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ELECTRICAL-INSPECTOR RECORD <br />COMMENTSAPPROVALSDATEID/SIG. <br />Underground <br />Pole Bases <br />Liqht Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Lile Satety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bondinq / Groundinq / UFER <br />Transformers <br />Torqueino <br />Sub-Panels <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilings (Hard & Soflit Rouoh <br />Ceilings (T-Bar Rouqh) <br />Meter Release <br />Rouqh <br />Service Meter <br />FINAL k \r-tr \ 16 /,4Ai) <br />Notes, Remarks, Etc <br />I h.r.hy .run ud.r Fn Ir,n Fi,ry rhd I n.r.qi rmm rhc Cnrrdos' L.!.4 L* Ior rlE lolt'*r8 E.nn lsa Toll 5 <br />Itunn.rr rd P.Df.$r'n c.'-r.) tuy C'ty or C@.ry *hat r.quNr i Fd lo coNtur. th(. iqxsw. &mlirh or tFtr !n, <br />(rud!r.,,rrtr b ns nru.Bc, rlvr EquiE! rlr. $rlrtur rd su(hFmrlto frL a lrsn d .r.m.l rh.r ttortn n lu.ncd lumlnl <br />b rlt ltrrsNns ordE conr*llx ! LEn<n l.w (Cnrpkr 9. (\mtu,n8 w h S.cr.n 7000 of Drvnrn I ol llt Bxiftn lnit <br />Pnia$$nr C-qL, or rh.r lE r{ {r ! .r.mpr rlrrdrn !n E tlrr ror rh. JLld .r.qfun. Ary YnLrrn o, Sdbn 7o1 I J h} .nv <br />.F lxur ror. rEmll lohFr! rh. .r4lrsr lo . ov'lFDhy ol Err rft rh.n liw huBir.n L!,llF (t500, <br />l,.r o*mt.t.lr F)ttny. or hr.EFbF.r e h *{4 rr rl*r glk con{xndb., } l & r,E H't rnl rrE (uiw ( d <br />ior. dl or dn r.d ror eL (Sr ,t!4, Bulm* rn.l Pnrcii,nr Cql.: TrF Conr8kt ! l,k.n( lr* .ler dn qltly ro u own.r ol <br />rhc IDFny wb tllltr or Erk'tr rM6tn. rnl *h) &s tB{ F hrmsll or h.r*lf o. thourh ht u lEr o}n.q)lovc.t. <br />otuvrLd rhd iurh inF&mrrr e d, in nL{ oll.rdl l$ sL l( h,Eq. rh. bullluu n lqnrtftd . r,! *rtIE or ,!r <br />orurl'lrrh tlr O^rr audLr w h.E rtE hr&n orrEti{ l|ld lt { rlr Jll d lnUl,x,rlftt rtr F)l6y r., rlE F,F,{oi <br />-1,.t.wftr.l <br />!h. I'l'Itn y. .n crclusv.ly co r og wdh l'!.ncd .od.rk,u k, on<ru(r tlr FDjcr (Sd 7(x,r' 3u<ms <br />,r llDhsrr ct'd.r 'I'h. (ir rtt 's Lic.nlc l.r* ,l E\ Bn "llly n, d own.r ol lllp.n y w,x) bu,ltl( or rmrErv.t rh.reon <br />..d qh, codfl.ls ttr luth I'(*.k *ith d chnk(k,(O l..nEd trr ru,nr b rh. contrcttr'r Luns ll*) <br />I rm.r.nd unLr Sntu <br />Drl.: Otm <br />B IPC li,r rhtr E1qr. <br />ItgEElESrAUtAilAr9N <br />DECLIEAUqN <br />I h.r$y rlltrnuod.r Fnrhyor Frjury.nc ol lhc l,nhwor Jclerri(,n\ <br />I h.E rn w l driu r Cd'frx. oi Con-d to S.U-InM nx krt6' of,FNrrn. FoviLrl n by Sn'.n l7(n ol rlr <br />tlhd a'{i.. r lllFlo|rll&rof rlr wt td rt.h rt* Fbr ! !ru'l <br />-l <br />h!r. rrtlw,ll Drrl'n stl.^'omn nqrtr'n rnnna c. 11 r.qutr.ll hv Sark)n l7rx,ol rht LhtrC,rL, t'trrhc pcrliduR( or <br />rhc uDrk kn *h(hthtr,rrn r\ rn'd. MYw.rk.n d,mpcnsa.on ri{trrec rfrcr mltrrry nunh.i c <br />-l(drlyrh.r <br />hlh. pcrlorNB. ol rh. *oik li, qhrhrhN lE.m ! nrucJ- I \h1ll n, .n{'Ly .ny IEB'i 'n.nl fr-rcr <br />h rst,l.Lotr \ul,j.rt ft, rh. workdi con{.nsrr$n h$of Cal,fi'h,r. rnti !*r.lhd n I dr0li h.com ruhr.r r0rlE <br />*o*.r( (m[!.nsrr <br />'on <br />pnlvs$n\ ol Se ir ll?(Xl ol ih. lrhr Cqlc. I $.11. nfih* h d,hlly I <br />'rh <br />tbt pnrvr$n! <br />L rdl rhrll tbFr r or{*! <br />.prl lir! un t' od fi! rd rt$uenl dolhn (llur.()oo). b rlll.xr ut !$Ftri.JltrtlE <br />S.dtn 1076olrlE bhr C'xL, d.Er.,rl rtfty l ie!.WtonDrl.:- ppllflnl <br />DECIJSAIIq! <br />I n r.t'r.Irm ulLr p.Mly of D.,iry thi I n lt tr3l urlt F hioi of CtIrd 9 ( <br />of rlE Burcg rn PDftsB Cal., rn 6, lf.nr n o tul (N tn.flar. <br />rEb! wdh Sdr bn 7fitr) .1 Drlnon I <br />L,*ns. Clr$:- <br />D.i.: <br />-Lr.tr!. <br />Nu <br />SiDIIIBUqUAN!AIUEC-d{iE&Cr <br />I h.rh, dffuh !n].r ,rn.liy oi Frjur] rhd rh.E 6 r onnturrrn Lnlo!.8cmy ntr rh. Ff(ru o, rh. wod tu whrh rhF Frm E <br />ts!c'l (S....1(})7. C,v. C.). <br />t lcr'r N.n. <br />- <br />L.dcrr ^lt <br />q <br />-APPLIC NT DECL RATION <br />I hdry lnim ud.r Fn.lly ol p.rjury om ollh. n,l!,*ir8 d{h.rrktn(: <br />D.mh$n P.rnir$Aitrrt\ tldrr,c.lnn l.J.fll RquLlhn\ (Tnk 4r, Pin6) <br />_R.nu!.rt trk, ol tarlitrh <br />-I <br />Gnrlyrhd dE LJ.r.l EllLrnN ElrJra r{*{os EBrv.l N nn.rdxrbL b lhtr FIc.l <br />I!.n'lyrh, l hat. r.rlrlrN itplf,iron ifrlnrr. rhrrrtu xh,v. 'tr1'tiMri N..r.(r t.Ukrh(n\nyPiIrll('ryrnJ(itt v <br />!^li!.Bci tEl Srd. tle. Eh!v lo tdilllu3 r, <br />ftnr mnrNEd pfl'Irny n{ n.F(rbn p!.F) <br />,tOpli.. o.lr.nlSiiBr{B A <br />h.rchy.uhtrtrc rcIrcenrrr 'vcsol rhFCny!, Couniy (,.nrd nli)nrlt <br />,^,., 4lz?:ltT <br />-il <br />Site-Work <br />I <br />I <br />I <br />I <br />I <br />Air Conditioners <br />I <br />I <br />I