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ELECTRICAL-INSPECTOR BECORD
<br />APPROVALS OATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Vollage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />Itrleter Release
<br />Rough
<br />Service Meter ,l
<br />FINAL <F *n t1 ,u DVYN
<br />Notes, Bemarks, Etc I I
<br />OWNI'IllT'II,DER DI).(IIIATION
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<br />dppli.{.t for i l,.nni iuht .rs rh. iplrlironi ro n or il ,.nrhy oI m! mrc lhln fiv. hundEJ dollu (lrDI
<br />_1.a ormr.rth. FoFnr. n my.'lp5)er vnh *.8.r $ th.n ek orF.di.n, qdld) Enrtulrn lrMeird
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<br />rh. Fotidy wlrttu lroriqmBrhd!,trd,lnddrkhh lirelror li'sror rlR,uShhis rlrrown.nph]€r,
<br />phvi,.d rhd ru.h inpnlr,F s m dn id. id or ,r|rrl lir ele. Il ls*.Kr, dE toitdutS d in+owftd n sld within or rroIcdpLrii\ UEO*E Duilla wiX luE ! hrnLn ofFsvn8 rhd lr n ft di.! d hri! u inlro€ th. poFiy tn rlr F).poa ol
<br />_1. &\ osftr ot fi. pnr,l.n!, rm.r.lurir.lt oM*1d8 * h lk.n-d cotdrdro.odtur rlE prord (S(.71X4. Burirs
<br />rn B$ts$Dtr CGl. l n. Conu*nr't L,(.tre L.s dr.\ r lnDly b M o*ftr ol porEny *t$ burld! or n!{mu rh.ron.
<br />rnd whl) canud! Id rurh F(rccrs eirh i Co al({r) liccnsd pun@r !' d. Cotlllicl. LieM U*].
<br />EOAtr!8S$9UIIAIALION
<br />IIECIT$A.I1!,!
<br />I lrrcby:fin und., r.nehyofOcrju.vom ol rlr follosin! d(I[dirN
<br />_l h.v. ut *ill nBid.r r Cin irr. of ( orkDr to S.li-INur fa *ortm dnFdi,n. I tftvd.d k b,Ser.nl7mo,rlE
<br />ffi;nrrlE Frloom.olrh. "oll I(,lhrhrlI psn $ lr\ucJ
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<br />ry'-T* ff "t - * rq.' @!{EMbr iure m dd pri, NEt r e
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<br />$ a lo b.\Tc suhr..r h rhc wrd Frnp.dtu L*r otc.lfomia rd r8c rhr if I JsoU t oE abrcd ro rlE
<br />w m on'FsaiDnp|ov6ioBorsclu. r7@orrE u6orcol.,I CrlL tdndond! wnh[@ ,,oBird..
<br />WALNIN(i llilu( r( E.!ic sorl.( (.nD.nstrbn cov.tug. is unh*(!1, mJ $all sr m .mploy.r ro lnminrl F.mt.\ shd
<br />.ivil tuEr W k, oE h! r.d rhous.rrl iolDrs (Slm,Ulo,. n alditu, r, tlE (d ol iotr daur.s 6 pbvid.d tor rh.
<br />sdrbn :1076 of rlE L.h, Gd.. id.r.d .!d dkrmy,r ler-N-lo L
<br />I h.r.ht rtlnn,utul.r Etr.'hy ul Frurr rlrr I rr l'..trrd utrdfl I'n,vL,oDo,GrtrrrE-.,ry *dr SRlbi 7(xl(l) of Dision ]
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<br />I hcEby rllkn undcr lEnrhy.fpaturyrhd th.rc n r.on$trlbn LndinS.Scry lor th. Frlo.nw. oI rlt ro.l lt' *hih rhn Frnir a
<br />issu.J (S.c,109?, ( n, C,),
<br />AITLICAII.DEqAAAIION
<br />, hd.n, lffrn urlq Fnihy dr p.,jury od o, rlE lolb,irS .lcll{itnr:
<br />D.nr,,rr!n P.rn,n+tuh.{os ldrifrdnn F.d.rd R.auldiom (rtk ,10. Pd6)
<br />_Rqu.d tlkr ot Ni fr i,
<br />,bo\. nr nmd0n,p.ny in i'NF.ri,n
<br />,lDDlnr or.tl6iSit xl e^(t 7-)
<br />Rev. 08-07-201
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