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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,iT'AILATION
<br />I n6cby lrrm uid6 p.f,.lty of psjury thd I n .roryl fmm rhc Codr..loB LtcB lr* Lr rh. followiq ren (Sa ,01 I J
<br />Bqin6s Md Pmfsion Cod.) Ary Cny or Cou,ny whEh r.qrn6 . Fmrl lo ord ct. .116. improve daDlnh or EFn Ey
<br />rtrucre. D.ior ro ir! is3@... abo rqltq lh. rp?lkel for sh Fnti to nL . stn d rfiml lhr tE or !l& i3 lkaad pr$!,u
<br />lo rh. pr.vnioN of rtE Co.kccroar L@*d l,* (Chaprd 9, Cohn@io! vilh Sdion ,000 ot Dillion 3 of thc BsiB &d '
<br />P,ot4aoor Cod.) or rhrt h. or ih. ir.rmp rh6.t nDd rh. hBit for rlE.ll.s.d qaFrn Any vaoLl'on ots.<ii6n',01l.l b, sy
<br />.pDlica lor ! p6nn lubj*N rh. .ppli.Mr lo r civil p@h, of nor mr. the li!. hurd.d doud (1t00)
<br />l. B om6 oflh. proFrry. or ny onplq6 $ith s'.86 G rhcn $h ompdadh$ *i! do llE wdl rd dE Jfur b tot
<br />i oxLd oroflGrd ror$h(sd 701.1. BBt6od Prbf*ioE codc 1lE codrlcloas Li..e L.q do6lor rpplylo o.Maof
<br />rh. FDtEly wlb hil&or mproEllEon. rd who &E*hs hnMlfor hc*lfor dtrDughhls or hE oM dployq
<br />Fovij.d rld $ci imFlEEr,l e Dr hrdt d oroflacd fo, eL l[ how., tlt blilllil{ or impmrEEn ! $B snhin o4 ]a
<br />of@rpldion. rlE O*G A{it6 wiu hrE tt hdor orFovi.g rhi lr. or O. d'd 6l build or mF.v. $. FDFIy for fi. Flpor of
<br />I. so{Mofrh. propcry. m.rcluliv.ly co rading wnh lic6s.rl.o,r6croBb@'Brud lh.F.irl {56.7044. &!nB
<br />md Pntsio. aod.: Th. ConkEroir Licd3. Law &6 mt appl, ro o o*n6 of pmFlt who builds or ihprov6 lha@n.
<br />dnd sho o!'r6cl3 tor .h Fojdi3 *nh r C.dEro(!) lkd!.d PIBuer lo lh. Cor{.sloas Lic.e tlw)
<br />I c\dfl und.r SGxo.
<br />WORKERS' CONIPENSA-rION
<br />Dligiaarlo!
<br />I iEchy lmm undd pdalry o f pol,r] orcofrh. hlltN ing ddlearFN
<br />I h!!. &n $ ill roifl.in ! C.nifrd. otco.5r ro S.ll.INr. fo. sortd ompdBdion. e Fovid.d for by sdl io. 3700 oa(h.
<br />t b(tr co&, lor rlE Dcfofu. of th. *ort lor $t!th rlE !q,nl b i!.u.d
<br />I haE snd { ill mii.lri" rtrrlG comF$llion iBure.. a rcqui,cd by S.<rion l70o ol lh. L,bor Codc, tor ifi. Fftu oI
<br />rh. hrl ftr *! ch thi! p6nh b i$.d My wort6
<br />'.nposro.
<br />duaM .',E !d ,bli.y Dumba G
<br />"-- 'shzz /N2(/rt4!l4
<br />^rr,
<br />-l
<br />.qli& thtl in E Ffoirll.e of th. sorl for $tkt $ir FEn i! isu.d. I sbdl rcl dPlo, uy FMn in my meE
<br />$ B lo h<!tr sb61 lo 0E m{6' @EFudioD Lwt orcditohi.. &d *rE rhi irl dbdd beot@utt6r ro lhc
<br />Drl6' ooFrrbr FovirioN of Sdion 1700 of lh. Lrbor Cod!. I tulL lonhwifi @frpty pnt lhoi ,ovitbB..
<br />\IARNING r.ilur. ro sr. sol6' conrFsdkin 6c.rasc ir ubwtul. &d llBll objet s 6plo,6 lo simidl FEtB dd
<br />.inl nn6 oI ro oG hs&ol thoMd doll6 (tloo.ooi)). in addnh. lo rh. con df..sp.Mrion, &h.sd B provir.d fo, l[.
<br />sdio. 1076 ofo. li.r CdL. inr€6r ud allonEy 3lG rl
<br />D&Clrf,ArIO!
<br />I lEcby .lTm undd p.tulry ofp.qury lh, I @ li.sE d u.dd Fovnior o( Chlpld I {comdirE sifi Setion 7000) ol Dirilion I
<br />of rh. Buind ud PDf.setJN Co&. n J f,y lB.& a in ftll forc rd cll61.
<br />L /2 ./ao<{Z3j
<br />laltrBufiroruJllllc-acEr.cl
<br />I ha*t lIEn udd F dry of Fj!r, ln.l thc! it , oniruclion ldding ledy for lh. pdfolffi. of rlE ert lm f,tth lnit Fnn i
<br />iiq<d (Se. 1097. Civ. C.)
<br />t (E\ Nm.
<br />APPLICANT OECLATI I.ION
<br />I h.*y lllm uid6 paalry ol Fjury .@ o f rh. tollovrry dalaatnnsl
<br />D.nohion PdnitlA3b6rd Notilic.l io. FnldllR.aoLlionr Onb 40. P0n6)
<br />R.quird lsrd of Noiincdm
<br />- I .qliry lnlt lh. f.daa! EglLlioN t!g!din8 at6loi ltfuvd &. mr .pplktbL to lhit prdr1.
<br />{Yr .qt,ry ,r', r *. ,*r ,n6 .ppr({Fn 'n nd. rhr dE .borc inrorrEk n a! .o.iEr. I rlrc ro comply w h a0 c,r, dd (-ounry
<br />foi<lhu6 .id sld. L.B Eld !E ro li'l&.8 <onod ioE -d lE t y drlbi4 rcr.&udir6 of tht Ciry d coutty ro 6la upon tlE
<br />lhorc Mtion d ropcny tor iq'eri.n
<br />^ppllcmr
<br />or Asenr slrn.rur. X
<br />"--U*- rrrn*rt y( P1 franz
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor t.- I It.t /^"?f
<br />Bondinq / Groundinq / UFER at //N (Da,lfu irw
<br />Transformers
<br />Torqueing
<br />Sub-Panels I
<br />Air Conditioners lr t -,t.. I ^.,*,
<br />Roof Top Equipmenl ldf,/r 6tt/H StYtlll )trou
<br />Factory Wired Unit /
<br />Walls (Conduit) I
<br />Walls (Roush)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter tl^al 6)
<br />FINAL ollrydt autE w0)
<br />Notes, Remarks, Etc
<br />+
<br />l)i( '
<br />,o
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<br />I
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<br />II
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