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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 I I ,
<br />Bondi / Groundi FE I th r 7//i/8,0+'6L):I rl
<br />ITorquerng
<br />Sub-Panels t [,)f))[1r/t6\q
<br />Air ConditionEis
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)tl i
<br />01h,4eter Release ls
<br />I
<br />lt it
<br />Rough L 1r1 }{I lr,t4
<br />Service Meter 'v\/
<br />lrlotes, Remarks, Etc -v t .r u- I r\z
<br />tao r!
<br />ltlt,J
<br />OWNER BUILDER DELCARATION
<br />I hd.by lIfm und6 Frn! of Fiury rni I 6 .rqn ( fo6 rlE (olrr.roB L(og l,w f6r t,E (rlheitB l n (Se ml l 5
<br />BGind et ProfBio. ( od.): Ar, (-itt or c.!ny *tih r.qlic . Fnn ro odM. .na. inF.r.. damlirt or rqln dy
<br />iru.lu.. Fior !o irs isum., .to r.tut6 th. .ppli.@r for ruch Fmn h n!. r lirn d stlldd lhn lE or sh. it lirdsoj pu&dl
<br />'o
<br />rhc rmviiiod ot UE Cofi&roa3 l-kc.!al Il* (Ch.pG c, C6mfti.8 *nh sdion 7m) of Diliriotr I of rh. Buird &d
<br />PDIN.N Cod.l or rh.I lE or iE i ddrq tlE fron !d rlI t-s lo. rh. rlb.d aoni. Ary yoldM ol S!.ri,n 70.r I 5 tt rni.l
<br />dppli.sl for r t m 3ubjd! rlE .ppli.6l ro. ciril p@!hy otml hoE rhu fi v. hun&.d dollm (1100).
<br />l. a .$n of rlE FoFrt. or mt aIphr6 *nh u.s6 B rltr $L onp.Mion. sil.lo
<br />'lE
<br />rut rd tlE *alE is ml
<br />i'noldql ror6.d aor slc (Sd 70i.r, BllilB Dd Piofdi,B cod.: Tn ConralcrLitelndr6ft'r{pryroxdtrffior
<br />rh. I,lrdy Rlb ttrik! ot imrmv6 dE6a ad qh. <bd ech "r* hin!.lf or h.*lt.r thFurh hir o. h6 nM dplor6.
<br />ldovidal rh{ 3u.h inFrlffi ft mt dsddl or.ra.d fi, E]. l[ lbe, rh. tlildina or lrprol"€d isldwnhinon.yw
<br />of@npkri& Or (xG &,L1, si( h.!r dE h&bi ofFoi,E rhc lE or lrr dn d hix or !l+..8 fi. F$F! fo. rlE F F: o,
<br />l. d o$n ofrh. F.Fny. o.rclBi!.lt.onrdins $nh kq6.d codtuoR t. odrur1 tlE D.!j.d 156 ?04J.ltritB
<br />.rn AblBinCod. Th. Cdnrdloar I-t.@ tr* d)6 rr q'ply ro &.und of FnFry sho h{ildr.r tmpre\6 rhdo..
<br />sd *fio mdd3 for qch pror.di qirh r Codr&lois) li.6.d puRd lo lh. Conr*lc r Lt@ l.w).
<br />I rn.rdtr unds S(ton
<br />lfr.'*r, lfu$oR^tla! toMI'Ll\5,\ I loN
<br />!11( \R\ll())
<br />I lFfrr( rrm un&r Fuh'.rp6iu4 ft ofrh. nnku i'\s &rlI.riom
<br />I hrv. a.d *ill tuiorM ! ( dlitKlr. orconsr to Sclf-lNurc lo e ortd cooFB.lion. u Fovd.d lor by s<hi l TLxr .i r h.
<br />I jer Cdc for ltE pafm. oalhc *!* 6r sn(h rn Fnn i isEd
<br />I h.v.ind*ill mrim6i. sork6 .omp.n tio. iilurm.c. ar ,.!utnl t, sdtion 1700ofrh. Ltbor ( od., for lh. p6fom (.ol
<br />lh. s'L fM whkh rnii Fhn t isd. My sorl6 omFdion iBuru& csir rd Flky n!mb6 {.
<br />I cd,rylh.r 'i trr !df.r@(.orth. u'or[ lor \t.t rhr Fnir $ ir.u.( I dullBn dpLir rny pq$n n ynMn6
<br />s a to tEom subjdt to lh. wort6' Nmp.Mlion l,ws of ( rlifomi& Md r*G lhdr if I 3hould h.com. rlhjEl lo
<br />'h.r!rt6' smre!.lion FornFB of selbn !?m olrlE Lstor Coda I iEll. aonh* ilh coBp! vnh lhos Fn\ n{'E
<br />wAtNlNc: lhlur. ro $crrc *orkcJ .o,np.G.iion .0168. is unh$n'|. and rhill robjel an anployd t. Eih'nal Fuh6 and
<br />cnil fin6 up lo o.. hu&.rl rh.usnd dollc I 1m.000). in rldhio. ro rhc cor ol conp.Mlion. d.,M36 6 Fo\d.d ror lr.
<br />sdi{,n 1{176 ofrlE l,lrr c.& i.rdd
<br />ot.( l.\R\l()\
<br />I h6.tr 6rm r.dd p6ahy of Fjory lhd I m lica!.d u.dd Firlion of chip'. e (.omm'n8 vith sdhn 7m0) otDi!'rnn l
<br />of lh. BBin6 tud Pmf*iiN C.de, ari my Ii..e ii i. aull lor€ arl.rdt
<br />corsrarquQluADttc-AcE!(I
<br />I h6rt y .rlm un<b Frhy uf FiuD rhr rhdr i! . @inMr.. lqin'8 .Bcy lor th. Ffolrlft. oldE sr* 6. *ni.h rhi Fmir ir
<br />t$cd (sa 1097. civ c.).
<br />AIEIICANLIECT.ASAIIO!
<br />I hodr .i&n u.& Frhy of Frury oE of lhc follor ing dcldro.s
<br />D.mhbn P@d!.Arb6ior Nori6c(6n [ql,aal R.sul{ionr I rirE.l0. Prn6)
<br />Rdtur.d Lilld 6fNdituco
<br />I Glifr rhd
<br />'h.
<br />f.dsal rcxlLtioB ,q{dinB atldos idno!.1 aie nor qDlicahL ro !fiis rnrc.'.
<br />6.M.d I a€N to $mplt *nh ill Cnr.nd ( ounrr
<br />EFMrdi!6 of thi chy. Countr ro 6rs u,Nn ilrtq,,r' r/l h,'. *rJ rh".ml('rh n ril q,'. rhd !h. !h... 'nn.ddh.n,i,mir$ JJ shk L^t '"hr,E h tr'U'n! c.s,u.rk'r a^l h-.h! aurhiu.
<br />sr-\c mrLr{J n.,nd) fitr min ih,nrutE6
<br />noouJ, -n,-y,,.-,. lrar.q ff6
<br />/t
<br />r.dx*\t{tdlpa n, ^rR:ASi -#
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<br />I lttt,'lllY
<br />Transformers
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<br />FINAL XltQ
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