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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWIER ALIILDER DEL('ARATION
<br />I hd.t'! rmrn und.t lo.llr or Frjurr lh.l I o cr pt frem lhc ContrdoR l-i.ru lls for lh. fouo*'q !!ei (S{7Oll I
<br />B6in6 sd Prof*hn Cod.) Ant., Cil) or Counry trhtl r.qon6 t Fnil k, ..nrrucr. .Id, 'nFnr.. ddmliln or rqn uy
<br />sddre Fi{ro ir3 i<]l&..,&. r.quc rh. iptlrer f sch Fmn b fikrrEftd xddml lh, lro. Ct i! lic.ru.d Flgal
<br />ro rnc FDrn$6 ol irE ( onrrln-! l-kdrd l,q l(1Ep(6 o, Commins snh s.drn 7un of Di\ni,n I ot !h. BalB &d
<br />P'nlBir6 ( o&) d lnd E s nE b dmF lhdcfi.n dd lh. hGs tor rh. .lkBcn .ranFFn Any thLlhn of Sdn. T0ll 5 b q
<br />4plicer f.r r Frnil $tI<B llE !r'9l'c!nl lo . .ill Frh) 6l mr mr. rha fi!. tun<lt.d dollE (!too)
<br />L s o$c of rlE FoFry, or m' mphlB trth *.s6 s lhd sL onrttuion. $ill &, rlE $ql -d llE !|,rtra. 6 d
<br />idad.d n oll6.d ad rL (Sa ,1x4. Bl!'lt6 erl Prol6io6 cod. Tlr Coddr'r l-..G l^ &c d +ptt ro o .{E of
<br />rlEFDFi, wlb hril! d intr.\€ E@ rrd sho &E st svl hi@ll.r hdelf6. rl!trqh hir d lE o*r a4lot6,
<br />FouiLd rhd sh ihForffir m d ddi.d orofft,.n 6r sl lL,ru6u.llE hiiUi4 or dlrsqd a sE wnhh m yw
<br />of.otrptni4 rlr Os E lruilda $ill hlE llt hlrdn otFrire lht lE or !h. dn d hild or lt9rort $. Fpqi, tu tlE FrF.. of
<br />l. 6s oq nr o I rh. Ir.pd y- on .t.nrtr.lv cont..rinr \ irh licdsdl cont.clos h .onnrud rh. tnojd ( s( r(!1. ll68N
<br />aid l\sfssn(oJ. Ii.(bnt,ncro,rl.i.cnr.!a\do6nol6pplr- hMo\ner.ffl(ilErytrhohtrildrfrioPovtsrhds.,
<br />and Nho conrriclsnnruchIrrNli*'irha(irnkickrns)licds.dpurtrmrrilh.(irnlradinrl.i..n..l..s)
<br />I m.r.m und6 SNlion
<br />Dtr. Oin{\ioruifi8i( oniiE\sAlroN
<br />DECIASAIIAT
<br />I hd.$ rmrn x.d.r l.$hrorFjln ofto,lh.forlN(iry &.1@rbG
<br />I h,i. rd *ill trid.i.. (-dilEn..l('on5r ro S.lt-lNr. fd *rtd-6mFdhn. ! Im\ iLd fo. q_ s..rion !ru of rlr
<br />l,tnr Cod.. td rlE Ffdlll*. ot rh. $n trrnkh'h.Frh i iBu.d
<br />I har. 5nd * r ll mi'oh,n \.' l.s' ..tr'Fnsr krn '6ur.k.. 6 r.rtutr.{ b Sdt k)n r ro I or rh. I atx't (td.. Ior rh. p(a(]lrre. or
<br />rh. (,{l l (h'chrhtr twi n LU.n \n \rld'trnFMr
<br />Bn-o,r. \ fiwu' Anrrr."L ,
<br />.",,.,*,,,,.-'\o?6L oa'Lq71zo \r{., f[yfvz,a
<br />I (cniD rhar 'n
<br />rh. t6rannni.. ot rh. $ork {or \hrh th'r rrmr * r",a rrrrartn"r annr,'l4", n .l',. "...""".I
<br />{le s r. tE on.su[j(l k,lh. $ ort6' comp.nsil Fn li*r orCalif.mii. dnd irtc.llEl rtl srbuld tEcom. suhidr k'lhc
<br />\.rkcs' .o,np6Mt n,n pn,vnions o I sdnrtr :u(,0 ol rhc I nbor (ird., I sh.ll, aonhtr irh c.mp\ \ i h I l$sc l,ntr hions
<br />$aRNlNO hrlur. kr sur. sork6 .omFn$rion co\(ia. ir urla\ful. ! rl.hrll !tr6|{r ,r Grplot6lo ominil Fuhi. rnd
<br />cNil fin6 up i(' o( hundral
<br />'hous.d
<br />d.ll6 (JlC{r.000). in .od oa c.mrEnsrio.. de!s6 6 pm\id.d aor lh.
<br />lrbr ('od., inldcr d rllonq- r lc
<br />I ha.by rfrrm u.dd Fdty or Fjur' lhd I m li.6!.d urd.t Imvtion oaouplc 9 {offiirB q iti sdnn ?00O) of Dn a.n l
<br />of ih. B6iB.nd PEfdsB (.<L. rd hy la.B a in frrll aoft. tn.fi.n
<br />?2 C1,3 q&')
<br />11r cNv"*^4 fu*$
<br />(aISIAUqIIOITETDINiACEtrCI
<br />I hd.by .mm unri< Fn.h, o I Frory rhd ths. n . Nnirudhn L.ding tgd., for lh. Pcfolrutc ot rh. $..1 aor shich lhis Fnn i
<br />issu.d (S(.1097. Civ. ( )
<br />d.ttltc NLDEcltEaua!
<br />I ho*l} a&n !.&r Fnrh y of Fjurr- om of
<br />'h.
<br />f.llon i4 d.(brliotu
<br />t).nohFn Pmilr' thdlo! Noxn.dion r6iarl R.lul,rions (Ttl. 10. P!n6l
<br />R.qur.d I .lrd or Nd'lxtrm
<br />Mil*';,ffi-Esr&nr 6t6tR r.fu\.Ir. mr rrdrrbk t,
<br />'h! FoJ<d
<br />rhr rlE .lFr. i.rdtubn ir .m6l I .rra lo mmpl! { nh . Cn} !.d Cout }lErq(.dtrrt r.F..dndnd of rh'r Cn
<br />abo\c Irrnn d prcFny for tuF<ion
<br />,irplicrnl nr,r*or Shn ur.
<br />A/\h4-
<br />'TLJ ,T*
<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 / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meler Release
<br />Rough
<br />Service Meter- , 7F|NAL f,l? //7 F/-o/c 7/? /o/
<br />Notes, Remarks, Etc.
<br />, B & P(- torlhis r..n,n
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