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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNER IUII,DSR DELCARATION
<br />I h.rch, .,Ium undc. Fmhy of |rrFy rhd I s.knpr Imm tlE (L, trtoF Li!tre L.w fo, rlE tilhBing Er$n lsc.?oll.t
<br />8Biffir rd Prorsrbn Cod.) ,sy C{, or Csdy *hat Equircr . Frni t, o.<ur. ria, inpmE. &mli or E-! x,
<br />rrlfu. Fn ro ik irtl]u., !l$ Equi6 rlr erlird ,or rkh Fd b fir. r r'8Ed st&E lh.l li r rlr i ti!,.rr pullM
<br />ro rtE I'uvni,6 ofrh. ConlrEntr r LiccnEd L!* (Chq,rcr 9. Comfttuing wirh sGrirn ?uIJ of Divirion ] ofrtt Bu\i.c$ rnd
<br />PDf.rsbnr Cod.) or rd lE d ih ir .xorpr rtEr.ftom.nl th. h.rir r.r rlE dLsd cr.n{ ion Any vbLri{of ki,.?031J by rny
<br />rpplir.r for . p.mr .uhFB tlr .rnli.d lo . civil Funy of mi mE ih.. liw tudtd ddlL^ ( !5{D)
<br />-1,
<br />N owftt o, ln. rnnFny, 6. m, .inlkJri.r wirh ws!.r ri rlEir slc onFnsli,n. *ill & rlr wfi .,n E irErE ir ml
<br />i, 6rkd d ofi.En rnr rk (56.71144. BuriEii .rd Pmfcrlb.r Cai.: TIE Cbtudr, 1 Lj.tn* t w .LEr nol .prly lo d owB 6l
<br />'n F,Fry *h. rn*k r in+sB rtE@r lrl *lb &B rh wt hiMlf M lEr*lf or llmuth ht q td o*n.qbrq
<br />troviLd rhd uh in{rffi cdnri.dco,tGltuqL lL,reE, rlE hiBnB d tnlmtG it-Eraim)d
<br />otcorpbrih, rlE oeE BuitLr w l h.E ltr hlncn of Frvin8 lld lE or tE dn d hdd d mrmt l1l Fo,6, lq tL Frqr or
<br />-1.
<br />B owF o, rL FE ny. d cr.hnEI, $ddirg * h lirn-d .o d6 ro d'.sEl rlE Fj<l lse 7oaa. BBms
<br />lnd Pmtsir Cod.: Tn. Conrr|oi r Lient Lrw do.i dn rs,ly io & owEr or,r.Fny srh huildr or imprct! rrErrn.
<br />und who contnc( ntr \urh tx)lc.r(a[h0G,rrl\rlkcncd Nrunr r, rh. (i,nrradn \ l.ic. \c 1-'w)
<br />_l d .r.n$ ur&r sdion-.("-Jl,!, \h,oL",,,,,6tffufrt2
<br />DECiIJXAIIO!
<br />I rEEtry rrm !frLr p.Mh, of p..jury oft ol lh. folk rint dehnrnN:
<br />-l
<br />h:v. dd witl tuinrri, . cdili.rr of Co,Enl ro Sclr.lnsuE fm *ort6t oqrnr.ri.tr $ F,vi.Ld fo. by Salioi 1700 of rtr
<br />t.lr Codc. fr rlE Ff.fu ol rlE md fa siih rlr Fmi 6 i$Ed
<br />-l
<br />h.v. lnd will manrlrtr vollcn compcnsi r,n inruEtuc. .r Ertutr.d h, Scl i('. 1700 or rh. liho. GxrL, tur rlE Frromht or
<br />ttE wort (tr shi.nrhn n mir i\ ncd Mys.rk(a d,qrndbn in{.e. enEr lrnInliynunr&,el
<br />-l
<br />drfy rh.r m rlr Fforllrlr otrli *ort ror *hth rhii F{mn n n\kn. I ilEll mr.tpk'y.ny FB,n in ry lMEr
<br />$ a\ ro lE<,m sunjd ro tlx s,.t6 ftrqEn$h. hwr ol Cllifomh. .d .gr lnn i, I llt ol, lt oft .uhFr ro rlE
<br />wollcF cohlf,nqlion pmvhhn\ of SNrion]7mof rlE Irtw Cod..l shrll, funhwilh onllly *irh rt6$ lmvkions..
<br />s \tl\t\r,s unhrtuL ud rh.ll \!hFr .l+loF h ai,lul Fmnil .rn
<br />.rrl lnr\ trp n, on. hu'rhd rhnrr l dullr^ lll .orr nt .onFnrarn,n. .htulcs .s provdcd for th.
<br />.A [,1ti."l[v,,"^, gtltDl\,?s
<br />I h.Eby rfirn undn Ftulry ol F
<br />Irlg.aSal[rN
<br />unhr FDri{i'n .{ Chrr d 9 l.o|lmB i.8 sir h Sst i,n 70(lD .l l)ilihn I
<br />., rlE Bu\iB\ d Phf6ri,n. (id...rn my la6c n in tull fore.nl clldr
<br />LQluf,u(:IroNt tlralirorlcr
<br />I hr.nr.ftun uftL, FMlryof lEltiry rhd rtE it. n nrntlioi r:dinS redy fir rlE F lotmE o,rlI s,t ft, rhth rhn F nn ir
<br />6ruc{(sd .1097. civ c ).
<br />ATTIJIJ\NLDECITIAIITN
<br />I M, .rm odLr FEhy or F.,'lry * ol rlE folbri.3 &.lrri,n1
<br />t).mlilbn P.rnilr A E Io! tiorif.rri,n krl Rduld.nr (Tnk {,. Prn6)
<br />_R.q!idl krl.r ot t{difElirn
<br />-l
<br />cd ily rh, rlr r.d.rl Esuhrx'r. Egrdur 6t rtx Edrvi c B, !{,Pla.hr. h rhii JmF-l
<br />rh..hrRintormrionncorer Ilge!oco'rply* h.llCiry.ndCounry
<br />odiMNc\ .,n Shlc li*! Ehr ,.url$riz i.F.-.rri6 ollhr Cay {n Cou, ro cnl6 uF,n rlE
<br />!hr. nErr lm, pnlFny l,r
<br />d\t r + yiVt*f,u
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bondinq / Groundino / 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 />Ceilinos (Hard & Soflit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />lvleter Release
<br />Rouoh
<br />Service Meter
<br />FINAL <,t3-2/Jd.hl-'(rr1
<br />Notes, Bemarks, Etc.
<br />COMMENTS
<br />Under Slab / Floor
<br />l-tcne CU{r
<br />-
<br />D.t.
<br />-lccnilyrhd
<br />I huE rcd rhi\
<br />I
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