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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS OATE ID/SIG.COMMENTS
<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 />Torquing
<br />l$tSub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />.Fnr*E- Ey+lFt
<br />Notes, Remarks, Etc.
<br />O*c-E Lld D..ldb!
<br />I bd6y rfir urdE pa,lty ofFlry rbr I E d6F f@ ih. CoiE don LiEE r& fo.6. blbee8 ,e. (6.701LJ Bllbq
<br />.d Proi6.ion Cod.): Aly Cny or Couty wtich EquiE . FEn to @4rrud, dlq, iEFov!, d.colilb or rq.t E, rinlcruc Frr b iBL$.e, rLo rcquiE th. ippliqd fo. s.! FEir 10 6L . .i8!.d rl@an lbr h. or $. ir l!d.d FrDrd lo rt Fvi.ba of t
<br />Cod.cd! Ucat d Ltw (Ch.F6 9, Co@ir8 vith s..riD 70oo of Divirb! I of r!. A]t:6 &d Plohrbd Co<,.) d 6r h. d
<br />A. n a6t tlEdod Ed 6. h-i, f.r th. dkt.d a-E- .A,y vblabo of S.dba 7031 5 b1 &, ..?lic.d b. r Fai tubjet l!.
<br />.ppncrnr lo i civil partlIy of mr @E tbD 6v. bu.t d .bUE ($00).
<br />_I, B ow6f t[. FoFt . or 6y dr]oy€ yi!! vr.6 s &.n Fl @EFs.!, yil & rb. r$t &d rb. *ue ii Dr darLd
<br />o. o6r!d b. $L ( Se.ro4.l, BsiEs &d P,!fa.!bE C!d.: TIE Cod.crd t l-icaj lry.bo @r 4dy ro D o*E oft! FlFry
<br />vho tuiklr or ioFovs rtssa rd who .lo. .u.h worl hi@lfor haclf or tlrough ti! or !E ou @ploy..., Fovi.Ld rhd r{d
<br />iEFov@at EEri @rt d or ofraql for d..14lDvlG, th. tuldiD8 o. ieFovcleli! oLl witi! oc t@ of coEplaba th.
<br />O*E-B{ildq sil6.v. t!. hrd.. ofFEvi4.lI h. or it or Urillor uF.r fortt Fspo*ofel).
<br />_1, B ow oftb. FoF y, @ Bclsiv.ly .onf..ri,s wid li.6t d 6oErd.E 1o atu lt. FD,E! ( !a. 704{, BrilB Dd
<br />ftEfrsioD C..Li Ti. Co6rcoat Li<Ee Lrv do6 @l .Dly to D o*c of FFry who tuiE s iDFE rhEEa, &d E;h.
<br />@!E cr 6, &El Forer vitL . c.erdo(, U.a$d Fa$.d ro O. Cod.c.l. lia. t3. ).
<br />I u .rdpl urda S61ior _,B & P,C, fo. Ui ,a$a
<br />WORI(ERS COMPENSATION DDCI-ARATION
<br />I hftby lIIe u!.la p6dly of Fjuy o,c o a th. r.lowinS d..l-dioa:
<br />_l brvc &d will ui!d! r Cai6@ of Co6.a io S.U-l!ae for 6rt6 @E aEb4 a Fovi,.d tu by Sdb! !?00 of th.
<br />of rh. *olt for vbcb rh. FEn i! i&od.
<br />*rll a Equ.d by Se&! 1?@ of li. t lor cod., br th. Ffolde orrh.
<br />I carlry.bI E l!. Fblrlle of tn eo 6r wti.! rlit FBn n er4 I th.ll Dr.qby &y t6$, ir &y t,ed $ s b
<br />b.cuc $bjd b tn. sft6 ' @ryarb, L$. of C.lif.ni!. &d .BE tlrl if Llould baod rubid io t!. 6ta'
<br />coDp@.Ion proBb6 of Scr.! 1700 of !h. Lrbor
<br />5:,31'!6
<br />WARNINC Falu. io su.worLa'e @pbF lo ouid Frltks rld civil
<br />fD6 up lo on hurb.d tnous&n doUB (ll
<br />rh. ribor Cod., i d6t .!d ltlotuyt f6.
<br />to thc .on of @Ep@r!rio4 d.d86 6 Fvd.d 61 6. Sdio. 3076 of
<br />t-t)'
<br />I naE y dh uldd pdly of Fjlry t[.l th6. ir. @dEErim ladiry.gay 6r t F6ltt,.e of!h. Fn 6r wti! rlii Fd it
<br />a&&d(Se 309?, Ci! C.)
<br />AITIJSAITIT.OECIJ8AIIAN
<br />D@oli.. P6i&A!td6r Ndi6ab! F.drd StguL&D OnL 40. Pin 6)
<br />_ Rlquild Larq oa Notficai@
<br />_l .sdry rh.a th. f.da.l ..glLIio6 trgdiry Etdo! @vrl E @r .lpliqbl. ro tnB Foj{.t.
<br />t[. rtovc Dfoldio! i! @Eel I .gc 6 .@rly eilh dl Cny .!d Cludy
<br />q e.l ha.by unori4 r.F6al.rivd of rln Cny &d Coury .o ana uFD rh.
<br />7 g-t I -dL
<br />) P/-t 4<v.
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<br />..it r f-f
<br />Word\wps1 \Foms\Permit. -tnspection PermlIO33t OO
<br />Site-Work
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