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ELECTRICAL.INSPECTOR RECORD
<br />O$I\ER BUILDER T'}:II-A I'ATIOII
<br />I h<.l} rlrrd u.<lq Fuly ot rrur, fin I m crmF EDh th. ( o,nEr6 l-tc l$ lor rh. tollornB r.&n lsd 7011 5
<br />Busr.6r r.d Prof6ion (.n.) Anr Cny or c.oflr *hich r.qrtra.,Emn lo.onarud, rlla. inprovc. ddmtilh or rF.n oy
<br />.rrucru.. plnr ro ns isudc., ![a r.qund rh. rpplicdl ior such rE i h nL , sisi.d {,lcl6r thar lE or .lE i! li.d!.d p@udr
<br />lo llE FnilioB of ih. Conlretoi! Lis!.d l.w ((-h.9la 9, comm.fti.8 wilh Sclhn 7O{x) of Divtion ! orlh. BNird ud
<br />PrcfBhN (o&) or th.l lE or 3L a qopl lha.iom .td lh. b.rb for tlE .lEr.d .tdplion Any vioLlrnots.(.n 7011.5 b.r u)
<br />rEilic.d tu . Fnn $be1! rlE ippltDr ro r or'l ,.alryof hr mrc rh& Iir. hun<!'.d d.ll6 {ltoo)
<br />l..r o*E olrh. FoFlr. or my.mploy6 $ hs.866lh.irsLlTnrFMlhn.\ do llErlrt. lltrn8ri!mr
<br />imdrt d or olfr.d aor sl. (sd 70.14. Buin6t od Proa6lioos Cod.: 'l lr ( bfudor'. l-i..a tt* <t16 mr !ppl, ro M osn6 of
<br />rlE prnFly who tlil&or ir.Fov6 thq@a rrl strr.1063trd Flt hi'or.l[or hdslf or rhFulh hn Dr hd osn dployc.
<br />p.orid.d rhdt Ju(h imFDvffiE e mt inrdi.d n olH for sL lf. lstr6q. iE toilditB or iqr.rsrEln ir sb wnhin o( rtof...rkhn. rlt (xG B{itb {dl h.\. ft hnb .lForinc rll' tt .r rlE dd d t{ild n nrpr.!. lh. F.F1t 6r rlE FrFor of
<br />l. 8 o*fr of rh. F.Fry, m.rldi*ly.oflr..r '6! wnh licosd codr.doa rd.onrnd rh. F.rd (sa 7(xil, Butd6
<br />ald hoEsix Codc th.(onlrlcloir l-iccN.Llw do6 ml.pplylo u o*n( of propqly who buildsorirprovd lhn(n.
<br />od wno conrEcr3 for ru.h lrejd! wirh a conrm.rorl, li.a*n l0u'oi ro th.conr.doar l,ktu. tlw)
<br />I m c(mF u,id Sdh.
<br />tllltSESl:.(autENtaua!
<br />DECI.ANAIA!
<br />I hd.b, .mnn undd p.n.l', of Fjury o.. of lh. nnb$in8 d.chr.lionr
<br />I hrv. .,n $ill Mid.i . Cdiaf,d. of C.lsr ro sdfiBr. tu{ f,.rtd' conp.rdio.. a p.D\iLd 6r bt Salion !?m of lh.
<br />t k, Code fa lh. Ffotr1e. olrlE $qt [d $nah rh. Fni a &Ed
<br />I hor. .nd qill minlrin tr.na co,46!rion iM..c.. s r.qun.d by Scl ior 17Ln o I lh. I thor Co&. tor lhc Faolr1@c .l
<br />lhc $ o,t tor *hich thn p.mit ir inucd My worl6 comp.Edion iBuruc. cni6 rnd Flicy numb6 m:
<br />I cdn\
<br />'h.l
<br />in lhc p<fonMnc. ofrh.reork lor qnrh rhis Fmil r i!$.d. I shrllnol oplor .n) F$n ih !h) nrMB
<br />$ d(, h-dmc slbjrr ro rh. solrds conl.ns^rnh l,ssotcahftrmia. dd.BGihar ifI rh uld i...m. !trhid ki rh.
<br />soi[dl .o rB ion pornioB.f sdri.n ]7morrh.lrhrCod..I $ll, lodhl nh .omtlr $irh rho*ar'o1isions
<br />cnrl lina uf tu orc hundr.J rh.lrsd (nll
<br />Srhon r(i76 ofrh. L.h{ (irdr.
<br />'nrdd rd
<br />\\ARNINC F.lu.lo su. r.ltd'conpoansn $16+. it unhstul. ,nd 3hrlllhFr m nn9h)(
<br />,m0). in .ddirn ro rh..or
<br />".,,,. /r/// /1q
<br />::yafr..rW
<br />(AdlIf,IJCI]OtrI.ElDIlG.6Cl[(}
<br />I hdlby llrm uo<16 Fdy o I Fjur, lhd rhft n i ollntucinn Eiins .94, for $c FIolrl@. of lhc s* ftlr "llth lhi Fnl ir
<br />i$u.d(Se. 1097. Civ C.).
<br />[rcl.aarlox
<br />I halt,vrmrm undd F h, of Fju.,lhn I E liEE d ur& Fllitb. of (trBs 9 (mnffiinx snh SerFn 7(,0) ofDivilion l
<br />of rlE BBIB ild PDfdiod co&. rn my kG 6 h full fr'ro !n.fi.d
<br />ATIII(ATLDEOJSAUA!
<br />I h.d'y .ilinn undr paahy of pnjury oft of rh. follo* ins dccleariotrrl
<br />I).mlirion P(mils-Asbclor NorifiQtion F.d6!l R.suhtions(titlc40. Pan6)
<br />R.quGd lnrdofN.lll6cdr
<br />I (dr6'hd'lE f.dcri r.3uL'hE Esadinr atEst.r rmr8l r. ml q'plalbk lo lh6 r,r<1
<br />I ccn'frrh.rl ha\c.md rhtr spl,l'cat'f,nandsrnr.rhird,.ahrv.,nlinnlll(r 'r !nr<r liErrr..orylt\rirh.ll(ir\.nd(oun(\
<br />frdinanccs rn,l Sn r La\srchr'ng City md ( ountyro o16 ur.n rhc
<br />!bo\c mdlioncd pruFny fot
<br />APPROVALS DATE ID/SIG.
<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 / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueing
<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 Rough)
<br />Meler Release
<br />Rou gh
<br />Service Meter
<br />FINAL il t1'l\'(fi ).vt,l
<br />Notes, Remarks, Etc T-l-
<br />,^,i/o/y'V7
<br />COMMENTS
<br />Transformers
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