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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS OWNER BUILDER DELCAiAfl ON
<br />I h.rct'y dfit undcr Fn0lry of pcrjury rhrr I m.t.nfl fDm rhc Conr&rom Li...* tr* for E folk'win8 rc!$n lse.?0-11.5
<br />Busin.r\ s'n ProlBsiotr C.&): Aoy Ciry o. Cou.ry whi.h Bt rc\ r Fmi lo ontn d. .h6. nr?rek. .ltulLrh o, ErTrt dy
<br />srrudurc, Fior ro irs isiuoftc. .t{ rcquiB fic apnlkanr ror ru.h Fm ro lil. i si8ftn slslcmnt lhd & nr slt i. liccNd pu!\qr
<br />h rh. Fovi{r,nr of r,r Conrrublr l-t.nrd Lr* lcn rrs 9. Cotlftrr3 wnh S(riJn ?m of Djvirbo 3 of lL Busi*$ ad
<br />Pmfc(iion\ Cod.) or rhlr h. or ihc t cr.rOr risrton rd th. h.rt l E allc8ld cr.nFio. Any*,Llhnoasc.rim?0ll5bydy
<br />uptli.rnr for u !.6ir suhjekrhc aplli.am lo rcivill.Mllyoltrol nrrc ltd fivc hlndred dolld. (t5m)
<br />_1. a\ o*mr oa,h( ptrrFfly. (tr By.mploF.\ wnh *!8.s ai
<br />'hct
<br />v'lc .oh't--nsar io., will d, rlE sa !d rtE tu1mn mr
<br />idrckldl or ofi.Ed rar sL ( Sd 7044, BusiEsr Md tttr,tsri,n\ CftL 'l tE G,nlrsdol\ lI.n* tjw d$ ml qply ro M owmr of
<br />ihc Fr.n, *ln hoiHr o, iqh6 rlEla ,rl etb &* uh Nrl hrnrcll nr h.rclf or rhnr8h hn or lEr own cq)hyei
<br />prcvid.'l rhol \!ch irnpn,kntnrr N fr'r inr.d&d orolrcEi t, slc.lli ll,r.E, rh. h{rlling or irPmEmnr ir$ld*nhrnorc Jtd
<br />or.onl,Lrbn, rh. o*m. BujLlcr will ,rk IIE tu&r ol'tmvirr rhul hc or slE di! d, hill o ini/.k l}E piEtEr, rd rlE |,trIr,* dr
<br />-l,.sowmro(rh.
<br />I'otEly. lr.r.lusiEly.onrr&1Bs *ill liaren co tuk'Fro.on\M rlE ,'trjd (Sc 7044, Aunftai
<br />aJrl tlbfi:arm Cod.: th. Conrmiol$ Lk.n.. riv dcs mr 8Flrly ro o o*n.r of proFny *ho builds o. imphv.s rhtr6.,
<br />and wno conr@ri tu \u.h INF(rt eiLh r Conu"chn3) la$*d puru lo the Conlncxn\ Ltcnr Liel,
<br />I flncrnrpr undcr Sccrx,n
<br />Lt r. l)eh.r
<br />rvoRxEx-\' coIIPLNs,t rioN
<br />DTTLAXAUA!
<br />I h(rc6y rftun unJ.r trulif rl p(rrurt or ol rlr iolk,qdrt d.!larati{\
<br />/
<br />-l
<br />tuvc ad e'U m'oru . Ccd if..r. nf C.nrd ro Sclr-lNE fm eort R sn{Enr.rirr !s Imti!.n 6r h, S6lbn l?OO of tl*/ L6bor Coi., f,r r,r ncflffi! ol rlh *(l lq lhth rlt Fer b Md
<br />D-#lll"* *,,, *'".. *.*c6'conp.r{r.r in$,mc.6 Equiild by ssiion rrD or,tE hb* c.d.. ror LE pqr.* or\ ilx wql for Bhi.t ltk Fmn ir i$Ed. M, *o.t6 orpc rlrhn inffi 6i. ,rn ,ola, nuobs c:
<br />7*l,, 7-fZuut r Zzz--s,
<br />/ya*yr,",*,. Ro/vt/-tz- *O E1,Es: /./--"o-''(
<br />-l
<br />..nify thnr in lh! nc ornu.cc ol thc work lo, ehth rhi\ l,.rnir i* issu.d. I $alr R, cny kry 6ny !$str itr any runmt
<br />y, 6 io tfr,nE subrlr ro
<br />'rF
<br />eorld( d'l{xnsrbr llsr of C.lifomi.. ond lse Ulr it I slbuu b.toE sbj.ir ro rlE
<br />wo d{ onpcNlio. povrions of S.{rDn :}?(t) or rhc Lf,lnr Cdi., I \trlL ()dnqirh on{tly unh dns Pnvsn.s
<br />TVARNINC lf,ilh- b E.-.ur. sork.6 .rmtcnsrron.ov.rr!c rs Mhsrul. nnd $!lr $l,i\l cnDloFr ro oinrtul Funia arl
<br />civil inc\ !pio o4 hundrcd rhou{md dollr. (!10),fi10). in nddiion !o rhc corl of conucnsarii,n, dunua$ alFrv'dcd aor (hc
<br />Sc.tkrr]076 of i6( trh, Grlr, i, .rc( mJ ntrft y \ fL!\
<br />f,","._i -? -zt
<br />Df&lll^llod
<br />I heEby rflnn ond.r p.ehy of frjury rh.r I m li..nsrl ufrLr lrovirion of Ch.tls 9 lcom rEing *ilh Serion 7000) of Divbio4 3
<br />of lrr Busi6r and Pmlcsrions Cod.. .d d, li. t k nr flll foc &d .ner.
<br />(
<br />."*.r.., C -z O
<br />r,,-7-2_7,1
<br />Dl ? 2)-31
<br />,1?fu42
<br />CIIIIIBIJCITQNIIIDI!$JGE&II
<br />I lErby rtrn u.dd F.ahy or FrFry th, rlE. is . mnslrucl iln Lndds *cty fo. rlE tt fo@. or thc strk ror wh.h lhh Fmn ir
<br />isslcd (s(,1097, civ c.),
<br />AIEIICAII.DECIJAA:IIIIN
<br />I hor|, rrm un hr Fnllry of Friury om of rhc lolt,rhs d(l@rio.r:
<br />D.mlirion Pcrnits-Asbcsrox Norificurion F.dcrcl R*ulnri6n* (Tnlc,(J. Pan6)
<br />RoNircJ Lctrd of t{dii.lrion
<br />srffi ;:;ffi ;;il-ffidffi #;ffi *,*,**.***
<br />$nvc N.riomn pot^-ny fr
<br />(::;:::
<br />-D DP.t()-L/y'.c 5z --7:2-22
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lire Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor-
<br />Bondino I Bf-outrdirts2Jf ea ?-tz-zl (Lc-z 7
<br />Transformers I
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Bouoh)
<br />Meter Release 3.tz-24 lL c-zrl
<br />Bouqh
<br />Service It/eter
<br />FINAL 7^ n--'Ll 0-r- r ,N,ur49 -u]
<br />Notes, Remarks, Etc.
<br />trnds , AddBs
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