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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS (,WNTI BT'ILDEII DI:I,CAiAT!('N
<br />I hrrcn, rlnr r c. t^."tulry,)f p.rrury rhl'l I an Nrcntl)r ltu rhd Cont{ro^ l-f,ctr{bwnf rh.,olloqirs rcu$n (S(7011.5
<br />au!n.\s rl I'rof.\{ir t C,dc): Ary Citt or Counry trh.h rcqui,c\ u Ffl.il k, q'n(rucr- 3lrcr, itr!,nvc, rLm'lsh o, mF,ir anv
<br />iru.rur. nftr r' [. ir\uB--c- lle rc1]unc\ llE {,I,li!nt lor \uch lto bfiLan8tud{d.mnr rhrrh.or$lEslt{n\.{ l!^10l
<br />t) rhr t'n,vtrn'h ol df, Cunri.ttr ! t-i.cnrtl ljw lorplcr 9. Conrntrrcins * h SNrion 7{rI) ol l)iirnrn .} orrhc a.vts md
<br />Itor'c$iors (.l(lc)orrhrrlEorshe ircicnn rhcrcf,onrrnd rhctu\i\ turrht l.!cdcrc frion AtryviddonofsLrri,)n?0ll.5hyrtry
<br />rpnli.anrfit!p.mi\uht(r!rhcnpIl(unrt,,.ivilpcnrlryoftornrftrhMfivrhundruddollu\(S500)
<br />l- a( osrEr ol ih. poFny. or m, cq'L,tri\ $irh *.rc..\ rh.n v* $tr{rnd i,,n. will do rh. tr! {ndE{ 186r,
<br />'nrcdcJ r olfur.d tor ql. ( Sr-. 7fi1, Auriks nd ltr'r.'nons C(ilc 1.rr Co.r&lor's t Lcn{ lj* &Es mr aml, b .n .srcr ol
<br />rhc Frp.ny wh, hdild\ or i'r|BNs rh.d . unn wlx, di{\ \kh *o& hi'n\.lfor h.rsclanr rhbush hrs Dr hcr orn rnfk,yccs.
<br />I ovilc'l lhrr ru.h iryrovNrnls u ml id$!tr] u .!tod tor sL lt h'{q. rtr t{ildir8 or in{,n,hftnr L\ sld sirhin otu FU
<br />of ro'r{lLri'h, rhr Oemr aniU.. will hnr rlE hf&. d pftlving ihn h. or .rr dij d h,! or rrtrot IE FrIEl, lu tlr FrIrE ol
<br />l. !r owNr or rhc pn'E y. i.r crclunvcly c.ntrlirs wirn liccn\cd conlrrctn t, .or(rucr rh tft)ic(r (sLt 701t, Ilu\i*\r
<br />r l h a1\i Cod.: Th. ContKroa r L(ctr\c tf,* J(r\ tror attly n, !n usncr !f tnrprny wh, rDikh or n.pmvcs lhcrcon.
<br />lnd who.a,nrer{ri,,\uchnmj.rr(trnhrCodndr)nl,liInBlpu^u h ih. (bdrrftr'\ l-..tr{.tis).
<br />I 0rcr!nrtr unlcr s(!rnn
<br />w()taxutas coMPrNsaT!(lN
<br />DESAAAIUN
<br />I hcrchl rlir u ndcr p( rlry ol pc.Jurt otu ol rh. n,lk,s tr,! delnr n)n\
<br />I h!!c uri will nBinrutu r CcniaEurc ot ( otrsor b Sclrr lnsur l{, sort.B .onqinvl bn. ri t'ii,riJcd n b,Sdri(nrlTooofrlr
<br />lrtbr Cni. tuihc Fn nrem.or E Kl.l ror lhEt rlE F nn is isrn
<br />.,, hr!( il$'ll rtr u'n *nrkc^ .o.'l.n1rrtr,. 'i{trr'k.. r\ r.quvr h} S..ri,n.l7rx)ul rhl l-ulxrCode.lnr rh. perilrnuuo,
<br />rhcrorknrshilhrh(F,riri\i\ruc{l{ysrrkcrJ.'nFDririonirhutrlr.c.rnicru Ni.yntrnrtur{c
<br />rhlr i.'h. p.rLntutu.o, thc work Ibr !hi.hthtrIlc,nill\ n{ued- I \hrll Dor cmploylnyFr{,n in rtry ndftr
<br />om \ubirr ft' ri. trorlsi $r{En\ri,n b$ or Calfomlr rnd rsr. 'h, ir I rtFulll tE onr $bj.rl rd llE
<br />eori6' ornpcnerion povtri,ns or S<rbn :r7m ot rlr hlbi cod.. I $n . ronnwirn omply rnh lhrs ,rovirion!
<br />WARIIING Ijrilum ro suE m.r",. ",,.p.**ri., *,,"*g" l, ,"rfri,t.irlJ NhFll !n cnDlolcr ru onnnllpcBlli! ud
<br />I onpcn\axo., daruFc\ n\ t'(rid.i a{tr rhc
<br />s*o,n rorrinrlr. ror.,,lc,.r..
<br />"",. {1!1+}
<br />hou! rl dolhn r3l(i,(rx)r tr,
<br />i .r.{ rel.tormv . ic$
<br />I
<br />I hcEby ninrn ud.r FMhy ot Friury rhrr I am li(Nn unr.r lmvGirD or Ch.F( 9 (oIrftrin8 *nh Sdriotr 7(l[, of Diviiion ]
<br />of lhc Bulim$ and Prof.:iions Code. ud my tirn{ i h (u[ r.r.c {r] clldr. t
<br />tg 8(Ittr--
<br />-tDsk J.1
<br />\
<br />I
<br />1t ltus Dov(---
<br />g}NTIf,IJ!:IIANIENIISGAGEICI
<br />IlrEby tf,'uds Fulryol tErJurylhll lhqc G r on,rnElb. Ldlins.scrty lo.llE FromE..c of E$ml lor $hahrhnFni t
<br />^smJ
<br />(S.. .Ir7. CiY ( l
<br />t-cn'lcr'\ Nrnr
<br />l-'xl€r\ ddrss:
<br />-
<br />APPLIC NT I'FCI R TION
<br />! hrrbt tinnunds rcnully ol lcrjury om olrh. foll,wnr8 dalstrirnrl
<br />D.'nnili,n Pcrmih Ashnn Norilicrrior lcicral Rc8ulnlrnr (Tnh:r0. Pd6)
<br />_R.q!&al k(d of t{niff,dir.
<br />I ccrlilyrhd lh. r.dc.rLrcsulJri,ih r.!r'iins r\rrn.\ r ,rl r. ror ntnli.lhlc 11, rln\ I,'jr.r
<br />-l
<br />ccniry rhIr I havt Enrl rh* applkarhn rl rrrr. rhJ, I inlnrdk,' is.onNl I r3r!r ro d'npl, lnfi nll Cnr rl Coutrry
<br />onlnrkr\r \l SrricIiq\rl'rhsn,burl,l h..cb,ruthtruc rcp(rnr iu\,,frhACnyI Cou ry
<br />irr. nrnrtrr!,| fr)t^-nt lttr n\8.1tr|
<br />\pplnHnt f \lrtrl Si8nrltrn x 5a vrNFPrmire Bnr ( prino, Y J1'L =l%
<br />.}l
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<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 />Ceilings (Hard & Soflit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service lr/eler I L5lrt1,\DU*zr
<br />Notes, Remarks, Etc.lr
<br />-+
<br />Rov 0n-(17.2015
<br />Under Slab / Floor
<br />FINAL
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