linrn.ond6 b.nNMr rlE Fitr is( 7(x4. BuIs
<br />un EnftalnCod. TtE Codrrloi! ten- b* d.xr Ln.!pry h & oeB.fprcrErly sho hildr or i'rrDEr rhdon,
<br />ud *lx' onLr1r r fth,mFh enh. Conh.b(r liensrl FnEd ro rtE C.n'tu1m1 Li.nc l,r).
<br />I.'n.r.mr udd SNlion .B AP.C LrrhFHon
<br />D.t. (}r*.
<br />lll4f,!8ti-collrBtArlad
<br />DqoaSAlrlltr
<br />I h.Eby lmrmundcr FMllyofpdjuryom ofllE folld*in! d<lxflrhnr
<br />-l
<br />h.E rrn vill mi.hh. cdiar{..r coMd h s.lt.lnoE fo. m.tdr'orp.trdirr. rt FDvik fn by Sdnn 1r(r) of rlE
<br />rrbr ('rJ.. Ie rL F im of rlE krt ld rtth rh. tsnn i iro.d
<br />_l hav. .nd *ill minl.in *ork.R ..nFtrrorion insutuft.. !s Equircd by S€lhn l?fri of llE bbor Codc, for rlE Ffirmre ot
<br />lhc Htrk ltr -whth rhir lErmil is krBd. Mt wdrnr' mn{Enrarion inrurlm. .Mtr rn Fli.y trutrtbd Rl
<br />C4 :\.q 3
<br />-l
<br />*nrly rh2l in rlE FrlonEN olrh. work lor f,hrh rhn Frnir n Frud.l shlll not.r{'kry.ny tEr$. in r.y murcr
<br />$ !t b tRlr suhirr ro rlE krt6 lrqEni,ion Lr! ol C.lifomi. .rd .ar rh, ir I3bold h.r,ft dhFr ro rrE
<br />ra qa .rnq.nqrln Im)!tit6 o, S<airn l7m ol r lrrr Cod.. I ll\.ll- Idh*ilh orrl t rirh rlr'. ttuvkitm.
<br />oft hundrcd rnouqnil dollor. (tllx).lxrr), i. addnk r,lh. co( ofconvEnelion. d!pr8!{ !r Inl d n, dc
<br />ri r ,r',
<br />i[tBTErr s \
<br />I h.Ghy rrtrf, und( FMlr, ot Fjury lhd I m lien<i u.kt . rhri.i.i or(tEprd 9 rRrmftmin8 Bnh S(li,n ?uI) r or Divnhn l
<br />of rh. AosiE\r .rd Pr{6ri.B cldc. .r!d n, ltctrE ir in tull roN atnl .fidr
<br />{3 O o\4ocq
<br />101t,,,.,*.,,,. \)'-'rEB 15 qa irBltrlrrNrl;aud{iaalB.l.I
<br />! tr(htolft un s F nrlry of Plrjury rhd ih.rc n ! $nnn'Lri'tr lcndin! +ctrcy frtr rhc t*rturnumt ur rh( $ltrk for f,hieh th^ Frm $
<br />i*ucd (s$ l(1J7.(i\ ( )
<br />ATELIIAIIDEgIjIAIIIN
<br />I hdtt'y.trmu .rD.n,lryof D.rpryorolrL folhBi..&{L,rlbnr
<br />*mlnrm P.rmirrArlEnor ftdifr.!nn }rdcnl R.alLrirn. (Trl..lO, Pd6)
<br />-Rcquiad
<br />t ns of M'rirurioo
<br />I.difylhd rh. rcd.r.l rc 8uLt ir.r rc8rdin8 !sh.{ur r.nsvrltr N .,}rltlbL lo lhil ImFr
<br />f i, ,h.t , "* ..o ,n. .ppri.ih. qt n,. rhn il!.rbr nr c-qit r!hilCi) r ( nunry
<br />rrtu.C v ad Cou.tvh nrd uFn trronl'nam$r'xlSrrrcljtr\(L in8btrikl'nB.oh(rucr
<br />trk,v. nrrrktrrd |m)l{dy nn in\pccrrn'
<br />ApDliurr o. A8crr sl*ururc LIV"-.-\.,4 rqy FFr ,{ lirl'r
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />LiIe Sa tety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />Ivleter Release
<br />Rouoh lrt S- i#{\t-,-El"'*
<br />Service Meter
<br />FINAL 2/'s/tq q.:*n Eill qN
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />I
<br />.\.\q ,
<br />4/t
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