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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS o'rE-B{ildr D..Lntiotr
<br />I hd.by.flim und.i p.rhy of pdrry rhr I u .tdpr lom.lE Co dor'L..@ l,* ac,.lr lolLw'ns ,.&i {B 70,L5 BuiE|
<br />.d Pro&.rio! Co&,, A!, Clt or Cordy whi.h r.quiE. p..nn ro oBtrud, t q, inpror. d@lilh or.Gp.n m, ir,u(l@. prs !o nr
<br />isu&q .bo r.qui6 rh. rpglicli lor uh p.mr b fit.. rir..d.rrcEn Ox lE o r. b lk.4rl F6ud to llr Flybio6 of th.
<br />Co dd'r LEr.d r* (CllFd q colrlllftna*.h Set,n 7000 of D'vrFn I ollh.B6'n-r.d ProtdbD Cod.) o. th.t lr or
<br />nE it .rdDr rh.Eftod &d th. !.iir for rh. .!l.3d .r.nFion .Any violrion ol Sdion 7031 .t hr ry .rtlt d fc. Fni $bj.rt tlt
<br />lpplkd b I .iril Ff,ry ol d @E tha 6rc ho..L!d &[.6 (1500]
<br />l. d owd oall* prep.ny, n by mpbr6 wi'h *l.6 r ttdr sl. .orp.Nro., *ill .t rlE *ort .d tlE dD.rE ! et i,lral(|.d
<br />or ofrs.d for rL ( Sd ?o,ra. 86'6. .ia Prof6.otu Corh Th. Contrclor i L'ee Lr* do6 .ot .pply to .r ow of lh. pop.n,
<br />sno buil& or inpos 1h66tr. ud wh. .106 tuh wott hilulrd r.clr d llrourn hi. or hd om drbr6- Fovir.d th, uh
<br />iiFortltdt rc d i.l.td.d or or6d f6r rk. I I hosM. ttE hriltht or iDrrot.mcni n eB *nhin oe yd of conplaioE tlE
<br />o'rE-Buildq e iu h.v. rh. budo of prc6t8 th.r hc or tn. @r boikl or iipror 6r iE ps.Dor oasL)
<br />l. B o*c ofrlt Fop69, o.x.ruriv.ly o,rEdra witi liccB.d snr.dotr lo oalfu.l lhc Fii.t ( S< 7044. AsiB..d
<br />Prclirbn Corb: nE Codncor',lw t r.lc d .rrt to & ow olFoFr, eho hgrldr M inp6t. rtr6n , rnd who
<br />6dr.cr for ut FoJ.a. *nn . Codncro(rl li.ds.d puEunt lo th. Codrdor'! L..M trw )
<br />_l E 6@9r E& Scrin _.B A t.C. torlti r.&o.
<br />IryORXFtSCOM!f,I\SATTON DEf t-./ut T|ON
<br />I hd.by.flm lrnd p.uhy otpdjury o ofrh. folkrwins d(L ioB:
<br />_ I h.v..,n *ill di,i.in t CErfKd. of CoBr ro S.lf-lc!,.1o, srkdr' 6np.Mr6..6 prov'd.n ror by sRr'on r?0oofrh.
<br />Lrb.r Cod.. for lh. Ffo@r. of lhc *ork ro. ehi.h rlE pdn n ir.u.d
<br />,/ttv.rnd*,llmhuhuorl. ' @mp.Mr6n dru[n@..! r.qur.n by S.ctDn ]7m orr& Llbor Cod.. ror ItE Ffo,mm. olllE
<br />*ort for wnth thir Fmn ir isu.d M, srla ohFrlon Ese. ryE...1polF, nuhbs .r.
<br />c",r,, lW/? tc.^,\- 2yl-LgL--
<br />,^-,*" *,:.WC5-{a2- 3oo t ,,0*,
<br />(Ttir rdb! o..d Dr b. @lqb.d if 0. Fot i. 6i On LdtErl dolld lll00l orl*)
<br />,/tt
<br />I c.niry $n h tlE D6folllu. ol lh. *o* &. *hit lni. F6n it aru.d. I lll.U
<br />b<rm.ubrd ro!h. turl.R @np.nei 'on
<br />Lei of C.l'forn'!. &d rAra t
<br />$mp. rn prCfuFD orsatFo i7m oartE hborco&.I rrr .
<br />^,, 1t1L9f |a. ,rppr,<ur 4r
<br />*^*",n1.r../**. *.a.6 .omp.nr,.n @r.rs. ! u n,.*f!I, .,lrl rh.ll Nbjd xdpbF
<br />f6 up ro c h'ert d rlbu.d &lLa ( I I @-o@).in ddibn ro llE cor of 6hF!!.rior.
<br />tlE L.bor Co&, iddd .!d .lrorfty! fd
<br />id.d forrh. S.cr0n l0rb of
<br />LICINSf, N CONTRACIORS DIJ(l,ARATION
<br />I hsrn, !,im un<ld Fdty or Fjurr lh.' I B li..n*n und6 pmvuFn ofch.F6I (omo.in3 ui'h Salbn rmo) ofDntion 3 oa
<br />?f
<br />I h6.ty.ftm und6 Fuhy oa p.rjuy 6.r llEE n. coBlru.riotr lqiins.s.Ey for rl'. F fomm. of rh. wort aor rhth rht,mh it
<br />irto.d (Scc. 1097, Civ. C.).
<br />APPLICAYrS Df,CLANATrcN
<br />D.rmlnbn Pnit!'4.h..r6 Noiifi..lior l.d6.l R.glLrioB (1ilL 40, P.n 6)
<br />R.quftd lnrd oaNdrfi criod
<br />_! c.niay thI rlE n{f,I rcauliio.! r.3ddins 6b€tor ,!@rrl .c ml .pplrc.bk to lhi prsj.rt
<br />A .dir,J tl,^ I lrt. dd $n rplic.rion &n !hl. thti lh. .bov. inbmtion s cold. I .Jc ro ..nply *ih .ll C(, ..d (truty
<br />ddrua6.'n sl.l. tn! r.LrirB ro hi'ldi!3 h6.6r.urhoriz. Epre rnB of thit Cny rd Cody ro or( uDor lh.
<br />rhoE oc.rb,Ed preFry for i6p..r
<br />LL T9 ,y' t, -
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL otl/.UltY 4H lnnld t
<br />Notes, Remarks, Etc.V\
<br />-$
<br />M1WP51\P6mit lBp.cton Fornrs\Eloctrcalhsp€.ton Raco.d doc 03.31.06
<br />rlE &!ilE.,n PrcfdtiE Co&. !d mt
<br />--ry-&E
<br />Ir.M B 'h full[r.cMd.ftqcr
<br />.-,."., r(
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