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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILI'ER DEITAA TK'I\
<br />I ha.tt .lr@ lnda F.rlty olFjory rhn I m qmp tli rh. ftnr.d , Lic.nr. tr* for llE followinS ra. (SE 70ll 5.
<br />Baitl6 lrl Prcbioo Cod.): .y Ciy or Cordy *hkh G+c . Fni 'o oNNcl, .Xc. EpraE dsmlLh o, lF.n my
<br />rlrucle F$ lo it! isuucc .Lo r.qun6 lh. +plts for tucfi Fnn lo fl. r !is..d irc6l lhi lE or dE a lkdn d F,irr r
<br />to r,r. FlvitioB of E conrxlfr r Lian*! L.w (Ct!F6 9, (nMacinS sirh SBrion 7000 ol Divilion I ol tla BBi6 od
<br />Pof.sioM Co&l o. th.r lE E rlE it qonF $adDb .rd th. bc! for tlr .ll.scd aql4|e. A.y vFldit. olsdhn 70tl J by oy
<br />lppli.r for a Fmil rubj6t! lh. +plic&l ro ! ciril p.nnly of bor @E ina fi!. hui&.d dolbr (1J00).
<br />-1.dowofth.FoFly.mmysnpb)Esnhw.t6-rh.nrkorqEElFrutldotlEwItniEtr,udGiim'iiriilcd c ofrEld for $L {Se 70{.!, Bur6 &d ProtdioB Co&: TIE contr&roi r t.ic@ r,e r,.6 mr ppl, lo & o*c or
<br />lh. proFl] *ho hild m irslE tt.qn -d *'lD d6 rxn wd hio*lr or hdxll or ttmueh hir G hd ow dph)E.
<br />Fovidd rb iuch imFoffire mr Drad.dorotu 6r sL l[ fios6s.lL hildidsor tlFoqGr h $ld wihhm td
<br />of(on+laia rlt (,c BoildE f,il h.E tlE hr&i ofFlrilB rhd h. @ tE dd d hild d np.oE lh. FtFty ftr tlt Frpo5. oa
<br />l. a o*E ofih. Frpsly. m.rclBiv.ly co,idina f,hh li.lsal.o rdo6 to oldncl llE Foj.a1 (s€ 70{4, &ai6
<br />,rd Pn,lsirCDd. n.cont.cror'r L'ccnk L!* do6 @r ipply lo downoolpropdt*ho boilrtr or nryrovd thson.
<br />ud wh. o ds for Mh FoFt *ith ! (odrrlo(r) ltau.d p{ad ro dE Codncrr'r li@ l8)
<br />I tun c\dnpr 0'l( ser
<br />l"" \?., tlrl t "^;tti
<br />8-
<br />I hd.t! lmirn un&r F3ht ofp6iu.y or ofrlE follounu &(hrd$B
<br />I hrE r.l will minrb . Csrift.r. olcoEll ro Sdf-lM for @t.i Mp.n rion, a Fovij.d fo, bySetiohl?00ot'h.
<br />Labor Cod.. tor ih. Ffollij,@ ofllE worl ad "hih lb. Fri i] isld
<br />-l
<br />lElr &d u'ill Dririin s.tdi con'Fanion iEur!N.. 6 r.qu&n b! Sda. l?00 orlh.libot ( o&, for ilE Fforille. of
<br />lh. *ort fd *hih fin Fm t iscl. My wdkdt @mp.trdion iEuruc. ffi6 dd policy nuftbd a.:
<br />Policy Nudbqr-Eipi,6:
<br />-
<br />,
<br />_l .dliat lhd in E Faoiil4c of rlE *orl lor vhich rhn Fdil a irin d I sn,ll mr .rrylor ey F$n in Dy nffi
<br />$ d to b6om€ rulrd ro th. f,nrld' .ohr.Edion Ls of C.lifomn. Md .gr thn if I nFuld hdoft $bj€t lo tlE
<br />N d' oapqldion FrlititE of S.(bn !?m ot lh. l,t r ('o&, I adl, aonhu'ilh o'@ly u ilh lhos pnviriod
<br />WARNTNG Fllur. r. Bur. *rrtd comFldi.n covds. i.! unla$ lirl. Md shrll rubFr M mployE lo ainiEl F.hb .nd
<br />ciil lind !p to oR hundnl 'bus*l dollB ttloo.mr). i. .ddnDn r..d of comrHerion. &,ur6 d p.ord.d fot lh.
<br />Sdron 10?6 ofrh. lll (illa d6rmd lrronB r laB
<br />r,.,e, \ZlltrlJK ^r,r-i,
<br />DECBAAIIOtr
<br />I hcby .frm und6 FMlty oa Fjury th.r , m licElsj und6 Flvirioi olch.pl6 9 koffiiq * nh Sdn. 7000) of Dvsion l
<br />of rh. IleB r{ PrnftgiJd cod., ad my lEce d i. arll forc nxt cdd
<br />colslf,llcuolJtllllc-AcEl(}
<br />I hd.b, .rm u.d6 Funy ol Fjrry th! rlE! b r Niirudbi l@dii8 lgtr, for
<br />'h. Ffol:Mc. of llE e* tur siich th! Fri ir
<br />i$u.d (s6 3097.civ. c )
<br />AIIUCAALDEIIJAAII0!
<br />I h6d,y rtrm unLti pcnalry .f FJury oru of rlE aollo*ing d..l&.i id
<br />Daarn'on PaTne^.b6lor Ndlificllio, Fqt@l R.suhtion! IT'rlc d0, Pr16)
<br />Rcqud.d lnrd of Nori6dtr
<br />-l
<br />cd r ty thd lh. f.dd6l r.luLl ioN r.sedinB ab6los.6m\ il . ml E'plkahl. k! lhi! pre).tl
<br />G cdiry rhd I ha\. 16.l rht q'plt ion rn i5l.dE .tn\. trfoldirn i! (ml I .Bc ro 6nd, r nh .I Cn) ud Counynli n.6 ,d $ . Ir*s Eltrs
<br />'o
<br />hI
<br />!t$E lhlF..d Flpdiy ror iqEti.rn
<br />ad haclry adhort EFsrdn6 of lhn ( ny !d Couly lo dld lpon 0.
<br />tpl,ri.r* u, r"., Si"rrrr." X '),'" \ZJ llsrl E
<br />r$nir(nrmrp.in,!'t(. Aerar ear=t(l^ ' q
<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 />T orquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter -.'-\
<br />FINAL tlttfiq n Or"rzttrt*l.1,))
<br />Notes, Remarks, Etc tr l
<br />D
<br />l..nd.r!Adda: _
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