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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDf, R DELC RATION
<br />! h.rcby rfnfln uftlcr FMlry ol pc4ury tur I d ci.mFr fDd rlE conhrou Li...sc l,* ror rlE tolb*int E!r,i (s...loll tl
<br />Brline$ un Profc$ion Cdl.)r Any Ciry or C@nly ehEh rcqut s r Fmil lo mnslruci- !X6, irttow. dcmli$h or qnn e,
<br />sturuB. lrnr k, i's isruBc. .ts ..1luir! rh. {Tlicsnr lor 3kh lr nii ro fiL . ri8md i.r.m lhr lr oi rtE i liansn tuMnr
<br />ro ilE F.virioN o, trE ConrBkr'r t,t.nEn Lrw (Chlrlcr 9, Comrcins *i$ S{ri,r 70@ .t Diritio. :} or lh. ButiEs ud
<br />Pm6si,ns corl.) or fid hc or rh. is crcn$ rterhm ud rh. bdir ror thc rlh8.d cr.q{bn. tuy vbL! krn or S.{rion 701I J b, on}
<br />apdic.nr lot , Il.mir ruhr..h rhc {jljlkrnr ro s .ivil p.Exy of .or mE ilEtr li}. hudrcd dollor t!5lD)
<br />-1.
<br />.s o*F ol rhc FoFnr. or ny.rqrkrrcr wft v.8ca I rlxn sb mnlPcns ion. ril do llE {st.td lE il.lErE i\ t
<br />ifl.rLd tr o,LEd rd ek lsd ,0,&. Bs!i6! dd Pnacsrnnr Cod.: TIE Coftroi. tirM r:w &f,r ml .IlPly lo x 0*6 of
<br />rlE Flpdr, wh, h'r& or iqmB llEsq.,n pb.16 st slt limElrd lEr*lror itu !hhisdlE os..flPbyti
<br />pmvilcrt rttr sh in{hvmn.G ml hqi.d orollod fc sl.lt hoM. E hlildii! d iqmern n$B *irhi. c }q,
<br />ot@'rd.rbtr ilr O{F Buildq wil IEE llE lu&n of Fodrs tlEl lE or !|E dn d{ t iu or ingroE 0E F{Fly lor 0E F4oc ol
<br />l. N o*No, rlE F)t'cny, .r ct luiiv.ly $ rrrring *irt li€n*d.ontdoB ro oNMr lhc t,trFcr (Je( ,04r. ou!r$
<br />,d A.rsi{CdL Th. (t nrruktrl t.ic.nE L"w d6 r lmly
<br />. who conlncrs for such ptr).11s wirhac. Edonslk..*d
<br />(.,4/b>
<br />D&CLANAID!
<br />I hcr.by rl,n u $ Nnrlry"iBrluryotrc Irhcn,l[r*ir]Sdccl3rJri(,N:
<br />I h!v. dnd wilr nuidrn u C.n ililrc ol Consctrr ro Self l.s!r. tor $o+s cddp.ns.iion, * rovirLd lbr by Ss-l id 17(n ol I h.
<br />libor Oxic, nn rh. lx onNr. or rhc rod n, *hich rlE rf,ln n nsucd
<br />_l hrvc and wi ll mintnin sorl.rs .omr.nsnrn]n insur!.cc, !s rcquncd by sNt ion 17(x) ol rhc Litx* GrL, l ltu IdroiirrR or
<br />rh. *ork fnwhichrhir n n ir rrkrl Myeorkcn cnryEneliotr insunmcc ir {d poli.y rumtr, dc
<br />-l
<br />editr rhr in rrr Frlormftc olir roil ld Bhth rh's Fmit ir askd.l slEll mr cnptty rn, F$n in any MN
<br />s ar ro lx<om $hfrr ro tlE *rtd $ngENlirn Lus of Crifomia. and as@ rhrr if ! 3notrld b..oft rubFr lo llr
<br />rolrdr' d,qEnsri,n l,ovirbn* or sr11i,n .11X, oa llt ljru Cod.. I {sll fodh*irh 6n?ly *nh rhoE Frvisionr.
<br />lVAlNlNG F.ilurc lo $urc
<br />cd nncs ut lo oe hu'rlrcd I
<br />SNrio. 1076 of 0E kh" CGlc,
<br />*ortdl onq{treri'n n'hogc h mh*tuL dt rhdl sub}rl
<br />hous'n d{nl6 (tlOOlxD,, i. {rdnbn b ilr o{ of.qilE
<br />s cfprrrE ro chnd lftlii .rd
<br />Nrin d.r$t d Fovild for rlE
<br />,..?_UJ"zR-7-----:?ta)z
<br />ul:.Ll.ttsrlt!^
<br />I h.Ehy !flirm ud.r n tulry or pfiju., rhrr I rm lien:.d !nd.. Fsrision of Chq,l6 9 (onmtuins wnh S<rbn 7(x)0) of Divl{bo l
<br />of tlr AusiEss url PmLsionr Cod., .!1d nry li...e ii i, tull r6E .rn !nd.
<br />Lninsc Nun$cr:
<br />IQITTBIjjJIONI,INDING.IAEN(I
<br />I h.EhyrIftrutulc. Irnnlryof,kttrryrhd rhc!. r\nc.n{ru.ri,n L ing a8c^_y lor rhc pcrrori,un.. olrlf wu* ntrFhahrhnFnnit i\
<br />ksucd lse.1097. Civ, C )t ni.r'sNum:-
<br />allllgAllfD8clJSarlou
<br />I hd.by.rm lndd FMlry or Frrury oB ol $c folowing &{Lnlions:
<br />O.mlnaon P.mir Aih6r NolilE lion tu nl R.3uldioN (TilL.O. Pai6,
<br />RcariEd L.rr( ol tl(rifrrlbn
<br />-l
<br />diay rhd rl.E rcdd.l rtul&ria ESrdin8 .sbc.ros EmBl E d qliabL b fin pmid
<br />- I cdrity rh.l I lrr rc.d rhb .ppltxior.d {.lc lhll dE lboE i ortrli,n i!coGl t.!E ro onply snn Cnr.dCou' y
<br />ordhaNe\ and srar. Li*r rclran8 t' hriuins .on{Mri'n. un cnr,xk( or rhir Ciry .nd c(lury lo . s uF)n llE
<br />atx'vc m ioNJ pn,r^-'nynn in\Fi[i 03- o?-e t1!plirxni o. rrrnr si!Mrun
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor tl
<br />Bondino / Groundinq / UFEFI 1 'l0t z{D4.*a v
<br />Transformers
<br />Torqueinq
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soff it Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release 7 tlo 7A w*61
<br />Rouoh I
<br />Service Meter 3 lo 7l w1t4 7
<br />FINAL 2'lto A DL{L.3
<br />Notes, Remarks, Etc.
<br />{z-zz<Communications Cable
<br />Sub-Panels
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