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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUIT,DER DELCARATION
<br />I hd.by .mrm und6 D6any of p.rjury lh.t I d d@pr fsd th. Conltlc1o6 L(dE Llw for rh. follosiry r@n {54.70.11 ,
<br />uGin6! i.d Prordio. cod.) Any Cily or County which r.qui,6 ! paf,it ro conirucl. ahs, improrc damlih or r$.i ey
<br />tiutu.. ror ro il! is@cq lbo r.qui6 lh. rpplisr for such Fnnn lo nk 6 s,gn d {dmr rhd h. or !h. i li.6B.d p6ud
<br />kr rhc provnioN of rlE Conrrcbir t-i..nkd trw l()8p16 9. com.mins wnh S..lhn 7000 of oivi.ion I oalhc Bdin* ed
<br />llofdioN Co&) or thar h. or lhc ir dmpt thacnom 6d th. bdir for th. alLs.d craFioi Any viohliororsc.lio. T0ll5 byMy
<br />atDhDl lor qEmn subj.dr lh. .ptlir t lo ! civil pruhy of ml m,.lhd liE hundrqi dollm (!500)
<br />L s o$M of ltE FoFiy, d n, cmplor6 -ilh wtgd s lh.t slc onFs.liotr, will & llE *ort rd $. rruiE n hl
<br />llorlcd or otrq.d frr i.L (Se 7044, auiB ed PmfdioB Cod.: Tll codE.ioir Li@ t w (t)6 ml +?ly lo D omd of
<br />!n. Frr6y rho h!i&t ( itrsoE lhdE6. rn whd do6 sn ErI hiNlf or lE*lf ot llFush h! or lE om .rrplor6,
<br />prcvid.n rh{ ruch inp.olqE ! c 'd inq'd.d mo,Tcld 6r sL lE lblrtr. tlE toildi,E or itrso\E]d a sld rihh G yw
<br />of@.9hi,( rlE O.G BrildE ri! IEE th. hrd.n ofFovilB lt.. lE or CE did mt hrld or iryow lhl FoFr, tu dE F,Fo.. ot
<br />-1,
<br />N ound of rlt FnFrr, m ddciv.ly coftrxlins snh licoE d codi&toR ro 6drud llE Flj4l (Sd 70{'1, &.nB
<br />.ri P$k ix Cod. T1l. cont.dM'r Li.c@ tl* doe mr t9plt ro a owra of FoFty $lb buildi or inpov6lhsoq
<br />rd *lF co.lfir l kh Fni*t! wilh . CorHo(r) ltdE d F!s@d ro th. Co'{n.rd t Lt6& t!$)
<br />_l dn .r.mF lndd Sal
<br />\}OR{Ttlt' ('OIIIPENSATION
<br />DECIIBAIIA!
<br />I tE.by lrm uid6 Fiiny ol Fru r^ oE of fi. folhr in8 &.lsii,B:
<br />-l
<br />l'o. !d *ill mi,n... csriard. oacoE lo S.lf-lMc ffr wtd MrFru.li!! 6 ForiLd ,o. by S..rin !700 of rlE
<br />L.tor Co& fm llt Ffdli.e of $. mrt fd rtih rlE Fnh i lsEd
<br />Lfhar .nd {'ill n.iit'ii Evt.4 oftFdllm ilMue & ..qui.d b} SdbD ITOO of llE L.bor Co&. for rlE Ffollffic ol
<br />rlE $tit for *nkh thit Fni ir isr.4 My wdl6' @tr9qsni,n i.3rlle..fit rn !oh.y nuDbd r.:
<br />-.,1ea \r- tr-.-.r-.r- (
<br />1.f?lcr
<br />I drty rlld
<br />'n
<br />rh. Ffolrle. olrrE e.rl lor rtkh rhir Fnh ir i$.d I {ull rct dnpr,r" ry Fsn in &y 'll,ffin s ro tt$r stirr 16 dE *dt6 otrrFBri,n Lxs of C,lilbmia ttd teG th, if I slDuld hcor $ti(tr b rlE
<br />$orld ooF!.rir. Foti.io6of Sclio! l'700olrlE L.bor Cdc I idl fdlhsnh od' Enn rsFnsitE
<br />$ARNINC fnturc ro m ErIa NmFdio. 016!9. ir uL*tu|. d sl$ll ebj.ll a dpbF b oinin l Frti6 Dd
<br />.nil fiE up to oE hutd.d th.sd .blb: {tlm.mo), i, lddhib to lh. co.. ol.o'q.dion. d.r.36 6 Fovit d lor rlE
<br />sdrn 1076 of rh. l,hor C{'da mida md mm t fG
<br />I na.b dIm ur& ,anhy of FJUry rhd I m licqE d uldd FoftitD of Ct4(g 9 (ollllrE[g rih Sdli,n 7000) ot DiGbn l
<br />of rlr BulB .ri Ptuki,B Co& !d ny laaE ir i! 6,ll foc tld .lE !
<br />6.5erclq /
<br />-" ld 3r)',13
<br />I hg!t, .rm uidd Frly of Fjury rh, th6. t r NdMa'. lading rs6y for lhc DGf<ffi. of r,E mrt tot \ hrh rhi! Fmi it
<br />AfIIJCASI.IICIJAAIIO!
<br />I hddt .trm u.dd F.hy ot p<juy oe of tlE follo$ ing deLt rioBl
<br />Dsmlnirn Pmne^lbdrot Norilic.rion tc&ril R.8uhrrd (TnE 40. P.n6l
<br />_R.qun.d Ld16 of N.{rfrdi,n
<br />-l
<br />cairy lhd $. faL6l ..guldioE .csadils abdd ,mrtl @ ml tpPlkabk lo this Fojdl
<br />I cdif, rhc I h&. Ed lhir 4rlxllid ad !rd. lhlr (t .bov. i.aomdb. L cordl. I agc lo ooply rhh r[ Cny &d Coo'ny
<br />ordinA6 ad slc. trs Eldls ro hliLlins .o'lnrucrio'r s{ nc.b, rdh.rn. r.Fs dnB of rh4 Cny ei coulv lo 616 r4o. ilE
<br />Hcgcn (
<br />*,, lo 3-,'18
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough l/-s-rA (7e z7
<br />Service Meter
<br />FINAL /4-/?Zr'22
<br />Notes, Remarks, Etc
<br />-," lO'-".,CJ l8
<br />R
<br />isad (sc 1097, civ c )
<br />L.nhr'r Ne
<br />!h,vc molion d proFny for
<br />Applicrnl or Arel shn.lure
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