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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNER BUILDER DE.GANANON
<br />I hdrhr .lIm undd pdEly of pqjurr rhd I u q@o 6!n rh. Colf!.rd Ltos Lr* lor rlt rouowoB l!e'i (;.?01L5'
<br />Buh* .,n PEf6ion Cod.)r ary Cny or coudy whkh r.qrnB . pdni lo otrlrnlcr, ahc, inFovq &tmlifi or EFn oy
<br />tuci@ FE ro nr islllE, .!o Eqri6 rl* O9lt dl tor uh Fmit lo 6t. iiS..d riarar lhi lE or il a li.n*d F,$rr.
<br />!o rlE Foritb6 ol {E Codr*rd! Lj..!d.d L.w (CIrBd 9. (ttffiiis rilh Salir 1Jo0 o, Diltio. I of lh. BoliB .!d
<br />PF&sio6 Co&) or tld h d rb. ir do!9i rhd.iod id lt t .r 6r rlE dL8.d aaFi,.. tuy viohrbr ofsdion 701 t t b, u,
<br />.!pti.d hr. prtnn sbj6t. t,E rppli@r r. ..ivil Fuhy of ml mE fte 6v. hu.&!d dollr. ($m).
<br />L s oqE ofrlE FlFly. or 6y dQb'6 $ih s.36 B lh.t $lc NrFsdion, sill & d! wat 6d fi. ntEr@. i mr
<br />in.id.d d otr6.d fo. i& lsc 70a4, aNrE -d Pr.ftsb6 Cdc TL Conr..rd. Liog Lry &E d +9lr lo d orE of
<br />rh. FlFry utD hiLt d rq!6 dEoo .n wlb dE iri srt hiellor haEll d llrouglll ta q hd os mpr.rd.
<br />FoviLd rh.t Bh nryoEEr' E !d irdd.d n oturd lG .l lt Ll,4€, dE hr'&r or np.sgd i! sld rinE d
<br />'tot@'tpkbll. 0E O*G Buil&r wil tft tlE hr(b.fFo\ing lrlE JEdil rDl hild ninFow lh. FoFly 6r'lE F,po.of
<br />l.Eo*Gof E FrFly. u d.hliv.ly.od.xrins \nh k!..d codrrlG to N@M ilE p.oiEl tS(. ?04.1, &.ns
<br />!d holiirCo<L: Tn.Co'n..roat Lr.@ t * ilo€ Dr +plr ro e osE otFoFly *ho h{tk! o. inFo\6 rhdor
<br />od f,lr. 6ri-!. &( u.h FDiel' f,ith r Conr6o(3) Ii.6..d Fr!6r ro rh. Cotudoir Liw l^ )
<br />I m.ropt und.r S6thn
<br />O .,_ _ O'c:_
<br />rcrsrsi:(rlMrElsarQ!
<br />DEC|JAAIIq!
<br />I td*,y dlm u.&r pdny of Frury oE of lh. Iolhwin8 ddLdli.Bl
<br />I h.E ed will Eidlb t Csdfrr. olcolgr !o s.lf-lBB. fn ret6 oiF!ri,.. a Fovlj.d aor by s.(hn 1700 of tlE
<br />Lrtor Co<E fd rlE Fforl1re otrlE *qr tu $nih rlE FEir ir i$.d
<br />I h!c. &d sill minlcin $0*6 conFEllion i.ffi., s r.lucd uJ\ S<t$n !700 oarh. li.i Ctld.. loi lhc Ff{lr1e. ot
<br />lh. sorl for *hich thi! pmil ir L$.d My work6 omFNdion EurDcc 6ric ed polk, nlmbd @l
<br />c.*, ^ L i I e),+ -z 91 cnP [oYer< Ca t4 v-ll 4 v1
<br />..*r^,.u$4,16.g,2<6L1l,r/+H' e,qt-,O !..O1
<br />acl
<br />t7
<br />.-l.diryth.l in tu Fh,M(c of thc tro* for whth thB Fnn ir i!su.d. I rhlll ml dploy tuy Fe, it !., lME
<br />s { to beo@ ubj.il lo lh. m ar' onpoldion L*! olcllitomar md .srd lhr it I struld b..on. ruqd to lL
<br />*0.16' @nFdb. FDriiod of S€rion !700 of lh. Llbor Cod., I !h.ll fonh$iin @mpt *ih rlDr Forith6
<br />WARNIiG: Frituc ro (w rc*d' orpdsiirn or'6rs. i! lih*nil d rh.ll sUFl D dIIrhF lo aimiul FEli! dd
<br />civil fh6 !p ro om ltundEd thoNd &116 (tl00,i)00). in .ddnion ro rh. ..n of comFnntion, d.ms6 B |tovidcd fo. lh.
<br />Scrion 1076 ofrh. Lrhd Codc, hrr.i ud onry ! t6.
<br />-*/ Z-1-/l ^*.ZtrlA u-a .17
<br />II(E IIDCIIIIIAACfOAllclJAAllqts
<br />I h@by.rm u.dd Fdy o f Fjlry thd , m li€!!.d u k Ftrvitioi ofctu9to 9{@n1r6cing *ilh Selion TunD of Divisior l
<br />ol rhc B6iB !d Pot6lioB cod., a'd oy lic@ 6 tt tull to@.,!d.II*t
<br />,.*.*, J3
<br />^, /2-7 - // ..""*", I pd co* r:rlLL,ca lat aa
<br />cglrlxrgja!.Irlpllelcldcr
<br />I hc!t, .e6 udE Frry or Fiu,y t. rlE ir @'nltriE bniri@,6, th. Fftrtlr. onlE wt tu "tthrnirFni i
<br />ier.d (Sa. 109r. Civ. C.).
<br />Landa r Nh.
<br />AllUCAILDfJ:lJAAIlq!
<br />I hody.trmu.da p6!hyolpgjuryoe olrhc followils d<h. ioN:
<br />D.ftohion PmnlArt nor Norific.liod F.ddil R.suhionr (tirl. 40, Par6)
<br />R.quiEd tdlc of N.liftdir
<br />I cqlify thn lh. f.d6d r.suhlioB r.std'ns BtBlo mr.l !. .d q,tli..bk tu I hk Fni..l
<br />I cariry rha I h.v. Ed rhit .rpli..r ion ad ntl. thn rhc .bo!r inlomrion i! .on .r I lgrc lo .onpl, wilh ill Cnr ind ('ouny
<br />rdiffi ird srrr. LlB ElrilB r. boildins .oinru.rir4 6d hdrry .'rlbriz r.?.dri\'6 of lhit ( ny rd Counly lo nnd Wo. t
<br />.boE dio,t d mdv fd iEEbtr re
<br />^**-,.,^,-**,.,f,4iI) .- - n",l- -1 -/B
<br />Pd'r,cur.rprilo: t2A-Rj /r, /V A c. € ?
<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 />Torqueinq
<br />Sub-Panels
<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 Rough)
<br />Irileter Release
<br />Rough
<br />Service Meter 9l'^l+tr\r lSvl
<br />FINAL L/2.,r/,
<br />Notes, Remarks, Etc. - I - "'
<br />DATE
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<br />wlt?t/-?I/r//7./
<br />l,{ ,-an4
<br />-,.ictuNunba q o81t I
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