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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNEf, BUILDER DEI,CARATION
<br />I hqcby sflim uids Fulty of p6j@ rhn I m q@fl 6nm rh. Condm Lic l,v ror llE folh*ins lre. (s<.70!l 5
<br />BGtlB rd ProldiJn Cod.): Any Cny or (ody $hkh r.qIic. Fmi lo millrucl, .ts. irprorq &rclih or (Ft ,
<br />rlrurtue Fior lo n! isue.. ro Equn6lh..ppliol aor och FDn b nl.. sai.d nr6Mr thrl h. or nE i kaeJ Fr'ld
<br />ro rL FDrEirB of ri Comr-|o.'r Lta!.d t.e (Cluprd 9, Com.sing wnn Sdion 70@ ot Divilio. 1 oflh. BEinN .nd
<br />Prcf io6 Co&) or lhd lE o lrE i! .r.np{ lhq.fron .d rlE b..r for tll llkt d adip(Di. A!} vi.lrrbn of S<ri.n 70 r I 5 b, d,
<br />lppli.d for . Fnh sbifir rh. +pliol lo..ivil Frltt of ml morc lh6 liv. hui&.d doll6 (t500)
<br />l. d o\E olrh. FoFly. ( mr dipL)6 rnh qls6 a rhcn rk oqHadion. rdl & lh *srt rd dE nrul@ b nol
<br />Dtorlal orolt6.d for !.h{s< 7041, auin< od Prolaio6 Co& TIE (o lor!l-ilel,r&€dsly!ouoqGor
<br />rlEFtrFir- *ho hd m r+.r€ rlEbtr rn *n th€ *h sort niE.lr.r fi*laor lltbush hii or I'd o*n dplotd.
<br />Droviddl th.r rucfi ihp.lvc6l! d @r idqr<Ld 6r ofi*d td sL l[ ho*as. llE hrillitls m itgllsEd it 5ld *ihi. o* !d
<br />olompbiol\dE(xE e k ui[ 16! rhd6ofFr,8tldlEcJEdilrrrrbddirtftEllEFDFry6r E F,FEof
<br />t, s ona orrhc F.pdy, ,n .r.l$ircly conlE.lint wirh licd.d conl.scroE ro conrr(1 tlE troFr {sc 7044. lkin6
<br />lrl Eotsir Co& lt Coirr-loi! t,i..G Lq' do6 mr @l) ro e o$nd of FFly wt trrl& oi inpmr6 lh66n.
<br />md $bo o.r6ds for 3uch F!je1! wiih. C.r'Eclo(3) licd.d p6u.,n tolhc Corrddols l.ko& lrw)
<br />I m .rmpt unda sdirn
<br />!oaf,!85:lll![f.!isarla!
<br />DIiCI,ABAIIA!
<br />I hcrcqL amnn und.r pddrr- rf toju!. on. olrh. folt,tr ins &<l-d i.'N:
<br />I h.v. rrl wiu tuinhin 6 ( difrc.i. ol (-o@l ro sdfiGu( for qs*d a'np6nion. E Fovij.d for l,y s<ri'n l7(r o f
<br />'h.
<br />I ibG Co<L, fn llE FfM. of lh. uql ror n hah lh. Fnn E isu.n
<br />t h!( a.d rill tuinr& uork6' co,rFMirn GUrs., s ..q!i,.d bt sdbn l70o of th. L.t r (i'd., f.r OE tEf.mm.. of
<br />lnr \h'.h rh6 [).nni A '\sd Mr so'l ion ireure(. crris anpolicynumb6rc
<br />I c6rii rhi in rlE From!n..of th. srl ror *hih rhir rEmir B i$u.d.l $all nol mploy uy por,. in rn, nMnd
<br />$ B b b.(om tuhi.d to
<br />'
<br />lE hlta .onrEtrti'n l&. of ( .lifomia sd c@ lha 'l l lrbuk, bdoE $t d ro rlE
<br />\ ort6 omFBrion Fftn uhB ol S.dnr. !70o o I thc l,tor ('o{ic, I nEl!. tonhwrlh omdy wnh rho* t ovisiutrs
<br />\iARNING lidilur. rd -^*r. $ork6c comndn'n .o\dll. 6 trnlast{|, od dull iubrdr d dplo)a to dimiMl FukE d
<br />Lril 6n6 up !o oft hun&.d rh.usnd do
<br />sehon .ro7llrrl rh. Lrbr ( o&. inr6d Md
<br />,.,,-ttfu/2otz^
<br />.dini.n ro rh. .on ot .o.{.atdr.. dr 96 r Fo$doi nn ilE
<br />IECIAEAIIa!
<br />I hdby .rm u.& F6hy ot F iur, $r I e U(d ui& Flviid of Clj+lq I (o.Mi.S whh S.db. 1000) of Dt'ni,n l
<br />of rlE Bsi6 !n Pr.laioE Co<L. !d my lkae n i, tull lorc. til rrTdr
<br />1**cr.--- tr - -f .***".o 4167 -lz
<br />D.,. ? /oe /r^,2 ,."9,Y * //L-
<br />CqllIBlSJqll{dDUG.&CllCI
<br />I halby lrm un<lcr Frll, olpsjury lhd the i!. oldruclion tndins.sd.! for 'h.
<br />pqfom@. of lh.wo for *ti(h rhi! Fn u
<br />isu.d (S< .1097, cil C )
<br />APPLICANI NFCI {RATION
<br />I hc6) afm und6 FBht of Fi- r- oE ot rlE follu in! dEL,d ioB.
<br />D.molilioo Pdmns-Arbdrd Noli6.ar ion Fcd@l R.[ulnFs (Tnb40, Pd6)
<br />R.qut d l4irq of Nirifi cdnn
<br />I 16r ily rh.r rh. f.dnrl rqulrr bB rcSrding adBloi rcmovrl d. not 6lt ic.bl. lo rhre pmjcd
<br />I .dift lhd I h.!. r.!d thir ltphcalion d rt.tc !n6! $. {hov. rnfommrion s cotr.d I .se n, $nrtl, wnh
<br />(Titumd^6o,rhtr ( i\ 3nl (
<br />. ,ltt,tc / t
<br />L
<br />,{diMnc6 snd srar. I 6\i Ehlq r' hlil.Iin8 !.dtud
<br />irn\. nE, nd pfllpd) ro Bldlun Fytlt{?/t)
<br />^eerkr'd^rd'sh)yr1 -1-7P.mrrcun.(prl r, 54Ul /Lam tr c
<br />/oa /z"t>
<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 />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meler Release
<br />Rough
<br />Service Meter t/t+
<br />FINAL h'c 'Dar^,ru 15\3
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />€frfu!6tpr
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<br />ICommunications Cable
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<br />Sub-Panels I
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