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ELECTRICAL.INSPECTOR RECORD
<br />APPHOVALS ID/SIG.COMMENTS (,WNFI BUII-DET DE-CAR TION
<br />I htrl.by rrm u Lr p.n y or Frrr.y rhrr I m.r.mpr 6nm rh. c.dr.ci(n Lic.nE llw for ltu followinr B$n (Ssroll5
<br />Burift* r,n Pmf.$b. Cd.) any Cny or Coutry rhth Equid . Fnr rn sn(nxi .hs. int,ow. d.mlish ur rFir dy
<br />{trudr. Fhrro irs nrulN. rls, EquiE! rhc opplic!fl for ru.h F mit ro filcr si!ftd {.rcGn hd lEor shc t [ccnEd I'ur$sr
<br />'o
<br />rlE FovirrN or rlE conrrbr'r Litnrd trr (clrFd 9, comfti.8 enh S..rhn r(l) of Diti\ion.l.rrlr BusiB.i rnd
<br />Pnncsrio.r Cd. ) or lhrl lE r rlE n .x.q,l llEr.frcm !.d rh. tEsis lor lh. .lk!.n crcrplion. Any viohrion oa S..rhn 701I t hy !n,
<br />rppliunr aitr ! rErnn qhr.Lrr rlE iprlt.nr r. . .i!il FElry or mr mE rh., tir hlidEn .blL^ 115e)
<br />L a o*mr or rrr thlrny, or ny .q ,r.a *nh srlc .1 rrE, r,L onyEndih. rill & dE xlt ad E inriE i bl
<br />id.nLd r offcr.n tu r!. tsa.?or.0. Bui6r md h,f*rnnt Cod. TIE Codr*rtri l,k!e tr* d&s r, .prly ro an owmr or
<br />lh. FnrEdy vrh hoMr n irtlmB llEEr !n wb ds {dr $rI hilula o. ll*lf d .lhurn hn d lEt om.npbtcl
<br />Fovih rhrr uh iryfrkld. c d ir.idcd dotu n rb likffi. ElniEitsdnprolmdnmBrnhirmFu
<br />of mrplcrion. rlf Oemr Buitj.. *ill h|w rlE htrdo of F vin! rhr h. or tr dij nn bild r iry.sE UE FDFiy &r th nlFE or
<br />_l- !rowsorrlt FIEry. d.rclurirl,co'rrrlbr rnh Ls<J co rdmro 6ndn&r rlt Frd (se 7044. BEGS
<br />rr{ tu\ri{ Gd.: Th. Comftror'i Li..nsc lrw dftr mr.p,)ly b M.enfi oft"oFny*ho huildr or improEi rh.,s'n-
<br />.nd wh, odBB tu wh FoFt qnh. C.dd(trlo laBsn pu,ru lo llE Codarn r Li:E L.wl
<br />I (ncrrnrpt ultd.r sRri'n
<br />l).ro O-Nr
<br />!EBf,[&r(9.]ltElisA.urr!
<br />DESAAAIIOB
<br />I h.rhy.rtirnuBlr riul').1 F!tr,voe.ulrl*l,nbun,3 &\LnJti,n\
<br />-l
<br />h!v. i,n*ill fli.t.in. C.nifr.Eol('.M hS.lf-ln$Efdrt t6 o,rEnr.lion. d Fovij.n tor trykitn l7morrll
<br />llk Ca!., trn rh. ,E {llrjey of irE wt fd *hi.h rlr Fmr a i$o.n.
<br />-l h.rr ant $ill minrtr u'ork6 .onfEnsr hn hruBE., .. Equn.i I'y S(r hi .l7d) or rh. Ldin Cod., fo. rh. FfrmR. of
<br />l,rc qort lor shatlhhFrmir i! nsuql My *rkcr' omrrnslion inru,mc (Tid !nF,liynumhd ft
<br />-l
<br />Gnify rhal in rlr rE form . oa rrt *o rm *hth rhil F.mir r i*!d. I rhlll mr .rphy rny Fmn in lny numt
<br />o ri ro b..r,m ruhj.ir k, tlr *ortdt'NrqEndi,n lrw( of Crlifomi.. r,n .!R ft, if I ilsuld hc$m r,tirr ro rh.
<br />*r,16 Nrpc.eriln F,vtbft or sdi'n 3rc0ofrlE ukr Cod..I rrEL r rhwilh sttI'ly *irh rln! tmvitio.r
<br />WAININC Frhe k' GuE *trr.u' sn{Ens,t k,n $vm8. ir unhwtul. lnd rh.ll srhFI an cmpbF tu oi'n,nrl Frxix lnd
<br />civil liRr uF ro oE huBlEd tlbus , dol[^ Illm,Un), m ddni.n lo rlE co{ of con{Enqrion- &mt.r rt pmvn.d ft, rh.
<br />Sarir 1016 of rh. tjtxtr Ccr(, inrm< lrd rrlmy s fNr!\-1- lc 4- tuG-
<br />DECIIEAItrB
<br />I h.Eb afrrm und.r FMlryoln rrury rhll I am li€n*n undcr Frvirion orCnrplc 9(.nnEring *irh Seriln 7fixD ofl)ivisirn:l
<br />of rlt Auri6r rd Profcsi,nr Cdh. rn mv lir.c t h tull for lrl.lt$!
<br />rLk 4-1:W
<br />qvstsTK*"Lilc
<br />COIIIAU{JTONIIBIIN{i.AGEIIjI
<br />I lErby afrn un&. FEh, ol Firry lh.t tls. ir r onrNnn llnina +sy f llE pslliffi ot 0t Bdl ror *hih rhi( Fmi ir
<br />i.{tn {Sr .X197, Civ C l
<br />AfILIIANIJTECIAIATAB
<br />I hdr', rtrm ond.i Fuh y of Frlury DE or ih. folhsint &<ldri,nr:
<br />l).mlilirn P.rmilr'Arb.(os Nolifrtrit tu nl RquhlnN (TnE .sJ- Prn6r
<br />-RcttuiEd
<br />L.rl.r or M{if$liotr
<br />-l..nilyrhllrh.linrrJlrc!Uhri,n,\(grrnrnE3\tr{o\ilrrtrr'lr.trorrpflk$Lr,rhtrn(,.r
<br />I ..d iry rhtrr I rur. rcrd rhk aplli.rrint rd (!r. ltul lh. rhrw i.forM hn i1 corNr I !3c ro otrlllly *nh rU Cn, .id Co!m,
<br />mlnEN lrt sr.r. liwi rLtirB rr b{i5i.! mlfu.tr r,rt hrny ru'rbriz. qrE*d.riB of lhii Cny &d Colnly lo .n'd uFr rlt
<br />ry- qMh.*
<br />lmLlo*a"'{\
<br />.h{. tri n,,ft.ltir,,t{n) t,a trFt'\,,9r'u'B
<br />"rr*-, * .*. t,"*,,* - F
<br />P.miln Mhe tprin,,: Ptl a'''
<br />'t-l-tl
<br />Site-Work
<br />Underground t/4D,tg _124,4 )
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<br />Torquerng
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit))La.'nLk
<br />Walls (Rouqh)l9vt' - -v, (g
<br />Ceilings (Hard & Soff it Bouqh
<br />Ceilings (T-Bar Rouoh)b.7k-19 Jltx:M
<br />Meter Release
<br />Rouqh
<br />Service lvleter
<br />FINAL e JJ< f-h Or)
<br />Notes, Remarks, Etc.
<br />DATE
<br />l.n&ar Ad&cri:
<br />Communications Cable
<br />Sub-Panels
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