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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough nVt\fl P4/4Al
<br />Service Meter
<br />FINAL to\r.c\11 l.^u, r\c\
<br />Notes, Remarks, Etc
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<br />OWNER BUILDEN DET,CATATION
<br />I ha.by lmm und6 Fdty of pcrjury thd I m cr@pr linm rhc Codr..1oE Lic6. Llq for lh. lollowiis r@! (sc 70ll 5
<br />BBi"d r.d Pr.f<hn Cod.) Aly Cny or Cody whth r.quic ! Fhn lo odtuc! .1t6, imF.v., damlilh or r9.r a,
<br />srNclue Frrro irs isu4q al3! r.{ui6 O. ?plicet aor 3u.l' Fmn b,iL.li8nod nndd lhdlEor!n i .ltrBt oua{rr
<br />ro th. FDvtio6 oartE Codrsroir Lic.n.d L.w (clrpt6 9. Comdin! *nh s..!io. Tslo .f Divirbn I of th. Bui.B drtl
<br />Prct6ioE Co&) o. rhlr lE or 3h. n adF rhictom ud tbc ba.i! for $. rlkr.d .xstrprion Any vioLlion ofsdb. 701 I t l, ot
<br />rr?lter fo, ! Fai lubjdi th. .!pli.ot lo r civil FMlty of not morc lhu fir. hudr.d {10116 11500,
<br />i. 6 ow .f th. FoFty, q ny dnplo'6 virh v.s6 a rh.t sb .onpadion. wil d., tlE rst tn dr cldG ! tul
<br />imod.d d o6n d for sL (Sc.7o|4, asi'6 xd ProfdbN Co& TIE Cotr-doar liu* L, &6.or eplt ro x o"E of
<br />ln.FoFty vho h,il6 or inqo6 dEod .n *b dG *h sit hi4lf or haslf .r filuth hit ot lq oM alrplot€,
<br />F.aid.d lhd sh 'E rcErrd! c rcr ncxld d oEld ,or ,.L. lt hoge6. dE rlddiB d i4ruErd i -lil *t!n N ,s
<br />otongbin tlE(}r6 erildd sil t w lb. hd6 of Ftrt dr lE M CE dn td hild d it4rct $. poF, 6r tlE Frp(E of
<br />l. s ow .fth. FDFty. d qclliv.V or.r&1i!s $nh i.dB.d ..drd@ to 6dM tlr Fij.< (Sc ,044, &!i6
<br />.nd PDtr.irr Co&: Tt. CoMoir Lk.E L.E do6 d .pplr lo e o$ns of Fopdly $ho blildr or impr.6 rh-or
<br />.nd *ho onr.d! fd *i FoF! wilh . C6tuo(r) lidE d Fl,:d r. ilE C.rrdM r U@ L*)
<br />lecrad @da SdDi .B APC for ln! re.
<br />D.t. _ Oddl
<br />$ oRxErsfoMPB{s TloN
<br />rEcL6lAIIo!
<br />I hdd' .rtd uldd p@!y ol Fidy G ofih. folbwi.S dclrabE:
<br />I h.c nd *itl Bir.n . Ccift!. ofcoN.d b Sdf-l!@ fd wtd oq@rioa 6 Flyii.d lu by scrbn l?00 olrlE
<br />t tor c.&, fd IIE F6ffi oirlt *o fo. $tth tlt FEi i is!.d
<br />I lB..!d *ill Midrin *ort6 o$p.6abn iN,u.. B EquiEd tr Sdb! lTm.lrlE t bor cod., lor 'll F drle. of
<br />ilE mrt ld whth rhi Fni ir isdl My wai6 otrFlron ij*Jft. c-ii rn Flk, mnbc r.
<br />_ I cdrit $r i. $. Flblrl@. of rh. *Drt 6r $trh ft6 Fnh i. is!r! I Jrll Dl 6t,ob, -y F$n in xy I:!lE
<br />- 6 ro hdll* stin b $. vdt6'Ntr'FErbn Ls of C.lilomia rn *c lhr if I nDuE t6or ulicl lo ttE
<br />mrta 6,psdi,n FDvi3bE ofsatiD lr@ ofln. t bor Cod..l Crll. Gdnrnh @nrp, sii E- Fori'im
<br />WARNING tritu( ro ldc so.Ld onFlrio. .o€.s. 6 rl,*tul rd ndl $tir:r 6 drplor< lo orDd pqdb !n
<br />c^il fi6 up ro oG huxi.d rhoE ,i &rlbs (rl@.000). in ..ldtbn ro lh. con or <omFlaio( d.dga o ltotA.n f.r
<br />'lEs.dDn 1076 olrh. t bor Cdle rr.d.d
<br />^,. {'z- t'l
<br />!]!!L!!t!!]!1]
<br />I h@hr lmm un&r FtXy ol Fjury u.& Firirio. of Ct pta g (@!tl!l4ins $nh Setn.70m) of Divirhn I
<br />of 0E &!iE rd PrclsioE Cod.. t'd 6y lt.e it i, tull lore nrl cfid
<br />,?tt z sz /
<br />as,4
<br />I heb, stfm undd FEny of Fjury lh8l llEc it a
<br />6ru.dtsd..1097, civ c.).
<br />ldidiis rstr, f.r th. Ffolrrm. of lh. w.t liir trtltl rha Fnn b
<br />APPLICANT NECLIIRA'f ION
<br />I h.*y arftn u!d6 paahy of pcj!ry o@ of fi. followi.8 del$.rionrl
<br />D.mohiotr Pmit!-Aeb6r6 Nori6.dio. F.dE l R.8old iod (Tnt 40. P.n6)
<br />Rcqun d Lirla oaNoufidion
<br />Esulrtiotu ,csa&ng abdro3 do\ rl &. mr q'plicabk ro thi! prcjd
<br />,dd rhn.pplicarion rnd sr.t. rhd th. ahov. infom.lion iscotrc.l.l4rer. coioly *irh.ll( iryrli (iu.!y
<br />LaB BlarEE ro hrildi.S codrucli.tr ald h6.ty.utlnri,. rcF.gndivB 6lrhir cirydd ( ouniy'o drc uBtn rtE
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