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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
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL q,-b'j'l \-p D\
<br />Noles, Remarks , Etc.
<br />OWNER BUILDEN DET-(AN TrcN
<br />I lEcby lrm u.ds Frhy oa Fjury thn I m .El9r noo tlE Gnl,tcl6 L'..M lry aor llE followirs l@o (Sd 701'1 5
<br />BBin6 .d Profdion Co&): Ary Cny or Cclry rhth r.quic . Ftnn ro on3rud. .nc. inFov.. d@li{' or Ep., d,
<br />3n(i!,!. Fnr ro ir! slec .!. Gqli€ 0E @lixd lor $.h Fnir ro 6L. riB'Fd drqE thr lI or iE i! lt@.d PlEid
<br />ro rh. 1rlvi'io6 of ,r Cbndddi Lr.n$d L.* (Ct'.*'rd 9. Coffiins wnh saiior 70oo of Divirion r of rlE BBi,E nd
<br />Pmfdhc Cod.) d fid lE n rlE i. 6arF Oolton !d th. bGb for tlE nhcj daFhn /\., ri,ldion of Scrbn 70-11.5 br ey
<br />@licd for ! Fnil $tixl! llr .pplicr,'l lo r.iril Folyof ml mG lna n\. hundd <t lld, (lt@)
<br />_1. a oxB of rh. FF!r. d n, o,plor6 *nh sre6. rhci sk @mFsi.r ei,l do r,E wli !d dr rrrdr a or
<br />iiod.d or off.qt fn rL tS< ?o14. BBiE &.1 PrcftsioE Codc TIE Co,rr.<1d! Lilx tr! rtc mr erly lo n o*c ol
<br />tlEFrFi, vlb tlltt!or inF€ lndo -d*,tD d6xdrE hi@ltor l,*lf or Ihnush lti] d hd om.oplo]a
<br />FoviL<i rhn s.h intmlqGl! c d dai.d orotu Ibr El. I( lIN. ttr hriBi'r d inllqld a $ld *ihir m Jd
<br />ofstrpldiol! rli O*c Boil& MI hrv. rlE hnLr ofFDvilB tl, lr or Cr dn d hild tr inFor 6c proFr, 6( tlE F,pd oa
<br />-1.
<br />a o{e of lh. rNpqly, M .rclurilcly conlE rins wilh lird.d co.'lri.1oE ro sBrto.l rh. F.j.d (S( 7(}1-4, AB6
<br />did PDfr.iir. ('o& Th. ( onkrcro.t Licdk Lls do6 rcl rprly ro e ow.o o I propd, sho b{ildr or inpbrd lh6@n.
<br />ed who con|!ri! tor ruch Fojdr wnh ! ContEcro(s) lamsd p!B@r ro rh. ( omr.crdl t,ictuc hw).
<br />_l m .ropi und6 Serirn_. B & P C lor rhi r{on
<br />}!8xE8&CAlUE!lArq!
<br />DIC|ASAIIA!
<br />I ,ry* !,rm uidd Frxy of FruD oG of rrE folb$ i,E (hl&rhN
<br />_l hr. A *ill @d& ! cd!f.d..lco.ar ro S.Il.t n .6r wtsr' mpat li . 6 Imi.t d fo. by Sarbn 1?00 otlE
<br />ribo. C.de nr 0E Floolre otoE s.i fa *tih rlE F6i a 6u.d
<br />Ih.r..,nsil!uifl.hN.r'mmF6.rbniMe6Equlr.dbyS<lio.l?0ooflh.l.bo.Cod..for EFIol]re.oa
<br />llE *Drl tu phkh lhi Fhi a isEI M) *vtdi o,q@di. iNru. sir .n IDky nub6 c:
<br />Poli.y Numbn _
<br />-l
<br />.6lily lhrl in th. psfo@m. .tlhc n'ork ror which lhn psmn is isue! I lll nol dnploy iny F$. i. e, n8nd
<br />$ Nto b..om rubjd r. th.*o.ld mmFB.rion l,w! ofcalifomi.. Md rtR lh.l ilI drould tE omc rubjGl lo lh.
<br />*o 6'comF.sthnr,tuvilioNofSdionlT00ofrh.kborCod.,lslsll.aonhwilhcomrlywilhlhoEprovirioN
<br />WARNINC, Flilu'c ro c@ sort6 onFEdiotr covsrs. is ulauful. ud illlll ruhr{i M drloF b siniElF!ti: ud
<br />cMl fin6 up r. on. h!rl&.d rhorqnd {hUB (S100.000). i. rddnion ro rh. coi of .omFdhtr &MB6 6 provid.d tu lh.
<br />Srlio. 1076 orrlE ljE, ( od.,0r y-
<br />DtcLtarlo!
<br />I ta*, .lfrb ur.b Frt, olFjuy thr I a lic.d udd FviriB of Cll.d6 9 (offiiIs *'ilh Sdrih 70@) oa Dn iiF !
<br />of dE e.i6 .n PYoft.aod Co&, -d tuy lt@ b i' tull 6c rd.fid.
<br />Lic.E CLs
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<br />t0 3 30tzq(o la
<br />lalluauguoxLldDldclc[B(\
<br />I heby amm und6 F..lty or p.4u.y rh.r lh@ ir a connddbn kndins lsocy tor rh. Flotfucc !f rh. *orl tor whkh rhis F$it ir
<br />ku.d (Se..10e7, Ci! ( )
<br />ATIIISAILDECI.ASdIA!
<br />I hnrt y lrnn !.& Frity of FJury or of dE li'lb*ins d..hd@'
<br />DdDolnion Pdile^rb.dor tlolilicrli,n tirrdrl l.suLlioE (TnE.l0, ar16)
<br />-R.qrncd
<br />td'6 of t5r|I.rtr
<br />6ffi ilffi ffiffiffi iHil***,**,,***"*
<br />ahor. nmtion d rropdiy r.r i6F<ri,n F4!B
<br />,r ppfti,,r .. ,.Bo,l si*i.l,.( )<
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<br />7t to srt!
<br />IIIIIIIII
<br />IIII
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